Service Model
Our model service specifications are aimed at supporting health and social care commissioners to develop locally specific service specifications, which support implementation of the national service model. They build on the service model by providing additional detail for commissioners about the purpose, functions and intended outcomes of three aspects of the service model. These are: >>>>
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Enhanced/Intensive Support
(Principle 7 Of The Service Model) -
Community-Based Forensic Support
(Principle 8 Of The Service Model) -
Acute Learning Disability Inpatient Services (Principle 9 Of The Service Model)
These three aspects of the service model describe specialist health and social care provision aimed specifically at supporting people with a learning disability and/or autism who display behaviour that challenges. However, mainstream health and social care services can and should meet a large proportion of people’s everyday needs.
The following key principles (as described in the national service model) therefore apply to all three aspects of our provision described in this website:
The starting point should always be for mainstream services to support people with a learning disability and/or autism, making reasonable adjustments where necessary and with access to specialist multidisciplinary support as appropriate;
The onus is on us to put forward a compelling rationale for any proposal to deviate from the principle of supporting access to mainstream provision, whether community or hospital based services.
A core element of any such specialist provision should therefore be on enabling mainstream services, and other partners, to support people directly. Where meeting health and care needs are particularly complex, more intensive specialist multidisciplinary support may be needed in order to ensure equity of outcome for people;
As set out in the service model, our underpinning approach to transformation is based on a whole system approach to delivering high quality support and services for people. For this to be a reality, services need to demonstrate a strong commitment to a shared value base, which places individuals and their quality of life at the centre of everything they do.
This value base should reflect the ‘golden threads’ of the service model and be evident on the basis of capable environments within which care and support is delivered. Capable environments are characterised by: