1. Referral Pathway – LD Services RAM Team Meetings RAM Accepted into service ALL REFERRALS (all team members) All referral forms taken to the RAM for discussion and allocation. Admin to search NPfIT & other systems for any previous involvement and register onto NPfIT Admin to order the integrated notes from medical records. ( A temporary file is issued if person referred is not known to service LD1 letter sent to person referred by RAC, with copy to referrer and GP Emergency referrals/ Appropriate Adult referrals and referrals to Consultant Psychiatrists from GP’s to follow relevant pathways Representatives from all teams/professions attend RAM Discussion of all referrals to ensure person meets core business and geographic patch of service Referral and feedback forms taken from meeting via representatives Referral is allocated to the relevant team for either an initial contact /learning disability screening assessment. No further Action RAC to forward minutes from meeting to all teams via fax/email using safe haven procedures. RAC to register referral with team All referrals to be allocated within team meeting. Team admin update NPfIT Clinician to make contact with person to make appointment LD2 and or LD3 sent Assessments to be undertaken by all qualified multidisciplinary members of the teams using a rota system developed within teams Undertake:Initial contact/Learning Disability Screening assessment as directed by RAM Complete caseload priority (form A) Complete initial contact risk assessment Record all outcomes on feedback from, discuss at CTLD meeting and forward copy of form to RAM with other referrals if needed CPA registration Clinicians to discuss with referral agent and confirm details in writing with copy to GP and further letter to person refereed RAC to reject referral on NPfIT and use free text box to give full details.= Referral is accepted in service and either added to a clinicians caseload or added to the waiting list (list of senior professional. (if waiting list admin to send LD4 to referral agent and GP) The following to be completed as necessary once allocated to caseload Full assessment Risk Assessment Caseload weighting (Form B and C) Health Screening CPA* Epilepsy Assessment* PASADD*/TAG HoNOS Begin Health Action Plan with GP practice * if appropriate Caseload weighting reviewed at: supervision (monthly) Professional clinical meetings Discharge planning 3 monthly RAC to discharge from NPfIT Clinicians to send discharge letters RAC to update NPFIT RAC to send LD5 letter to GP’s to suggest that the person is added to the LD registers Clinicians to discus with referral agent and follow up in writing with copy to GP RAC to reject referral as inappropriate; inserting reason in free text box No further Action Inappropriate referral Ask for all referrals from professionals and agencies to be forwarded to their local team in writing Referrals from users or carers to be taken over the phone (basic details taken by admin staff and then forwarded to a clinical staff for reason for referral Inappropriate referral Caseload review/ discharge planning/discharg e from service Caseload Review Discharge Planning Discharge