Part 2

Results June 2008 High frequency conditions found through 1st health checks (n = 735)

Impacted ear wax 315

Gastro-intestinal conditions 44

Fungal infections 134

Other dermatological conditions 162

Obesity/overweight 527

Psychological/ psychiatric conditions (including challenging behaviours and sleep problems)

78

Other cardiovascular conditions (including oedema) 90

(All) Dental conditions 85

Raised blood pressure 171

Urinary Tract Infections 125

Dysphagia 135

Results June 2008Referrals made by HFT from 1st health checks (n = 735)

GP 302

Practice nurse 304

Foot Health services (chiropody) 114

Speech & Language Therapy (136=Dysphagia) 152

Dietetic services 139

Social services 116

Healthy lifestyle/weight-loss group 64

Community Dental Services 61

Specialist epilepsy nurse 37

Community Nurses / Logan Assessment and Care Management Team 48

Psychological services 35

Psychiatry via GP 42

Occupational therapy 22

District Nurses 8

Retinopathy 3

Total 1447

Results June 2008High frequency conditions found through 2nd health checks (n = 341)

Impacted ear wax 123

Gastro-intestinal conditions 9

Fungal infections 10

Other dermatological conditions 26

Obesity/overweight 139

Psychological/ psychiatric conditions (including challenging behaviours and sleep problems)

17

Other cardiovascular conditions (including oedema) 17

(All) Dental conditions 15

Raised blood pressure 54

Urinary Tract Infections 64

Dysphagia 58

Results June 2008Referrals made by HFT from 2nd health checks (n = 270)

GP 116

Practice nurse 131

Foot Health services (chiropody) 1

Speech & Language Therapy (Dysphagia) 62

Dietetic services 29

Social services 21

Healthy lifestyle/weight-loss group 27

Community Dental Services 14

Specialist epilepsy nurse 7

Community Nurses / Logan Assessment and Care Management Team 6

Psychological services 4

Psychiatry via GP 5

Occupational therapy 1

District Nurses 2

Retinopathy 1

Total 427

Direct Enhanced Service

• GPs can choose to take up the DES for learning disabilities.

• GPs will receive payments for;– Learning disability register 50-00.– Offering annual health checks 100-00.– GP must attend training to receive payment.– Does not apply to people with a mild learning

disability.

Direct Enhanced Service

• 40 GP Practices taken up DES 2009/2010.

• Implementation strategy devised with contracting & commissioning.

• Multi-agency training session delivered.

• All GPs agreed ONE Read Code 918e.

• Devising health check template.

• Pre – health check questionnaire.

Collaborative Working at University Hospital

University Hospital Coventry & Warwickshire (UHCW)

• 1’110 Beds• 35 Wards• 183 Departments• 85 Specialities• 23 Theatres• 5 Day Surgery Theatres • 5’492 Staff • 350 Theatre staff

Secondary Care - Method

• Learning Disability Steering Group.

• Resource packs – Communication Aids.

• Collaborative protocols – Care pathways.

• Multi-agency – UHCW, health & social care.

Secondary Care

• Funding – Dependency Rating Scale.

• Neurology – Joint Clinics.

• Dysphagia

• Benchmarking

The ‘H’ Team

H Team at UHCWTraining – Effective Care Practices

H Team Role Play

HospitalRoad-shows

Conclusion

• A team approach to all levels of health facilitation.

• Primary & secondary care.

• Multi-agency & multi-professional.

• Service user involvement & consultation.

Improving Health Care for People with Learning Disabilities

Living in Coventry

Sherryl Gaskell, Lead Nurse, Health Facilitation Team

Suite One, Coventry & Warwickshire Hospital, Stoney Stanton Road, Coventry, CV1 4FH, 02476 246575

• To make sure that all Health Action plans include mental health and behavioural issues if they are appropriate to the person.

• To make sure that there is a system so that all health action plans are the best they can be.

• To talk with Children’s services to make sure that all school leavers have a Health Action Plan completed before they leave school.

Best Practice