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Homes Not Hospitals (previously Transforming Care) Local Offer

Boy playing indoors

What is homes not hospitals care?

Transforming Care can improve the lives of children, young people or children and adults with autism and/or learning disability with behaviour that challenges and/or mental health issues.  It is about improved support in your community. 

This is to try to prevent you having to go to a mental health hospital or residential unit which may be far away from where you live.

Principles of homes not hospitals

Transforming Care logo

There are 9 principles of homes not hospitals care

  • I have an interesting life that I enjoy
  • My care and support is well planned
  • I have choice and control about my care and support
  • I live the community with the support I need
  • I have choice about where I live and who I live with
  • I get good care from health services
  • I get help from experts in the community when I need it
  • I get help to stay out of trouble with the police if I need it
  • If I have to go into hospital because my health needs cannot be met in the community, it is high quality and I don’t stay there longer than I need to

Why do we have homes not hospitals care?

Winterbourne View

Homes not hospitals care came about when people with learning disabilities were being treated very badly at a place called Winterbourne View Hospital.

A review took place and a report called “Building The Right Support” explained how the NHS and Local Authority had to work together to make sure children, young people and adults with learning disabilities and/or Autism could get the support they needed nearer to home.

At the bottom of the page you can watch a video about homes not hospitals care.

How can homes not hospitals care help me?

People outside a supported living scheme

It can improve the lives of children, young people and adults with learning disabilities and autism who have challenging behaviours:

  • By developing good quality services in your community so you don’t have to go into hospital or into a residential unit
  • This support can come from a social work team, health, housing, education, the voluntary groups, providers of care and support, support for your family and community based activities
  • If you do need to go into hospital, that you receive the best care, you don’t stay there longer than you have to and if possible, you go into hospital close to your home

If you are think that this applies to you or your child, please talk to health and/or education and/or social care professionals for advice.

Home For Good: Successful community support for people with a learning disability, a mental health need and autistic people | Care Quality Commission

Community support for people with a learning disability and/or autistic people

Community support for people with a learning disability and/or autistic people can be a complex process. Even more so if people also have a mental health need. Success depends on a concerted effort across multiple agencies working in partnership with the people supported and their families.

However, it can and does work, delivering a good quality of life, often at much lower prices compared to hospital settings. This assertion is supported by a body of policy guidance and literature going back almost three decades.

View the Care Quality Commission report 

Care, Education and Treatment Reviews

People sitting in a circle

If a child or young person is in hospital or we are worried that they may have to go into hospital, they will have a Care, Education and Treatment Reviews (CETR) or if they are over 18 a Care and Treatment Reviews (CTR).

This review ensures that you, your family and those professionals supporting you, all have a say in how you can be supported in your community.  Health, education and social care all have to be involved in the CETR.

An Action Plan about what needs to be done to support you in your community and avoid going into hospital or what needs to be done to make your stay in hospital as short as possible, is sent to you and your family so you understand the recommendations of the CETR/CTR.

Please read the ‘CTR family survival guide’ for more information about CETRs and CTRs.

On this page you can find a form to request a new CETR and a Flow Chart of the process.

Homes not hospitals care Register

Lady on computer

We have to keep a list of all the children/ young people and adults in Cambridgeshire and Peterborough who are at risk of going into hospital or being supported away from home if we don’t get the right support for you.

This is called the homes not hospitals care Register and the Clinical Commissioning Group (CCG) is responsible for maintaining it. 

It helps us plan for meeting the needs and we have to report to NHS England every month on the progress for each child or young person and weekly for anyone actually in hospital.

On this page you can find consent forms. These are for parents to complete and also for young people to complete to give permission for the Transforming Care Team to put the young person's name on the homes not hospitals care Register and for the CETR to go ahead.  

Get involved in homes not hospitals care

People using computers

We have a homes not hospitals care for Children and Young People Group who are responsible for making sure we meet our homes not hospitals care responsibilities.

The group meets monthly and is made up of parent representatives, health, social care and education professionals and commissioners.

You can find out more about the members and purpose of the group in the attached terms of reference.

If you would like to get involved please contact:

The Key Worker Collaborative

The keyworker function

The key worker function sits under Children’s homes not hospitals care. 

NHS England and Improvement have made the commitment that all children and young people who are in mental health setting or who are at risk of admission, will be allocated a key worker to co-ordinate the system.

This is to prevent unnecessary admission or to ensure swift discharge and resettlement back into the community

How do we work?

We work within person centred approaches and children, young people and their families are the centre of everything we do.

Who do we work with?

The Cambridgeshire and Peterborough Clinical Commissioning Group are working with two Third Sector organsations, Eddies (Edmund Trust) in Cambridgeshire, and Circles Network in Peterborough.

Our Values

  • Challenge and influence.
  • Offer problem solving for individuals and the system.
  • Co-ordinate.
  • Build strong relationships.
  • Offer knowledge.
  • Enable direct support.
  • Personalisation.
  • Progress Care Education and Treatment Review recommendations.
  • Identify the Child/Young Person at risk and support the Dynamic Support Register.
  • Admission avoidance (through above)
  • Work with Child/Young Person in inpatient settings.
  • Support transitions back to the community setting.
  • To model effective person-centred practice to the workforce.

How to refer

Your social worker or mental health care coordinator can refer if they think your child might be at risk of admission or is already in a mental health setting.

If you have none of the above, and you are concerned your child might be a risk of inpatient admission, you can chat to the children’s commissioner or the Key Work Network lead.

Phone 03 300 571 023 Ext 8004