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Transforming Care Programme

The Transforming Care Programme (TCP) was developed following the Winterbourne View Hospital scandal where staff were secretly filmed abusing and assaulting patients who had learning disabilities and / or autism. There were a number of investigations following the public outcry culminating in a report by Sir Stephen Bubb: Winterbourne View - Time for change. From this report the Transforming Care Programme was developed.

The Transforming Care programme aims to transform services and support for children, young people and adults with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition. NHS England and the Local Government Association (LGA) are committed to this transformation.

Herefordshire and Worcestershire Clinical Commissioning Group and Herefordshire Council are working in partnership to ensure that the needs of children, young people and adults, who are identified as being within the Transforming Care group, are met in accordance with Transforming Care Guidance.
Key elements of Transforming Care for children and young people who have a learning disability and / or autism and who display behaviours that challenge:


  • Services appropriate to an individual’s needs should be provided in the community and as close to home as possible.
  • No admission to hospital should take place without there first being a Care Education and Treatment Review (CETR).
  • Council and Clinical Commissioning Group commissioners should work together to ensure that appropriate care and support provision is available.