NHS Chief Executive Amanda Pritchard has unveiled the nationwide implementation of "Martha's Rule" across NHS hospitals in England, a policy designed to empower patients and their families with the ability to request an immediate reassessment of care if a patient's health worsens.


This policy, inspired by the tragic case of 13-year-old Martha Mills who passed away after her care needs were not escalated in time, will be introduced in over 100 NHS facilities, offering a 24/7 mechanism for seeking second opinions. The initiative aims to enhance the responsiveness to acute patient deterioration. Pritchard emphasises that swift clinical reviews could lead to quicker identification and treatment of critical conditions.

Dan Scorer of Mencap has praised the initiative, highlighting its potential to significantly improve care for individuals with learning disabilities, who face a higher risk of preventable mortality.

Martha’s parents, who have advocated for this change, stress the importance of incorporating family insights into patient care, arguing that it can be crucial in noticing changes that busy medical staff may overlook. The implementation of Martha’s Rule is seen as a vital step towards better healthcare outcomes, especially for vulnerable groups, by ensuring their conditions are promptly and effectively addressed.

A new, innovative “Buddies Project”, spearheaded by Bild, the Restraint Reduction Network (RRN), and Reach Out, has been introduced to connect individuals with learning disabilities and autism in mental health hospitals with mentors who have personal experience of inpatient care.

So far, 24 people have been paired with buddies, offering vital support and companionship to those in isolation. Kirsten, a Buddy Coordinator, highlights the project's value in reducing loneliness among patients, whose main interactions are often with hospital staff. The project facilitates connections with buddies who share similar experiences, offering unbiased and non-judgmental support.

The process involves mental health ward staff identifying patients under heavy restrictions for pairing with a buddy. Scheduled online meetings allow patients to discuss anything from personal interests to life in the hospital, empowering them to control the conversation.

The scheme has been praised for creating meaningful friendships and providing participants with hope and a reason to look forward to each day. Currently limited to the West Midlands, there are hopes to expand the project nationally, recognising its potential to reintegrate patients into their communities. Bild's CEO, Ben Higgins, emphasises the project's success and the aspiration to secure future funding to continue its expansion beyond March 2024.

The Palace of Westminster has welcomed six new employees with Down’s syndrome as part of an innovative programme. Speaker Sir Lindsay Hoyle hailed their employment as a significant and overdue step. With less than 5% of people with learning disabilities in paid work, the WorkFit programme by the Down’s Syndrome Association aims to increase this rate, supporting around 1,200 individuals.

The new staff, working in roles like catering and service delivery, are part of a push to provide meaningful employment opportunities. Among them, James Hamilton expressed pride in his first paid job, highlighting the value of earning a wage for his work. Amy, another new hire, enjoys her catering role and the community it brings.

The initiative has been praised for its immediate positive impact in Parliament, with Sir Lindsay Hoyle emphasising the talent and contribution of these individuals. The WorkFit programme boasts a 92% job retention rate, offering a range of employment opportunities without the need for job coaches, thanks to a supportive "buddy" system.

Carol Boys, CEO of the Down’s Syndrome Association, underscored the importance of work in enhancing the lives of people with Down’s syndrome, noting the programme’s success in helping individuals secure and maintain employment.

Jefferson House, a Winsford-based independent school specialising in one-to-one teaching for boys aged 11-18 with complex needs, has achieved an 'outstanding' rating in their latest Ofsted visit. Owned by Your Chapter and part of the Educ8 group, Jefferson House stands out for its commitment to delivering personalised education and support, catering to a small group of students to ensure focused attention and care.

Following a comprehensive three-day inspection in November 2023, Ofsted's recent report highlights the exceptional progress the school has made since its last assessment in February 2019, where it received a 'good' rating. The report praises the school for the outstanding quality of support provided by its specialist staff, who foster trusting and beneficial relationships with the pupils, creating a positive and happy school atmosphere.

The Ofsted report praised Jefferson House for fostering high aspirations and understanding students' special educational needs (SEND), with a personalised curriculum leading to significant achievements. It also highlighted the school's success in teaching students’ responsibility for their behaviour, with many reporting major improvements since their enrolment.

In summary, Jefferson House's 'outstanding' rating from Ofsted reflects its excellence in providing a supportive, tailored educational experience for boys with complex needs, setting a strong foundation for their future successes.

Construction is underway at Prior’s Court for a unique arts centre, the Let Me Shine Performing Arts Centre, designed specifically for autistic young people with complex needs. This innovative facility, located in Berkshire, is transforming an existing building, and is expected to open in the 2024/25 school year.

The centre will offer adapted facilities for music, dance, and drama, addressing the challenges autistic individuals face in accessing the arts, such as sensitivities to sensory stimuli and social interactions. It aims to simulate real theatre environments to prepare students for community arts venues and provide a space for creative expression.

Sue Piper, Director of Learning at Prior’s Court, shared her excitement about the project’s progress. She emphasised its uniqueness in catering to the needs of autistic individuals with complex needs. Piper highlighted the importance of the arts in communication for those who are pre-verbal and advocated for inclusive access to the arts for all. Piper thanked the various supporters who have contributed to the project’s development.

Prior’s Court also plans to use the centre as a base for researching best practices in supporting access to the arts for autistic individuals and sharing these insights with the education and performing arts sectors nationwide and internationally.

