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Good Practice and Innovation Shown in
  Learning Disability Health Services –
The Self Assessment Framework 2009/10




                 Presented at the
          “Healthy Lives Showcase Event”

               Friday 9th July 2010
2


                         Good Practice in the West Midlands

             Many examples of good practice were seen across the region.

             You can add useful contact information and notes to this table if you like.

             Two areas of good work have been selected from each district and are presented here
             today:

             1.The Growing Old with a Learning Disability and    LEAD: Sam.davies@benpct.nhs.uk
Birmingham   Dementia (GOLDD) project – helping people who are
             getting older or having problems with their memory. Website: http://www.tellusmore.org/

             2. Dignity Champions to help people with a learning
             disability get better care in local hospitals.

                                                                   LEAD:
 Coventry    1. The Grapevine Project, which includes a Buddy      Anima.Thawait@coventrypct.nhs.uk
             system, where buddies go along to health
             appointments with people – part of the “H Team        Website: http://coventry.ldpb.info
             model”.                                               www.covwarkpt.nhs.uk

             2. A wide range of accessible screening tools used
             in health care have been made.
3

                                                                   Lead: Neill.Bucktin@dudley.nhs.uk
 Dudley    1. A good database and register to identify people
           with a learning disability in Dudley                    http://www.dudleyld.org/

           2. The Learning Disability Support Line – is run by
           the PALS service. They can help people to make
           complaints.
              This is an independent signposting service
           facilitated by volunteers. The service is for people
           with learning disabilities and/or their carers to get
           information in a format which suits their needs
           and/or to assist the person to make a complaint and
           get resolution.

                                                                   LEAD: skeetley@herefordshire.gov.uk
Hereford   1. There is good work going on in transition
           services, which is when children turn into adults.      Website:
                                                                   http://herefordshire.ldpb.info/
           Herefordshire Transition Team have worked with
           schools to introduce a transition toolkit to assist
           the young person with a learning disability and their
           families to make plans towards adulthood which are
           person centred and look at the whole of life.
           Additionally, one school has been working with the
           national Getting a Life programme in Herefordshire
           to look at how we can make reviews in school more
4

                person centred to improve the pathway to
                employment for young adults.

                2. People’s Union – which involves teaching and
                supporting individuals to make a complaint.

                The People's Union created a Bill of Rights. It is a
                simple and easy to understand guide which helps
                people with learning disabilities to know their rights
                and why it is important to use them. The People's
                Union have also carried out workshops for people
                with learning disabilities on how to make a complaint
                if they are unhappy. This work is continuing and
                evolving.

                                                                         LEAD:
Staffordshire   1. The bereavement project - which helps people          christine.adams@staffordshire.gov.uk
 (North and     who have lost a family member of friend.
   South)                                                                Website: http://www.staffordshire-
                Bereavement Care Project:                                ldpb.info/
                The Learning Disability Development project in
                North Staffordshire - four main areas of work
                include:
                • One to one counselling
                • Training professional, carers, families and service
5

           users in and around Bereavement and Loss
           • Workshops for individuals with Learning
           disabilities
           • Peer mentoring group for individuals with learning
           disabilities

           2. A training programme for doctors and midwives
           which is given by service users.

           The Mencap Staffordshire Self Advocacy Network
           has been working with Keele and Staffordshire
           Universities since 2002 to provide user led
           workshops / training for medical students to ensure
           they have an understanding of the barriers facing
           people with learning disabilities when accessing
           health services.

                                                                  LEAD: Richard.Young@sandwell-
Sandwell   1. NHS Campus reprovision- Changing people's           pct.nhs.uk
           support and living arrangements, moving to
                                                                  andrew_pritchard@sandwell.gov.uk
           independent Living with better access and better
           outcomes.

           2. The Inclusion Web - a dynamic tool to check
           that people are socially included and have good
6

             lives. This links to the good work of the self-
             advocacy group "Changing Our Lives".

