Oliver McGowan Mandatory Training ‘vitally important’

NHS England have developed a powerful video animation to help the health and social care workforce understand the importance of the Oliver McGowan Mandatory Training package.

The Oliver McGowan Mandatory Training framework for learning disabilities and autism is vitally importantIt has been made available as the Department of Health and Social Care runs a consultation on its draft code of practice for the training.

The Oliver McGowan Mandatory Training for Learning Disabilities and Autism was developed to help revolutionise training for those who work with and support individuals with learning disabilities and/or Autistic Spectrum Disorders.

Developed by the former Health Education England (recently merged with NHS England) and Skills for Care, it is the government’s preferred and recommended training route for CQC-registered providers to meet the new legislative requirement introduced by the Health and Care Act 2022.

A result of years of campaigning by Oliver McGowan’s family, the Health and Care Act 2022 requires all registered health and social care providers to ensure that all their staff receive training in learning disabilities and autism appropriate to their role.

Oliver McGowan Mandatory Training ‘vitally important’

The Oliver McGowan Mandatory Training package will help ensure that staff provide safe, compassionate and dignified care for people with learning disability or autismDesigned, delivered and evaluated with the help of people who have lived experience of learning disabilities and autism, the standardised Oliver McGowan training package provides health and care staff with the right skills and knowledge to provide safe, compassionate and informed care to individuals who have autism and/or a learning disability.

It includes training on how to interact and communicate appropriately with people who have autism and/or a learning disability.

Now, NHS England has released an animation which they have co-designed and co-produced with people with autism and people with a learning disability. Lasting 4.5 minutes, it is designed to help staff and employers across the health and social care sector understand the Oliver McGowan Mandatory Training framework and why it is so vitally important.

NHS England says: “Together, we can prevent the many avoidable deaths like Oliver’s from happening again.”

Give your views on the Oliver McGowan Mandatory Training Code of Practice

Its hoped that the Oliver McGowan Mandatory Training will improve healthcare outcomes for people with a learning disability or autismMeanwhile, the Department of Health and Social Care is inviting individuals and organisations to respond to their consultation on the draft Oliver McGowan code of practice on statutory learning disability and autism training.

Closing at 12pm on 19th September 2023, the consultation asks whether the draft code provides CQC-registered care providers with sufficient guidance to meet the legislative requirement to provide all staff with learning disability and autism training.

The views and feedback gathered from the consultation will inform the final version of the code to be laid out in Parliament.

When the draft code of practice was published in June this year, Maria Caulfield, Parliamentary Under Secretary of State (Minister for Mental Health and Women’s Health Strategy), said in its foreword:

“The introduction of the requirement for learning disability and autism training by the Health and Care Act 2022 and publication of this code of practice represent a significant moment in the journey towards improving the care and treatment of people with a learning disability and autistic people.

“I have heard from people with a learning disability and autistic people and their families and carers about how care is often not good enough and how this can lead to poorer health outcomes and, in some cases, premature death.

“Every person with a learning disability and autistic person has the right to excellent care and service from wherever they choose to access it. Services must treat people equitably but should also acknowledge and adapt to the individual needs of people with a learning disability and autistic people.”

She added that all care providers “will need to demonstrate to the CQC how their training meets or exceeds the standards set out in this code of practice.”

Oliver’s training to bring meaningful improvement in care

People with a learning disability or autism have often not been listened to by health and care staffAs an infant, Oliver McGowan suffered from meningitis and later received diagnoses of mild hemiplegia, focal partial epilepsy, a mild learning disability and high-functioning autism.

As he grew up, Oliver experienced seizures and was hospitalised several times.

Despite having no diagnosis of psychosis or any other mental health disorder, Oliver was, on a number of occasions during his stays in hospital, physically restrained and given antipsychotic medication. He reacted badly to this medication.

Oliver tragically died on 11th November 2016, aged just 18, after the antipsychotic medication was once again administered to him despite medical staff being told repeatedly by both Oliver and his parents that he had suffered adverse reactions to it in the past.

Following his death, Oliver’s family campaigned for years to see meaningful improvements made in healthcare for people with learning disabilities and/or autism.

Delivering Oliver McGowan Mandatory Training

First Response Training delivers the Oliver McGowan Mandatory TrainingFirst Response Training (FRT), as a dedicated national training provider, is proud to be one of the first training providers to be able to offer the official Oliver McGowan Mandatory Training for Learning Disabilities and Autism.

The only standardised training package guaranteed to meet the requirements laid out in the code of practice, it incorporates two tiers of training for different staff roles, and FRT can deliver both with a trio of qualified trainers. An experienced subject matter trainer will lead delivery, supported by a person with autism and a person with a learning disability, both known as Experts by Lived Experience.

As Maria Caulfield explained:

“The training is named in Oliver’s memory, in recognition of his story, his family’s tireless campaigning for better training for staff, and to remember him and others whose lives were cut tragically short.”

She also set out how the package “represents and clearly demonstrates the standard that the government expects training in this area to meet as set out in further detail in this code of practice.”

She added:

“The training has been trialled with over 8,000 participants and independently evaluated to ensure the final package is robust and high quality.

“Most importantly, people with a learning disability and autistic people have been involved throughout the development, trial, evaluation and now delivery of the training, ensuring that personal experience is always reflected. Co-production and co-delivery are at the heart of the training, and this is what sets Oliver’s training apart.”

For more information on the training, please contact FRT on freephone 0800 310 2300 or send an e-mail to info@firstresponsetraining.com.

Child safeguarding needs major overhaul after failings

A safeguarding review panel has made nine recommendations designed to overhaul child safeguarding practices following an inquiry into abuse across three services.

A child abuse enquiry has made recommendations to overhaul child safeguarding practicesThe Child Safeguarding Practice Review Panel have called for Councils to take on a bigger role in monitoring residential settings in their areas to tackle failings in safeguarding children with disabilities and complex health needs.

The Panel wants services for these children to be jointly commissioned by local authorities and NHS Integrated Care Boards (ICBs). They have also recommended more investment in the workforce, better access to advocacy and joint inspections by Ofsted and the CQC to better protect children in residential care settings.

Child safeguarding ‘roadmap’

Panel's child safeguarding recommendations act as roadmap to better protectionThis “roadmap to more humane treatment” was set out in the panel’s second report into the abuse of children at three residential special schools.

The schools, registered as children’s homes, were operated by the Hesley Group in Doncaster and the report related to abuse which occurred between 2018 and 2021 as a result of failings in care, safeguarding, regulation and oversight.

Rachel de Souza, the Children’s Commissioner for England, said the report’s central message was “the necessity of keeping the voices of children and families at the heart of their support, and of providing safe, suitable care where required.”

The nine recommendations made by the panel are:

  1. Disabled children and those with complex health needs should have access to independently commissioned, non-instructed advocacy from advocates with specialist training in safeguarding and responding to their communication needs.
  2. When a residential placement of 38 weeks or longer per year us being considered, children and their parents should be given access to advice and support, including the allocation of a ‘navigator’, where necessary.
  3. The Department for Education (DfE) and NHS England should require councils and integrated care boards (ICBs) to commission safe, sufficient and appropriate provision for disabled children and those with complex health needs.
  4. The DfE, Department of Health and Social Care (DHSC) and NHS England should co-ordinate support for councils and ICB commissioners to improve forecasting, procurement and market shaping.
  5. The government should prioritise action to improve community-based provision for disabled children in pathfinders programmes for its children’s social care and SEND reforms.
  6. The government should commission a workforce strategy for children’s residential services, covering leadership development, workforce standards and training.
  7. National leadership and investment from providers should be used to boost the recruitment, retention and development of the children’s residential workforce.
  8. Host local authorities and ICBs should have a strengthened role in overseeing residential settings in their areas.
  9. The DfE and DHSC should revise and reduce the complexity of current arrangements for monitoring residential settings and take immediate steps to arrange joint inspections by Ofsted and CQC of those for children with disabilities and complex health needs.

Child safeguarding failures must not be repeated

Child safeguarding failures outlined in the report have been identified previouslyChristine Lenehan, lead reviewer of the case and Director of the Council for Disabled Children, has highlighted that the new report echoes findings laid out in previous safeguarding enquiries and warned that, this time, it’s conclusions needed to be listened to and acted on.

She said:

“Earlier reports have catalogued how disabled children with a complex mix of autism and health needs can be locked away behind closed doors, often in placements far from their families, with little concern for their quality of life or futures.

“These recommendations set out a roadmap to more humane treatment of these children. But without the wholehearted commitment to implement these measures fully, these failings will come back to haunt us when the next group of disabled children fall foul of services that cost the taxpayer dearly but rob vulnerable children of their basic humanity.”

An official response from the government is expected within 6 months, but Children’s Minister Claire Coutinho has provided a written statement to Parliament in which she said that reforms made by the DfE to children’s social care and special educational needs and disability have already “[laid] the foundation for improving outcomes for this group of vulnerable children.”

She added:

“There is more that can be done to support and protect these children and we intend to focus our existing reform programme to ensure that they consistently receive the care and support that they need and deserve, enabling them to thrive and fulfil their potential.”

Children must be seen and heard to better protect them from failures in care and safeguardingMeanwhile, the President of the Association of Directors of Children’s Services, John Pearce, said the Panel’s report served as a “stark reminder” that current child safeguarding practices “are not working” for the most complex and vulnerable children in society and that there was a lot of work needed to correct this.

He also warned that many of the Panel’s recommendations needed “a significant multi-agency resource requirement to implement effectively and take time to achieve,” and that services “face longstanding challenges around placement quality, sufficiency and cost.”

Rachel de Souza, Children’s Commissioner, also commented:

“I am particularly pleased that this report recognises that children with disabilities have specific needs and risks which should be set out in statutory guidance.

“However, ultimately, children will only be kept safe if they are consistently seen and heard, through positive contact with their families, face-to-face visits from social workers, independent reviewing officers and health commissioners, and a greater level of professional curiosity from all those responsible for their care.”

Training and development for those working with children

First Response Training (FRT) is a leading national training provider delivering courses in subjects such as health and safety, first aid, fire safety, manual handling, food hygiene, mental health, health and social care, safeguarding and more.

They work with a large number of early years, schools and childcare providers, as well as colleges, youth groups and children’s services.

Their courses include Safeguarding Children, Autism Awareness, Learning Disability Awareness, Understanding Challenging Behaviour, and many more.

For more information on the training that FRT can provide, please call them today on freephone 0800 310 2300 or send an e-mail to info@firstresponsetraining.com

Plans to reform SEND support

The government has announced new plans to reform support for children and young people with special educational needs and disabilities (SEND) in England.

Government has announced plans to reform SEND support in EnglandPlans announced by the Department for Education, which aim to improve SEND support and the alternative provision system, include earlier diagnoses and a commitment to build 33 more special free schools.

The government says that training for 5,000 early years special educational needs coordinators (SENCos) and 400 educational psychologists will form part of the plan to achieve earlier diagnoses.

But critics of the plans have expressed concerns that they do not go far enough, and will not come soon enough for many families.

The Send and Alternative Provision improvement plan, announced on 2nd March 2023, includes:

  • An extra £4.8 billion to expand ‘specialist taskforces’ in alternative provision, to offer intensive support from experts such as mental health professionals and speech and language therapists
  • 33 special free schools to be built across England, in addition to the 49 currently planned
  • A move to digitise paperwork across local authorities to help parents receive extra support for their children more quickly
  • £70 million to test and refine the improvement plans

The Department for Education asserts that these measures will improve what it describes as a “postcode lottery” system at present.

Pledge to improve SEND support system

SEND schools are currently overcrowdedThe long-awaited reforms follow a consultation process which closed last summer and come as a BBC report revealed that many special schools are currently oversubscribed and overcrowded.

New national standards for SEND support are to be published by the end of 2025 to clearly outline “what support should be offered at every stage of a child’s journey across education, health and care.”

The Education Secretary Gillian Keegan said it was wrong that parents feel they need to have a legal document in place before their child can access any support. Currently, the process to secure an Education, Health and Care Plan (EHCP) is often lengthy and can lead to costly tribunals between parents and local authorities.

Speaking to the BBC, Ms Keegan said an EHCP shouldn’t be needed before a child receives the extra support they require.

She added: “We’ve almost ended up in the worst of all worlds, with a lot more money being spent but the provision not being right – because it’s being spent on going to tribunal and very expensive [school] places.”

Referring to the lack of places currently available at special schools, she said:

“What we need to do is work much, much better with providers, people who want to set up new schools as well […] but the reality is you need to build that provision locally. It will take time to build up the capacity, but we are going to improve the system.”

Concerns SEND plans don’t go far enough

Many are concerned that plans to reform SEND support do not go far enoughHowever, the Local Government Association, which represents local authorities in England, is concerned that the plans “do not go far enough in addressing the fundamental cost and demand issues,” which they say mean councils are struggling to meet the needs of children with special educational needs and disabilities.

Meanwhile, an education union welcomed the plans but expressed concerns about the length of time needed to implement many of the measures.

Margaret Mulholland, SEND and Inclusion Specialist at the Association of School and College Leaders, agreed that more special schools were “desperately needed,” but pointed out that the 33 planned new schools would “take years to build.”

She said the future extra places provided by these new schools “will be of no comfort to those missing out right now.”

Finally, the charity Disability Rights UK said the government’s Send and Alternative Provision improvement plan was not “radical enough,” predicting that affected families would be “underwhelmed and disappointed.”

