Get Me Better!

Guidance

when accessing any LTHT

service if you have or are

supporting someone who has a

learning disability/Autism or

require some reasonable

adjustments

Please keep this document at

home

Hear Me Better! Treat Me Better!

Speak to Me Better! Know Me Better!

Feed Me Better! Make Me Better!

See Me Better! Support Me Better!

Get Me Better!

Get Me Better!

The information in this leaflet is to offer you advice, support and guidance when

you are accessing any LTHT service or are supporting an individual with a

learning disability to access an LTHT service

LTHT and community services should develop positive relationships and share

information so that any individual is supported appropriately and has a positive

experience.

Good Communication and Planning are key to successfully supporting a patient.

On the opposite page is the LTHT Learning Disability Charter.

These are the things that people with a learning disability feel it is important

for other people supporting them to think about and consider.

LTHT

LD Community

Services

Prompt Sheet

1. Please email or telephone Sadie Dunne Lead Nurse learning

Disabilities/Autism to advise her that someone you support is going to be

in hospital, is currently in hospital or has an OPA. Sadie can then check to

see if the appropriate flag is attached to this persons name on LTHT

electronic system (this flag helps hospital staff to identify that the

patient may need some reasonable adjustments).

2. Does this individual have a completed hospital passport they can bring

with them? (see page 11)

3. There is lots of information on the LTHT internet LD/Autism page, you

can download a blank hospital passport. (see page 24)

4. Would a planned visit before the OPA or inpatient stay help to reduce any

anxiety? (see page 8)

5. Contact the outpatient department or ward as soon as possible before or

as soon as you arrive to discuss any reasonable adjustments.

6. Bring any medication with you - but only a few days worth - don`t bring

whole boxes. (see page 17)

7. Look at the Discharge planner leaflet as soon as you arrive on the ward

and start to fill it in and share with the named nurse. (see page 16)

8. Check the end of bed board magnets to see if the correct ones are being

used, speak to the named nurse. (see page 17)

9. Talk to the named nurse about any carer support, will a carer be staying

overnight? Staying for long periods? What support will the carer be

providing? (see page 13,14,15)

10. When you visit or support anyone speak to the named nurse for an update

when you arrive.

11. If you are a paid carer or support worker please ask to read the nursing

notes when you arrive on the ward and write in the nursing notes at the

end of your visit or support shift so that there is clear understanding of

the role of the home care staff and the hospital staff. Sign and date this

with your job title. If a member of hospital staff refuses to let you do

this please ask to speak to the nurse in charge or contact Sadie Dunne.

(page 13)

1

2 - 4

5

6 - 7

8

8

9

10

11

11

12

13,14, 15

16

17

18

18

19

20

21

22

23

24 - 26

LTHT Learning Disability /Autism Service

How to contact LTHT hospital sites and wards and departments

LTHT Learning Disability Pledge

The Get Me Better Champions

Information for a planned admission or Out Patient visit

Pre Visits

Hospital Uniforms

easy read material

PLEASE USE THE HOSPITAL PASSPORT

The Hospital Communication Book

Other useful documents

Working in partnership with the hospital, Carer Support,

‘Speak to Sister….get a message to Matron’

The Childrens Hospital

Discharge and Discharge Lounge

end of bed boards and magnets

Medication

PAS and Front Sheet for Nursing and Medical File

Protected mealtimes

FFT (see appendix 1)

Safe Places and Changing Places

LTHT LD Internet page

External Contacts

6

LTHT LEARNING DISABILITY SERVICE

@getmebetter #getmebetter

Sadie is not an acute liaison nurse. There is no learning disability or Autism

team.

Therefore, one of the aims is to encourage LTHT and the community to speak to

each other, to encourage positive relationships to develop and lead to positive

hospital experiences for people with a learning disability.

If you would like more information about learning disabilities or Autism please look on

the LTHT Learning Disability/Autism internet site or contact Sadie.

