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Book Full text available online for free

Supporting information for tackling indifference: healthcare services for people with learning disabilities

Author:
NHS Quality Improvement Scotland
Publisher:
NHS Quality Improvement Scotland
Publication year:
2009
Pagination:
98p.
Place of publication:
Edinburgh

NHS Quality Improvement Scotland (NHS QIS) has reviewed access to general health services for people with learning disabilities and NHS QIS have travelled around Scotland to get a full understanding of the services and arrangements in place. NHS QIS have done this in partnership with people with learning disabilities and their carers, and with health and social care professionals which has added further richness to the findings. This review was wide ranging and there were many examples of innovative and effective practice. Some of these are recorded in Section 9 of this report. There is evidence that services are improving for people with learning disabilities and their carers and the report also identified areas where further improvement can be made. Recommendations are made in full in Section 6 of the report. Findings are in three key areas: awareness and implementation of the key Acts, particularly AWIA and DDA as they both support assessing individual need and improving communication across services,  access to general health services, scheduled and out-of-hours (this also includes health promotion and improvement), and effective joined up working both across and within services which is critical to the delivery of safe, effective care. The ‘join’ between services should be invisible to individuals.

Book Full text available online for free

Tackling indifference: healthcare services for people with learning disabilities: national overview report - December 2009

Author:
NHS Quality Improvement Scotland
Publisher:
NHS Quality Improvement Scotland
Publication year:
2009
Pagination:
43p.
Place of publication:
Edinburgh

NHS Quality Improvement Scotland (NHS QIS) wrote quality indicators for services for children and adults with learning disabilities. The quality indicators are used to check how well health services are meeting people’s needs. During 2008–2009 NHS QIS looked at services for children and adults with learning disabilities in Scotland to find out what was working well and what could be better. The review teams found lots of examples of new and helpful projects. They also found that services for people with learning disabilities and their carers are improving. But there are areas that need to be better. Recommendations are listed.

Journal article

Auditing the care programme approach for people with learning disability: a 4 -year audit cycle

Authors:
ALI Afia, et al
Journal article citation:
Psychiatric Bulletin, 30(11), November 2006, pp.415-418.
Publisher:
Royal College of Psychiatrists

Annual audits of the enhanced care programme approach (CPA) were conducted from 2002 to 2005 to evaluate and improve the implementation of CPA in two inner-London community learning disability services. The CPA standards included those stipulated by the Department of Health. The notes of all patients on enhanced CPA were analysed using a structured data collection form. There was a gradual improvement in the attainment of targets by both services. Areas of strength included allocating a date for the next CPA review, crisis plans and documentation of service users’ comments. Areas of weakness included completion and review of risk assessments and the availability of a care plan for the previous 6 months. Completing the audit cycle and reauditing improves attainment of targets and encourages service development, but further progress is required.

Journal article Full text available online for free

People die here

Author:
FISER Ivan
Journal article citation:
Community Care, 13.7.03, 2003, p.41.
Publisher:
Reed Business Information

Briefly reports on care homes for adults with learning difficulties in Bulgaria, where conditions continue to be poor and residents have died for lack of medication.

Book Full text available online for free

Supporting People: issues for small, specialist and new providers - interim guidance

Author:
SCOTLAND. Scottish Executive. Development Department
Publisher:
Scotland. Scottish Executive
Publication year:
2002
Pagination:
10p.
Place of publication:
Edinburgh
Book

Reach: standards in supported living

Author:
GITSHAM Nicola, KINSELLA Peter, HILSON Nicola
Publisher:
Paradigm
Publication year:
2002
Pagination:
100p.
Place of publication:
Birkenhead

This publication provides a clear definition of Supported Living together with a set of standards, best practice targets that can be applied to any service which says ‘we do Supported Living’. It focuses in particular on supported living for people with learning difficulties.

Book Full text available online for free

National care standards: care homes for people with learning disabilities

Author:
SCOTLAND. Scottish Executive
Publisher:
Scotland. Scottish Executive
Publication year:
2001
Pagination:
82p.
Place of publication:
Edinburgh

This paper sets out the National Care Standards as they apply to care homes for people with learning disabilities.

Journal article

Health targets for people with an intellectual disability

Authors:
BEANGE Helen, LENNOX Nicholas, PARMENTER Trevor R.
Journal article citation:
Journal of Intellectual and Developmental Disability, 24(4), December 1999, pp.283-297.
Publisher:
Informa Healthcare

Describes the development and identification of a set of health targets for adults with an intellectual disability in Australia. The authors developed the targets through a process of collaboration, consultation and literature review. The targets were included if reliable studies had shown the conditions to be highly prevalent, easily detected, and amenable to treatments that are readily available. It is envisaged that these targets will be further refined and eventually endorsed by the Australian Society for the Study of Intellectual Disability (ASSID) for presentation to the World Health Organisation in the year 2000.

Journal article

Legality of responding to the sexuality of a client with profound learning disabilities

Author:
CARSON David
Journal article citation:
Mental Handicap, 20(2), June 1992, pp.85-87.
Publisher:
British Institute of Mental Handicap

Staff could be guilty of neglect if they do not intervene in cases where a client's sexual behaviour might cause harm to himself or others; author explains the legal and ethical issues and procedures to ensure professional standards.

BookDigital Media Full text available online for free

Learning disabilities: challenging behaviour: QS101

Author:
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
Publisher:
National Institute for Health and Care Excellence
Publication year:
2015
Place of publication:
London

This quality standard covers the care of children, young people and adults with a learning disability and behaviour that challenges. It is focused on ensuring that assessment leads to personalised care planning and access to meaningful activities. It consists of eight quality statements, aiming to ensure that the approaches used by staff to support people with a learning disability follow the least restrictive practice and promote privacy and dignity. The statements cover: comprehensive health assessment; initial assessment of behaviour that challenges; designated coordinator; personalised daily activities; review of restrictive interventions; use of medication; review of medication; and family and carer support. (Edited publisher abstract)

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