DIRECT ENHANCE SERVICE
The impact of Health Facilitation for
People with Learning Disability
Setting the Scene
People with Learning Disabilities
experience a different pattern of ill
health when compared with general
population
Designing services purely to meet the
needs of the general population will fail
to meet the needs of people with
learning disabilities.
Strategic Impetus
EQUAL LIVES 2005
• The Northern Ireland
Review of Mental Health
and Learning Disability
(Bamford) was
established by the
DHSSPS to carry out an
independent review of
the effectiveness of
policy and service
provision
SERVICE AIMS
Work in strong
partnership with
Trust, Primary Care,
Communities,
Carers/Families and
People with Learning
Disability, so that we
can deliver better
health care for the
Person with learning
Disability
Role of Health Facilitator
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Developing an accurate register of People with
Learning Disability
Support practices to get screening completed
& help arrange access for People with Learning
Disability to receive health screens
Provide accessible help/information to all GP
practices
Advising/supporting practices in the importance
of screening People with Learning Disability &
reviewing their health
Advising & overcoming access difficulties
People with Learning Disability have using GP
practices
Raising awareness & supporting the Person
with Learning Disability when they visit the GP
Improving the Persons experience when using
primary care services
Providing an information leaflet on Health
Screening, designed to inform patient/carer
about health Screening
Providing a GP information Pack to help the GP
communicate with the person with Learning
Disability
GP Information Pack
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Contact details
Summary of HF Role
On Line Resource Sheet
Screening Tool/Checklist for
identification of a Learning
Disability
Health Assessment Form
Health Check Action Plan
Summary of Health
Assessment
Patient Satisfaction Survey
GP screening for year 1,2 and 3
Date
GP
GP not
GP
Total of
signed to signed to practices people
DES
DES
had
screened
started
screening
2009/10
42
(77%)
12
(33%)
21
(50%)
216
(16.3 %)
2010/11
47
(87.3%)
7
(12.9%)
37
(80%)
605
(46.7%)
2011/12
47
(87.3%)
7
(12.9%)
37
(80%)
946
(73%)
BACKGROUND
Looking at evidence
and developing the
concept of health
facilitation and health
action plans into the
lives of people with
learning disability
HEALTH ACTION PLANS
“A Health action plan is a
tool that should detail the
action needed to maintain
and improve the health of
a person and any help that
is required” (DOH2002).
It is a mechanism to link
the range of services and
supports they need, the
person with learning
disability is to have better
health.......
Primary Objectives
• To apply a person
centred holistic and
sustainable health
action plan
• To help improve
access to primary
health care services
What's in the Health action
Plan Booklet?
• Consent
• Information about person,
people and services involved
• Background to health
• Medication information
• Questions on present state
of health
• Areas to be considered for
health action plan
• My health plan and who is
going to support me
Health Action Plan
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Pages in the Health Action Plan
People who help me with my health
Epilepsy (optional)
My feelings/behaviour/worries (optional)
Height & weight chart
My medication (optional)
How I communicate (pictures at the back of file)
Overview of my lifestyle
My Health Action Plan
Note for people to write in
My appointments diary (optional)
Health Action Plans
• Pilot Study in Two areas
• Phase 1. Statutory
Residential & Supported
Living Services
• Phase 2. Residential
/Nursing & Supported
Living Services
• Phase 3. Community &
ARCs
• Transition from children
to adult services
Health Development Forum
• Looking at the Health
Promotion needs of
People with learning
disability
• Using data collected
from Health Screens
• Areas targeted – weight
smoking, substance
abuse, mental health,
physical activity &
sexual health
• Nutritional group
THANK YOU
Pat Cuming
Health Facilitator for People with
Learning Disability
South Eastern Trust
Ph. 02891511190
Email Pat.Cuming@setrust.hscni.net