1. Confidential Inquiry into the deaths of people with learning disabilities Pauline Heslop Anna Marriott Annual Health Checks Workshop

2. Annual Health Checks DES is designed to encourage GP practices to identify patients aged 18 and over with learning disabilities and offer an annual health check. 71% had had AHC 17% had received AHC > 12 months prior to their death 12% had never had AHC.

3. Problems Quality and recording of annual health checks was variable Issue of what is included in the annual health check Annual health checks were not always leading to Health Action Plans Jessicas story

4. Good practice The majority of people whose deaths were reviewed had received AHC

5. Recommendations Minimum requirements for Annual Health Checks should be introduced Annual health checks should lead to a short, written accessible health action plan Named individual responsible for actioning this.

6. The way forward?