Understanding the Importance of Annual Health Checks for Learning Disabilities

Learning Disabilities Champion Training Module 1 delves into why annual health checks are crucial for individuals with learning disabilities. The course emphasizes the need for LD Champions to organize and complete these checks efficiently. It addresses the significantly higher mortality rates among people with LDs, explores the impact of COVID-19 on this population, and highlights the benefits of LD health checks in detecting and managing health needs effectively.

• Health Checks
• Learning Disabilities
• LD Champions
• COVID-19 Impact
• Healthcare

nathalia Follow

Uploaded on Aug 04, 2024 | 4 Views

Download Presentation

Please find below an Image/Link to download the presentation.

The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.

Presentation Transcript

1. Learning Disabilities Champion Training Module 1

2. Module 1 Why do an LD Annual Health Check? Why have LD Champions? The Course How to organise the Health Check Step-by-step guide to completing the Health Check Where do we go form here?

3. Why do a Learning Disabilities Annual Health Check? In England, people with Learning Disabilities die 20 years younger than the general population 20-25 yr olds have same multimorbidity as 50-54 yr olds Increased prevalence of disease Epilepsy Constipation Visual Impairment Hearing loss, Eczema, Dyspepsia, Thyroid issues, Obesity, Mental Health, Parkinsonism Reduced prevalence of CHD and COPD LD patients tend to have reduced continuity amongst GPs and shorter consults Vulnerability Patients with Learning Disabilities often have difficulty recognizing and communicating their needs and making timely use of primary care services

4. WHY DO A LD HEALTH CHECK? All the relevant scientific studies consistently report that LD health checks lead to detection of unmet, unrecognised and potentially treatable health needs

5. How has COVID affected our LD population ? Disabled people made up 6 in 10 (59.5%) of all deaths involving the coronavirus (COVID-19) for the period to 20 November 2020 (30,296 of 50,888 deaths). (24/01/20-20/11/2020) (ONS Jan2021)

6. Between 24 January and 20 November 2020 in England, the risk of death involving the coronavirus (COVID-19) was 3.1 times greater for more-disabled men and 1.9 times greater for less-disabled men, compared with non-disabled men; Among women, the risk of death was 3.5 times greater for more disabled women and 2.0 times greater for less-disabled women, compared with non-disabled women. Looking at people with a medically diagnosed learning disability, the risk of death involving COVID-19 was 3.7 times greater for both men and women compared with people who did not have a learning disability; after using statistical models to adjust for a range of factors, a raised risk of 1.7 times remained unexplained for both sexes. Patterns in excess COVID-19 mortality risk experienced by disabled people remained largely unchanged between the first and second waves of the pandemic. (ONS 11/2/2021)

7. Why have LD Champions? Holistic overview ?Nurse best placed to do this Wide variation across practices Accountability 40% of our LD patients don t get a health check every year Wide variability in quality How are you driving?

8. The Course Module 1 Module 2

9. How to organise the Health Check Develop an LD team in your practice Admin lead, GP lead, Practice Nurse (you!) Arranging the check Invite patients and send a pre-health check questionnaire Check how patients wish to be contacted REASONABLE ADJUSTMENTS Under the Equality Act 2010 public sector organisations have to make changes in their approach or provision to ensure that services are accessible to disabled people as well as everybody else.

10. Before the Health Check What s happened in the last year? Action Plan from last Health Check Remind yourself of Reasonable Adjustments Not just screen but INTERVENE

11. COVID 19 Resources Produced in collaboration with people with lived experience to support clinicians and non- clinicians in communicating with people with a learning disability and their family carers: CovidVaccine film produced in collaboration with Skills for People and Learning Disability England PHE easy read Covidvaccination leaflet PHE easy read What to expect after the vaccine leaflet PHE Easy read adult consent form These resources, intended to share with SMI and LD patients, have been developed with experts by experience nationally and locally and is really useful information to share with patients before they attend their appointments so they are more prepared for the experience and therefore reduce the understandable anxiety that may prevent people from attending. If you would like to receive paper copies of any of these leaflets, please email CAPCCG.MHLDCommissioning@nhs.net stating which leaflets and the required number

12. The Health Check Open questions to begin Record all concerns so these can be addressed at the end of the check gather all info before crossing the bridge and discussing management

23. Capacity Communicate Understand Retain Balance SCR with additional information significant medical history (past and present) reason for medication anticipatory care information (such as information about the management of long term conditions) end of life care information immunisations

24. Screen 1 EHC Education, Health and Care plan Ask to see Section G of EHC describes the special health services required to address the child or young person s needs

25. STopping Over Medication of People with a learning disability, autism or both (STOMP) Psychotropic medicines Psychosis Depression Anxiety Sleep problems Epilepsy Behavioural issues Public Health England says that every day about 30,000 to 35,000 adults with a learning disability are taking psychotropic medicines, when they do not have the health conditions the medicines are for. STOMP MiXiT

26. What weve done and why weve done it Why LD Annual Health Checks matter Why you as LD Champions can make all the difference! How to organise the health check Step-by-step guide to the Health Check STOMP

27. Where do you go from here? 3 things you re going to do back at your own practice Get started!! MODULE 2 Don t forget we re here to help!