There is a Learning Disability/Autism Steering Group meeting held every 3 months.

Please contact Sadie if you would like to have a copy of the terms of reference, agenda

or minutes

Sadie Dunne is the Lead Nurse Learning

Disabilities/Autism

Corporate Nursing

Floor 2

Trust HQ

St James Hospital

Beckett Street

Leeds

LS9 7TF

Tel 0113 2069206

Mobile 07899988703

sadiedunne@nhs.net

PLEASE CONTACT BY E MAIL IF A RESPONSE IS

NOT URGENT

LTHT

LD Community

Services

7

How to contact LTHT

LTHT has 5 sites -

1. LGI

Great George Street The Worsley Building, Leeds, Clarendon Way West Yorkshire Leeds, LS1 3EX West Yorkshire, LS2 9LU.

Tel: (0113) 2432799 Tel: (0113) 2440111

ED (A&E) Adults and Children

To telephone a ward - 0113 39 274 then ward number

Clarendon Wing, Leeds General Infirmary, Leeds, West Yorkshire

LS1 3EX

Tel: (0113) 2432799

To telephone a ward - 0113 39 274 then ward number

There is a multi story car park on the main road opposite jubilee wing which has a charge.

This car park becomes full very quickly.

There are some parking spaces around the hospital site, with a charge. There are some

disabled parking spaces in front of Jubilee wing and A&E

.

8

2. SJUH

Beckett Street, Leeds, West Yorkshire, LS9 7TF Tel: (0113) 2433144

ED (A&E) Adults

To telephone a ward on Gledhow, Chancellor and Lincoln wings - 0113 20 691 then ward

number

To telephone a ward on Bexley wing - 0113 20 681 then ward number

3.

York Road, Leeds, West Yorkshire, LS14 6UH. Tel: (0113) 2648164

4.

Chapeltown Road, Leeds, West Yorkshire, LS7 4SA Tel: (0113) 2623404

To telephone a ward - 0113 20 242 then ward number

9

Newall Carr Road, Otley, West Yorkshire, LS21 2LY Tel: (01943) 465522

Please watch the video on the link below to find out more about Wharfedale hospital

https://www.youtube.com/watch?v=BdJcgvV3Zk8

ALL WARDS AND DEPARTMENTS ARE IN CSUs (CLINICALSUPPORT UNITS)

10

LTHT Learning Disability Pledges

Julian Hartley, Chief Executive, LTHT, made a pledge in March 2015

`To understand and respond to the needs of our patients with learning disabilities`

The Leeds Way (see previous page)

Julian Hartley

`On NHS Change Day I made a personal pledge as Chief Executive to “understand and respond to the needs of our patients with learning disabilities.” At LTHT we are committed to ensuring that every patient experiences the highest standard of care possible, but for many people living with learning disabilities the stresses of being in hospital can be compounded due to a lack of understanding and poor communication; it is for these reasons that I made my pledge.`

The 'Get Me Better Champions' have made an enormous contribution to improving patient experience for people with learning disabilities.

11

There are 15 Get Me Better Champions (people with a learning disability who support LTHT to understand what reasonable adjustments are)

@getmebetter

The Get Me Better Champions meet every month, please contact Sadie if you would like to attend a meeting.

12

The Get Me Better Team Office

@getmebetter

7

The Get Me Better Team Office is open Monday - Friday 9 am - 3.30 pm.

The Get Me Better Champions support the teams based in THQ with laminating, photocopying, delivering and picking up information on all 5 LTHT sites, picking post up.

The Get Me Better Champions are paid £20 expenses per week so that no benefits are affected.

The longer term aim is that LTHT will be able to offer a part time or full time substantive post.

Some of the other Get Me Better Champions support other wards and departments.

13

Information for a planned admission or Out Patient visit

Think about any reasonable adjustments that will need to be discussed and

contact the ward or department before the admission or OPD visit to discuss

these. Make a note of who you spoke to and what was discussed. (this could be

documented in the hospital passport)

Pre Visits

The wards and departments can facilitate visits before a planned admission or

OPA if this will help with any anxiety.

