Part 2
Dec 29, 2015
Results June 2008 High frequency conditions found through 1st health checks (n = 735)
Impacted ear wax 315
Gastro-intestinal conditions 44
Fungal infections 134
Other dermatological conditions 162
Obesity/overweight 527
Psychological/ psychiatric conditions (including challenging behaviours and sleep problems)
78
Other cardiovascular conditions (including oedema) 90
(All) Dental conditions 85
Raised blood pressure 171
Urinary Tract Infections 125
Dysphagia 135
Results June 2008Referrals made by HFT from 1st health checks (n = 735)
GP 302
Practice nurse 304
Foot Health services (chiropody) 114
Speech & Language Therapy (136=Dysphagia) 152
Dietetic services 139
Social services 116
Healthy lifestyle/weight-loss group 64
Community Dental Services 61
Specialist epilepsy nurse 37
Community Nurses / Logan Assessment and Care Management Team 48
Psychological services 35
Psychiatry via GP 42
Occupational therapy 22
District Nurses 8
Retinopathy 3
Total 1447
Results June 2008High frequency conditions found through 2nd health checks (n = 341)
Impacted ear wax 123
Gastro-intestinal conditions 9
Fungal infections 10
Other dermatological conditions 26
Obesity/overweight 139
Psychological/ psychiatric conditions (including challenging behaviours and sleep problems)
17
Other cardiovascular conditions (including oedema) 17
(All) Dental conditions 15
Raised blood pressure 54
Urinary Tract Infections 64
Dysphagia 58
Results June 2008Referrals made by HFT from 2nd health checks (n = 270)
GP 116
Practice nurse 131
Foot Health services (chiropody) 1
Speech & Language Therapy (Dysphagia) 62
Dietetic services 29
Social services 21
Healthy lifestyle/weight-loss group 27
Community Dental Services 14
Specialist epilepsy nurse 7
Community Nurses / Logan Assessment and Care Management Team 6
Psychological services 4
Psychiatry via GP 5
Occupational therapy 1
District Nurses 2
Retinopathy 1
Total 427
Direct Enhanced Service
• GPs can choose to take up the DES for learning disabilities.
• GPs will receive payments for;– Learning disability register 50-00.– Offering annual health checks 100-00.– GP must attend training to receive payment.– Does not apply to people with a mild learning
disability.
Direct Enhanced Service
• 40 GP Practices taken up DES 2009/2010.
• Implementation strategy devised with contracting & commissioning.
• Multi-agency training session delivered.
• All GPs agreed ONE Read Code 918e.
• Devising health check template.
• Pre – health check questionnaire.
University Hospital Coventry & Warwickshire (UHCW)
• 1’110 Beds• 35 Wards• 183 Departments• 85 Specialities• 23 Theatres• 5 Day Surgery Theatres • 5’492 Staff • 350 Theatre staff
Secondary Care - Method
• Learning Disability Steering Group.
• Resource packs – Communication Aids.
• Collaborative protocols – Care pathways.
• Multi-agency – UHCW, health & social care.
Secondary Care
• Funding – Dependency Rating Scale.
• Neurology – Joint Clinics.
• Dysphagia
• Benchmarking
Conclusion
• A team approach to all levels of health facilitation.
• Primary & secondary care.
• Multi-agency & multi-professional.
• Service user involvement & consultation.
Improving Health Care for People with Learning Disabilities
Living in Coventry
Sherryl Gaskell, Lead Nurse, Health Facilitation Team
Suite One, Coventry & Warwickshire Hospital, Stoney Stanton Road, Coventry, CV1 4FH, 02476 246575
• To make sure that all Health Action plans include mental health and behavioural issues if they are appropriate to the person.
• To make sure that there is a system so that all health action plans are the best they can be.
• To talk with Children’s services to make sure that all school leavers have a Health Action Plan completed before they leave school.
Best Practice