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The importance of good quality services for people with complex health needs
- Author:
- CAMPBELL Martin
- Journal article citation:
- British Journal of Learning Disabilities, 36(1), March 2008, pp.32-37.
- Publisher:
- Wiley
This article describes the use of a set of evidence-based quality indicators to assess performance by 15 NHS Boards across Scotland in a national review, with a particular focus on the quality of services for people with complex health needs. Evidence based best practice and evaluative data from previous inspections were used to develop Quality Indicators in four domains. Areas reviewed were: involvement of children and adults with learning disabilities and carers in service planning; meeting complex health needs; inpatient/hospital services and planning services/partnership working. A connection between the group of quality indicators used to assess performance in ‘meeting complex health needs’ and overall measures of quality was observed. The importance of good quality services for people with complex health needs is discussed in light of these results.
Reducing health inequalities in Scotland: the involvement of people with learning disabilities as national health services reviewers
- Authors:
- CAMPBELL Martin, MARTIN Mike
- Journal article citation:
- British Journal of Learning Disabilities, 38(1), March 2010, pp.49-58.
- Publisher:
- Wiley
Reducing health inequalities is a key priority for the Scottish Government. Health authorities are expected to meet quality targets. The involvement of people with learning disabilities in health service review teams has been one of the initiatives used in by National Health Service Quality Improvement Scotland to empower patients and improve health services. This paper describes this initiative, how it was planned, and an evaluation by health staff, carers and people with learning disabilities. Recommendations are made to ensure the future success of this type of initiative in Scotland and elsewhere. This initiative was evaluated positively and tested traditional assumptions, challenging the power imbalance in patient-provider relationships. The theory and the practice of including people with learning disabilities as 'expert patient' reviewers are discussed.
Joint inspection of services for people with learning disabilities in Scotland: compliance or commitment?
- Author:
- CAMPBELL Martin
- Journal article citation:
- International Journal of Integrated Care, 6(4), 2006, Online only
- Publisher:
- International Foundation for Integrated Care
The article describes the development of a practical model of joint, integrated inspection of managed care services for people with learning disabilities in Scotland. The model will give a reliable measure of the impact services are making to people's lives and the quality of service that individuals are actually receiving. At present health, social services and education services for people with learning disabilities in Scotland are inspected separately, by up to nine different agencies. The first joint, integrated inspections of all services for people with learning disabilities in Scotland will take place in 2006. This is the first inspection of its kind in the UK, and the first to involve carers and people with learning disabilities on the inspection team. Quality Outcome Indicators were developed in 21 different areas, or domains. Evidence based best practice, and evaluative data from previous inspections were the primary sources of data. This paper reviews the background and rationale for the integrated, joint inspection process. Strengths and constraints of this approach to inspection are discussed, including the crucial importance of commitment from services and from inspectors, rather than mere compliance with demands. Some guidance on how to fully involve staff, carers and services users in the inspection process is given. It is concluded that the model will produce data to inform decision-making for managers in integrated services and give services users clear information about how well local needs are being met, what areas need development, and what capacity the organisations have to improve. The model of inspection may be of interest to practitioners in a national and international context. The model will be evaluated, following the first joint inspection.