Contact Sadie Dunne if you would like to discuss this further or speak to the

ward or department manager.

I would just like to say thank you on behalf of everyone you showed around the hospital on Wednesday, I feel the visit was very beneficial and a positive experience for people, it was interesting hearing them tell their friends about it when they got back to Strawberry Lane.

Caroline Terry, Customer Involvement Coordinator West North West, LD

Community Support Services, Bramley Fulfilling Lives

Some schools in Leeds have participated in the Get Me Better Workshops, a

series of workshops facilitated by members of staff from the Children`s

services. The aim is to let young people become familiar with hospital, which will

help with desensitisation and reduce any anxieties.

14

Below are pictures of some of the uniforms worn by staff at LTHT:

15

easy read material

If you require any easy read material to prepare for the admission or OP appointment please look on the LTHT internet site (There is a learning disability page) or google Your Health Matters and easy on the i.

http://www.easyonthei.nhs.uk/get-me-better-home http://www.easyonthei.nhs.uk/get-me-better-resources

16

PLEASE USE THE HOSPITAL PASSPORT

IF POSSIBLE LET THE WARD OR DEPARTMENT HAVE A COMPLETED ONE BEFORE THE ADMISSION OR OPA AND TAKE ONE WITH THE INDIVIDUAL YOU ARE SUPPORTING, ASK THE HOSPITAL STAFF TO LOOK AT IT.

Ask if you can e mail a copy to the ward sister/ward clerk so they can print one off to put in the notes.

Take 2 copies of the passport,

leave one in the end of bed folder (on a ward) or give a copy to the out patient clinic nurse and keep one with you.

.

This is the new hospital

passport but if you have

a traffic light document

or any other version of a

hospital passport please

use that - the most

important thing is that

important information

about the individual is

shared with the hospital

staff.

Use the hospital communication book

to support you if there any communication

difficulties,

read the patients hospital passport

to identify any communication issues

17

Other useful documents

LTHT have developed an end of life document that documents what the individual wants to happen. This document is offered to people with a learning disability to complete and keep. A patient may share this document with hospital staff during their hospital admission. Please let hospital. staff know if there is a completed document.

LTHT work in partnership with LYPFT to facilitate 2 workshops for people with a learning disability to talk about the end of my life document and other issues regarding dying. There workshops have had very positive feedback. Contact The Lead Nurse Learning Disabilities if you would like a document to complete or more information about the workshops

18

Working in partnership with the hospital

If you are a paid carer or support worker please wear your name badge and/or identify badge.

Ask hospital staff that you speak to for their name and make a note of this and the discussion.

If you have any concern or issue please speak to the ward or department manager/nurse in charge immediately so that this can be discussed and addressed asap.

Please try to resolve any issue, concern as soon as it arises and bring it to the attention of hospital staff to discuss and resolve.

If you would like further support ask for the name and contact details of the matron.

When you visit or support anyone speak to the named nurse for an update when you arrive.

If you are a paid carer or support worker read the notes at the beginning of your visit or support shift and.

PLEASE WRITE IN THE NURSING NOTES at the end of your visit or support shift so that there is clear understanding of the role of the home care staff and the hospital staff. Sign and date this with your job title.

If a member of hospital staff refuses to let you do this please ask to speak to the nurse in charge or contact Sadie Dunne.

Have a conversation with the ward to clarify if the individual requires 1:1 support and if the ward are providing this support. Please have this discussion before the admission if possible or as soon as possible on admission.

Please provide evidence that the individual already recieves 1;1 support and why this will need to continue or why the individual requires 1:1 support whilst in hospital.

If the ward are not able to provide this support but the home is able to, have a discussion about the cost of this support and if the home has to backfill the hours of the member of staff providing the 1:1 support. The Matron will be the most appropriate person to have this discussion with.

