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Covid-19 Insight: issue 7
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2020
- Pagination:
- 22
- Place of publication:
- Newcastle upon Tyne
This report shares data on the designated settings scheme for adult social care, and looks into more detail on data on deaths from COVID-19. The data shows that between 1 December 2020 and 12 January 2021, the number of acute hospital beds occupied by COVID-19 patients increased by around 138% nationally. The average COVID-19 occupancy rate was 27% in the seven days to 12 January, compared with 22% in the previous seven days. Two trusts currently have rates above 50%; more than half of their beds are occupied by patients with confirmed COVID-19. The changes have varied considerably across regions. Whereas, for example, the North East and Yorkshire saw a relatively small increase from 1 December 2020 to 12 January 2021, the South East, East of England and London have all seen very large increases. The number of acute beds occupied by COVID-19 patients in London more than quadrupled in the space of six weeks. The report also examines whether there were any differences in the propensity for deaths to be flagged for COVID-19 between people with a learning disability or autism and those without. It finds that: people with a learning disability were slightly more likely to have died with confirmed or suspected Covid-19 than others in care homes whose death was notified; the data showed no discernible differences based on sufficiently large numbers between the deaths of people from Black and minority ethnic groups, with and without a learning disability or autism, and White people with or without a learning disability or autism; people from Black and minority ethnic groups who died were slightly younger in age than White people who died, reflecting demographic trends in the wider population. (Edited publisher abstract)
Who I am matters: experiences of being in hospital for people with a learning disability and autistic people
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2022
- Place of publication:
- London
This report looks what people with a learning disability and autistic people experience when they need physical health care and treatment in hospital. We looked specifically at: access to care; communication; care and treatment in hospital; other equality characteristics and quality of care; workforce skills and development. People have a right to expect: access to the care they need, when they need it and that appropriate reasonable adjustments are made to meet people's individual needs; staff communicate with them in a way that meets their needs and involves them in decisions about their care; they are fully involved in their care and treatment; the care and treatment they receive meets all their needs, including making reasonable adjustments where necessary and taking into account any equality characteristics such as age, race and sexual orientation; their experiences of care are not dependent on whether or not they have access to specialist teams and practitioners. However, people told us they found it difficult to access care because reasonable adjustments weren't always made. Providers need to make sure they are making appropriate reasonable adjustments to meet people's individual needs. There is no 'one-size-fits-all' solution for communication. Providers need to make sure that staff have the tools and skills to enable them to communicate effectively to meet people's individual needs. People are not being fully involved in their care and treatment. In many cases, this is because there is not enough listening, communication and involvement. Providers need to make sure that staff have enough time and skills to listen to people and their families so they understand and can meet people's individual needs. Equality characteristics, such as age, race and sexual orientation, risked being overshadowed by a person's learning disability or autism because staff lacked knowledge and understanding about inequalities. Providers need to ensure that staff have appropriate training and knowledge so they can meet all of a person's individual needs. Specialist practitioners and teams cannot hold sole responsibility for improving people's experiences of care. Providers must make sure that all staff have up-to-date training and the right skills to care for people with a learning disability and autistic people. (Edited publisher abstract)
Count me in 2009: results of the 2009 national census of inpatients and patients on supervised community treatment in mental health and learning disability services in England and Wales
- Authors:
- CARE QUALITY COMMISSION, NATIONAL MENTAL HEALTH DEVELOPMENT UNIT
- Publisher:
- Care Quality Commission
- Publication year:
- 2010
- Pagination:
- 59p.
- Place of publication:
- London
This is the fifth national census of the ethnicity of inpatients in NHS and independent mental health and learning disability services in England and Wales. Carried out in March 2009 it follows a similar format to those conducted each year since 2005 but now also includes patients subject to Community Treatment Orders (CTO) introduced in 2008. Information was obtained for 31,786 patients who were either inpatients or on a CTO on census day. The number of patients in each census has declined from 33,785 in 2005 to 31,020 (without the outpatients on CTO) in 2009. The proportion of patients in independent hospitals has increased steadily over this period from 10% to 16%, with a corresponding decline in the proportion of NHS patients. Ethnicity information was available for 98% of the patients; 22% were from minority ethnic groups compared to 20% in the 2005 census. White British account for 78% of all patients, Black or Black/White mix groups 10%, other white groups 4%, South Asian 3%, White Irish 2%, and others (including Chinese) 3%. Differences in mental health problems were seen between and within ethnic groups. It is noted that there has been no reduction in the rates of admission, detention and seclusion among black and minority ethnic groups.