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Big Health Check 2011
Amanda Kenney Joint Commissioner Learning
Disabilities NHS Medway
What is the Big Health Check?
• Part of Valuing People Now
• Important part to improving the healthy lives of people with a learning disability
• This is the 3rd Medway Big Health Check
Big Health Check 2011
• Work on putting together the results for the Big Health Check started straight after the Big Health Check for 2010
What the Strategic Health Authority said worked well in Medway - Big Health
Check 2010 Health Sub-Group Good ways of working are in place to set up
a joint Kent and Medway way to buy specialist learning disability health services
No-one in Medway currently living in campus accommodation
Medway has good plans to increase the number of health checks that happen
Medway is getting better information on the health of people with learning disabilities in Medway
Medway Hospital has a Learning Disability acute liaison nurse
Still along way to go!
• Won’t be happy with health services for people with a learning disability in Medway until EVERYONE gets a good quality health service
Big Health Check 2011
• Same Big Health Check 4 top targets as last year
• Strategic Health Authority gave Medway some specific areas to focus on in each of the 4 top targets
Important to Remember!
• Medway’s targets were given before the government announced lots of the big changes it wanted to make for the health service
• For example G.P, consortia commissioning
Top Target 1 – Campus Closure and
ResettlementArea to focus on:
Develop local provision for people whose behaviours challenge services
Establish a local network about people whose behaviour challenge services
Evidence this has improved:
No-one in Medway is in campus accommodation
G.P. Consortia – network
Top target 2 – Reducing Health
InequalitiesArea to focus on:
Medway needs a Joint Strategic Needs Assessment for Learning Disability
Increase the number of health checks for people with a learning disability
Evidence this has improved:
Joint Strategic Needs Assessment - drafted
Number of health checks carried out has increased by 10% to 61.4% this year
Information (data) from GPs has got much better
Target 3 – Keeping Safe
Area to focus on:
‘Join up’ work to make sure people are safe
Carry on checking and improving health services for people with a learning disability
Evidence this has improved:
New Learning Disability G.P. register is helping ‘join-up’ information
NHS Joint Commissioner Learning Disability in post
Target 4 – Transition, Community Team and
Offender HealthArea to focus on:
1. Transition 2. Community health team3. Offender health4. Medication and mental health
Target 4 – Transition
Evidence this has improved:
TransitionTransition database set upHealth and Medway Council 2011 Joint Review of children's disability services in Medway Getting a Life - Health pathway – this is being worked on Health is now represented at different levels of health planning
Target 4 – Community Team
Evidence this has improved:
Community Learning Disability Health Team2 Away Days – Health and Social Care – independently facilitated by Rob Greig – Chief Executive National Development Team for Inclusion
A draft service specification (what the team needs to do) has been written for the Community Learning Disability Health Team
Target 4 – Offender Health
Evidence this has improved:
Offender HealthThis area of work is happening as part of a ‘Kent and Medway Offender Health Plan’Helen Gaylor – Medway Health Prison Partnership Board is a member of the Learning Disability Partnership Board
Target 4 – Mental Health Medication
Evidence this has improved:
Medication and Mental Health Mental Health Team have started to review the medication for people with mental health and learning disabilities
• We have scored the targets for this year and these are shown on the next slide
• In the notes column we have explained why the scores have or have not changed
• We would like to work through the scores for this group to approve so that we can take the report to the LD Partnership Board
• When the LD Partnership Board has approved the scores we will send the report to the Strategic Health Authority
Big Health Check 2011-12Scores for Approval
Top target Top target 1
Year 1 Year 2 Year 3 Important notes for year 3 – 2011-12
1.1
1.2
Top target 2
2.1 More work to be done to identify older carers and ethnic groups.
2.2 Need to do more to promote better health.
2.3 Screening needs to be improved.
2.4 More work needed with optometrists, pharmacists etc.
2.5 Score has improved because contracts and agreements are in place ensuring equal access for people with LD
2.6 Ongoing work to make sure that plans apply equally to people with LD.
2.7 People with LD need to be more involved with electronic systems planning.
2.8 Ethnic minority work to be improved.2.9 Strategy is not yet finalised.
Top target 3
3.1 Assurance from providers being sought.
3.2 No increase in score but working towards green.
3.3 Improve complaints monitoring.
3.4
3.5
Top target 4
4.1 Work ongoing with the Local Authority.
4.2 Out of area placement work ongoing.
4.3 Good work moving forward with transition plans.
4.4 Continue with involvement with people with LD and families/supporters.
4.5 Integration of health and social care improving.
4.6 Finalise JSNA.
4.7 CHANGED TO AMBER FOLLOWING HEALTH SUB GROUP MEETING. BUSINESS CASE PRODUCED FOR KENT AND MEDWAY DIAGNOSTIC SERVICE.
4.8 More work required for challenging behaviour.
4.9 Work is continuing to improve with mental health
4.10 Workforce plans are being developed.
4.11 Criminal justice system work in progress.
Big Health
Check
The results:
In a table that
shows red,
amber and
green, scores
for years 1, 2
and 3 for
Medway
