1. South Eastern Health & Social Care Trust Adult Disability Services

2. SEHSCT Adult Disability Health & Wellbeing Forum The promotion of health and wellbeing and reduction in health inequalities is a key priority in the South Eastern Trust. The partnership between the Disability Directorate and the Health Development Team seeks to ensure a coordinated multi-sectoral approach is maintained in addressing the specific needs of individuals with a Disability and to support the groups and communities who support them.

3. Adult Disability Services Health Development Plan The Adult Disability Health Development Plan has been developed to meet the health development needs of people with a: Learning Disability Physical Disability Sensory Impairment Neurodisability The plan has been co-ordinated in conjunction with the Trust Health Development Department in context to relevant regional strategy action plans. The Health Development Plan will be delivered to individuals and groups of people residing in a range of community living options and with people who are attending a range of day opportunity services.

4. Making Life Better 1.13 Pg 17 “All people are enabled and supported in achieving their full health and wellbeing potential.”

5. Theme 2: - Ready for Adult Life “Equipped Throughout Life” takes account of particular needs across the life course and covers childhood and adulthood, with emphasis given to children and young people, and to supporting individuals’ transitions into and through adulthood and older age.

6. Learning Disability Service Framework 2012 - Standard 15 People with a learning disability should be supported to have meaningful relationships, which may include marriage and individual, unique, sexual expression within the law, balancing their rights with responsibilities.

7. Standard 15 Contd… 1. Regional guidelines on sexuality and personal relationships are developed to ensure a consistent approach. 2. Trusts to facilitate appropriate training for staff 3. Trusts to facilitate appropriate training for service users and family carers 4. Increase in the number of people with a learning disability accessing sexual health and reproductive healthcare services

8. Operational Protocol

9. There are three main parts to this Protocol Part One: The basic principles of the Operational Protocol and its guidelines Part Two: The Operational Protocol and its guidelines for implementation Part Three: Appendices

10. Each section of Part Two is organised with a summary of the protocol statement appearing first, followed by guidelines for implementation. 1.Personal, social and emotional development 2. Relationships and friendships 3. Sexual orientation and sexual behaviour 4. Some specific issues – Confidentiality, Privacy, Masturbation, Pornography, Exploitation and abuse, Personal care, Carers Involvement 5. Partnership and parenthood Sexual health 6. Relationships and Sexuality Education 7. Staff Support and Training 8. Monitoring 9. Evidence Base/References 10. PPI 11. Evidence Base/References

11. Strategic Drivers 1. Teenage Pregnancy & Parenthood Strategy & Action Plan 2002-2007 2. Sexual Health Promotion Strategy & Action Plan 2008-2013 3. Learning Disability Services Framework 2012

12. Development of Protocol Writing Group convened – Jan 2012 Liaise with Family Planning Association Belfast Permission sought & granted to use NHS Westminster policy (FPA England supported the development of this policy 2010) Four Awareness training days annually supported by PHA SE Trust DLS supported the writing group. Quarterly meetings Draft Operational Protocol developed – June 2014

13. Future Plans……. Operational Protocol to be adapted and ratified in each of the five Trusts - March 2016 Three tier training Schedule: Level 1 – Introduction Level 2 – Mentor Role Level 3 – OCN Accredited Training for Trainers Ongoing support for staff from Trust Health & Wellbeing Sexual Health Specialists in each of the five Trusts Ongoing support for staff from Regional Specialist Sexual Health Services Exploration of Evaluation of training with the University Ulster