If you are going to or are supporting an individual on a ward please have a discussion with the ward staff to clarify the role and when support will be provided by the ward staff for you to take a break

Car Parking Permits Critical Care wards have a supply of car parking permits for families who are visiting dying patients - they last for 7 days and can be renewed as required. Please ask the ward staff for more information.

19

Please complete and discuss the form below with ward/Department staff if you feel this would help to clarify information.

ADVICE AND INFORMATION FOR WARD STAFF My name: My NHS number: I HAVE BROUGHT MY COMPLETED HOSPITAL PASSPORT WITH ME, please read it to find out about me. I HAVE NOT BROUGHT MY COMPLETED HOSPITAL PASSPORT WITH ME, my support staff/ carer will bring it in so the ward staff can read it. I DO NOT HAVE A COMPLETED HOSPITAL PASSPORT, my support staff/carer will give the ward staff information and will help me complete a hospital passport as soon as possible. I will be on /am on ward …….. SJUH LGI The sister for this ward is …………………………………………………… I live at home with my family In 24 hour supported living On my own with some paid support I have …………. hours of paid support each week This is provided by …………………… Contact name and number ………………………………………………… Whilst I am in hospital I will be supported for ………… hours each day by ………………………………. I will will not be supported over night The carer supporting me will need to have breaks to get something to eat, have a toilet break or put more money in the parking. When the carer needs to take a break they will advise the ward staff, I may need some support from the ward staff whilst the carer is away. When the carer is supporting me they will - Offer advice to the ward staff about how I am usually supported so that I am not anxious in unfamiliar surroundings with people I do not know. Offer advice about how I can be involved in any decision making Write in the nursing notes before they leave the ward Tell the ward staff when they are leaving if there is no one taking over from my home. When the carer is supporting me they will not - Administer any medication Give consent on my behalf if I am an adult

20

There are fold out beds kept in stores at SJUH and LGI if anyone is supporting overnight.

Please ask the ward staff for more information. The porters will be able to provide these beds.

It can help both hospital and home staff if everyone knows who is supporting the individual and when, put this in to a time table and remember to let the ward know if this changes as soon as possible

eg

Monday 1st May

Tuesday 2nd May

Wednesday 3rd May

Thursday 4th May

Friday 5th May

AM

PM

Overnight

Patient feedback – both good and bad – is really important to the Trust. It helps us to make changes and improve the patient experience.

The poster on the right is on display in wards and clinical areas. Please ask a member of staff if you would like to ‘Speak to Sister….get a message to Matron’

21

The Childrens Hospital

Leeds Childrens Hosp (@LCH_Appeal

Children with severe anxiety about hospital procedures will receive a lego key ring to make staff aware

www.lchtv.com offers a place for children, young people and their families

to explore & provide feedback about their care at Leeds Children’s Hospital Please come and see what this has to offer, and how to involve the children

and young people we care for.

Some of the children`s wards have a staff learning disability/autism/hidden disability champion. Please ask on the ward and look for the poster.

Louise Porter is the Lead Nurse, Healthcare Transition of Children and Young People 0113 3922312, 07770581506, louise-c.porter@nhs.net

22

Discharge

Talk to the ward staff (as appropriate) about discharge as soon as possible after admission.

Consider any needs that may have changed during admission and what measures are required to be put in place for discharge

- The physical environment: stairs, aids and adaptations, - - Care Support: is more care required? More calls each day, a different home

environment - nursing home?

The My Home Planner leaflet should be in the

end of bed folder, please have a look at it.

Make a note of any issues/concerns for discharge

And speak to the ward staff about these.

Discharge Lounge

There is a Discharge Lounge at St James`s

Hospital, this is located on the ground floor of Lincoln Wing at St James's and is open Monday - Friday 8 am - 5 pm

There is one qualified nurse supporting the discharge Lounge.

Can this patient access the Discharge lounge whilst waiting for take home medication or transport?

Being Discharged

Discuss with the ward staff -

Who does the patient live with?

