1. www.england.nhs.uk The Impact of a Network Approach Dr Dominic Slowie NCD for Learning Disability 15th October 2014

2. www.england.nhs.uk “equitable and continually improving health outcomes for people with learning disabilities”.

3. www.england.nhs.uk ‘We in the North East and Cumbria will strive to be the best part of England for people with learning disability to live.’

4. www.england.nhs.uk Shared vision (Nationally and Locally) Sharing of strategic solutions Peer support to agree standards Support to commissioners Co-commissioning Links to other networks 4 A network enables......

5. www.england.nhs.uk Identify and implement initiatives that make a real difference to the lives of people with learning disability; Work closely with the Strategic Clinical Networks to ensure their initiatives consider the needs of people with learning disability; Identify and share best practice; Regularly engage with people with learning disability and with their carers to co-produce key initiatives. 5 North East & Cumbria Learning Disability Network

6. www.england.nhs.uk6 Acute Liaison Nurses

7. www.england.nhs.uk Hospital Passports 7

8. www.england.nhs.uk Flagging Reasonable adjustment pathways Clear criteria Large financial incentive 8 Commissioning Levers

9. www.england.nhs.uk Health quality checkers Dentistry Cancer screening programmes Mortality review Annual health checks Community based services 9 Strategic plans and achievements

10. www.england.nhs.uk10 Research, policy, recommendations......

11. NHS England Learning Disability Programme Structure – high-level Programme Project Task and Finish Group Learning Disability Programme Board SRO: Jane Cummings Deputy SRO: Juliet Beal Programme Lead: Hazel Watson Winterbourne View Work Programme Oversight: Winterbourne View Steering Group Delivering Best Care Now Project Future Care Designs Project Learning Disability Mortality Review Function Project Oversight: Project Oversight Group Joint Health and Social Care Self- Assessment Framework (SAF) Project Oversight: TBC Annual Health Checks Project Oversight: TBC Phase 1 - procure Phase 2 – set-up Network of Expertise Project Oversight: TBC Transforming Care and Commissioning SAF 2014 26 Aug 14 LDPB 4.2

12. www.england.nhs.uk Enhanced Service for AHCs rewritten QOF register changed Flu plan rewritten with PHE Cancer screening project with NCD Cancer Accessible Information Standard Commitment to National Mortality Review Function Audit of all reasonable adjustments in standard contract Establishment of learning disability programme board with Executive Director leadership 12 Year One Progress

13. www.england.nhs.uk Mental Health Act Code of Practice Radiology Patient Information End of life care Obesity and Diabetes Flu immunisation 13 A network of National Clinical Directors

14. www.england.nhs.uk 1.Do you have anyone with an LD in hospital at present? 2.What reasonable adjustments do you make for people with LD? 3.Do you have a specialist nurse for LD? 4.Do you audit the care given to patients with LD? 14 Working with others

15. www.england.nhs.uk Is Learning Disability a Specialist Area?

16. www.england.nhs.uk “equitable and continually improving health outcomes for people with learning disabilities”.

17. www.england.nhs.uk dominic.slowie@nhs.net @dominicslowie Thank you