                                                                   LEAD:
Shropshire   1. Lots of work around sexual health and parenting.   jackie.taylor@shropshirepct.nhs.uk
             This includes a sexual health clinic, learning-
             disability awareness training for midwives, and a
             parenting strategy that includes people with a
             learning disability

             2. There is some good work going on with Learning
             Disability Services and the End of Life Care Team.

                                                                   LEAD: catherine.nolan@solihull-
 Solihull    1. There is good work going on to support             ct.nhs.uk
             individuals with challenging behaviour and complex
             needs live in their own homes.
                                                                   Website: http://www.easy-read-
                                                                   online.co.uk/news/solihull-learning-
             2. Good team work with services:
                                                                   disability-services.aspx
             - Dieticians and speech therapists to help people
             with swallowing problems.
             - Learning disability services and the End of Life
             care team.


             Unfortunately Stoke are unable to showcase            LEAD: Kevin.Day@stoke.gov.uk and
  Stoke      anything today.
7

                                                                            Mark.Tunstall@stoke.nhs.uk
            1. The SNAP project which helps hospital staff know if a
            person going into hospital has a learning disability, so more
                                                                            Website:
            can be done.
                                                                            http://www.equalpeopleinstoke.org/
            2. Better access to the dentist for people with a learning
            disability living in Stoke.

                                                                            LEAD: kit.roberts@telfordpct.nhs.uk
Telford &   1. A special worker has been employed to work with
 Wrekin     people with a learning disability from Black and
            Ethnic minority backgrounds.

            2. There are lots of exciting and personal ways to
            improve the health of people with a learning
            disability.

                                                                            LEAD: Andy.Rust@walsall.nhs.uk
 Walsall    1. Lots of work has been done to increase the
            number of people who are screened for Cancer.                   Website: www.walsalltogether.net
            This has been done as part of the Pacesetters
            Programme.

            Screening Our Ladies’ Walsall & Pacesetters
            • Walsall has increased the uptake to NHS cancer
            screening programmes by people with a learning
            disability as part of the Pacesetters Programme.
8

• Our project aim was to increase uptake to cancer
screening programmes and increase health
awareness, choice, independence and empowerment
by people with a learning disability. This was done
by initiating health promotion groups, e.g. ‘Looking
After our Bits’ for women’s health and ‘Looking
after out 'Bits and Bobs ‘ for men’s health, easy
read information, visual aids, pre visits to the
breast screening unit, longer appointment times and
easy read invitation letters.

2. The use of “Elephant kiosks” as a user friendly,
touch-screen tool. It is used for gaining or giving
information from people with a learning disability.

Elephant kiosks are a user friendly tool for ‘gaining’
or ‘giving’ information to service users. The kiosks
have touch screens which can be used with pointing
devices, screen readers and text magnifiers. They
have a friendly design that attracts people to use
them and are great for both children and adults.
They are an excellent tool for making information
as accessible as possible.
9

                 1. A role of a senior nurse in helping people with   LEAD: trish.wood@warwickshire.nhs.uk
Warwickshire     learning disabilities – where they work as both an   and rebeccahale@warwickshire.gov.uk
                 acute facilitator and a health facilitator.
                                                                      Website:
                 2. A programme of training for GP’s and other        http://warwickshire.ldpb.info/
                 health care staff given by service users.            www.covwarkpt.nhs.uk

              1. The “Healthy Lifestyles” project, which              LEAD:
Wolverhampton encourages healthy eating and living.                   kathy.roper@wolverhampton.gov.uk
              It also links to the joint work between dental          Wendy.ewins@wolverhampton.gov.uk
              services and learning disability services to improve
              oral health.

                 The Healthy Lifestyles project has been running in
                 the day centres of Wolverhampton to increase
                 awareness among people with a learning disability
                 about healthy choices in food and exercise.

                 Work has been done with the dental services to
                 improve the oral health of people with learning
                 disabilities, including Oral Health Action Plans.

