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Learning disabilities: applying All Our Health
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2015
- Place of publication:
- London
- Edition:
- Updated 2018
Evidence and guidance to help healthcare professionals to improve the health and wellbeing of people with learning disabilities. Individuals regardless of their age, gender or label should receive care that is based on their unique needs, that is appropriate in its design and effective in its delivery. A learning disability, not to be confused with a learning difficulty such as dyslexia and dyspraxia, is a label given to a group of conditions that are present before the age of 18. This impacts on the way individuals develop in all core areas, and ultimately how they live their lives and access health care. For simplicity, this document has grouped causes and condition. The causes of a learning disability mainly fall into 3 distinct areas, developed in the prenatal period, perinatal period and postnatal period. The guide outlines key facts relating to health and people with a learning disability; core principles for health professionals; and interventions at population, community, and family and individual levels. (Edited publisher abstract)
Deaths of people identified as having learning disabilities with COVID-19 in England in the spring of 2020
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2020
- Pagination:
- 84
- Place of publication:
- London
This review analyses the available data on the deaths from COVID-19 of people identified as having learning disabilities. The review looked at: deaths from COVID-19 of people with learning disabilities; factors impacting the risk of death from COVID-19 of people with learning disabilities; deaths in care settings of people with learning disabilities. The key finding of this study was that people with learning disabilities had significantly and substantially higher death rates in the first wave of COVID19 in England than the general population. Making no allowance for the younger age and different sex ratio of people with learning disabilities, the rate of deaths notified to LeDeR in this group was 2.3 times the death rate in the general population. If this figure is adjusted to allow for the likely level of under-notification to LeDeR it was 3.5 times the general population rate. After standardisation for age and sex the rate calculated just from notifications to LeDeR was 4.1 times the general population rate. Adjusting for the likely level of under-notification it was 6.3 times the general population rate. The total number of deaths in adults with learning disabilities for the 11 weeks from 21 March to 5 June was 2.2 times the average number for the corresponding period in the 2 previous years. By contrast, the number of deaths in the general population was 1.5 times the average for the 2 previous years. Deaths with COVID-19 in adults with learning disabilities were spread more widely across the age groups than those in the general population. As in the general population, the COVID-19 death rate in people with learning disabilities was higher for men than for women. The overall increase in deaths was also greater in Asian or Asian-British, and Black or Black-British people. Residential care homes providing care for people with learning disabilities do not appear to have had the very high rates of outbreaks of COVID-19 seen in homes providing care for other groups, mainly older people. This appears to be related to their smaller number of beds. (Edited publisher abstract)
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)
Learning disabilities and CQC inspection reports
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2018
- Place of publication:
- London
Investigates the extent to which health care for people with learning disabilities is mentioned within Care Quality Commission (CQC) inspection reports of 30 general acute hospitals trusts conducted using the specific questions regarding the care and treatment of people with learning disabilities. The specific questions were introduced by the CQC n 2015. The report examines what issues and reasonable adjustments are reported and whether there are any relationships between comments made in the inspection reports and CQC ratings of the Trusts. It also looks at the extent to which CQC inspection reports mentioned mental capacity or the Mental Capacity Act (MCA) in relation to any group of patients. The findings show that 29 of the 30 trust-wide inspection reports (97 per cent) and 58 of the 61 specific site reports (95 per cent) included at least one mention of people with a learning disability/learning disabilities. Reasonable adjustments commonly mentioned included: flagging or alerts systems, health passports, acute liaison nurses, auditing practice for people with learning disabilities, quiet rooms, easy read information, staff training, and understanding/managing pain. It makes recommendations to the CQC regarding labelling reasonable adjustments, audits, needs of people with autism (with and without learning disabilities), alerts and flagging systems and mental capacity. (Edited publisher abstract)
Learning disabilities health charter for social care providers: self-assessment tool
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2017
- Pagination:
- 12
- Place of publication:
- London
This self-assessment tool has been developed to enable organisations signed up to the Health Charter for Social Care Providers to measure progress and develop an action plan for improvements in helping people with learning disabilities get better access to health care services to improve their health. The tool has been produced by a working group including members of the Voluntary Organisations Disability Group (VODG). It lists the 10 charter statements from the Health Charter for Social Care Providers, with a list of ‘things to think about’ to stimulate discussion and help organisations assess their current performance for each statement. Organisations can then score their progress using the following categories: We always do this; We sometimes do this; We rarely/never do this. Included in the tool is space to record the evidence used to support your score and the actions needed. (Edited publisher abstract)
Improving the health and wellbeing of people with learning disabilities: guidance for social care providers and commissioners (to support implementation of the Health Charter)
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2017
- Pagination:
- 32
- Place of publication:
- London
This guidance provides advice for commissioners and social care providers on implementing the Health Charter 2017, which aims to help people with learning disabilities get better access to medical services to improve their health. It sets out each of the 10 charter statements, provides information about why each one is important and provides practical tips and links to further resources. Case studies are also included to illustrate what can go wrong if the charter statements are not followed. The statements cover areas such as: understanding and applying the principles of the Mental Capacity Act 2005, listening to family carers, providing accessible information on health and wellbeing, promoting access to screening tests, tackling over medication, and facilitating annual health checks. (Edited publisher abstract)