Walsall Integrated Learning Disability Services and Pacesetters Wednesday 31 st March 2010.
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Transcript of Walsall Integrated Learning Disability Services and Pacesetters Wednesday 31 st March 2010.
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Walsall Integrated Learning Disability Services and
Pacesetters
Wednesday 31st March 2010
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Pacesetters Team
Liz Staples – Lead Nurse &
Project Manager
Julia Kelly – Strategic Health
Facilitator & Project Lead
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What did we do?
• Improved Access to Breast Screening Services
• Working on Cervical Screening, Bowel Cancer Screening and Diabetes management
• Produced ‘Easy Read’ information for Service Users, Carers and Professionals
• Improved Health Action Planning
• Improved access to primary and secondary healthcare services by adults with learning disabilities
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Why did we do it?
• People with Learning Disabilities experience worse health than the rest of the population and die earlier
• A cultural shift [is required] to embed the principle that services need to be adjusted to suit individual requirements and raise expectations for improved health outcomes
Source: Health Inequalities experienced by people with Learning Disabilities – Andrew Nocon DRC, Liz Sayce RADAR, Zenobia Nadirshaw Professor of LD Thames Valley University
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Service User Engagement
• Stakeholders were particularly key to this Project and so detailed plans for engagement and ongoing communication was developed.
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PDSA methodology
• The principal concept is to start with small projects which are co-designed with the local Learning Disability Community, then use the PDSA cycle to develop the pilots further and spread the learning.
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How did we start? Project One!Breast Screening
Increasing uptake to breast screening by women with LD – baseline audit
Identifying the population group Collaboration with breast screening
unit & radiography team Awareness training for mainstream
staff
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Strategies Awareness training and health promotion for all women with learning disabilities, why we screen, how we screen, consequences of screening or not screening.
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Strategies
• Appointments scheduled for static hospital unit
• Easy read invite letters
• Prefamiliarisation visits
• Longer appointment slots
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Inspiration! - The Pacesetters philosophy!
• “….if you always do what you’ve always done…you’ll always get what you’ve always got…
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A Learning Disability philosophy!
• “Tell me and I’ll forget, show me and I may
remember, involve me and I’ll understand”
• Old Chinese proverb
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What do we need to do?
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Long term goals?
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Resources
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The ‘trunk’
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Drivers?
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A storm?
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Over ride a storm?
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A change improvement idea
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At our breast screening appointment!
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Invitations
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Pre-familiarisation visits
• Consultation with service users was paramount throughout the initiative
• Discussions identified that fear of the ‘unknown’ was a major factor to low uptake
• Group visits were arranged so that the ladies could meet staff, talk and see and touch the mammography equipment
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Increasing uptake to breast screening
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Health Promotion
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Thank you