We welcome the focus on human rights in the CQC thematic review. Too many people with learning disabilities and/or autism live in institutions not homes, and are subject to shocking levels of restrictions – many of them children.
We agree with both the Children’s Commissioner and CQC that have this week called for system change. We need a system that provides the right support (by experienced multi-agency professionals), in the right place (in communities not institutions) and at the right time (to prevent people going into crisis rather than reacting to it). This requires a much more integrated education, health and social care system capable of better meeting the needs of the most vulnerable children in society.
Too often vulnerable people including children are placed in high cost institutions and are supported by staff who receive training in reactive approaches such as restraint but insufficient training in prevention, de-escalation and human rights. The new Restraint Reduction Network Training Standards, which will be mandatory in NHS commissioned services from April 2020, will significantly improve training and help protect people’s fundamental human rights. However whilst this is necessary to improve practice is not a complete solution.
There is also an urgent need for system change if we are stop breaching the human rights of the most vulnerable people – including children – in our society.