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Attitudes of general practitioners to caring for people with learning disability
- Authors:
- KERR M., DUNSTAN F., THAPAAR A.
- Journal article citation:
- British Journal of General Practice, 46(403), February 1996, pp.92-94.
- Publisher:
- Royal College of General Practitioners
Looks at the views of general practitioners in Gwent, South Wales with regard to people with learning difficulties.
Primary healthcare for people with a learning disability
- Authors:
- CUMELLA Stuart, et al
- Journal article citation:
- Mental Handicap, 20(4), December 1992, pp.123-125.
- Publisher:
- British Institute of Mental Handicap
The growth in the number of people with learning disability living in the community presents a major challenge to primary care services. Policy options for improving primary healthcare provided to people with a learning disability include: specific monitoring by FHSAs; improved training; clarification of responsibility for medical care; regular medical examinations; and improvements in information systems.
Quality checking health checks for people with learning disabilities: a way of finding out what is happening locally
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2017
- Pagination:
- 30
- Place of publication:
- London
This audit tool consists of 6 questions and is designed to support GP practices and those supporting them to improve the uptake and quality of annual health checks, and reduce the health inequalities experienced by people with learning disabilities. It aims to help GP practices to identify good practice and encourage services to improve their practice further, establish whether health checks and primary care services are provided consistently across a geographical area, monitor progress and embed key ‘reasonable adjustments’ within primary care. (Edited publisher abstract)
Contact with primary care: the experience of people with intellectual disabilities
- Authors:
- PERRY Jonathan, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 27(3), 2014, pp.200-211.
- Publisher:
- Wiley
Background: People with intellectual disabilities experi-ence disparities in their health and health care. Annual health checks are intended to counter such disparity by improving access to primary health care. However, little is known about their experience of having a health check or other types of contact with primary care services. Materials and Methods: The findings of two studies which used focus groups were combined. 102 people with intellectual disabilities participated in the focus groups. Results: Participants' experiences of primary care services generally, and health checks in particular, were positive. However, unanimity was rare on any of the topics discussed and a number of areas of dissatisfaction emerged. Conclusions: Further studies with larger and more representative samples are necessary as feedback from people with intellectual disabilities about their experience of contact with primary care staff might help to enhance GP knowledge about their health requirements. (Publisher abstract)
What stops doctors doing annual health checks?
- Authors:
- WALMSLEY Jan, et al
- Journal article citation:
- Learning Disability Today, June 2011, pp.30-33.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Annual health checks for people with learning disabilities were introduced in 2009. The findings of research into GP's experiences of offering annual health checks in Oxfordshire are reported. Of the six GP's interviewed only two practices had completed checks for over 50% of the people eligible. My Life My Choice champions, all people with learning disabilities, also visited three of the six practices and reported on the welcome they received.
Roles of general practitioners in the provision of health care services for people with intellectual disabilities: a national census in Taiwan
- Authors:
- LIN Jin-Ding, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 22(6), November 2009, pp.582-591.
- Publisher:
- Wiley
The perceptions of general practitioners (GPs) in the provision of health care services for people with intellectual disabilities are explored and GPs' priorities in the delivery of health care services to this group of people in Taiwan analysed. A cross-sectional design was conducted by a census method. A questionnaire was mailed out, between 10 April 2006 and 16 June 2006, and the responses provided by 331 GPs (response rate = 16) were included in the analysis. The results showed that most of the respondents did not have sufficient experience to deal with patients with intellectual disabilities and lacked adequate knowledge about intellectual disabilities. Indeed, respondents expressed the need for on-the-job training in the field of intellectual disabilities and generally agreed that their role in providing health care services for people with intellectual disabilities was important. However, they were generally not satisfied with the achievements of their role on health care issues. The study highlighted that many issues need to be prioritized for people with intellectual disabilities in relation to policy planning at different health care stages (primary, secondary and tertiary health care). The results also revealed that those senior GPs with considerable experience in treating people with intellectual disabilities were more likely satisfied with their role in providing health care for this group of people.
Health checks and people with learning disabilities
- Authors:
- COBB Janet, GIRAUD-SAUNDERS Alison, KERR Mike
- Journal article citation:
- Tizard Learning Disability Review, 13(3), October 2008, pp.38-41.
