The Care Quality Commission (CQC) has published a report which gives the interim findings from its review of the use of restrictive interventions in places that provide care for people with mental health problems, a learning disability and/or autism.
The interim report makes recommendations for the health and care system, including CQC. These recommendations include:
- An independent review of the care provided to, and the discharge plan for each person who is in segregation on a ward for children and young people or on a ward for people with a learning disability and/or autism.
- Convening an expert group to identify the key features of a better system of care for this specific group of people (that is those with a learning disability and/or autism whose behaviour is so challenging that they are, or are at risk of, being cared for in segregation).
- Urgent consideration should be given to how the system of safeguards can be strengthened, including the role of advocates and commissioners, and what additional safeguards might be needed to better identify closed and punitive cultures of care, or hospitals in which such a culture might develop.
- All parties involved in providing, commissioning or assuring the quality of care of people in segregation, or people at risk of being segregated, should explicitly consider the implications for the person’s human rights.
- Informed by these interim findings, and the future work of the review, CQC should review and revise its approach to regulating and monitoring hospitals that use segregation.
A report on the full findings and recommendations of the CQC are expected in the Spring of 2020.
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We are calling for urgent action to strengthen the safeguards that protect the safety, welfare and human rights of people held in segregation.