1. Part 2

2. Results June 2008 High frequency conditions found through 1 st health checks (n = 735) Impacted ear wax315 Gastro-intestinal conditions44 Fungal infections134 Other dermatological conditions162 Obesity/overweight527 Psychological/ psychiatric conditions (including challenging behaviours and sleep problems) 78 Other cardiovascular conditions (including oedema)90 (All) Dental conditions85 Raised blood pressure171 Urinary Tract Infections125 Dysphagia135

3. Results June 2008 Referrals made by HFT from 1 st health checks (n = 735) GP302 Practice nurse304 Foot Health services (chiropody)114 Speech & Language Therapy (136=Dysphagia)152 Dietetic services139 Social services116 Healthy lifestyle/weight-loss group64 Community Dental Services61 Specialist epilepsy nurse37 Community Nurses / Logan Assessment and Care Management Team48 Psychological services35 Psychiatry via GP42 Occupational therapy22 District Nurses8 Retinopathy3 Total 1447

4. Results June 2008 High frequency conditions found through 2 nd health checks (n = 341) Impacted ear wax123 Gastro-intestinal conditions9 Fungal infections10 Other dermatological conditions26 Obesity/overweight139 Psychological/ psychiatric conditions (including challenging behaviours and sleep problems) 17 Other cardiovascular conditions (including oedema)17 (All) Dental conditions15 Raised blood pressure54 Urinary Tract Infections64 Dysphagia58

5. Results June 2008 Referrals made by HFT from 2 nd health checks (n = 270) GP116 Practice nurse131 Foot Health services (chiropody)1 Speech & Language Therapy (Dysphagia)62 Dietetic services29 Social services21 Healthy lifestyle/weight-loss group27 Community Dental Services14 Specialist epilepsy nurse7 Community Nurses / Logan Assessment and Care Management Team6 Psychological services4 Psychiatry via GP5 Occupational therapy1 District Nurses2 Retinopathy1 Total 427

6. Direct Enhanced Service GPs can choose to take up the DES for learning disabilities. GPs will receive payments for; –Learning disability register 50-00. –Offering annual health checks 100-00. –GP must attend training to receive payment. –Does not apply to people with a mild learning disability.

7. Direct Enhanced Service 40 GP Practices taken up DES 2009/2010. Implementation strategy devised with contracting & commissioning. Multi-agency training session delivered. All GPs agreed ONE Read Code 918e. Devising health check template. Pre – health check questionnaire.

8. Collaborative Working at University Hospital

9. University Hospital Coventry & Warwickshire (UHCW) 1’110 Beds 35 Wards 183 Departments 85 Specialities 23 Theatres 5 Day Surgery Theatres 5’492 Staff 350 Theatre staff

10. Secondary Care - Method Learning Disability Steering Group. Resource packs – Communication Aids. Collaborative protocols – Care pathways. Multi-agency – UHCW, health & social care.

11. Secondary Care Funding – Dependency Rating Scale. Neurology – Joint Clinics. Dysphagia Benchmarking

12. The ‘H’ Team

13. H Team at UHCW Training – Effective Care Practices

14. H Team Role Play

15. Hospital Road-shows

16. Conclusion A team approach to all levels of health facilitation. Primary & secondary care. Multi-agency & multi-professional. Service user involvement & consultation.

17. Improving Health Care for People with Learning Disabilities Living in Coventry Sherryl Gaskell, Lead Nurse, Health Facilitation Team Suite One, Coventry & Warwickshire Hospital, Stoney Stanton Road, Coventry, CV1 4FH, 02476 246575

18. To make sure that all Health Action plans include mental health and behavioural issues if they are appropriate to the person. To make sure that there is a system so that all health action plans are the best they can be. To talk with Children’s services to make sure that all school leavers have a Health Action Plan completed before they leave school. Best Practice