Setting the Scene

DIRECT ENHANCE SERVICE The impact of Health Facilitation for People with Learning Disability

Setting the Scene

People with Learning Disabilities experience a different pattern of ill health when compared with general

populationDesigning services purely to meet the

needs of the general population will fail to meet the needs of people with

learning disabilities.

Strategic Impetus

EQUAL LIVES 2005

• The Northern Ireland Review of Mental Health and Learning Disability (Bamford) was established by the DHSSPS to carry out an independent review of the effectiveness of policy and service provision

SERVICE AIMS

Work in strong partnership with

Trust, Primary Care, Communities,

Carers/Families and People with Learning Disability, so that we

can deliver better health care for the

Person with learning Disability

Role of Health Facilitator • Developing an accurate register of People

with Learning Disability• Support practices to get screening

completed & help arrange access for People with Learning Disability to receive health screens

• Provide accessible help/information to all GP practices

• Advising/supporting practices in the importance of screening People with Learning Disability & reviewing their health

• Advising & overcoming access difficulties People with Learning Disability have using GP practices

• Raising awareness & supporting the Person with Learning Disability when they visit the GP

• Improving the Persons experience when using primary care services

• Providing an information leaflet on Health Screening, designed to inform patient/carer about health Screening

• Providing a GP information Pack to help the GP communicate with the person with Learning Disability

GP Information Pack• Contact details• Summary of HF Role• On Line Resource Sheet• Screening Tool/Checklist

for identification of a Learning Disability

• Health Assessment Form• Health Check Action Plan• Summary of Health

Assessment • Patient Satisfaction

Survey

GP screening for year 1,2 and 3

Date GP signed to DES

GP not signed to DES

GP practices had started screening

Total of people screened

2009/10 42 (77%)

12 (33%)

21 (50%)

216 (16.3 %)

2010/11 47 (87.3%)

7 (12.9%)

37 (80%)

605 (46.7%)

2011/12 47 (87.3%)

7 (12.9%)

37 (80%)

946 (73%)

BACKGROUND

Looking at evidence and developing the concept of health

facilitation and health action plans

into the lives of people with learning

disability

HEALTH ACTION PLANS

“A Health action plan is a tool that should detail the

action needed to maintain and improve the

health of a person and any help that is required”

(DOH2002). It is a mechanism to link the range of services and

supports they need, the person with learning

disability is to have better health.......

Primary Objectives

• To apply a person centred holistic and sustainable health action plan

• To help improve access to primary health care services

What's in the Health action Plan Booklet?

• Consent • Information about person,

people and services involved

• Background to health• Medication information• Questions on present state

of health• Areas to be considered for

health action plan• My health plan and who is

going to support me

Health Action Plan

Pages in the Health Action Plan•People who help me with my health•Epilepsy (optional)•My feelings/behaviour/worries (optional)•Height & weight chart•My medication (optional)•How I communicate (pictures at the back of file)•Overview of my lifestyle•My Health Action Plan•Note for people to write in•My appointments diary (optional)

Health Action Plans

• Pilot Study in Two areas• Phase 1. Statutory

Residential & Supported Living Services

• Phase 2. Residential /Nursing & Supported Living Services

• Phase 3. Community & ARCs

• Transition from children to adult services

Health Development Forum

• Looking at the Health Promotion needs of People with learning disability

• Using data collected from Health Screens

• Areas targeted – weight smoking, substance abuse, mental health, physical activity & sexual health

• Nutritional group

THANK YOU

Pat Cuming Health Facilitator for People with

Learning DisabilitySouth Eastern TrustPh. 02891511190

Email [email protected]