Search results for ‘Subject term:"learning disabilities"’ Sort:
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Hospitals should consistently provide 'reasonable adjustments' for disabled patients
- Authors:
- READ Stuart, et al
- Publisher:
- University of Bristol. Policy Bristol
- Publication year:
- 2018
- Pagination:
- 4
- Place of publication:
- London
Briefing summarising key findings and policy implications from research to explore how hospitals are providing reasonable adjustments for disabled people and how disabled people experience hospital care. Reasonable adjustments are changes to services that disabled people may require which remove any disadvantages they face compared with non-disabled people. The research collected data from an audit of Care Quality Commission hospital inspection reports; Freedom of Information requests to Clinical Commissioning Groups and hospital trusts; surveys of health professionals and representatives; interviews with disabled people; and workshops for professionals and disabled people. The key findings highlight concerns about the gap between Equality Act 2010 legislation and its practical application in NHS hospitals. The research was conducted as part of a large grant, ‘Tackling Disabling Practices: co-production and change’, funded by the Economic and Social Research Council (Edited publisher abstract)
Youth detention: solitary confinement and restraint: nineteenth report of session 2017-19
- Author:
- GREAT BRITAIN. House of Lords, House of Commons. Joint Committee on Human Rights
- Publisher:
- House of Commons
- Publication year:
- 2019
- Pagination:
- 45
- Place of publication:
- London
A report of an inquiry into the use of restraint and separation of children in detention in the UK and whether these practices are subject to appropriate limits and effective safeguards. The inquiry considered both restraint of children detained in detained in hospitals for therapeutic care and those detained in custody due to criminal convictions. The Committee heard evidence from children, their parents, and professionals that restraint and separation are harmful to children, and cause physical distress and psychological harm. Data also shows that children are restrained too often, with rates of restraint and separation even higher for Black, Asian and minority ethnic (BAME) children. This is partly due to insufficient staffing levels, insufficient staff training and inappropriate facilities. Data collection for all forms of restraint and separation in hospitals and custody also needs to be improvement. The Committee's recommendations include: a ban on the use of pain inducing techniques and solitary confinement of children in detention; improved data collection; and an improvement in the complaints and resolution process. (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)
The learning disability improvement standards for NHS trusts
- Author:
- NHS IMPROVEMENT
- Publisher:
- NHS Improvement
- Publication year:
- 2018
- Pagination:
- 20
- Place of publication:
- London
Four standards designed to help NHS trusts measure the quality of care they provide to people with learning disabilities, autism or both. The standards have been developed with outcomes created by people and families, which state what they expect from the NHS. The four standards cover: respecting and protecting rights; inclusion and engagement; workforce; and learning disability services standard. The final standard is specifically for trusts that provide services commissioned exclusively for people with learning disabilities, autism or both. The standards are supplemented by improvement measures or actions that trusts are expected to take. The standards reflect the priorities described in national policies and programmes, in particular ‘Transforming care for people with learning disabilities – next steps’ and the ‘Learning Disabilities Mortality Review (LeDeR) programme.’ (Edited publisher abstract)
Child or young person: hospital CETR (non-secure). Workbook 5: Care, Education and Treatment Review (CETR): key lines of enquiry
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2017
- Pagination:
- 25
- Place of publication:
- London
A workbook for panel members to record their findings during a Care, Education and Treatment Review (CETR) for children and young people with autism or learning disabilities in a non-secure hospital setting. The workbook is based on the key lines of enquiry (KLOE) and shows what sort of questions to ask and where to find evidence. It also provides space to record findings and to record what you think if the person’s quality of care overall for each KLOE. The key lines of enquiry are: Does the child or young person need to be in hospital; Is the child/young person getting the right care, education and treatment; Is the child/young person involved in their care, education and treatment; Are the child/young person’s health needs known and met? Is there a clear, safe and proportionate approach to the way risk is assessed or managed? Are any autism needs known and met?; Is there active planning for the future and for discharge with clear ownership?; Are family and carers being listened to and involved?; Are the child/young person’s rights and freedoms being protected and upheld?; and Is enough attention being given to the particular needs of the child or young person? It will also help with deciding what goes into the CTR report. It is one of a series of 6 workbooks, which each cover different types of Care and Treatment Review (CTR) and CETR panels. (Edited publisher abstract)
