Annual health checks for people with learning disability North East Learning Disability Clinical Network July 2012

NE Learning Disability Clinical Network Was formed 2½ years ago Made up of clinicians, commissioners, Learning Disability Partnership Board representatives ‘To improve the health and wellbeing of people with learning disabilities in the north east and eliminate avoidable premature deaths, injury and illness’ Has been very successful on developing regional initiatives

Some examples of success Coding & flagging systems in acute hospitals to identify patients with learning disability so reasonable adjustments can be made Care pathways for patients with learning disabilities being implemented in every acute hospital North East Regional Access to Acute Network Care of a Patient with a Learning Disability in the Acute Hospital

Annual Health Checks – what we want to achieve Standardise processes for Annual Health Checks in General Practice Easier production of Health Action Plans More effective communication of individual patient needs between primary & secondary healthcare Through standard clinical content & data collection.

Supporting Informatics Solutions Learning Disabilities Annual Health Check Template Goal capture for use in Health Action Plans Output Views Regionally approved electronic documentation Standard data collection and coding

Development ethos: We have made every attempt to include as many interested parties in the development process. LD DES Feb 2012 – “Practices taking part in the DES should base their health checks on the Cardiff Health Check protocol… or a similar protocol agreed with their PCT. Health checks should integrate with the patients’ personal health record or health action plan.” We have sought existing “best practice” from across NME as well as running workshops for interested NHS professionals and attending meetings with subject matter experts and specialists in related fields.

Highlighting a button displays previously captured information

Patient choice Consent to share information External links – “Easy Read”

Views within the template

Cardiff Health Check

Cardiff Health Check

Guidance text

Set a goal at any point

Speech and language therapist – specialist input

Referrals – secondary care information in line with SAF

Reasonable adjustments that benefit clinicians as well as patients

Link to Health Screening

Cardiff Health Check v2

SystmOne standard templates

Reasonable adjustments

Specific request from workshop

Combination of conditions

Pilot feedback

Enter a “Goal” to help build a Health Action Plan

Speech and language referral Relevant information prioritised

Health Action Plan View – “Goals”

Editable view, template, links and goals Comments can be amended

Next steps Annual health checks for everyone eligible 12 CCGs in north east 50% have identified a Learning Disability Clinical Lead Working on other 50% Annual health checks for everyone eligible Identified actions form Health Action Plan Implement the AHC template in every GP practice in north east Provide support to complete Better information for hospital referrals so know what reasonable adjustments are needed Made a request to national Choose & Book for request for change

Next steps Convert DES into LES to incorporate annual health checks and health quality checkers

Contact Details Judith.thompson@northeast.nhs.uk tracy.davis3@nhs.net Office: 0191 210 6539 Mobile: 07826 864805 Judith Thompson North East Programme Manager Learning Disabilities tracy.davis3@nhs.net Office: 01325 735061 Mobile: 07795 503 513 Tracy Davis Head of Requirements & DBT dbaker1@nhs.net Office: 01325 735071 Mobile: 07920 710 356 David Baker Content Designer & Developer