FOI2026/2075

For NHS Greater Manchester Integrated Care Board: This request concerns local Learning from Lives and Deaths of People with a Learning Disability and Autistic People (LeDeR) improvement actions recorded during 1 April 2025 to 31 March 2026.

1. Please provide the latest ICB-level LeDeR action tracker covering recommendations from completed reviews, showing the recommendation/theme, responsible team, target date, current status and closure-evidence field where held.
2. Please provide the latest board or quality-committee paper assessing overdue actions and whether changes have been implemented, rather than only reporting how many death reviews were completed.
3. Please provide the most recent completed audit or evaluation used to check an implemented LeDeR improvement, and the relevant action plan. Please remove patient identifiers; thematic or aggregate records are sufficient.

Please reply electronically, supplying tables in their existing spreadsheet/CSV format where held. I am requesting existing records, not a new investigation or identifiable personal information. Please distinguish information not held from a recorded zero. A direct link is fine for published information. If part would exceed the applicable cost limit or require an unreasonable search, please advise how to narrow it, prioritising the first two items. Please disclose the remaining material with any necessary redactions.

1. The purpose of the LeDeR is to look at themes and areas for service improvement. NHS GM ICB does not receive individual LeDeR reviews, as we commission Cheshire & Merseyside ICB to carry out these reviews on our behalf. Any themes and trends are shared back with us and fed into our service improvement and the commissioning cycle. Individual reviews are shared by Cheshire & Merseyside ICB with families and the practitioner involved and any recommendations for individual organisations to take forward. We take forward areas identified through our strategic commissioning plans and through contractual process with our providers.

Please see below contact details for Cheshire and Merseyside:

Freedom of Information (FOI) – NHS Cheshire and Merseyside

2. We have 2 previous LeDeR annual reports, but they do not track individual actions as that is not the role of the ICB; it is to ensure we commission effective services and feed into our commissioning plans through providers who we monitor via our contractual processes.
3. NHS GM ICB monitor service improvement plans for people with Learning Disabilities and Autism through our provider contractual processes and as part of our overall governance.