A Walk Through the National Safety Tool for Learning Disability
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A Walk Through the National Safety Tool for Learning Disability Vanessa Gordon Patient Safety March 2014 Safet y First Safe as Houses
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Health and Care innovation Expo 2014, Pop-up University Day 1. A 'Walk Through' of the National Disability Safety Audit Tool Vanessa Gordon #Expo14NHS
Transcript of A Walk Through the National Safety Tool for Learning Disability
A Walk Through the National Safety
Tool for Learning Disability
Vanessa Gordon
Patient Safety March 2014
Safety First
Safe as Houses
National Patient Safety Improvement Programme
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In response to the recommendations in Francis and Berwick and the overarching need to isolate causes of harm and eradicate them, the Patient Safety Domain, has 5 key aims for delivery:
1. Increase our understanding of the safety problem - Information
2. Create the conditions for safety - Levers
3. Build capacity for safe care - Skills
4. Whole system approach to safer care - Networks
5. Tackle key safety concerns - Harms
Each aim is supported by an objective focussed programme of work
A watershed in the care of vulnerable people...
...and a stark reminder that services must do better?
1. The NHS needs to return to the traditional values of caring and treat people with dignity & respect.
2. The NHS needs to free itself from top-down bureaucracy and a target driven culture that exists.
‘Francis’ in a nutshell
Tackle age discrimination
Shared involvement & Co-production
Focus on Life related
outcomes
Whole-system change &
Partnerships
A time to refocus on care and end the bureaucracy?
Robert Francis QC, 2010
‘If there is one lesson to be learnt it is that people and safety must always
come before numbers’
NHS | Presentation to [XXXX Company] | [Type Date]6
A Comprehensive Service Level Screening Tool
HEADLINES
1) A ‘One-Stop-Shop’ for preliminary safety screening within the clinical service area.
2) 12 core safety themes drawn from contemporary learning
disability research, policy and literature.
3) A easy to use tool which can be used as part of a rolling audit by clinical services to monitor and improve safety for people with learning disabilities
with learning disabilities
A Comprehensive Service Level Screening Tool
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SUPPORTIVE
ADAPTABLE
EFFECTIVE
FACILITATIVE
SAFE
The National Learning Disability Safety Audit Tool (NLD-SAT)
The guiding doctrines of SAFE?Supportive – prescribes that all services for people with a learning disability should be supportive and should ascribe the least restrictive options for people and foster the principles of the 6 C’s (DoH 2012).
Adaptable - assures the need for all services to be able to evidence the provision of wholesome engagement with people, and in doing so; provide services that respond and adapt, and which are able to apply ‘reasonable adjustments’ in order to best meet the person’s needs.Facilitative – requires that all services must be able to evidence a comprehensive pathway of support that commences from the point the person comes into contact with the service to when they move on.
Effective – supports the principle that all services should be able to affect positive outcomes for people, they should be safe and free from harm and be able to provide measurable evidence for what they have achieved for the person.
Safety is People and Places
NHS | Presentation to [XXXX Company] | [Type Date]9
PEOPLE + PLACES
A Safety Tool for learning disability?
12 Core Safety Themes1. Making ‘Reasonable Adjustments’ in order to reduce health inequalities. 2. Provision of Accessible Information. 3. Meeting the Communication needs of individuals. 4. Ensuring families and carers are meaningfully involved. 5. A workforce with the right skills, knowledge and experience. 6. Services adopting least restrictive approaches/reducing restraint & seclusion. 7. Safe & Effective prescribing, dispensing & administration of medication. 8. Adoption of proactive approaches to challenging behaviour. 9. Effective support and intervention relating to feeding and swallowing. 10. Performing the necessary actions in order to meet peoples physical health needs. 11. Assure co-working between MH & LD services for people who experience
additional mental health needs. 12. Proactive support for people who come into contact with the criminal justice
system by measuring 1-11.
Getting it right and making a difference
