Learning Disability Acute Hospital Peer Review What we learned Aidan Kehoe, Blackpool Teaching...
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Learning Disability Acute Hospital Peer Review What we learned Aidan Kehoe, Blackpool Teaching Hospitals
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Transcript of Learning Disability Acute Hospital Peer Review What we learned Aidan Kehoe, Blackpool Teaching...
Learning Disability Acute Hospital Peer Review
What we learned
Aidan Kehoe, Blackpool Teaching Hospitals
Background
Patients with a learning disability are more likely to…
• Die prematurely
• Die of respiratory disease
• Be diagnosed with epilepsy
• Have weight management problems
• Have mental health problems
Reason for the review
• Blackpool Teaching Hospitals invited to review services in the North West
• Uses self-assessment tool
• Red, Amber, Green rating
• Focus on acute services
Things we looked at
• Information
• Reasonable adjustments to
services
• Involvement of people with a learning disability and their carers
• Capacity, consent, safeguarding and the law
• Leadership
• Organisational learning
• Fundamental care
What we did
1. Self-assessment
• Questionnaires based
around 7 themes
2. Hospital visits
• Hospital visits based around
exploring the themes
3. Sharing and learning event
Self Assessment
Information
0%
20%
40%
60%
80%
100%
North West Acute Trusts MH Trusts
Good things going on:
• Range of easy read information
• Pre-admission visits for elective
patients
• Flagging system
• Hospital passport system.
Things we can do better!
• Easy read medication
information
• Picture food menus
• Accessible information in A&E
Reasonable adjustments
0%
20%
40%
60%
80%
100%
North West Acute Trusts MH Trusts
Theme with most room for improvement!
Good things going on
• Liaison Nurse – 3 Trusts have these
• Individualised care plans
• Staff training and awareness
Things we can do better!
• Basic training/awareness
• Counting number of
readmissions
Involvement of patients
0%
20%
40%
60%
80%
100%
North West Acute Trusts MH Trusts
Lots to learn from Mental Health Trusts!
Good things going on:
• Carers involved in making decisions
• Individual care planning • Learning from complaints
What we can learn from Mental Health Trusts:
• Easy read admissions booklet
• Patient questionnaires
Capacity, consent...
0%
20%
40%
60%
80%
100%
North West Acute Trusts MH Trusts
Lowest number of red scores!
Good things going on:
• Compliance with Mental Capacity Act
• Equality and Diversity awareness
What we can do better! • Advocacy for patients
• Staff training
Leadership
0%
20%
40%
60%
80%
100%
North West Acute Trusts MH Trusts
Good things going on:
• Managers are Learning Disability
champions • Nurses are Learning Disability champions
What we can do better!
• Learning disability awareness
across the whole Hospital • Working with services in the community
Organisational learning
0%
20%
40%
60%
80%
100%
North West Acute Trusts MH Trusts
Lots of room for improvement!
Good things going on:
• Lessons learned from complaints
What we can do better!
• Patient and carer feedback shared
with Managers
• Learning Disability
champions to raise awareness
in Hospital
Fundamental care
0%
20%
40%
60%
80%
100%
North West Acute Trusts MH Trusts
Good things going on:
• Hospital passport system
• Individualised care plans
• Learning Disability champions
• Mental capacity assessments
What we can learn from Mental Health Trusts!
• Reasonable adjustments to
all aspects of care
Hospital Visits
What we learned
•Theme 1: Information has most room for improvement overall •Theme 5: Leadership had the lowest number of Red scores •Theme 6: Organisational Learning had the highest number of Green scores
What we do well!
•Hospital passport•Flagging system •Learning Disability Liaison Nurse•Double appointments for outpatients
What we can do better!
•Staff training for all teams, not just individuals •Learning Disability champions in all areas
Comparing what we learned
Differences from self-assessment:
•Themes 3 and 4 scored less than in self-assessment •Themes 5 and 6 scored better than in self-assessment
What we found:
•No major differences between scores ofself-assessment and hospital visits •Good things happening in all 7 areas
•Theme 1: Information needs the most work!
Looking at the scores
Results of hospital visits better than self-assessmentwith less Red and more Green scores!
What we do well!
Quick wins:
•Hospital Passport •Accessible information •Flagging systems •Individualised care plans
Most impact:
•Raising awareness•Involvement of patients and carers
Must dos:
•Engagement with patient group and their carers•Partnership working and sharing good things happening
Summary
Learning and sharing event
•Lots of good things happening in Hospitals in the North West!
•But also lots to learn…
•Use what we learned from the self-assessment and hospital visits to make improvements based on the 7 key themes
What we said...