Have the appropriate carers /family been informed that the patient is being discharge?

Does the patient have all the information they require for discharge?

Does the patient have the appropriate transport to get home?

Complete a Discharge Plan document (see appendix 2)for ward staff to share.

23

Please bring any medication in to hospital the person you are supporting is prescribed or currently taking.

Every bed now has an end of bed folder and board, (kept on the wall outside of side rooms)

please check that the appropriate magnets are on the board.

Please look on LTHT Facebook and

Twitter accounts to watch

the animation

Reminder cards are given to

patients and LTHT are working

with community pharmacies to

spread the word.

You can view the animation on the

Trust’s Facebook page. Take a

look at the campaign website too.

24

PAS

Any individual with a learning disability or autism or a learning difficulty can

have a flag attached to their name on PAS to identify that they have a learning

disability or autism or a learning difficulty.

When LTHT staff click on a patients name with this flag, this box appears:

You will see this poster on wards -

The Lead Nurse Learning

Disabilities/Autism adds and

removes these flags.

Please let them know if you

have a learning

disability/autism/learning

difficulty or support an

individual.

A laminated front sheet is available to put in the front of the nursing and medical files to alert staff that this patient has a learning disability or autism or learning difficulty.

25

protected mealtimes

What are Protected Mealtimes?

A period of time when all non-urgent treatments, procedures and care stop so patients can eat and enjoy their meals without interruptions.

What is our aim?

For every ward to protect at least one mealtime (lunch or evening). For all available

ward staff and volunteers to help with food distribution and the encouragement and assistance of patients to eat their meals. For other hospital services to respect the

mealtime period and avoid non-urgent interruptions at this time.

What are the benefits?

Patients

Good nutrition and hydration play a key part in a patient’s recovery from operations or illness. Protected Mealtimes enable patients to eat their food in a quiet environment and make

mealtimes more pleasurable. Staff

It gives ward staff dedicated, uninterrupted time to help and encourage their patients to eat. It enables nursing staff to monitor food and fluid intake and review the need for red trays.

How can visitors help?

If you would like to assist your relative/friend at meal times you are very welcome. Please discuss this with the ward manager. Otherwise, please avoid visiting or phoning the ward

during mealtimes.

Quotes from patients at LTHT

"It's nice to be left alone to eat" "It's really annoying being interrupted at mealtimes"

"The wards have been nice and quiet over mealtimes - this helps you to relax more and enjoy your meals"

“Eating is an integral part of treatment. It is important for patients to have uninterrupted time to eat and enjoy

meals.”

The Patients’ Association

“Protected mealtimes encourage a calm atmosphere where the main focus is on serving appetising meals and

providing patients with uninterrupted time to eat, and enjoy, a vital part of their treatment – their food.”

Department of Health

26

When the individual you are supporting is being discharged or leaving an opa, please complete the fft (friends and family test),

Ask a member of staff for the form. This gives the hospital feedback and helps us to improve our service.

See appendix 1 for a guide for the FFT

The FFT form is kept at reception or at the nurses station. Each ward has its own FFT card with a unique scan code. Below is an example of what one looks like.

There is a post box on each ward and department, ask a member of staff if you cannot see or find one.

There are easy read FFT forms available on Childrens and Adolescent wards and departments

The Friends &

Family Test

Would you want your Friends or family to come here if they were ill?

27

There is a Changing Places in Clarendon Wing Entrance, LGI. If you do not have your own key ask the reception staff in Clarendon wing entrance. If you require a Changing Place on any other sites please ask the reception staff or nurse in charge where you can access a bathroom with the appropriate facilities.

Changing Places new map Find a Changing Places toilet near you You can find a Changing Places toilet quickly and easily by entering the city, town, village, street or postcode and using the Find button to search for a Changing Places toilet close to that location. If you want to plan a journey the Changing Places map will quickly show you all the Changing Places toilet locations along your route. Visit the new Changing Places (UK) Toilet

Map website

There are several Safe Places at the LGI, St James`s Hospital and Chapel Allerton Hospital. Please look for the signs or look on the LTHT internet site. We are currently supporting Seacroft and Wharfedale Hospital to become Safe Places.

