Improving the Health and Wellbeing of People with Learning Disabilities: An Evidence-Based...
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Improving the Health and Wellbeing of People with Learning Disabilities: An Evidence-Based Commissioning Guide for Clinical Commissioning Groups Dr Matt Hoghton; RCGP Clinical Champion Learning Disabilities Sue Turner; Improving Health and Lives Learning Disabilities Public Health Observatory Dr Ian Hall; Faculty of Psychiatry of Intellectual Disability, Royal College of Psychiatrists
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Transcript of Improving the Health and Wellbeing of People with Learning Disabilities: An Evidence-Based...
Improving the Health and Wellbeing of People with Learning Disabilities: An
Evidence-Based Commissioning Guide for Clinical Commissioning GroupsDr Matt Hoghton; RCGP Clinical Champion Learning
DisabilitiesSue Turner; Improving Health and Lives Learning
Disabilities Public Health ObservatoryDr Ian Hall; Faculty of Psychiatry of Intellectual Disability,
Royal College of Psychiatrists
Aim of guide
To bring information about people with learning disabilities and links to good practice guidance together in one document.
Structure of guidance
Primary care (general good practice)
Acute care
Specialist learning disability services
Wider health and wellbeing and public health issues
Cross cutting commissioning considerations
Mental health services (JCP writing)
Appendices - Commissioning cycle and Clinical lead Job Description.
Key Messages
Know about children and adults with learning disabilities and families locally. Find out what they need and want. Ensure the information is in the Joint Strategic Needs Assessment and use it to inform strategy.
Use what is out there (SAF, Partnership Boards, local expertise and good practice guidance).
Turn good practice into common practice.
Key messages
Commissioners remain accountable for the services they commission.
Work in partnership with The NHS Commissioning Board, Health and Wellbeing Boards, Local Authorities, public health and providers.
Commission to reduce health inequalities – and ensure commissioned services are underpinned by Valuing People principles (Rights, Independence, Control and Inclusion).
Better health for people with learning disabilities is everyone’s responsibility.
Primary care – good practice
CCGs should have a learning disability lead (job description appendix II)
Health checks promoted
Up to date registers
Flagging system
Reasonable adjustments
Data collection to inform service planning
Support for family carers
Support access to other primary care services
Specialist learning disability services can help.
Acute hospital services
The Monitor Compliance Framework
Patients with learning disabilities identified
Reasonable adjustments in place
Support for family carers
Training for staff
Representation of people and families
Regular audit of above
Learning disability liaison functions or equivalent
Acute hospital services
Death by indifference: 74 deaths and counting•Robust care pathways and use of a Patient Passport•Use of a pain identification tool and training•Full compliance with Mental Capacity Act•Board level ownership
Specialist learning disability services
Community learning disability teams
Various models but all teams should:•Enable access to other services•Provide direct assessment and support
Some areas also have intensive response teams.
Health facilitators/acute liaison nurses•Enable access – increasing evidence of effectiveness
Assessment and treatment services•Should only be used as part of an agreed care pathway with clear outcomes and discharge plan
Forensic services and the criminal justice system•Prevention, identification and support
Specialist learning disability services
Core service spec. for learning disability services being developed by NHS Commissioning Board, ADASS and other key partners - due March 2013
Quality of health principles to be embedded in NHS contracting
Wider health and wellbeing
• Partnership working with Health and Wellbeing Board and others to tackle social determinants of poorer health.
• SAF indicators• Data on access to disease prevention
and screening compared to general population collected, and support to access services provided.
• Well functioning partnership agreements between health and social care.
Where to find the guide
www.ihal.org.uk/publications
For
•Guide
•Easy read guide
•Presentation
•Easy read presentation
Reasonable adjustments reports
• Reasonable adjustments in cancer screening – August 2012
• Reasonable adjustments in Dentistry – October 2012.
• Reasonable adjustments to eye care services (with SeeAbiity). January 2013.
• Reasonable adjustments and diabetes – by end March
• Planned – Health checks, dementia, Mental Capacity Act…
Other IHaL work
• Health checks – evidence into practice update
• Hospital admissions that should not happen
• Joint conference with the Confidential Inquiry – 20th/21st March
• Health Equality Framework – putting it into practice – 18th April
Any questions?