Adult - hospital CTR (non secure). Workbook 2: Care and Treatment Review (CTR): key lines of enquiry
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2017
- Pagination:
- 23
- Place of publication:
- London
A workbook for panel members to record their findings during a Care and Treatment Review (CTR) for adults with autism or learning disabilities in a non-secure hospital setting, including assessment and treatment units. The workbook is based on the key lines of enquiry (KLOE) and shows what sort of questions to ask and where to find evidence. It also provides space to record findings and to record what you think if the person’s quality of care overall for each KLOE. The KLOEs, are: Does the person need to be in hospital?; Is the person receiving the right care and treatment?; Is the person involved in their care and treatment?; Are the person’s health needs known and met?; Is the use of any medicine appropriate and safe?; Is there a clear, safe and proportionate approach to the way risk is assessed or managed?; Is there active planning for the future and for discharge?; and Are family and carers being listened to and involved? It will also help with deciding what goes into the CTR report. It is one of a series of 6 workbooks, which each cover different types of CTR and Care, Education and Treatment Review panels. (Edited publisher abstract)
A trade in people: the inpatient healthcare economy for people with learning disabilities and/or Autism Spectrum Disorder
- Authors:
- BROWN Mark, JAMES Elaine, HATTON Chris
- Publisher:
- Lancaster University. Centre for Disability Research
- Publication year:
- 2017
- Pagination:
- 24
- Place of publication:
- Lancaster
This report looks at the increasing role of independent sector companies in delivering inpatient services and Assessment and treatment units for people with autism and/or learning difficulties. The report has been produced as part of the 7 Days of Action campaign, which aims to get people with autism and learning difficulties out of in-patient settings and back into their communities and in their own homes. The report provides an analyses of data on the different rates of inpatient provision in different Transforming Care Partnerships. It also looks at the experiences of people with learning disabilities who are detained in inpatient provision and the impact on their families. In analysing the data, the report concludes that inpatient rates are influenced by the independent sector locating in areas where house prices are lower. Once placed in care, the length of stay in hospital will be influenced by the care infrastructure that is in place. The findings show that people with learning disabilities and autism are staying in Assessment and treatment units (ATUs) much longer than necessary. The report argues that the current system has a significant effect on people with learning disabilities ability to maintain links with their home communities and their ability to maintain relationships that are important to their long term well-being and their right to an ordinary life. (Edited publisher abstract)
Local support for people with a learning disability
- Author:
- NATIONAL AUDIT OFFICE
- Publisher:
- National Audit Office
- Publication year:
- 2017
- Pagination:
- 54
- Place of publication:
- London
This report examines how the NHS in England and local authorities seek to improve the lives of the 129,000 people aged 18 to 64 who use local authority learning disability support services. It also assesses the setting up of the Transforming Care programme, which aims to move some of the 2,500 people with a learning disability and/or autism out of mental health hospitals, and progress of the programme. Key findings include: central and local government spend £8 billion each year supporting adults with a learning disability; the Department, NHS England and local authorities have limited measures to assess the quality and impact of health and social care support; from 2012 to 2015, the Department’s progress in moving people out of mental health hospitals and into the community was poor; early indications are that the Transforming Care programme is making progress in reducing the number of people in mental health hospitals; however, programme partners do not yet have confidence that partnerships can close the planned number of beds by 2019 and a number of complex challenges need to be resolved if the ambition of a substantial shift away from reliance on inpatient care is to be achieved. (Edited publisher abstract)