28

There is lots of useful information on the LTHT internet site. There is a learning disability page, as well as lots of other information pages.

Lynda Dexter Specialist Podiatrist Treatment Unit Becklin centre St James Hospital Leeds 01133056633 Safeguarding Team Amanda Simpson Personal Secretary to Safeguarding Adults Team Room 34/02/074, First Floor, Trust Headquarters St James's University Hospital Beckett Street Leeds LS9 7TF Tel: +44 (0) 113 2066964 Fax: +44 (0) 113 2066541 working hours are: 10:00-14:00 Monday-Wednesday

29

08:30-14:30 Thursday-Friday Tim Whaley Lead Professional for MCA/MHA and Vulnerable Groups Adult Safeguarding Room 34/02/074, First floor, Trust HQ, St. James's University Hospital Beckett street, LS9 7TF Tel: 0113 2066964 Mobile: 07788304709 Pager:4627 Fax: 0113 20 66541 NHSmail: Tim.Whaley@nhs.net IMCA Information The Leeds Independent Mental Capacity Advocacy Service IMCA is run by Leeds Articulate Advocacy. To make an IMCA referral contact 0113 2440606 or download the form from the Leeds Articulate Advocacy website and e mail to Officeadvocacy.org.uk or fax to 0113 2440178 (the form is attached with this information) Tim can be contacted at LTHT for any advice/support.

Childrens Safeguarding Team

Michelle Dickinson Named Nurse Safeguarding Children Leeds Teaching Hospitals Trust Telephone: 0113 3923937 Mobile: 07786915387 Email: Michelle.Dickinson@leedsth.nhs.uk or michelle.dickinson1@nhs.net 0113 2025894 Adult Safeguarding Board 0113 224351 Hospital Social Work Team LGI/SJUH 0113 2064792

30

31

Some External Contacts To make a referral to the Leeds Community Learning Disability Service for Nursing, Psychology, Psychiatry, SaLT, OT, Physio support or general advice there is a Single Point of Access (SPA) 03003001485. For Leeds Adult Social Care support 0113 2224401 For Leeds Childrens Social Care support 0113 2224403

Bradford single point of access - 01274 435400 CHC Coordinators for Adults

Dianne Shires Dianne.Shires@leeds.gcsx.gov.uk Dianne.Shires@leeds.gov.uk Lynn Richardson Lynn.Richardson@leeds.gcsx.gov.uk Lynn.Richardson@leeds.gov.uk Based in LA reviewing and development team JCMT-LD 1st Floor Tech North 9 Harrogate Road Leeds LS7 3NB Tel: (0113) 2243081 Children's Continuing Care Children's Continuing Care Team NHS Leeds South and East CCG 2180 Century Way Thorpe Park Leeds LS15 8ZB Tel No: 0113 843 1719 Fax No: 0113 843 31601

Norman Campbell Commissioning Manager Learning Disabilities & Autism Leeds Clinical Commissioning Groups Network Hosted by NHS Leeds North CCG Leafield House 107-109 King Lane Leeds LS17 5BP

32

0113 8432900 / Direct Line 0113 8432927 ncampbell2@nhs.net Dr Samantha Browning (NHS LEEDS SOUTH AND EAST CCG) GP LD Lead s.browning1@nhs.net

LOFTHOUSE SURGERY

2 CHURCH FARM CLOSE

LOFTHOUSE WAKEFIELD

WF3 3SA

Telephone No: 01924 822273 Leeds Autism Diagnostic Service Frances Needham Senior Clinical Nurse Aire Court Lingwell Grove Leeds LS10 4BS Tel 0113 8550712 Other useful contacts

