Transcript Westminster Learning Disability Health Self Assessment

Westminster
Good Practice Highlights
By Elaine Ruddy
Learning Disability Service Development Manager
0207 641 1065
[email protected]
Aims and Objectives
• To provide brief overview of some good
practice commissioning examples in
Westminster.
• The secret to their success.
Three of Our Projects
• Choosing the Chance
to Change.
• The Good Sexual
Health Project.
• The Good Oral Health
Project.
Overall Aim of Projects
• To work with mainstream healthcare
providers around improving the health of
people with learning disabilities.
• To raise awareness and support
mainstream health services on making
‘reasonable adjustments’.
Choosing the Chance to Change
•
a healthy living project for people with learning disability.
•
The project has included the development of the:
A health action planning DVD
An eight week health and physical activity promotion course
for people with learning disabilities.
Education sessions for carers and support staff on
supporting people with learning disabilities around
healthy eating and physical activity.
Choosing the Chance to Change
• Commenced in 2008. Locally In Westminster at
least 65% of people with learning disabilities are
overweight or obese.
• The project was developed as part of the NHS
Westminster Obesity Strategy.
• The 8 week course and education sessions are
delivered by the mainstream vulnerable adults
dietician and exercise co-coordinator with
support from the learning disability service.
The Good Sexual Health Project
NHS Westminster and Westminster City Council commissioned
The “Good Sexual Health Project for people with learning disabilities in
Westminster” provides:
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Sex and relationships education for people with learning disabilities through
individual or group work.
•
Sexual health training for staff working with/supporting people with learning
disabilities.
•
Support work with parents and carers of people with learning disabilities.
•
Opportunities for people with learning disabilities to access support around
sex, sexual health and relationships.
•
The project group has developed a policy on sexual health and relationships
for care staff. This policy is also available in an easy read format.
The Good Sexual Health Project
• Commenced in April 2009 a 2yr project, that has funded
a full-time Personal Relationship Facilitator from the
Family Planning Association.
• To date 132 support staff have received sexual health
training which consists of a 3 day course.
• 28 service users have accessed training via an 8 week
group session or a 10 week 1:1 session.
• Feedback regarding the training and policy has been
very positive. We are currently evaluating the impact the
project has had on practice.
The Good Oral Health Project
• The project has been commissioned by NHS Westminster and run in
partnership with Westminster Learning Disability (WLDP) and the
Central London Community Healthcare Community Dental Service
(CDS).
• The aim of the project was to develop a better dental service in the
Westminster area for adults with Learning Disabilities.
• There were two phases to the project:
The first phase was a baseline assessment of dental preventive,
clinical, educational and service needs among the client group.
The second phase involved a proactive approach to bring the most
appropriate educational, preventive and treatment services to the
clients.
The Good Oral Health Project
How the project was started
• 411 people with LD on the register
• 318 were contacted , 269 have been seen.
• Only 30 had their own ‘high street’ dentist
• So far 95% seen from residential
placements
The Good Oral Health Project
Findings
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28% had dental decay
11% had no teeth
Observed oral health hygiene:
70 % received support with brushing from others
All service users seen offered an oral health
action plan.
The Good Oral Health Project
• As a result of this project the number of people receiving
treatment within the Community Dental Service has almost
doubled….
• The Oral Health Action Plan now raises oral awareness in people
with learning disabilities.
• More people are now registered with our service.
• Oral Health has improved.
• Oral health awareness is much higher in carers and support workers
The Good Oral Health Project
Lesson Learned
•
As a result:
The impact mainstream Health
can have on Health outcome.
•
Highlighted challenges faced for
carers, dental and health
professionals.
•
Raised awareness of the health
needs of people with learning
disabilities.
• There is a clear dental
recall pathway in place.
• Raised awareness about
the dental service.
• Decay and Gum Disease
being treated.
The secret to their success
• Access to good data via QOF or annual
health check information.
• A commitment from mainstream primary
care services and commissioning.
• Good Partnership working between
services.
Any Questions