Good Health Good Adult Life…. Mark Bradley Clinical Lead for Transition 2017

Keep on Planning! Health Care Education

Bromley Learning Disability Team

Getting older and leaving school… then what? Talking to students…. Getting older and leaving school… then what? How much does your GP know about you? Who helps with your health now? Who will help with your health when you leave school? What is your plan?

What happens after school? Where do you want to live or work? How do you keep yourself safe and well? Do you need help with medication or equipment? Who do you need - to help you everyday?

The Transition Journey…. Or… A straight and easy road? Not very straight or easy?

One Health Team for Everything at school… At School, lots of people are here. Nurses, Physiotherapists, Speech Therapists & O.Ts all working with your children’s doctor. When you leave school this changes. You might have lots of different doctors. You might have to go to lots of different places? This means planning!!

The NHS is Huge – Lots of confusion… Prescription Physiotherapy Referral Referral Dietician Referral Where it all starts!

The dreaded word….. ELIGIBILITY! Special schools often support learners with a wide range of conditions and abilities under one roof. …..Adult Services don’t. The Department of Education use education ‘labels’ to group certain needs together (SEN categories). Adult Social Services use their criteria to decide who is eligible for support. Health Services rely on diagnoses to direct people to the right service and this invariably starts with the GP. Different eligibility criteria for different services… SEN FACS

Learning Difficulty Vs Learning Disability My son’s statement/EHCP says ‘learning difficulty’ – why can’t he get a service from the learning disability team? Intelligence isn’t purely curriculum related. Intelligence is clinically assessed and each area measured…. By people more intelligent than me! Learning Disability is a global impairment of intellectual ability. Learning Difficulty may affect one area of intelligence but the over all score may be equal or greater than the average IQ.

Can you say…..? Are you in control? Have you had a proper health check by your GP? Do you know how to keep healthy? Are all the right people talking to each other? Does everyone know how to communicate with the person you care for?

Clinical Lead for Transition… What’s that about?

Sometimes you have to break a few eggs to make an omelette! But how many eggs are there?

ARE ALL THE EGGS IN ONE BASKET? Contraceptive & Reproductive Health Public Health GP PHARMACY ARE ALL THE EGGS IN ONE BASKET? School/ ICCNT Nursing Short Breaks Wheelchair Equipment SALT Physio CAMHS Dental Services Optometry Acute / Tertiary Community Paediatricians - Audiology OT Dietetics Podiatry

Is the local offer made in time? Making an EHC Omelette Getting the right ingredients together in the right place at the right time. Ensuring each discipline contributes to the EHC plan contemporaneously. SALT Community Paediatricians Optometry Is the local offer made in time?

The ongoing challenge… every year: Are Health Services prepared to examine how they prepare young people for adulthood? How are young people and families involved in shaping this now? Are we working to the same time scales? Are current systems/tools fit for purpose?

EHC Omelette Comprehensive Health Assessment completed by Year 9. System for GPs to identify young people with learning disabilities. Introduction of Health Action Plans – ownership by young people with the right support! Health Action Plans identify every level of input required from Each Discipline. Public Health reporting on numbers of young people and prevalence of health issues.

Personal Health Profiles We have Personal Health Profiles to help plan health care. This is the young person’s plan, it doesn’t belong to anyone else! Take it to all health appointments. NHS staff can learn about your needs and where to find more information. This is part of Health Action Planning with your GP.

The Vision for Bromley…. Families & children’s services talk to local GPs about learning disabilities and annual health checks. GPs invite young people for an annual health check. Young people use personal health profiles. Children’s services support young people with their Health Action Planning (need/eligibility to be considered). Information (anonymous) from GP health checks is gathered by Public Health. Good information helps services plan for the future, so the right support is available in years to come. Annual Health Checks continue into adulthood with the Personal Health Profile developing with the person.

Thank you – Any Questions? Mark Bradley – 0208 269 3349 or email: mbradley1@nhs.net www.oxleas.nhs.uk/gpreferrers