                 2. A supported living service has been made and
                 started for people with a learning disability and
                 autism so they can live safely on their own.
10

                                                                   LEAD: rkrivosic@worcestershire.gov.uk
Worcester   1. A Healthy lifestyle course is run for people with
            a learning disability, to keep people healthy.
                                                                   Website:
                                                                   http://worcestershire.ldpb.info/
            2. Link nurses - providing support to health
            services, which includes looking after the GP
            register of people with a learning disability, staff
            training and advice about capacity and best
            interest.

            There is also a “Health checkers” programme –
            which involves people with a learning disability
            auditing other people’s experiences of health
            services.

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Accessible Good Practice Guide

  • 1. Good Practice and Innovation Shown in Learning Disability Health Services – The Self Assessment Framework 2009/10 Presented at the “Healthy Lives Showcase Event” Friday 9th July 2010
  • 2. 2 Good Practice in the West Midlands Many examples of good practice were seen across the region. You can add useful contact information and notes to this table if you like. Two areas of good work have been selected from each district and are presented here today: 1.The Growing Old with a Learning Disability and LEAD: Sam.davies@benpct.nhs.uk Birmingham Dementia (GOLDD) project – helping people who are getting older or having problems with their memory. Website: http://www.tellusmore.org/ 2. Dignity Champions to help people with a learning disability get better care in local hospitals. LEAD: Coventry 1. The Grapevine Project, which includes a Buddy Anima.Thawait@coventrypct.nhs.uk system, where buddies go along to health appointments with people – part of the “H Team Website: http://coventry.ldpb.info model”. www.covwarkpt.nhs.uk 2. A wide range of accessible screening tools used in health care have been made.
  • 3. 3 Lead: Neill.Bucktin@dudley.nhs.uk Dudley 1. A good database and register to identify people with a learning disability in Dudley http://www.dudleyld.org/ 2. The Learning Disability Support Line – is run by the PALS service. They can help people to make complaints. This is an independent signposting service facilitated by volunteers. The service is for people with learning disabilities and/or their carers to get information in a format which suits their needs and/or to assist the person to make a complaint and get resolution. LEAD: skeetley@herefordshire.gov.uk Hereford 1. There is good work going on in transition services, which is when children turn into adults. Website: http://herefordshire.ldpb.info/ Herefordshire Transition Team have worked with schools to introduce a transition toolkit to assist the young person with a learning disability and their families to make plans towards adulthood which are person centred and look at the whole of life. Additionally, one school has been working with the national Getting a Life programme in Herefordshire to look at how we can make reviews in school more
  • 4. 4 person centred to improve the pathway to employment for young adults. 2. People’s Union – which involves teaching and supporting individuals to make a complaint. The People's Union created a Bill of Rights. It is a simple and easy to understand guide which helps people with learning disabilities to know their rights and why it is important to use them. The People's Union have also carried out workshops for people with learning disabilities on how to make a complaint if they are unhappy. This work is continuing and evolving. LEAD: Staffordshire 1. The bereavement project - which helps people christine.adams@staffordshire.gov.uk (North and who have lost a family member of friend. South) Website: http://www.staffordshire- Bereavement Care Project: ldpb.info/ The Learning Disability Development project in North Staffordshire - four main areas of work include: • One to one counselling • Training professional, carers, families and service
  • 5. 5 users in and around Bereavement and Loss • Workshops for individuals with Learning disabilities • Peer mentoring group for individuals with learning disabilities 2. A training programme for doctors and midwives which is given by service users. The Mencap Staffordshire Self Advocacy Network has been working with Keele and Staffordshire Universities since 2002 to provide user led workshops / training for medical students to ensure they have an understanding of the barriers facing people with learning disabilities when accessing health services. LEAD: Richard.Young@sandwell- Sandwell 1. NHS Campus reprovision- Changing people's pct.nhs.uk support and living arrangements, moving to andrew_pritchard@sandwell.gov.uk independent Living with better access and better outcomes. 2. The Inclusion Web - a dynamic tool to check that people are socially included and have good