Tenfold (Voluntary Sector Provider Forum) the Learning Disability Forum in Leeds Shine Business Centre, Harehills Road, Harehills, Leeds LS8 5HS Tel: 07576 952527 www.tenfold.org.uk Website www.tenfold.org.uk | Twitter @TenfoldLeeds

Kath Linley e-mail kath@tenfold.org.uk Angela Davies - Communications Officer

angela@tenfold.org.uk

Through the Maze (Through The Maze Information Service is funded by the Leeds Learning Disability Joint Commissioning Service)

Through The Maze Connect in the North Bridge House Balm Road Leeds LS10 2TP Tel No. 0113 2703233 Mob No. 07731886592 www.throughthemaze.org.uk

33

Carers Leeds April Lee april.lee@carersleeds.org.uk First floor 6-8 The Headrow, Leeds LS1 6PT 0113 246 8338. www.carersleeds.org.uk

34

The Friends and Family Test

A Short Guide For You

Appendix 1

These questions are being asked by

every service provided by the NHS.

For example: GPs, Hospitals and

Community Services

Answering these questions will help us to

know:

If we are doing a good job, or

If things could be done better

You can tell us if you think the care you

had was good enough for your friends

and family.

You can answer the question:

before you leave the service, or

after you have gone home.

The NHS wants everyone to get the

best possible care and treatment, The

Friends and Family Test will help to do

that.

These questions are a chance for you to

tell us what you think about the care

you had.

35

Your name will not be kept with your

answers.

It is ok to tell us what you think, good or

bad.

There is no right or wrong answer.

What you tell us will be added to what

other people have said.

You can see what others have said on the

NHS Choices website: www.nhs.uk.

Please talk to a member of staff if you

are worried about anything.

We have a Lead Nurse Learning

Disabilities, Sadie Dunne

Tel 0113 202069206 Mob 07899988703

You can still complain if you are unhappy.

You can do this in the usual way.

Contact the PALS team for more

information

PALS number (based in the Patient

Relations Office) Tel: 0113

2067168/66261

36

Patient’s Name:…………………………………………………………. Date of admission:……………..Date of discharge:………………….. Ward / department:……………………………………………………… Doctor’s name:…………………………………………………………... Consultant’s name:………………………………………………………

Present: Apologies: Summary of what the person has been treated for / diagnosis: ……………………………………………………………………………...…………………………………………………………………………….…….………………………………………………………………………. Have the person’s needs changed at all? (ie: PEG, Catheter, mobility, swallowing, diet);

……………………………………………………………………………..……………………………………………………………………………..…………………………………………………………………………….. Is there any equipment needed? Who is providing it? (ie: walking frame, raised toilet seat, nebuliser, inhaler, PEG feed, assistive technology).

..........................................................................................................

..........................................................................................................

..........................................................................................................Do carers / support staff need extra training? Details (i.e. who will

provide training etc?)

……………………………………………………………………………..……………………………………………………………………………..……………………………………………………………………………...

Appendix 2

37

List of medication including changes / additions (inc. liquid feed). Do carers understand what these are for / how to administer / side effects? ……………………………………………………………………………...…………………………………………………………………………….…….………………………………………………………………………. Any follow-up appointments / out patients / District Nurse referral? ……………………………………………………………………………..……………………………………………………………………………..…………………………………………………………………………….. Any other referrals required / additional funding required: (Physio, swallowing assessment, Dietitian, Community Learning Disability Nurse,Transfer of Care Team, care management)

Referral to: Named person responsible: .............................................................................................................................................................................................................................................................................................................................. Any infections / pressure areas (MRSA, C.Difficile, other infections) who is managing these / have carers seen relevant policies / need training / resources? ……………………………………………………………………………..…………………………………………………………………………….. Please outline any action plan agreed / any other issues: ……………………………………………………………………………..……………………………………………………………………………..……………………………………………………………………………..……………………………………………………………………………..……………………………………………………………………………..……………………………………………………………………………..……………………………………………………………………………..