This National Development Team for Inclusion (NDTi) report highlights the challenges in supporting and encouraging change to private sector learning disability hospitals.
The project ran for 18 months and set out to encourage private sector providers to change their services to reflect national policy as set out in the Mansell report. This included reducing the number private hospital beds, enabling people to leave hospitals for community services and supporting providers to develop alternative service models.
Whilst limited progress towards the goals was achieved, the project did identify a number of challenges to achieving them:
- A lack of desire to change services whilst a market for them still exists
- Financial returns were a greater driver than delivery of national policy
- The current challenging economic climate adds makes change difficult while still delivering financial returns for the organisation .
- Local commissioners must be the drivers of change, but there are insufficient levers in the system to make this a priority in NHS and local authority commissioners.
The full report is available at: