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Statement on the publication of the Safe and Wellbeing reviews report.

22 February 2022

Yesterday NHS England published a report – Safe and Wellbeing Reviews: Thematic Review and Lessons Learnt.

This report was commissioned following the tragic deaths of three adults who had learning disabilities called Joanna, Jon and Ben at a private hospital in Norfolk, called Cawston Park.

We send our heartfelt condolences to the families of Joanna, Jon and Ben, who mourn the untimely loss of their loved ones. It is unacceptable that in the 21st century, people who have a learning disability or autism are accommodated in settings which are clearly unable to meet their needs in an environment that is safe and supportive.

The report highlights a number a concerns. We join with others across the learning disability community in demanding swift action to address these pressing needs :

  1. Commissioning of more suitable, community based provision, near to where people live, so that close contact with their families can be maintained
  2. Speeding up of discharge from hospital-based care into community settings (the report highlights that 40% of individuals’ needs could have been met in the community)
  3. Expansion of specialist training for staff in the community, to ensure that people do not need to be placed in a hospital setting in the first place
  4. Better communication with families of the individuals placed in hospital
  5. Improved access to independent advocacy services for the people being accommodated in this type of hospital provision
  6. Swift challenge of any instances of inappropriate medication of people – medication should only ever be prescribed if it is essential for the wellbeing of the person
  7. Eradication of restrictive practices in hospital that infringe individuals’ human rights – especially any instances of restraint

The premature or avoidable death of anyone who has a learning disability is clearly an unacceptable tragedy, but we fear that behind these stories, which naturally reach the headlines, are examples of poor practice and inadequate support for people with a learning disability staying in these outmoded hospitals.

The Government, the NHS and the agencies responsible for inspecting and ensuring the quality of care, must all work together to urgently improve this provision.