IMPROVING THE PATIENT EXPERIENCE
Future direction for specialist learning disability health services
Jo Poynter -12th October 2010
The Future
What we don’t know
What we do know
What we also know - cont
Social Care
Special Educational
Needs
What we also know
The vision
“All people with a learning disability are people first with the right to lead their lives like any others, with the same opportunities and responsibilities, and to be treated with the same dignity and respect. They and their families and carers are entitled to the same aspirations and life chances as other citizens.”
Guiding Principles
Rights:
Independent living:
Control:
Inclusion:
Tough News
• The Healthcare Commission Reports into Cornwall and Sutton and Merton
• The Disability Rights Commission Formal Investigation into health inequalities
• ‘Death By Indifference’• The Healthcare Commission Audit
of learning disability health services• Healthcare for all – Michael Inquiry• Six lives – Ombudsman's report
The NHS Agenda for the Healthcare of People
with Learning Disabilities
1. General Healthcare – dealing with health inequalities in mainstream healthcare
2. Specialist learning disability health services – being evidence based and up to date
3. Stopping doing the things the NHS shouldn’t be doing
• The Primary Care commissioning Framework
• DES – annual health checks for people known to Social Services
• Darzi - work streams• New guidance on health action
planning and health facilitation.• A Guide on the NHS meeting the
Disability Equality Duty• Michael inquiry • Confidential enquiry• Public Health Observatory• Self Assessment Framework
Help!
Mainstream Health
Only 41% of people with a learning disability known to local services have had a health check
Access and support in hospitals remains poor but there are an increasing number of liaison nurses
Health Self Assessment tool
Transitions
Specialist Paediatric
services to GP
Mental health services
People with learning disabilities are entitled to the support they require to access mainstream mental health services
Specialist and mental health services
Some people with a learning disability will require specialist support for assessment and treatment.
Specialist services will help people with learning disabilities to access health professionals from mainstream health services.
Secure/Forensic Services
Diversion
Specialist support through pathways
Offender health
20–30% of offenders have learning difficulties or learning disabilities
7% of offenders in prison have
Learning Disabilities
Specialist Health – Current work
North West –Chronic conditions
North East – Health and provider links
Yorkshire and Humber – Assessment and Treatment
East Midlands - CTLDs
Eastern – Specialist health in acute care
London - People with learning disability
South East – Mental Health
West Midlands – Family carers
South West – Developments from Campus closure
Opportunities
Access to Mainstream Health Services
Transitional Health Support
Access to Mental Health Services
Assessment and Treatment
Secure/Forensic services Offender Health Leadership