  • 6. 6 lives. This links to the good work of the self- advocacy group "Changing Our Lives". LEAD: Shropshire 1. Lots of work around sexual health and parenting. jackie.taylor@shropshirepct.nhs.uk This includes a sexual health clinic, learning- disability awareness training for midwives, and a parenting strategy that includes people with a learning disability 2. There is some good work going on with Learning Disability Services and the End of Life Care Team. LEAD: catherine.nolan@solihull- Solihull 1. There is good work going on to support ct.nhs.uk individuals with challenging behaviour and complex needs live in their own homes. Website: http://www.easy-read- online.co.uk/news/solihull-learning- 2. Good team work with services: disability-services.aspx - Dieticians and speech therapists to help people with swallowing problems. - Learning disability services and the End of Life care team. Unfortunately Stoke are unable to showcase LEAD: Kevin.Day@stoke.gov.uk and Stoke anything today.
  • 7. 7 Mark.Tunstall@stoke.nhs.uk 1. The SNAP project which helps hospital staff know if a person going into hospital has a learning disability, so more Website: can be done. http://www.equalpeopleinstoke.org/ 2. Better access to the dentist for people with a learning disability living in Stoke. LEAD: kit.roberts@telfordpct.nhs.uk Telford & 1. A special worker has been employed to work with Wrekin people with a learning disability from Black and Ethnic minority backgrounds. 2. There are lots of exciting and personal ways to improve the health of people with a learning disability. LEAD: Andy.Rust@walsall.nhs.uk Walsall 1. Lots of work has been done to increase the number of people who are screened for Cancer. Website: www.walsalltogether.net This has been done as part of the Pacesetters Programme. Screening Our Ladies’ Walsall & Pacesetters • Walsall has increased the uptake to NHS cancer screening programmes by people with a learning disability as part of the Pacesetters Programme.
  • 8. 8 • Our project aim was to increase uptake to cancer screening programmes and increase health awareness, choice, independence and empowerment by people with a learning disability. This was done by initiating health promotion groups, e.g. ‘Looking After our Bits’ for women’s health and ‘Looking after out 'Bits and Bobs ‘ for men’s health, easy read information, visual aids, pre visits to the breast screening unit, longer appointment times and easy read invitation letters. 2. The use of “Elephant kiosks” as a user friendly, touch-screen tool. It is used for gaining or giving information from people with a learning disability. Elephant kiosks are a user friendly tool for ‘gaining’ or ‘giving’ information to service users. The kiosks have touch screens which can be used with pointing devices, screen readers and text magnifiers. They have a friendly design that attracts people to use them and are great for both children and adults. They are an excellent tool for making information as accessible as possible.
  • 9. 9 1. A role of a senior nurse in helping people with LEAD: trish.wood@warwickshire.nhs.uk Warwickshire learning disabilities – where they work as both an and rebeccahale@warwickshire.gov.uk acute facilitator and a health facilitator. Website: 2. A programme of training for GP’s and other http://warwickshire.ldpb.info/ health care staff given by service users. www.covwarkpt.nhs.uk 1. The “Healthy Lifestyles” project, which LEAD: Wolverhampton encourages healthy eating and living. kathy.roper@wolverhampton.gov.uk It also links to the joint work between dental Wendy.ewins@wolverhampton.gov.uk services and learning disability services to improve oral health. The Healthy Lifestyles project has been running in the day centres of Wolverhampton to increase awareness among people with a learning disability about healthy choices in food and exercise. Work has been done with the dental services to improve the oral health of people with learning disabilities, including Oral Health Action Plans. 2. A supported living service has been made and started for people with a learning disability and autism so they can live safely on their own.
  • 10. 10 LEAD: rkrivosic@worcestershire.gov.uk Worcester 1. A Healthy lifestyle course is run for people with a learning disability, to keep people healthy. Website: http://worcestershire.ldpb.info/ 2. Link nurses - providing support to health services, which includes looking after the GP register of people with a learning disability, staff training and advice about capacity and best interest. There is also a “Health checkers” programme – which involves people with a learning disability auditing other people’s experiences of health services.