A new report from Ofsted reveals that over 90% of local authorities in England struggle to find suitable homes for children with complex needs, often leading to prolonged waits for a stable placement. Children often end up in homes where they are the sole resident with multiple staff members, risking isolation and potential mistreatment.

Sir Martyn Oliver, His Majesty’s Chief Inspector, highlights the difficulties in finding homes tailored to these children's specific needs, exacerbated by staffing challenges and a lack of secure, therapeutic homes. Yvette Stanley, Ofsted’s National Director for Social Care, acknowledges some good practices but stresses the need for better alignment of children's homes with the needs and locations of these children.

The report criticises the broad categorisation of 'complex needs', advocating for a more individualised approach to better serve each child's unique requirements. Effective practices include well-planned transitions, consistent relationships, appropriate education and fostering a sense of belonging.

Derived from a national survey and case studies, the report underscores the need for strategic oversight in the children’s residential sector and calls for collaboration between local authorities and children's homes. This approach aims to improve the planning and provision of care, ensuring homes are opened in suitable locations to meet the diverse needs of children.

Plans for a new care complex facility in Linton, Maidstone, have been proposed to meet the critical demand for elderly housing. The project includes a diverse range of facilities: a 73-unit care home, a specialised 14-unit block for autistic adults, a 12-bed hospice, and up to 70 affordable bungalows for the elderly. A decision on this initiative is expected by February 21st, 2024.

This development is a collaborative effort by Heart of Kent Hospice, Aspire LPP, Coral Living, and Stonebond. According to documentation by DHA Designs, representing the consortium, Maidstone faces a significant challenge due to the increasing elderly population and decline in small, independent care homes. New care facility constructions have not kept pace with this growing need.

A notable feature of the plan is relocating the Heart of Kent Hospice in Aylesford, which Princess Diana originally opened. This relocation is crucial for addressing the elderly's housing requirements. The proposed complex aims to offer a mix of residential care and independent living options, enhancing the quality of life for seniors and adults with specialised care needs.

The project's objective is not just to provide housing but to foster a supportive community environment, emphasising affordable and accessible living solutions. By integrating various care services, the development promises to significantly improve elderly care infrastructure in the Maidstone area.

The new £6 million Tree Tops complex care centre in Scunthorpe, funded by the Department for Education, is a significant development for young people with complex disabilities. This centre, also the new home for The Cygnets respite centre, offers short-term care and supports families needing palliative care.

Julie Reed, a key figure at North Lincolnshire Council, expressed her profound satisfaction with this project. She highlighted the significant impact Tree Tops will have on local families, bringing much-needed palliative care services to the community.

The centre is thoughtfully designed, featuring a single-story structure with numerous sensory rooms, cosy dining and lounge areas, staff accommodations, and 13 specially designed accessible bedrooms catering to the unique needs of children. The facility also includes well-equipped kitchens and bathrooms, a medical room, and family-friendly spaces. A standout feature of Tree Tops is its serene gardens and outdoor areas, which are accessible to staff, residents, and their families, providing a peaceful retreat for relaxation and reflection.

Scunthorpe's MP, Holly Mumby-Croft, praised the centre, emphasizing the importance of providing top-tier facilities for all children, especially those facing difficult times. Tree Tops is not just a centre; it's a lifeline for families and a symbol of the community's commitment to caring for its most vulnerable members.

British Sign Language (BSL) is set to become a GCSE subject in England starting September 2025, introducing students to approximately 1,000 signs with a goal to fostering inclusivity.

Education Secretary Gillian Keegan underscores its significance as a life skill that can open doors for young people. The syllabus, currently under review by the exam’s regulator Ofqual, stems from a 12-week public consultation and acknowledges BSL as an official language in the UK.

The decision to introduce the BSL GCSE follows years of campaigning, with Susan Daniels, CEO of the National Deaf Children's Society, expressing delight at the culmination of this decade-long effort. She believes the GCSE will not only provide an academic understanding but also celebrate the rich culture and history embedded in British Sign Language.

According to estimates from the British Deaf Association, approximately 151,000 people in the UK use BSL, with 87,000 being deaf.

Arran Masterman from the National Deaf Children's Society sees the introduction of the BSL GCSE as a momentous step forward, making the language more accessible and engaging for learners. While Geoff Barton, General Secretary of the Association of School and College Leaders, expresses support for the new GCSE, but cautions about potential practical constraints for schools.

West Lothian Council, in partnership with Cruden Building East, has introduced a £4.5 million initiative to enhance independent living for individuals with learning disabilities. The development, overseen by Cruden Building East on behalf of West Lothian Council, encompasses the construction of 16 one-bedroom bungalows.

The living spaces are meticulously designed to cater to the specific needs of residents with learning disabilities, incorporating features that address sensory challenges. Additionally, the project integrates Technology Enable Care solutions, fostering a supportive environment that encourages self-reliance.

The completion of the development was celebrated with an event attended by Anne McMillan, Executive Councillor for Social Work and Health, along with other special guests, council staff, and Alison White, Chief Officer of West Lothian HSCP. Expressing her satisfaction with the project, Councillor McMillan highlighted the significant investment in local homes designed to accommodate individuals with diverse care and support needs.

The initiative aims to empower residents with learning disabilities to live independently within the community, reducing the need for unnecessary hospital stays or relocation to other areas. By providing tailored support in their own homes, the development serves as a valuable asset for those requiring this level of assistance.