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)
Access to secondary healthcare for people with intellectual disabilities: a review of the literature
- Authors:
- BACKER Clare, CHAPMAN Melanie, MITCHELL Duncan
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 22(6), November 2009, pp.514-525.
- Publisher:
- Wiley
There is growing evidence that people with intellectual disabilities have greater healthcare needs than the general population and that these needs are often unmet. Recently, increasing attention has been drawn to poor care received by people with intellectual disabilities when admitted to hospital. A literature search was conducted to identify studies on experiences of secondary healthcare for people with intellectual disabilities. Studies were published between January 1990 and March 2008. Thirteen studies were identified. Important influences on the experience of hospital care were: individual factors; the carer's role; the attitudes, knowledge and communicative style of health staff; and the physical environment. A range of recommendations and initiatives have been developed to improve hospital care. It is concluded that more research is needed, given that so few studies are published in this area. Initiatives to improve access to secondary healthcare need to be evaluated to inform the development of services.
The nurse who eases child fears
- Author:
- OXTOBY Kathy
- Journal article citation:
- Nursing Times, 14.08.07, 2007, pp.20-21.
- Publisher:
- Nursing Times
An Essex nurse is helping to remove the fear of hospital among children who have learning disabilities. This article reports on this education scheme helps put those with a learning disability, complex or special needs at ease before they go to hospital
The hospital provision of reasonable adjustments for people with learning disabilities: findings from Freedom of Information requests
- Authors:
- HESLOP Pauline, READ Stuart, STIRTON Fred Dunwoodie
- Journal article citation:
- British Journal of Learning Disabilities, 46(4), 2018, pp.258-267.
- Publisher:
- Wiley
Background: The Equality Act 2010 places a duty on service providers to make “reasonable adjustments” for disabled people. The aim of this study was to explore key aspects relating to the provision of reasonable adjustments for people with learning disabilities in hospitals. Methods: The research questions were explored using Freedom of Information (FOI) requests submitted to 206 CCGs and 141 hospital trusts in England. Results: One hundred and eighty‐six CCGs reported that they included the requirement to provide equal access to services in their contracts with providers. Eight CCGs provided evidence about how they ensured reasonable adjustments were provided. One hundred and twelve of 132 responding hospital trusts provided information about the number of inpatients with learning disabilities; eighty‐three of 132 provided data about outpatients and 88 of 132 provided data about A&E. Sixty‐four of 125 responding trusts explicitly stated that they did not undertake audits of learning disability services or did not make any such reports publicly accessible. Conclusions: The findings contribute to concern about the gap between legislation and guidance, and its practical application “on the ground.” If CCGs are not assessing contractual compliance to provide equitable access to services for people with learning disabilities, and trusts are not aware of the number of people with learning disabilities using their services, or their access requirements, this raises concerns about their compliance with the Equality Act 2010. (Publisher abstract)
The NHS atlas of variation in healthcare: reducing unwarranted variation to increase value and improve quality
- Author:
- NATIONAL HEALTH SERVICE. Right Care
- Publisher:
- Public Health England
- Publication year:
- 2015
- Pagination:
- 277
- Place of publication:
- London
This publication uses maps to show the variation in health care for a variety of conditions across England and Wales. The maps are accompanied by commentary on the background context, scale of variation and options for action. Conditions covered include: care of mothers, babies, and children and young people; mental health problems; dementia; care of older people; end of life care; and learning disabilities. Twenty one of the indicators are also presented by local authority area. The Atlas also highlights the work being done by Right to Care to support anyone wanting to reduce unwarranted variation of health care provision within their locality or between their locality and other areas of the country. (Edited publisher abstract)
The NHS atlas of variation in healthcare: reducing unwarranted variation to increase value and improve quality
- Author:
- NATIONAL HEALTH SERVICE. Right Care
- Publisher:
- National Health Service. Right Care
- Publication year:
- 2011
- Pagination:
- 229p., ills., tables
- Place of publication:
- London
This publication uses maps to show the variation in health care for a variety of conditions across England and Wales. The maps are accompanied by commentary on the background context, scale of variation and options for action. Conditions covered include mental disorders, learning disabilities, care of older people and end of life care. The Atlas also highlights the work being done by Right to Care to support anyone wanting to reduce unwarranted variation of health care provision within their locality or between their locality and other areas of the country.
Secondary healthcare and learning disability: results of consensus development conferences
- Authors:
- CUMELLA Stuart, MARTIN David
- Journal article citation:
- Journal of Learning Disabilities, 8(1), March 2004, pp.30-40.
- Publisher:
- Sage
Many people with learning disabilities live shorter lives and have poorer health than the rest of the population. This results in part from less access to healthcare, and several studies have evaluated ways of improving primary healthcare for this group. Much less attention has been paid to the experiences of people with a learning disability in general hospitals. This exploratory study used consensus development conferences of people with a learning disability, their supporters, family, professionals and managers. It was reported that hospitals frequently failed to communicate with, provide emotional support for, or adapt to the specific needs of patients with a learning disability. Hospital staff noted that community services failed to provide information about patients, and that hospital staff lacked training in communicating with people with a learning disability. Fieldwork identified a range of solutions to deal with these problems, most of which involved incremental changes in hospital and community health procedures.
GP and support people's concerns and priorities for meeting the health care needs of individuals with developmental disabilities: a metropolitan and non-metropolitan comparison
- Authors:
- IACONO Teresa, et al
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 28(4), December 2003, pp.353-368.
- Publisher:
- Taylor and Francis
General practitioners (GPs) from the Australian state of Victoria and support people were surveyed about their concerns and priorities for meeting the health care needs of people with developmental disabilities. Despite the poor response rate (22% and 27%), sampling adequacy was obtained, and the tools were found to have construct validity. According to the results, GPs had concerns about the assessment and management of people with developmental disability and tended to rely on support people. They knew about many services in their communities, but were less likely to know about non-medical, and government and non-government disability services. Support people reported concerns about health care service providers' lack of knowledge, family stress during periods of hospitalisation, and, particularly for rural respondents, the need to travel to access services. There were relatively few differences in responses from metropolitan versus non-metropolitan respondents, which may be explained by the relative accessibility of Victorian rural towns when compared with other Australian states.
Far less than they deserve: children with learning disabilities or autism living in mental health hospitals
- Author:
- CHILDREN'S COMMISSIONER FOR ENGLAND
- Publisher:
- Children's Commissioner for England
- Publication year:
- 2019
- Pagination:
- 36
- Place of publication:
- London
Drawing on an analysis of data and the results of hospital visits to speak to children, this report explores the experience of children with a learning disability or autism who are admitted to child and adolescent mental health hospitals for long periods. It looks issues such as the quality of care, access to education, participation in activities, the use of seclusion and restraint, and medication. It also considers the reasons children with a learning disability or autism can be in hospital unnecessarily. This may be due to a lack of specialist community provision, a lack of support at home, or financial incentives to keep children in hospital. The research shows that numbers of children with a learning disability or autism identified in mental health hospitals is increasing; children are being detained in hospital for too long; and children are often placed too far from their family and home. The report also found evidence of poor restrictive practices and use of sedation. It makes a number of recommendations, including the need to provide new funding for the right support in the community to enable children to stay with their families. (Edited publisher abstract)