NHS Midlands and Lancashire can support your integrated care system to provide individuals with the very best care.

Our Personalised Healthcare Commissioning team’s effective and specialist Transforming Care Programme (TCP) service provides robust case management for NHS-funded individuals outside of All-Age Continuing Care.

The service aims to reduce expensive hospital admissions and improve care outcomes and experiences for individuals with learning disabilities and autism with complex needs.

Our specialist TCP team boasts a vast array of clinical knowledge, expertise and leadership including specialists who have been instrumental in raising standards, developing policies and pathways across the TCP services.

Our team has qualified clinicians in learning disabilities and mental health, and all have significant experience in assessment and case management.

We can facilitate effective service delivery for the TCP cohort as well as supporting relevant professionals in the development of individual service specifications.

We:

• Support TCP policy development and stakeholder management to enable robust referral management 
• Provide clinical case management which includes engaging the individual, assessing, planning, linking with resources, consulting with families and collaborating with clinical and social care partners
• Chair and govern – Community Care, Education and Treatment Reviews (CETRs), Inpatient CETRs and Local Area Emergency Protocol meetings on behalf of integrated care boards
• Provide a quality assurance process for referral management
• Develop and maintain a dynamic support register to update an individual’s risk of admission to inpatient or residential units in real time
• Attend inpatient discharge review meetings and discharge planning, brokering and sourcing care packages to meet individuals’ needs
• Implement a robust care review process with local authorities where required.

We integrate the clinical acumen, personal involvement, and environmental interventions needed to address the overall maintenance of the individual’s physical and social environment, working closely with healthcare providers, local authorities, housing, education, as well as parent and carer forums to ensure that the individual’s pathways are co-ordinated and achieved.

Find out more information about our LDA TCP Services.