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Excellence and Choice in Learning Disability Services

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Respite services will be developed to meet the needs of those adults withspecific complex health needs <strong>and</strong> those with challeng<strong>in</strong>g support needs.The provision of community/ leisure - based respite exemplified by the Car<strong>in</strong>gBreaks service will be enhanced <strong>and</strong> developed to become accessible to all. TheTrust recognises the <strong>in</strong>creas<strong>in</strong>g importance placed by families on this form ofnon-residential provision.The Trust will <strong>in</strong>crease the opportunities to experience family placement as aform of respite break.5.0 ACCESS TO INPATIENT ASSESSMENT AND TREATMENTSERVICES.5.1 What Equal Lives said about <strong>in</strong>patient assessment <strong>and</strong>treatment services:The focus of the Equal Lives report was on the development of communityservices with little emphasis given to Inpatient services. However the follow<strong>in</strong>gstatements were made:There must be a full range of forensic <strong>in</strong>patient care, <strong>in</strong>clud<strong>in</strong>g high, medium <strong>and</strong>low security services.By June 2011, all people with a learn<strong>in</strong>g disability liv<strong>in</strong>g <strong>in</strong> a hospital should berelocated to the community. Funds need to be provided to ensure that onaverage 80 people will be resettled per annum over the 5-year period from 2006to 2011. (Subsequently, the M<strong>in</strong>ister of Health set a target that no-one should liveunnecessarily <strong>in</strong> hospital beyond 2014.)As a matter of urgency the Department of Health, Social <strong>Services</strong> <strong>and</strong> PublicSafety should consult with all 4 Health <strong>and</strong> Social <strong>Services</strong> Boards about theirpresent <strong>and</strong> future plans for specialist assessment <strong>and</strong> treatment services formen <strong>and</strong> women with a severe learn<strong>in</strong>g disability with a view to greater shar<strong>in</strong>g ofexist<strong>in</strong>g <strong>and</strong> planned resources <strong>and</strong> the development of new forms of communitybased services.5.1.1 What the Trust currently providesMuckamore Abbey Hospital provides a regional specialist assessment <strong>and</strong>treatment service for people with learn<strong>in</strong>g disability who require a period of<strong>in</strong>patient care, allow<strong>in</strong>g assessment <strong>and</strong> treatment of their mental health <strong>and</strong>complex behavioural needs. New build<strong>in</strong>gs have been developed which providea therapeutic environment for assessment <strong>and</strong> treatment <strong>and</strong> for a regional<strong>in</strong>patient forensic service for men with learn<strong>in</strong>g disabilities.There are <strong>in</strong> addition, a number of people (174) <strong>in</strong> the hospital who are liv<strong>in</strong>g <strong>in</strong>Muckamore Abbey Hospital because resources have not been made available forthem to resettle to appropriate community sett<strong>in</strong>gs.14

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