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 ?
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