Learning Disability Acute Hospital Peer Review

Final Report

Aidan KehoeChief Executive

Royal Liverpool and Broadgreen University Hospitals NHS Trust

Background

Patients with a learning disability are more likely to…

• Die prematurely

• Die of respiratory disease

• Be diagnosed with epilepsy

• Have weight management problems

• Have mental health problems

Review Process

• Blackpool Teaching Hospitals invited to review services in the North West

• Self-assessment tool

• Peer review

• Learning event

• Red, Amber, Green rating

• Focus on acute services

Aintree University Hospitals NHS FT Blackpool Teaching Hospitals NHS FT

Central Manchester University Hospitals NHS FT The Christie NHS FT

East Cheshire NHS Trust East Lancashire Hospitals NHS Trust

Lancashire Care NHS FT Mid Cheshire Hospitals NHS FT

Pennine Acute Hospitals NHS Trust Salford Royal NHS FT

Southport and Ormskirk Hospital NHS Trust St Helen’s and Knowsley Teaching Hospitals NHS Trust

Tameside Hospital NHS FT University Hospitals of Morecambe Bay NHS Foundation Trust

University Hospital of South Manchester NHS FT Warrington and Halton Hospitals NHS FT

Wirral University Teaching Hospital NHS FT Wrightington, Wigan and Leigh NHS FT

Those that took part……..

Things we looked at

• Information

• Reasonable adjustments to

services

• Involvement of people with a learning disability and their carers

• Capacity, consent, safeguarding and the law

• Leadership

• Organisational learning

• Fundamental care

What we learned

•Theme 1: Information has most room for improvement overall •Theme 5: Leadership had the lowest number of Red scores •Theme 6: Organisational Learning had the highest number of Green scores

What we do well!

•Hospital passport•Flagging system •Learning Disability Liaison Nurse•Double appointments for outpatients

What we can do better!

•Staff training for all teams, not just individuals •Learning Disability champions in all areas

Quick wins:

•Hospital Passport •Accessible information •Flagging systems •Individualised care plans

Most impact:

•Raising awareness•Involvement of patients and carers

Must dos:

•Engagement with patient group and their carers•Partnership working and sharing good things happening

Summary

http://tinyurl.com/9ms7ko7

http://www.bfwh.nhs.uk/departments/comms/publications.asp

Index of Good Practice - Examples

•Aintree – Ward Resource Folder•Central Manchester – LD Passport hospital-wide•The Christie – Picture menus•East Cheshire – Diabetes DVD for LD patients•East Lancashire – LD Liaison nurse•Mid Cheshire – LD flagging system•Pennine – Advocacy in signage•WWL – LD Partnership Board•South Manchester – LD Annual Review for Board•St Helens & Knowsley – Dignity champions•Salford Royal – Board-level LD champion•Blackpool – LD care guidelines on intranet•Wirral – Training in caring for LD patients•Warrington – Carer’s focus group•Morecambe Bay – Pre-admission walkabouts•Tameside – Easy-read leaflets

Questions ?