Case Number 3677
Request Date 26/06/2014
Completion Date 03/11/2014

 

Details of the Request

Monitors risk assessment framework required Foundation Trusts to meet Learning disability access requirements based on recommendations set out in Healthcare for All (DH, 2008):

 

Q1. As a Foundation Trust can you describe how you meet these requirements?

  • Does the NHS foundation trust have a mechanism in place to identify and flag patients with learning disabilities and protocols that ensure that pathways of care are reasonably adjusted to meet the health needs of these patients?
     
  • Does the NHS foundation trust provide readily available and comprehensible information to patients with learning disabilities about the following criteria:
     
    • treatment options;
    • complaints procedures; and
    • appointments?
       
  • Does the NHS foundation trust have protocols in place to provide suitable support for family carers who support patients with learning disabilities?
     
  • Does the NHS foundation trust have protocols in place to routinely include training on providing health care to patients with learning disabilities for all staff?
     
  • Does the NHS foundation trust have protocols in place to encourage representation of people with learning disabilities and their family carers?
     
  • Does the NHS foundation trust have protocols in place to regularly audit its practices for patients with learning disabilities and to demonstrate the findings in routine public reports?

 

Q2. In respect of young people with Learning Disability / Difficulty in particular for orthopaedic care can you confirm the number of annual admissions both elective and non-elective from April 2010 – March 2014 where you have had to provide support?

 

Q3. Can you describe how you identify in clinical records (paper and electronic) patients who would be at risk and need additional support due to LD (adult and children – all specialties)?

 

Q4. For these patients, are all your admission spells clinically coded to identify LD issues (e.g. ICD10 F819 – Development disorder of scholastic skills) to support national monitoring and assessment of this issue?

 

Q5. Do you have a named permanent member of staff with the lead responsibility for the advocacy and support of adults and children with LD?

 

Q6. Do you provide annual reporting to your trust board around LD care, risks and adverse incidents?

Q6 (ii) – can you provide the copies of the most recent report?

 

Details of the Response

1. As a Foundation Trust can you describe how you meet these requirements?

Does the NHS foundation trust have a mechanism in place to identify and flag patients with learning disabilities and protocols that ensure that pathways of care are reasonably adjusted to meet the health needs of these patients?

Yes the Trust has the ability to flag patients on PAS and record reasonable adjustments. There are protocols within the learning disability policy that ensure care pathways for adults with a learning disability.

All patients with a learning disability are encouraged to bring with them a hospital/care passport and, if not brought in with them, the ward staff will encourage carers/family members/ or the individual themselves to complete one on admission: this passport allows a clear overview of an individual’s needs/support, likes/dislikes, methods of communication, and thus help develop the individual’s care plan in the hospital.

 

Does the NHS foundation trust provide readily available and comprehensible information to patients with learning disabilities about the following criteria:

- treatment options;

The Learning Disability Liaison Nurse can provide easy read materials to an individual regarding treatment and in staff training all staff are encouraged to access websites to provide easy read accessible information and within the trust LD policy it has links to various websites that support this.

 

- complaints procedures;

Yes

 

- appointments?

Easy read appointment letters are available via a website www.surreyhealthaction.org

 

Does the NHS foundation trust have protocols in place to provide suitable support for family carers who support patients with learning disabilities?

Yes the learning disability policy clearly states that family carers should receive support and good communication regarding care and treatment plans as well as provision to stay with their son or daughter on the ward or support in a department if an in-patient or out-patient.

 

Does the NHS foundation trust have protocols in place to routinely include training on providing health care to patients with learning disabilities for all staff?

Yes the Learning Disability nurse undertakes training regularly with Registered Nurses on trust induction and bespoke training to disciplines as required.

 

Does the NHS foundation trust have protocols in place to encourage representation of people with learning disabilities and their family carers?

Yes the Learning Disability nurse undertakes training regularly with Registered Nurses on trust induction and bespoke training to disciplines as required. The Learning Disability Liaison nurse attends local service user groups (Valuing People NW Surrey) with people with learning disability, family members and carers are often also present so feedback can be gained to be included in any actions to develop the support people with Learning Disabilities require when accessing the trust services.

 

Does the NHS foundation trust have protocols in place to regularly audit its practices for patients with learning disabilities and to demonstrate the findings in routine public reports?

Peer reviews take place annually with all Surrey Acute Hospitals and the good practices and lessons to be learned are shared in a final report which can be accessed via Surrey Partnership Board.

 

2. In respect of young people with Learning Disability / Difficulty in particular for orthopaedic care can you confirm the number of annual admissions both elective and non-elective from April 2010 – March 2014 where you have had to provide support?

The Trust does not hold this information.

 

3. Can you describe how you identify in clinical records (paper and electronic) patients who would be at risk and need additional support due to LD (adult and children – all specialties)?

Patients attending with a Learning Disability are encouraged to consent to be flagged on the PAS system by completing a form used by all surrey Acute Hospitals (SEE ATTACHED EXAMPLE) and all clinical notes state LD is known. If not a clear referral to the local CTPLD by the Learning Disability Liaison Nurse is made to request a screening and assess, if there is a diagnosis, if consent is given.

 

4. For these patients, are all your admission spells clinically coded to identify LD issues (e.g. ICD10 F819 – Development disorder of scholastic skills) to support national monitoring and assessment of this issue?

Yes and currently monthly data is collected to evidence this.

 

5. Do you have a named permanent member of staff with the lead responsibility for the advocacy and support of adults and children with LD?

Yes we have access to a Specialist Learning Disability Liaison Nurse who provides a service via Surrey and Borders NHS Foundation Trust and is commissioned to provide a service two days a week on site but will respond to and advise on any issues Monday to Friday (SEE ATTACHED FLYER WITH INFO)

 

6. (i) - Do you provide annual reporting to your trust board around LD care, risks and adverse incidents?

Yes

 

(ii) – can you provide the copies of the most recent report?

The Trust does not hold a copy of the last report. The next report is due to go to the Board in November, and will then be published on our website.