Time for Change

Winterbourne View - Time for Change  


In 2011, BBC’s Panorama exposed abuse and neglect at Winterbourne View, an assessment and treatment unit for people with learning disabilities and/or autism. The exposé led to the Government pledge to  move all people with learning disabilities and/or autism inappropriately placed in such facilities into community care by June 2014. This was not achieved, and data showed that more people were being admitted than discharged.

In 2014 Simon Stevens, CEO of NHS England, asked Sir Stephen Bubb to lead a review exploring how a new national framework of support might be delivered locally, in order to allow the growth of community provision required to move people out of inappropriate institutional care.

In his report – Winterbourne View: Time for Change - Sir Stephen set out a roadmap for action. The top-line recommendations are:

  • To urgently close inappropriate in-patient care institutions;
  • A Charter of Rights for people with learning disabilities and/or autism and their families; 
  • To give people with learning disabilities and their families a ‘right to challenge’ decisions and the right to request a personal budget;
  • A requirement for local decision-makers to follow a mandatory framework that sets out who is responsible, for which services and how they will be held to account, including improved data collection and publication; 
  • Improved training and education for NHS, local government and provider staff;
  • To start a social investment fund to build capacity in community-based services, to enable them to provide alternative support and empowering people with learning disabilities by giving them the rights they deserve in determining their care.

ACEVO is committed to leading an independent review of the progress that is being made against the recommendations set out by the steering group. We will hold NHS England, the Department for Health and other key partners to account on the changes that need to be made, with individuals with learning disabilities, families and carers at their core. 


12 Month Review

In February 2016, Sir Stephen published a final review of the progress of the Transforming Care programme. This report can be read here, with an easy-read found here.


6 Month Review 

In July 2015 the steering group re-convened to review the progress made so far. A 6 month interim report was published to this effect.

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 Download Easy Read Report 


Key Interventions

Summer 2014: Simon  Stevens asks Sir Stephen to chair the Transforming Care and Commissioning Steering Group

November 2014: Winterbourne View: Time for Change published. This was discussed in parliament with the Prime Minister David Cameron stating:

 “The reason why we commissioned this report from Sir Stephen Bubb, and it is an excellent report, is that the commitment to get all the people out of the hospitals had not been met. Sir Stephen has come up with good ideas for how we bring together the health service and local authorities to ensure that people with learning disabilities are treated with respect.”


Download Easy Read Report