1. Helping patients with specific needs and learning difficulties succeed in the world of Radiology. By Nicola Voos – Health Play Specialist, Therapeutic and Specialised Play services Linked to the Radiology Linked to the Radiology at Royal Manchester Children’s Hospital. at Royal Manchester Children’s Hospital.

2. NHS Choices 2014 – “ A learning disability affects the way a person learns new things in any area of life, not just at school. A learning disability affects the way a person understands information and how they communicate. Around 1.5 million people in the UK have one. This means they can have difficulty: understanding, learning new skills, coping independently. It is thought that up to 350,000 people have severe learning disabilities. This figure is increasing”. Foundation for people with learning disabilities 2014 – “ A learning disability can affect someone in a wide variety of ways. The terms ‘mild’, ‘severe’ and ‘profound’ learning disabilities are sometimes used.” “Empowering people with learning difficulties – There is no reason why people with learning disabilities shouldn’t have access to all the same things that everyone else does in our society”. 14th July 2014 – Jane Cummings, Chief Nursing Officer for NHS England, said: “ People with learning disabilities, autism or challenging behaviour, often have complex health needs and it is vital that they have health and care support in their homes and communities.”

3. Referral Process Health professional sends a referral form or referring letter to the Therapeutic and Specialised Play Services, or Radiographer refers after receiving a request for a procedure/ investigation. Play Services, or Radiographer refers after receiving a request for a procedure/ investigation. Health Play Specialist makes contact with the family and carries out a disability assessment. The procedure is discussed in detail with the parent or guardian. Arrange work up sessions / psychological preparation. psychological preparation. Health Play Specialist devises a plan – where the procedure is going to take place., things they will and will not tolerate and risk assessments if required etc. Inform health professional/ clinician and bookings clerk that assessment is complete and to book scan. clerk that assessment is complete and to book scan. Patient comes in for the procedure and Health Play Specialists plan is followed by all Multi-disciplinary Team. Health Play Specialist helps to facilitate the admission/ procedure. Patient is discharged, Health Play Specialist places all documentation in the patients notes and sends a letter to the referrer informing them that the patient has successfully undergone the required procedure.

4. Referral Audit April 2010 – March 2014 2010-20112011-20122012-20132013-2014 Specific needs/ learning difficulties. 34827181 Fear of needles, procedures, scans or x-ray. 39442637 Previously had scans under sedation or general anaesthetic. 16133222 Total referrals: 89139129140

5. Ken Hindel – Superintendent Radiographer

6. Emma Fieldhouse – Sonographer.

7. Case Study  A 13 year old boy with severe learning difficulties and autism is referred to ( myself) Health Play Specialist for an ultrasound scan. It has been requested under a general anaesthetic as he attended his local hospital and when asked to lie on the bed he became extremely violent. He began to throw furniture and attempted to attack staff and mum. When contacting mum she said she felt that if given time and prepared well he would be able to receive the scan awake without sedation or a general anaesthetic.

8. Importance of preparation

9. Importance Distraction/ Diversional therapies. Distraction is a vital factor in helping all children get through invasive or time consuming procedures. Getting to know a patients level of development helps you choose which tools to use for distraction. Remember: children react better to a calm environment. Minimal staff should be present during invasive procedures. If you appear happy and interactive to children it makes them relax and they relate to you better.

10. Who is responsible for making a patients experience in hospital a positive one?  We ALL are!