MYHT Improving Patient

Experience For Adults

with Learning Disabilities Marie Gibb

Strategic Health Facilitator LD

What's in place - A flavour of good

practice! • Flagging

• Acute Hospital liaison nurse

• Strategic Health Facilitator

• Mental Capacity Act Specialist Advisor

• Training

• Patient Experience Group

• Winterbourne View ED data

• Mortality Audit

• NHS Friends and Family Test

• VIP Hospital Passports and VIP Cards

• Patient Centred Care Pathways

Patient Flagging

• VIP Hospital Passports and VIP card scheme support

flagging on the ecamis Hospital system. CPI flag

triggers a response from the safeguarding team.

• The safeguarding adults team receive a daily email

6am each morning identifying inpatients with LD

across all 3 sites

• CWLO also contact the team when a LD flagged

patient is coming for a planned procedure.

• Flagging supports the ALN to prioritise their visits

• Provides data for audits and analysis

Acute Hospital Liaison Nurse

Strategic Health Facilitator

Mental Capacity Act Specialist

Advisor

Training • MYHT continue to run LD awareness training twice a

year (full days) we also offer short sessions 1-2 hours

for individual wards and departments

• We have a network of LD champions (100+) who meet

twice per year to discuss their role and receive training

update the topics this year have been MCA, the role

of the IMCA and communication.

• Level 2 mandatory safeguarding adults training

includes LD case studies and “reasonable

adjustments”

Let us know what you think • We looked at and updated MYHT patient exit feedback

and re launched the questionnaire (July - January) an

audit report will be shared at the next Trust

safeguarding group and MYHT access group

• PEG (Patient Experience Group)

We meet every 6 weeks support staff training and

production of accessible information. The group has

agreed terms of reference, Co chair

and a wide membership across

Wakefield

Winterbourne View • The safeguarding team now receive monthly data

about patients who have attended ED departments

from residential and nursing home environments. This

is filtered to look for LD providers and multiple

attendees and attendances identified.

• Concerns are shared with patient safety panel,

reportable concerns group and with care managers

Mortality Audit/Peer Review

• Reviewing hospital deaths of patients with LD in MYHT

between January and June 14

• Sharing the audit outcomes with Amanda Mckie for a

second review and agree outcomes and any

recommendations

NHS Friends and Family Test

• Easy read F and F test was launched within MYHT

during learning disability week on all wards

VIP Hospital Passport • Launched formally in Wakefield in June 2013

• Included in training

• Supports person centred care and care planning

• Focuses on Top Tips and Need to Know Information

• Signs prominent across sites asking people to share

their passports

Person Centred Care Pathway

What's Coming Next? During learning disability week 15th of June

MYHT is Launching the learning disability

VIP Scheme

VIP Scheme

‘Vulnerable In-Patient’

‘VIP LD Champion Badge’ – so staff/patients/carers

and families can easily identify ward/department VIP

LD Champions

Symbol above bed & sticker in clinical notes –

Placed with consent or in best interests to improve

patient care and experience. To remind staff to

use the VIP checklist

Checklist • Identify the patient has having a learning disability

• Place the VIP sticker on the front cover of the patients notes and over the patients bed with

their consent or in their best interest if they lack capacity.

• Ask if the patient has a VIP Hospital Passport

• Read the VIP Hospital Passport, this about communication, how the patient expresses pain,

eating and drinking, 1:1 support needs, capacity and consent

• Make time to get to know your patient

• Introduce yourself to family or support workers, carers are a valuable resource and often

know the patient well

• If the ward require advice or input from the Acute Hospital Liaison Nurse either complete an

ICE referral, paper referral form or contact 01924 543692, mobile 07748920280.

Checklist • If family members or paid support workers are providing care for the patient whilst in

hospital share MYHT Carer’s Guidance and agree expectations. (Remember to offer

them breaks)

• Document the conversation in the patient’s notes.

• Is the patients capacity to consent to treatment in question? Consider Mental

Capacity Act, Consent and Best Interest decision making

• Is it likely the patient requires 1:1 supervision? Contact the ALN and request support

to complete a joint ‘Risk Dependency Support Tool’

• When planning discharge, have the patients support needs changed? Liaise with

care manager, family, CTLD nursing, support provider

• Always speak to the patient first, give time for the patient to respond

Thank you

Any questions?