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conference report
      Innovation in hard times





       Transferring public property to the community and frustrations
       around the Autism Strategy were big topics at the social care
       and health commissioners’ conference. Jo Adshead reports



            gainst the backdrop of a pending   process of assets-based transformation,
            general election, the most     the assets being those of the people
       Auncertain of Brexits and biblical   within the community.
       flooding in the Midlands, commissioners   He persuaded those in power to
       who may have felt they had seen it all   embrace widespread cultural change and
       were not deterred.                  abandon ingrained ways of working. Key
        Around 230 delegates at the National   to this was building a new relationship
       Commissioning and Contracting Training   with the public and working more closely
       Conference in Alfreton in Derbyshire   with the NHS and the voluntary sector.
       discussed how they had sought ever more   It was evident that substantial savings
       creative solutions to providing for the   and improvements had been made while   Opening doors: Wigan Council sold public
       most vulnerable in our communities.   involving patients, service users and   buildings at below-market prices to local
        At the annual event, held over two    communities as active partners rather   groups to benefit its most deprived areas
       days in November, they could share,   than passive recipients of services.
       network and showcase their knowledge                                       This is set to include children, develop
       and innovation.                     Autism strategy: progress and priorities   clinical guidance for diagnostic services
                                           Trevor Wright was asked to take over as   and improve the transition from children’s
       Community ownership                 the statutory Autism Act lead for his local   to adult services. The overall aim is to
       Keith Cunliffe, cabinet member for adult   authority in 2013 and, as a result,   improve the understanding of autism and
       social care at Wigan Council in Lancashire,   discovered that he himself was on the   all its profiles.
       had the audiences captivated in both a   autistic spectrum.                Access to justice and mental health care
       panel presentation and a workshop.                                       are also priorities. A shocking 75% of
        As a local politician, it was his first time                            autistic adults have reached out for mental
       at the conference but he wasted no time   “   The record on              health services, which are severely lacking.
       in airing his view that, in the toughest of   progress in improving        Wright described the record on progress
       times, the need to save money had                                        in improving autism services in the past
       brought an opportunity for innovation     autism services was            10 years as “pretty damning”. Although
       and the direct consequence of being given   ‘pretty damning’           “  he acknowledged there were pockets of
       flexibility, freedom and the opportunity to                              good practice, difficulties remained
       innovate had mobilised the community.                                    regarding the diagnosis of older people,
        Wigan, Cunliffe states, was the third   He is now the co-chair of the   black and minority ethnic groups, and
       worst-hit local authority by austerity.   Department of Health and Social Care   women and girls. There are often no
       Community asset transfers – where   autism executive board and headed a   pre-diagnosis interventions and a lack of
       ownership of public land and buildings   Friday afternoon workshop to explore the   support for people who have other
       from public bodies is passed to     progress made over the 10 years since the   conditions too, such as obsessive-
       community organisations for less than   Autism Act came into force. He is well   compulsive disorder and attention deficit
       market value to achieve a social benefit   placed, with his own diagnosis in his late   hyperactivity disorder.
       – took place in the most deprived of areas   50s explaining his lifelong feelings of   He called for the creation of an autism
       where people were most socially isolated.   difference and the experience of his   inclusive society. He said positive
        Sunshine House Community Centre in   daughter’s autism, to understand the   behaviour management needed to be
       Scholes was adapted to enable a man   effectiveness of the act.          understood from the perspective of the
       with a physical disability to run a floristry   Since the act came in, the executive   individual understanding their own
       course and coffee mornings, thereby   board has gone through six ministers and   behaviours and triggers, not focusing on
       managing his isolation by enabling him    the autism self-assessment framework   restraint. More support for high-
       to share his strengths with others.   has been the only mechanism for    functioning people and for parents and
       Allotment projects were transformed into   checking if the act has been effective.   siblings was needed, he added, as well as
       dementia day care and provided      More positively, Wright reported, autism   a workforce with the required level of
       meaningful occupation for learning   is the only life-long condition with a   knowledge and skills.
       disabled adults, with only £25,000 of   statutory strategy.              ● Other presentations from the day can
       funding to build a cabin.             Frustratingly, the December general   be found at: www.ncctc.co.uk/
        Wigan’s next challenge was to scale up   election delayed the publication of the   presentations/navigate/567/412  Rept0n1x/Wikimedia Commons
       the operation to cover the whole of the   revised strategy. Purdah aside, he was
       borough. Cunliffe, whose background is in   able to share some elements of the   Jo Adshead is the chief executive of
       mental health, described the major   2019 review.                        Linkability: www.linkability.org.uk

      26  Vol 33 No 3  |  Spring 2020  Community Living                                         www.cl-initiatives.co.uk
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