Fifth Report - The treatment of autistic people and people with learning disabilities
Select Committee
Health and Social Care Committee
HC 21
13 July 2021
Government response
The treatment of autistic people and people with learning disabilities: Government Response to the Committee’s Fifth Report of Session 2021–22 · published 27 Jul 2022
Recommendations & Conclusions
4 results
6
Recommendation
Accepted in Part
Para 54
The Trieste model of care—characterised by simplified and quicker admissions to and discharges from inpatient...
Recommendation
The Trieste model of care—characterised by simplified and quicker admissions to and discharges from inpatient facilities; limited number of individuals in inpatient facilities for lengthy durations; and emphasis on well-resourced community support—presents a clear and better alternative to supporting autistic …
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Government Response Summary
The government agrees in principle with the recommendation for less restrictive care, stating it is already taking steps to ensure robust reporting of restrictive practices and emphasising therapeutic inpatient care. It highlights existing legislation like the Use of Force Act and notes CQC is improving its monitoring of restraint.
Department of Health and Social Care
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8
Recommendation
Accepted in Part
In pursuing that policy, we recommend that by the end of 2021 the Department and...
Recommendation
In pursuing that policy, we recommend that by the end of 2021 the Department and NHS England & Improvement: i) introduce weekly formal reviews of the suitability of admission for all autistic people and people with learning disabilities who have …
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Government Response Summary
The government accepts some parts of the recommendation, agreeing to regular checks (while noting existing reviews), that people should not be in hospital due to lack of community provision, and to remove the definition of autism as a mental health illness in forthcoming legislation.
Department of Health and Social Care
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9
Recommendation
Accepted in Part
Furthermore, we recommend that autistic people and people with learning disabilities should never be admitted...
Recommendation
Furthermore, we recommend that autistic people and people with learning disabilities should never be admitted to an inpatient facilities that has received an “inadequate” rating from the Care Quality Commission (CQC). The Department for Health & Social Care must bring …
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Government Response Summary
The government agrees in part, stating the NHS will take action to avoid admissions to CQC-rated "inadequate" facilities but notes rare exceptions may occur, and commits to ensuring patient and family involvement in such decisions.
Department of Health and Social Care
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14
Recommendation
Accepted in Part
Para 91
We recommend that staff involved in the treatment of autistic people and people with disabilities...
Recommendation
We recommend that staff involved in the treatment of autistic people and people with disabilities in inpatient settings receive training in care planning which has a clear and unhindered focus on: i) understanding that autistic people and people with learning …
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Government Response Summary
The government accepts the need for better staff training, stating they are starting new programmes, but indicates that not all staff will complete the training by the recommended April 2023 deadline.
Department of Health and Social Care
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