Commissioners and health and social care providers work together to promote the health and wellbeing of people with learning disabilities and reduce inequalities and benefit from initiative such as 'World Class Commissioning' More>>>>
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Commissioning – working in partnership to deliver improved outcomes and reduce inequalities |
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Key Principles:
Examples of evidence:
Commissioning tools and performance monitoring mechanisms are in place such as the Primary Care Service Framework, Better Metrics and the Y&H Regional Standards Framework
There is a coherent GP registration system and support from specialist services to identify people with learning disabilities
Specialist services support primary care to undertake health checks to people with learning disabilities and health action plans
Detailed data is available about the local population and this informs commissioning and feeds into local mechanisms such as JSNA
The local Learning Disability Partnership Board has a comprehensive 'Action for Health' Framework
A Strategic Health Facilitator is in post and training in health facilitation is available
Contracts/systems are in place to record and monitor the uptake of health action plans across provider services
Specialist learning disability and mental health services have shared protocols and are commissioned in a manner that prevents people 'falling through gaps' between services.
The experiences and views of people with a learning disability and their family carers are analysed and used to inform the development of local services
There is access to skilled advocacy and a clear relationship with LINks
There is a local strategy in place to protect Vulnerable adults. This includes as training strategy re- Safeguarding, Mental Capacity, Bournewood provisions, Disability Equality Duty etc
Specialist learning disability health services are commissioned to provide support and advice to mainstream health services and social are as well as directly serve those with the most complex needs More>>>>
Examples of evidence
Community Learning Disability Teams can demonstrate how they practically the support mainstream NHS and social care e.g. linking to GP surgeries, providing health facilitation training for families etc
Protocols and policies are in place to support people through hospital admissions and out-patient services including a system to alert the hospital staff that someone has learning disabilities
Information about the role of, and how to contact, the specialist learning disability team is available for primary care and acute hospital staff
Working in partnership with people and families, specialist health professionals deliver training for mainstream health professionals
An Acute Hospital Liaison Nurse is in post
There is access to a range of local and community based specialist learning disability health services More>>>>
Examples of evidence
Robust skilled community teams are in place to directly support people with more complex needs, e.g. people with additional mental health problems, people who are described as challenging, people who may be dependent on 'medical technology' etc.
A system is in place to analyse and report to the Local Learning Disability Partnership Board the number of people at risk of 'exclusion' from local services including those at risk of 'delayed discharge' or placement breakdown.
Good support, pathways and protocols are in place to minimize the use of hospital beds and monitor people who may be at risk of getting 'stuck' in the system
Out of area placements are actively monitored and reduced
CPA is in place and accessible to people with learning disabilities
Assessment and treatment services (including secure) are high quality and effective and promote safety, dignity, choice and control
