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Themed visit to hospital units for the assessment and treatment of people with learning disabilities
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2012
- Pagination:
- 33p.
- Place of publication:
- Edinburgh
There has been widespread closure of long stay hospitals for people with learning disabilities. Today, excluding forensic beds, there are fewer than 240 people in acute and longer stay assessment and treatment beds in Scotland. However it is recognised that there is a need for a small number of inpatient beds for those with specialised or complex needs which cannot be met in the community. This report presents the findings of visits from June 2011 to September 2011 to all 20 hospital units (19 NHS and 1 private hospital) for the assessment and treatment of people with learning disabilities. Information was gathered from Clinical Service Managers, staff, service users, care plans and other records, and relatives. The care and treatment of 113 people was looked at. There were 4 general areas of enquiry: health needs; rights and restrictions; quality of life; and participation and involvement. The findings were mainly positive. A number of key messages and recommendations are provided based on these findings, and areas of best practice are highlighted.
Health care for disabled children and young people: a review of how the health care needs of disabled children and young people are met by the commissioners and providers of health care in England: special review
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2012
- Pagination:
- 48p.
- Place of publication:
- Newcastle upon Tyne
This review looked at the support available for families with children that have a disability. It focused on families that have children under the age of 19 with: a learning disability; autism or autistic spectrum disorders; communication needs; sensory needs; mental health and behavioural support; mobility needs; and technology dependence. In particular, this review looked at: the availability of specialist health services for disabled children and young people and their families; an assessment of the quality of support in a geographical area linked to primary care trusts; and the ‘building blocks’ of the care pathway that are of particular importance to families. The review presents the views and experiences of disabled children and their families as well as survey data from commissioners and acute hospitals about services provided from September 2009 to September 2010. Findings suggested that families felt access to and involvement in services was a challenge and that they waited too long for access to services and for initial diagnosis. Contributors felt services were not joined up and that different services did not work well together. Many disabled children and their families also reported they had not been consulted on how their care had been provided. There was also significant disparity between the experiences of disabled children and their families, which were overwhelmingly negative compared to the data supplied by primary care trusts, which showed high levels of access and user-centred care.