1. Big Health Check 2011 Amanda Kenney Joint Commissioner Learning Disabilities NHS Medway

2. What is the Big Health Check? Part of Valuing People Now Important part to improving the healthy lives of people with a learning disability This is the 3 rd Medway Big Health Check

3. Big Health Check 2011 Work on putting together the results for the Big Health Check started straight after the Big Health Check for 2010

4. What the Strategic Health Authority said worked well in Medway - Big Health Check 2010 Health Sub-Group Good ways of working are in place to set up a joint Kent and Medway way to buy specialist learning disability health services No-one in Medway currently living in campus accommodation Medway has good plans to increase the number of health checks that happen Medway is getting better information on the health of people with learning disabilities in Medway Medway Hospital has a Learning Disability acute liaison nurse

5. Still along way to go! Won’t be happy with health services for people with a learning disability in Medway until EVERYONE gets a good quality health service

6. Big Health Check 2011 Same Big Health Check 4 top targets as last year Strategic Health Authority gave Medway some specific areas to focus on in each of the 4 top targets

7. Important to Remember! Medway’s targets were given before the government announced lots of the big changes it wanted to make for the health service For example G.P, consortia commissioning

8. Top Target 1 – Campus Closure and Resettlement Area to focus on: Develop local provision for people whose behaviours challenge services Establish a local network about people whose behaviour challenge services Evidence this has improved: No-one in Medway is in campus accommodation G.P. Consortia – network

9. Top target 2 – Reducing Health Inequalities Area to focus on: Medway needs a Joint Strategic Needs Assessment for Learning Disability Increase the number of health checks for people with a learning disability Evidence this has improved: Joint Strategic Needs Assessment - drafted Number of health checks carried out has increased by 10% to 61.4% this year Information (data) from GPs has got much better

10. Target 3 – Keeping Safe Area to focus on: ‘Join up’ work to make sure people are safe Carry on checking and improving health services for people with a learning disability Evidence this has improved: New Learning Disability G.P. register is helping ‘join-up’ information NHS Joint Commissioner Learning Disability in post

11. Target 4 – Transition, Community Team and Offender Health Area to focus on: 1.Transition 2.Community health team 3.Offender health 4.Medication and mental health

12. Target 4 – Transition Evidence this has improved: Transition Transition database set up Health and Medway Council 2011 Joint Review of children's disability services in Medway Getting a Life - Health pathway – this is being worked on Health is now represented at different levels of health planning

13. Target 4 – Community Team Evidence this has improved: Community Learning Disability Health Team 2 Away Days – Health and Social Care – independently facilitated by Rob Greig – Chief Executive National Development Team for Inclusion A draft service specification (what the team needs to do) has been written for the Community Learning Disability Health Team

14. Target 4 – Offender Health Evidence this has improved: Offender Health This area of work is happening as part of a ‘Kent and Medway Offender Health Plan’ Helen Gaylor – Medway Health Prison Partnership Board is a member of the Learning Disability Partnership Board

15. Target 4 – Mental Health Medication Evidence this has improved: Medication and Mental Health Mental Health Team have started to review the medication for people with mental health and learning disabilities

16. We have scored the targets for this year and these are shown on the next slide In the notes column we have explained why the scores have or have not changed We would like to work through the scores for this group to approve so that we can take the report to the LD Partnership Board When the LD Partnership Board has approved the scores we will send the report to the Strategic Health Authority Big Health Check 2011-12 Scores for Approval

17. Top target Top target 1 Year 1 Year 2Year 3Important notes for year 3 – 2011-12 1.1 1.2 Top target 2 2.1 More work to be done to identify older carers and ethnic groups. 2.2 Need to do more to promote better health. 2.3 Screening needs to be improved. 2.4 More work needed with optometrists, pharmacists etc. 2.5 Score has improved because contracts and agreements are in place ensuring equal access for people with LD 2.6 Ongoing work to make sure that plans apply equally to people with LD. 2.7 People with LD need to be more involved with electronic systems planning. 2.8 Ethnic minority work to be improved. 2.9 Strategy is not yet finalised. Top target 3 3.1 Assurance from providers being sought. 3.2 No increase in score but working towards green. 3.3 Improve complaints monitoring. 3.4 3.5 Top target 4 4.1 Work ongoing with the Local Authority. 4.2 Out of area placement work ongoing. 4.3 Good work moving forward with transition plans. 4.4 Continue with involvement with people with LD and families/supporters. 4.5 Integration of health and social care improving. 4.6 Finalise JSNA. 4.7 CHANGED TO AMBER FOLLOWING HEALTH SUB GROUP MEETING. BUSINESS CASE PRODUCED FOR KENT AND MEDWAY DIAGNOSTIC SERVICE. 4.8 More work required for challenging behaviour. 4.9 Work is continuing to improve with mental health 4.10Workforce plans are being developed. 4.11 Criminal justice system work in progress. Big Health Check The results: In a table that shows red, amber and green, scores for years 1, 2 and 3 for Medway