- Publisher:
- Emerald
This article addresses the need for health checks for people with learning disabilities as a proven route to identifying and tackling health inequalities, what health checks should look like (covering physical and mental health) and how they should be followed, and how practices and primary care trusts (PCTs) can implement health checks, involving people with learning disabilities and family carers and drawing on the expertise of community learning disability teams. Experience from Wales and England of offering health checks is described, and some key learning points are drawn out. It is recommended that appointment of a strategic health facilitator to lead to the introduction of health checks and to ensure that the results are used to improve the health and health care of the population of people with learning disabilities.
A pilot of interventions to improve health care in adolescents with intellectual disability
- Authors:
- LENNOX Nicholas G., REY-CONDE Therese F., FAINT Sonya
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 21(5), September 2008, pp.484-489.
- Publisher:
- Wiley
People with intellectual disability often have poor health which may be improved through better health advocacy and enhanced communication with their general practitioner. To this end, this study examined the use of the Comprehensive Health Assessment Program (CHAP) and the Ask health diary previously developed for adults with intellectual disability and trialled their use in adolescents attending a Special School in Australia. A CHAP health review completed by both carers and General Practitioners was used to collect information about adolescents' health. An Ask health diary was used in school to learn health advocacy and communication skills. Thirty students, their parents and their eight teachers participated in the trial. The CHAP health review resulted in a mean of 5.2 health conditions being found, and 1.4 planned actions by the general practitioner per adolescent. The Ask health diary was highly accepted by the students and teachers. There did not appear to be any increase in communication skills of the students after using the diary in the school for one term. The CHAP health review and Ask health diary have the potential to improve the health of adolescents with intellectual disability.
Improving the transfer of care to general practice for people with intellectual disabilities: development of a guideline
- Authors:
- WULLINK Magda, et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 4(4), December 2007, pp.241-247.
- Publisher:
- Wiley
In the Netherlands, a public policy shift has led to a movement of people with intellectual disabilities (ID) from residential congregate care facilities to normative housing in their communities. Along with these physical transfers, medical care has also been transferred from specialty intellectual disability physicians (IDPs) associated with the residential facilities to general practitioners (GPs) native to the community. To facilitate these changes, the authors created a set of guidelines for the transfer of ID medical care. In developing these guidelines, the authors queried: (1) What elements have to be included in the draft guidelines? (2) What are the barriers to using the draft guidelines in practice and how can these barriers be overcome? and (3) What elements have to be included in the final form of the guidelines? Data for the draft guidelines were drawn from information gathered during interviews and discussions with physicians and allied workers. The guidelines call for a feasible working agreement between IDPs and GPs regarding handing over patient files containing problem lists and histories and arrangements of out-of-hours house calls, practice visits, medication delivery, and paramedical treatments. Inherent barriers to the implementation of the guidelines might be communication difficulties among persons involved in the transfer of care and governmental rules that fail to overcome organizational barriers.
Previously unidentified morbidity in patients with intellectual disability
- Authors:
- BAXTER Helen, et al
- Journal article citation:
- British Journal of General Practice, 56(523), February 2006, pp.93-98.
- Publisher:
- Royal College of General Practitioners
Adults with learning disability frequently have unmet health needs. The cause for this is complex and may be related to difficulties in accessing the usual primary care services. This study aimed to determine the likelihood that a structured health check by the primary care team supported by appropriate education would identify and treat previously unrecognised morbidity in adults with an intellectual disability. Individuals were identified within primary care teams and a structured health check performed was supported by an educational resource. Face-to-face audit with the team was performed 3 months following the check. Forty general practices within three health authorities in south and mid-Wales participated. Health checks were conducted for 190 (60%) of 318 identified individuals; 128 people moved, died, withdrew from the study, or refused to participate. Complete data were available on 181 health checks; 51% had new needs recognised, of whom 63% had one health need, 25% two health needs, and 12% more than two. sixteen patients (9%) had serious new morbidity discovered. Management had been initiated for 93% of the identified health needs by the time of audit. The findings reflects a concern that current care delivery leaves adults with an intellectual disability at risk of both severe and milder illness going unrecognised. health checks present one mechanism for identifying and treating such illness in primary care.