1. Disability Issues.
Antoinette Doyle Immunisation and Screening Coordinator

2. Disability Issues
If the average Cervical Screening uptake in Easter Cheshire is 73.9% what do you think the uptake for people with a Learning Difficulty is?

3. Disability Issues Eastern Cheshire Self Assessment Framework
Uptake for cervical cancer screening programmes across Cheshire East is - 50% of eligible population."
We have been working with local commissioners from NHS England to make all of these screening programmes more accessible to people with LD and this work is ongoing.
Action: Continue to contribute to the Cheshire, Warrington and Wirral work to improve access to and uptake of cancer screening programmes.

4. Disability Issues Data:
Who collects it: All Local Authority areas are asked to complete a Joint Health and Social Care Learning Disability Self-Assessment Framework.
Who for: CCG’s and NHS England/Public Health England.
Why: Service planning.

5. Disability Issues
QOF Patient may be exception reported if they have been invited 3 times in the financial year.
QOF Change made: Add two new in development indicators for one- and five-year survival from cancers diagnosed at stages 1 and 2.

6. Why is it important to ensure Cervical Screening has been offered to all?

7. Equality Act 2010(EA) Expectations from National Screening Service
For all protected / relevant groups, commissioning teams and provider service
Teams need to furnish evidence of equitable and fair access, outcome and experience, as per service.
Death by Indifference
The lack of reasonable adjustments to facilitate healthcare of people with learning disabilities, particularly attendance at clinic appointments and investigations, was a contributory factor in a number of deaths.

8. What does reasonable adjustment mean?

9. Disability Issues
Can anyone think of a Reasonable Adjustments which could be made for:
Invitations for screening
Encouraging attendance at screening
Accessing screening appointment
Receiving results

10. Disability Issues Top Tips:
Ensure you know the “protected group patients” in the screening cohort.
Document what “reasonable adjustments you have made to ensure attendance at screening appointment either at your surgery or at specialist provision.
Use available resources: Specialist Clinics, Best Interest Documentation, DOLs contact.

11. Disability Issues

12. Disability Issues Learning Difficulty Leads: DOLS contacts
DOLS contacts
EASTERN CHESHIRE
Rachael Elliott
WEST CHESHIRE
Lee Calvert
NHS WIRRAL
Peter Ferguson
WARRINGTON
Penny Davidson

13. Disability Issues Accessible resources http://www. easyhealth. org

14. Thank You
Any Questions?