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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.
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.
All within reach
- Author:
- HOPKINS Graham
- Journal article citation:
- Community Care, 23.9.04, 2004, pp.44-45.
- Publisher:
- Reed Business Information
Looks at how a publication produced by Reach which outlined new standards for supported living provided the impetus for a care provider to review positively its effectiveness.
An evaluation of a behavioural support team for adults with a learning disability and behaviours that challenge from a multi-agency perspective
- Authors:
- CHRISTOPHER Rose, HORSLEY Sarah
- Journal article citation:
- British Journal of Learning Disabilities, 44(3), 2016, p.194–203.
- Publisher:
- Wiley
The Dudley Behavioural Support Team (BST) was set up based on Positive Behavioural Support (PBS) principles to support individuals with behaviours that challenge. The Winterbourne Review emphasises the importance of developing high-quality specialist community services and the Ensuring Quality Services (Local Government Association & NHS England, Ensuring quality services, London, 2014) document was released to guide the commissioning of such services. The document sets out standards and guidance for those supporting individuals with behaviour that challenges. This evaluation aimed to investigate whether the BST meets the guidance set out in Ensuring Quality Services from the perspective of other services. A questionnaire was developed to collect data from 19 staff members from services with experience of working with the BST, to address the points raised in Ensuring Quality Services. The quantitative results indicated that the BST are meeting the guidance to a high standard and qualitative data suggested this is achieved through a focus on joint working and a fluid, flexible approach. In conclusion, the BST appears to be a valuable resource from the perspective of services working with them to support individuals with behaviours that challenge. (Publisher abstract)
Quality development in supported living services for people with learning disabilities: introducing AQUA-UWO
- Author:
- ASELMEIER Laurenz
- Journal article citation:
- Tizard Learning Disability Review, 10(4), October 2005, pp.41-48.
- Publisher:
- Emerald
This paper reports on the manual AQUA-UWO, an instrument for quality development in supported living services developed by a research group at the Centre for Planning and Evaluation of Social Services at the University of Siegen in Germany. AQUA-UWO identifies key issues for supported living and formulates professional standards for work in, and management of, supported living. Service user rights for self-advocacy and self-determination form the basis of quality assurance and development of supported living services. The first part of the instrument covers conceptual foundations, quality comprehension and methodical procedures. The second part covers key issues, identifies working procedures and clarifies quality standards. The third part includes materials which can be used to support the process of quality development.
The Gerry Simon Lecture, 1998: enhancing the quality of life of people receiving residential support
- Author:
- FELCE David
- Journal article citation:
- British Journal of Learning Disabilities, 27(1), 1999, pp.4-9.
- Publisher:
- Wiley
Examines the quality of residential services provided to people with learning difficulties in the community. Looks in particular at: the scope of provision, it's nature, the status and role of the person being supported, and the quality of opportunity and support offered.
Issues in the definition and implementation of "best practice" for staff delivery of interventions for challenging behaviour
- Authors:
- AGER Alastair, O'MAY Fiona
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 26(3), September 2001, pp.243-256.
- Publisher:
- Taylor and Francis
A focal sample of intervention outcome studies was considered to confirm the evidence base for "best practice" for intervention for challenging behaviour in persons with intellectual disability and acquired brain injury and establish the service conditions associated with its effective implementation. Evidence supports the effectiveness of behavioural interventions with challenging behaviour, particularly those based upon prior functional analysis of behaviour. However, problems in formulating practice guidelines from such literature include: the limited evidence regarding clinical effectiveness in work with persons with acquired brain injury; the certain durability of change subsequent to intervention; and the heavy reliance upon research personnel external to services for assessment,analysis and programme design in reported studies. Subsequently, a further 42 papers which directly addressed the issues of the capacity of direct care for the delivery of interventions were reviewed. These suggest the importance of supervision processes, attitudinal change and establishment of formal review mechanisms as adjuncts to staff training in intervention methods.
Difficult questions
- Author:
- WINTERSGILL Cathy
- Journal article citation:
- Mental Health Care, 1(11), July 1998, pp.379-381.
- Publisher:
- Pavilion
People with learning difficulties know what they want from services, and are best placed to know how good they are. The author and colleagues describe how together they reviewed standards in local residential homes.
Parents' perceptions of portage: towards a standard measure of parent satisfaction
- Authors:
- CLARE Linda, PISTRANG Nancy
- Journal article citation:
- British Journal of Learning Disabilities, 23(3), 1995, pp.110-117.
- Publisher:
- Wiley
Describes the development of a measure of client satisfaction with Portage services, the Huntingdon Portage Client Feedback Questionnaire, and presents data from a survey of past and present recipients of one local Portage service. It is suggested that this measure could be adopted by Portage services and used as an ongoing means of self-evaluation.
What makes a 'quality service' for people with sensory impairments?
- Authors:
- HATTON Chris, EMERSON Eric
- Journal article citation:
- Community Living, 9(2), October 1995, pp.18-19.
- Publisher:
- Hexagon Publishing
Looks at the quality and costs of different forms of residential services for people with severe learning difficulties who have additional sensory impairments. The conclusions drawn from the project show that following a particular model of service provision is not in itself guaranteed to produce a high quality service.