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Title: PowerPoint Presentation Author: NSCTEMP3 Last modified by: Kirsty Hannam Created Date: 9/22/2006 11:50:34 AM Document presentation format: On-screen Show – PowerPoint PPT presentation

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Provided by: NSCT7
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Title:


1
Whats the story with Learning Disabilities
so far
  • Pól Toner
  • Head of Mental Health and Learning Disabilities
  • East of England NHS
  • Chair National Learning Disabilities
  • Leadership Group

2
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3
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4
1st to be Frank

5
So what's the big issue?
  • People with learning disabilities frequently have
    greater health needs than the general population,
    with a higher than average proportion having
    complex and multiple health needs.

6
Explain!
  • People with learning disabilities, particularly
    Downs Syndrome, have an increased risks,
    although overall life expectancy in this
    population has increased over time.

7
Explain!
  • Given the frequent co-existence of long term
    conditions such as coronary heart disease,
    services are frequently not equipped to meet the
    needs of this group.

8
Explain!
  • Dementia and other mental health problems,
  • 21 of people aged 65 years and older being
    diagnosed with dementia compared with
  • 5.7 in the general population.
  • Mental illness rates are approximately 3 times
    higher than in the general population,
  • and people in this group are more likely to be
    prescribed psychotropic medication than someone
    without a learning disability.

9
Health care for all
  • AT LAST you may say!!

10
Health care for all and what it means
  • People with learning disabilities should be able
    to access the same range of services available to
    anybody else in the population. Indeed, given
    the propensity for this group to experience
    greater complexity in their health status, there
    is strong evidence that services should be
    targeted at this group, through the introduction
    of health facilitators and annual screening in
    primary care.

11
but why do we need to be told to do this??
  • Nationally, we know that there are
    inconsistencies in health provision for people
    with learning disabilities and that there is
    evidence that people with learning disabilities
    have trouble accessing the help they need.
    Mainstream services are frequently not equipped
    to meet the needs of this group

12
For example
  • Population screening programmes for people with
    learning disabilities have also been highlighted
    as an area of concern, particularly in cervical
    screening where only 19 of the female population
    with a leaning disability receive screening
    compared with 77 of women in the general
    population!!

13
Key interventions to meet the health needs of
people with learning disabilities include
  • explicit and targeted efforts to increase uptake
    of cervical and breast screening among women with
    a learning disability
  • ensuring equitable access to mental health
    services
  • targeted health checks in primary care
  • ensuring that all secondary care services are
    routinely accessible to people with learning
    disabilities on the basis of need
  • provision of health information in a range of
    learning disability orientated media.

14
So if we continue to do the same as we have
always done ?
  • Well, we will then get the same as we have always
    got so.
  • So, its

15
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16
We need to do this strategically and in
partnership locally
  • Otherwise we will end up

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18
In the East of England
  • Made our pledges via the next stage review (Darzi
    Review)
  • Consulted on the pledges
  • Moving towards implementation

19
Our pledges
  • Ensure people with a Learning Disability receive
    appropriate health care (Healthcare for All)
  • Re-establish/ re-vitalise partnership boards
  • Introduce LD self assessment
  • Ensure completion of commissioning/ funding
    transfer

20
Our pledges
  • No one living in the NHS by 2010 (campus closure)
  • Implement Valuing People Now (now)
  • Commissioning
  • All contracts for health care include LD and
    disability requirements.

21
Our pledges
  • All training contracts to promote greater
    awareness of LD and disability
  • 2008/9 use of new DES in 50 of GP practices
  • Commissioning specific training for primary care
    staff to aid identification and support for
    people with a LD

22
Our pledges
  • Reduce unwarranted disparity in access to
    screening programmes for people with Learning
    Disability
  • And then
  • Mainstream this agenda

23
Where are the National Variations?
  • Joint Commissioning
  • Involvement
  • Strategy Development
  • Commissioning Capacity
  • Needs Assessment Use of Data

24
The scale of the commissioning challenge
  • World Class Commissioning
  • Market Stimulation
  • Contracting/ Procurement Capacity
  • Robust Needs Assessment
  • Choice
  • Personalisation Agenda
  • Understanding the needs of your consumers
    including those yet to use services
  • Commissioning for Outcomes
  • Recovery/ Wellbeing
  • Joint Commissioning

25
Silo-ed Thinking
  • We are All a bit Guilty of this and..
  • unless addressed we will not fully..
  • ..maximise the Benefits for the Consumer
  • ..flex Commissioning Muscle.
  • So we must..
  • ..Sell Collective Priorities Collective Gain
  • ..Promote cross agency and in own organisation,
    and
  • ensure Best Value

26
Which Silos?
  • Health
  • Acute
  • Working Age
  • CAMH
  • MHSOP
  • LD
  • Local Authority
  • DWP
  • Housing
  • Supporting People
  • Police
  • Probation
  • Home Office
  • To name but a few.
  • Now is the time to

27
Market management
  • For too long services for people with a learning
    Disability have been served by whats available
    in the local trust
  • Is that really what we want??

28
If its not ? then what can you do a bout it
  • Provider stimulation (without destabilisation)
  • Bring new providers in around the table
  • Develop what models of care you want
  • Work with commissioners to turn that into
    specifications and put you plan to the market
  • Its not easy but

29
Acknowledge that we have never had a bigger
platform to shout from
  • We need to get on with it and own the solution,
    not hang onto the problem
  • And above all

30
Work in Tandem
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