“Learning from Good Practice in Health Services for people with Learning Disabilities

across the West Midlands”

 

“Welcome”

Ivan Burchess Health & Social Care Engagement Lead for Learning Disability, NHS West Midlands

Andrew Powell Service User Consultant,

Wolverhampton City PCT

• Why am I a Service User Consultant?

• What did I do in the Self Assessment Framework?

• What have I got out of being involved?

The Health Self Assessment Framework

in the West Midlands, 2009/10

Ivan Burchess Health & Social Care

Engagement Lead for Learning Disability, NHS West Midlands

The Self Assessment Framework (SAF)

• The government and the people who work in the NHS know that Health Services need to get better for people with Learning Disabilities.

• The idea of the SAF was for each area to look at their health services for people with learning disabilities and find out:– What the good things were– What needed to get better

How are the West Midlands doing?

At the end of March, each district handed in their Self Assessment Framework.

After this a team of people from each area came to speak with us about their services.

Now we are here to show you what we found out in our report.

We would also like to talk about the “Peer Review” process, which will follow on from the Self Assessment Framework.

The Report of the SAF

We will now show you:

• A “RAG” rating for each area – which means “Red, Amber and Green” – to show how each region is doing.

(Red does not mean it is bad or dangerous, it shows a district has started to do things to improve health services, but there is still more to do.)

• Information on the 4 Top Targets – showing the main things that we found.

A Reminder of the Top Targets1. Campus

Make sure campus homes are closed by 2010 and that people who lived in long stay hospitals have all moved.

2. Health Inequalities Make sure people with learning disabilities can use the same health services, and get as good a service, as everyone else.

3. Safety Make sure people are safe in our health services and that the service is learning from mistakes in the past.

4. Valuing People Now objectives Make sure we are doing the things that

Valuing People Now says will help people’s health.

The Top Four Targets

Top Target 1: CampusCampus

• The target is to close all campuses by December 2010.

• 5 districts still have people living in campus. • Areas have plans in place to meet the

target by Dec. • 2 areas have re-thought plans to close by

March 2011.

Out of Area

• There are big differences between districts in the numbers of people who are placed out of area.

• There are also differences in the plans to address this.

Top Target 2: Health Inequalities

Acute liaison nurse/officer posts

• Some districts had good models of joint working through an Acute Liaison Nurse/Officer post.

• It is strongly recommended that each area should establish a post for an Acute Liaison nurse or officer.

Black and Ethnic Minority Groups (BME)

• There was some good practice in the region on work being done to identify people from minority groups and their carers.

• But the region needs to do more to improve the planning and delivery of services to people from ethnic minority groups.

Top Target 2: Health Inequalities

Profound/ Multiple Learning Disabilities (PMLD)

• Some areas showed good work to support this particular client group.

• But there are concerns that this client group seems to be a challenge for many districts across the region.

Equal access to benefits of computer technology

• Some areas were able to show good use of technology systems.

• But some areas had poor use of technology to monitor data and registers.

• Improving the use of technology to monitor service delivery and planning is a priority.

Top Target 3: SafetyComplaints

• Some areas had some creative models of supporting people with a learning disability to make a complaint.

• This included; easy read information, advocacy & support and peer support volunteers.

• However across the region there was little evidence that people with a learning disability were actually making complaints.

Six Lives and Healthcare For All

• All areas have put in their reports and these were ok. We will make sure we keep an eye on this.

– Better working with ambulance services– Better working with hospitals (acute)

Top Target 4: VPN objectives

Transitions – focus on young people in transitions

• Some areas showed models of improving specialist services for young people in transition.

• Working together across sectors/agencies within the region is a priority for 2010/11.

Autistic Spectrum Condition (ASC)

• Coventry presented a good model of joint working on ASC and most localities have highlighted ASC as an area to work on.

• ASC is a key priority area of work for 2010/11.

Top Target 4: VPN objectives

Workforce • There was little evidence of strategic workforce

delivery in relation to learning disability services.

• This area needs more consideration for 2010/11.

Offender Health

• There was not much evidence of areas working to address the health needs of offenders with a learning disability in prisons and in the community.

• This is a challenging area and needs many agencies to work together. It is a priority area for 2010/11.

Good Practice

• Many examples of good practice were seen across the region.

• Two areas of good work have been selected from each district and are on display today – so you can see the good things going on in the West Midlands.

• Next week we will be talking to all the Chief Executives of each district on July 16th. These are the Big Bosses!

• We will show them what we found from the Self Assessment Framework and tell them where things need to get better.

• We hope to use some video-clips from today to share your views with them.

The Plan for Next Year

Ivan Burchess Health & Social Care

Engagement Lead for Learning Disability, NHS West Midlands

Ranjit SengheraProgramme Specialist,

NHS West Midlands

The Peer Review Process

• From 2011 the SAF will be joined with another method to look at health services called a “Peer Review”.

• A Peer Review is where lots of people from one area go to see the health services of another area and talk to the people that work and use services there.

• These people can be a mix of:

– People with learning disabilities– Carers– Professionals

• These people will be called “Peer Reviewers” or “Health Checkers”.

Health Checkers and the Peer Review

• Some of the questions we asked in the Self Assessment Framework will also be asked by health checkers.

• But there will also be a chance for people with learning disabilities, carers and professionals to design and ask their own questions on how health services can get better.

• These will be put together once everyone has been involved and

agreed.

?

What will happen?• Steering group

– This will need regional representation from service users and carers.

• Recruitment - How can people get involved?– You can speak to me (Ranjit Senghera) or your

local learning disability lead.

• Consultation – making sure the questions are the right ones. – We will be involving people at both local and

regional groups and forums.

• Training and Certificate– People will be trained as “Health Checkers”. – Travel expenses will be paid.

• Health Checkers will start!– in January 2011. This will probably last 6

months.

Thank You.

Do you have any questions?