1. Reasonable adjustments and communication

2. Communication is the key
Pair up
Each take a slip of paper
One person be the doctor the other patient.
The patient has to explain what is written on their slip of paper.
The doctor can ask questions
The patient is NOT allowed to speak.
The patient CAN nod, shake head, gesture, point, use sign language.

3. How did you get on? Did you manage to tell the person your problem?
How did it feel?
What could have helped you communicate the problem easier (don't say talking)?
Is there anything your partner could have done differently to help you?

4. Tips for effective consultations with people with LD, Making reasonable adjustments.
Consider offering 1st appointment of day (or session)
Double consultation time
Start by checking how much they can understand and finding out best way to communicate. Look to see if they have a SALT assessment.
Speak to patient before speaking to carer
Explain the process of the consultation
Try open questions, turning round or rephrasing question; use language they understand, or pictures, do not use NHS jargon.

5. Tips for effective consultations with people with LD
Get supporting info from carer
Check pt has understood
Care when talking about time - refer to events they might understand
Don’t assume they can make the usual connections between illness and other events
Continuity of care particularly important
Be aware of your non verbal communication!
Hand – out top ten tips

6. What might be a block?

7. Role Play
Please welcome Karen and Mathew. Our health check actors.

8. A Bad Annual Health Check - Mathew
I had an appointment at 10am with the Doctor about my headaches?

9. Mathew
The doctor told me I was going to have my annual health check during my appointment?
I was confused, I had come about my headache.?

10. Mathew
It took the doctor 10 minutes to do my annual health check, It was rubbish.
I did not get time to talk about why I was really there.

11. Mathew
This was a bad Annual Health check.

12. Mathew
I would complain if I was given an Annual Health Check like this.
Give us a good health check.

13. A good Annual Health Check - Karen
My role play was a really good example of an annual health check..

14. Karen
The nurse should be able to show me easy read information if I need it.
There are lots of things you can do to help people with Learning disabilities understand there health needs better.

15. Karen Using pictures helps me.
(Lynne)
The NHS Accessible Information Standard is for all NHS and Social care staff. We should be making our services accessible for all.

16. Karen
At my annual health check, we talked about lots of things, and it lasted 45 minutes.
From that I am going to have a smear test with support. As I have not had one since 2011.

17. Karen
Annual health checks need to get better for everyone with a learning disability.
Lets get it right!

18. Questions