Training and development for those working with children

FRT have developed specialist courses in SEND AwarenessFirst Response Training (FRT) is a leading national training provider delivering courses in subjects such as health and safetyfirst aidfire safetymanual handlingfood safetymental healthhealth and social caresafeguarding and more.

They work with a large number of early years and childcare providers, as well as schools, colleges, and children’s services.

They have developed specialist courses such as Learning Disability Awareness, ADHD Awareness, Introduction to the Autistic Spectrum, Dyslexia Awareness, SEND Awareness and Equality, Diversity and Inclusion for Early Years and Schools.

They have also previously worked in partnership with clients to develop bespoke training for them in topics such as Adapting Learning for SEND and SEND and Barriers to Learning.

A trainer from FRT says:

“Children and young people need the right support to meet their needs and help them achieve their potential, and their families need support as well. It’s great that there are plans in place to make sure that, in the future, more children can access much-needed help and support when they need it most.”

For more information on the training that FRT can provide, please call them today on freephone 0800 310 2300 or send an e-mail to info@firstresponsetraining.com.

CQC focuses on learning disability care during the pandemic

The Care Quality Commission (CQC) has released its latest insight report, which focuses on care provided for people with a learning disability during the Covid-19 pandemic.

Ahead of the publication of their provider collaboration review (PCR) on people with a learning disability living in the community this month (July 2021), England’s care watchdog has looked at how services have worked together to meet people’s needs over the past year.

It follows concerns previously highlighted by the CQC about the care and treatment of people with a learning disability and people with autism. A swing can help a sensory seeking child to self-regulate.

The regulator says that the pandemic has “served to shine a light on some of these pre-existing challenges, gaps and poor-quality care.”

The right care at the right time

Introducing their latest insight report, the CQC explains:

“Support and services for people with a learning disability are often not good enough. For too long, people and their families have face significant and ongoing challenges in getting care at the right time that meets their individual needs.

“We have seen how this can lead to people staying for long periods in appropriate environments, being cared for by people who do not know them and who do not have the skills or knowledge to support them well.”

As part of their forthcoming PCR, the CQC have examined these issues and the impact they have had on people who use services, providers and stakeholders.

The 11th insight report from the watchdog outlines some key approaches to care delivery which can help ensure people receive the care and support they need, which enables them to lead fulfilling lives. These include:

  • Ensuring people are given choice, control and independence. This can include supporting them to live independently or to be cared for in the community close to their friends, family or support networks and ensuring they are not left isolated in hospital settings far from home.
  • Providing access to the right care and support at the right time. This includes providing access to suitable health care and support services, including in emergency and crisis situations.
  • Ensuring collaboration between services and with the person receiving care and their families. This includes sharing information when appropriate about the person, such as their likes, dislikes, interests and preferences, as well as information about their health and wellbeing.

Concerns remain

The CQC remains concerned about the lack of joint working and collaboration between services and how well they have shared information to ensure people receive the right care at the right time.

Particular issues have also been noted with transitioning people from children to adult services and the fact that people can often end up in inappropriate settings when things go wrong.

During the pandemic, people with a learning disability – who already have an increased risk of respiratory illnesses – have also been more vulnerable to Covid-19.

There has been an increase in deaths among people using services who have a learning disability.

While examining the problems faced accessing appropriate care and treatment for people with a learning disability during the Covid-19 pandemic, the CQC is also seeking to highlight examples of good practice where joint working has made a positive difference and improved outcomes for people.

Improving regulation of learning disability care

The insight report presents three areas of focus to improve the CQC’s regulation of services for people with a learning disability and people with autism:

  • Registering the right services – enabling people to use services that will support them with where and how they want to live.
  • Supporting providers to improve – ensuring that people are not moved in to services that are not safe or do not meet their needs.
  • Influencing the improvement of care pathways and ensuring that people are receiving the right care at the right time – accessing local services that meet people’s needs and ensuring they get the right healthcare when needed.

Training and support

First Response Training (FRT) is a leading, national training provider. They deliver over 7,000 courses each year in the fields of health and safety, first aid, fire safety, food hygiene, mental health, health and social care and more.

Their health and social care range includes Learning Disability Awareness, Introduction to the Autistic Spectrum, Person Centred Care, Dignity in Care, Duty of Care, Safeguarding Adults and many more.

A trainer from FRT says: “The adult social care workforce is full of dedicated, compassionate workers who do their best for the people they support each and every day.

“However, the system is under significant pressure and it is very important that lessons are learned and improvements made to ensure that all individuals receive the person-centred, compassionate and dignified care that they deserve.”

For more information on the training that FRT can provide, please call them today on freephone 0800 310 2300 or send an e-mail to info@firstresponsetraining.com.