What every HR professional needs to know about reasonable adjustments
Ways of Implementing Reasonable Adjustments in Health Care
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Ways of Implementing Reasonable Adjustments in Health Care South West Experience
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Ways of Implementing Reasonable Adjustments in Health Care . South West Experience. Learning from Acute Hospital Peer Review. Steven Dymond Independent Co Chair of Cornwall’s Learning Disability Partnership Board & Review Team member Trevor Eardley - PowerPoint PPT Presentation
Transcript of Ways of Implementing Reasonable Adjustments in Health Care
Ways of Implementing Reasonable Adjustments in Health Care
South West Experience
Learning from Acute Hospital Peer Review
Steven Dymond Independent Co Chair of Cornwall’s Learning Disability
Partnership Board & Review Team member
Trevor EardleyOrgani Associates, Project Manager Review Programme
Christina Anderson Carer & Review Team member
www.swacutehospitalreview4ld.org.uk
South West Peer Review
How we went about
Different Perspectives
Findings
Questions
But first …………………..
Why a peer review? Significant health
inequalities Evidence is that
experience is mixed and from a low base
Previous focus on primary care
Local leadership Involvement of people
who use the service and carers
Our Aim Transparent baseline of
existing performance for 18 Acute hospitals across NHS South West
Find existing best practice to share
Create partnership capacity, awareness and improvement action
Our approach Co-production at the centre of the process Joint PCT / SHA initiative Project management to plan and co-ordinate Steering Group Development of self assessment tool Briefing events – communications –web site 18 review- 2 month period involved – 2/3 reviews
peer week Review teams 8-10 people (over 100 involved) Visits - whole day and evening meeting Individual site reports Action plans and regional report
Review focus
Information
Involvement of people with a learning disability and their carers
Reasonable Adjustments
Capacity, Consent, Safeguarding and the Law
Leadership and Management
Fundamental Care
Review Team Learning Disability
Champion Family carer Adult Social Care Independent provider Third Sector LINk Commissioning Lead Clinician Director of Nursing Learning Disability Nurse Allied Health Professional
A Family Carers Perspective
Christina AndersonFamily Carer and Review team memberPlymouth
Reasonable adjustments is about
Listen to people with learning disability and carers
Respect role of the carer and their knowledge
Staff to know about the Mental Capacity act
Cut the jargon and medic speak Communication skills – impact
on eating, drinking, pain – basic care
People with a learning disability and carers need to be paid to develop and deliver training
Avoid tunnel vision (focusing on own speciality)
Reasonable adjustments captured documented (systems)
Health Champion and person who uses your service
Independent Co Chair of Cornwall’s Learning Disability Partnership
Chair of Cornwall People First
Previously an Advocacy Development Project Officer for Cornwall
Member of the Steering Group for South West Acute Hospital Reviews
Completed several reviews
Participated in a number of follow on events both regionally and nationally.
Passion about co-production , communication and personalisation
Reasonable adjustments is about
More Co-production - Nothing about us – without us
Champions on each ward / shift
Liaison nurse is just 1st step
People with a learning disability paid to develop and deliver training
Clear communication,
letter in easy read format picture of who I am going to see easy read map.
Reasonable adjustments is about
Good planning – stick to it
Different communication methods for different people.
Person centred approach -Understand my network of support
Health passports in all hospitals used by all staff
Access to easy read material -benefits everyone (children, trauma, literacy problems)
Summary of results
Issues apply to all patients - a litmus test
Evidence for commissioners, better quality and productivity
Strong local relationships have been formed
Transparent action plan with LiNKs, Partnership Boards and CQC
Can extend to other local services
learning to share locally and nationally
Impact of Liaison nurse on RAG rating
Liaison Nurse 8/18 trust have one – impact was significant
Access to easy read information as templates was most under developed area - medication, treatments and procedures
Flagging – no consistent ways to identify and remember
Fundamental care –scored well Capacity , Consent &
Safeguarding – 67% actively addressing this
97% Trusts had reasonable adjustments action plan in place
Red Amber Green
17%
66%
17%
51%
39%
10%
Trusts with LD Liaison Nurse With no LD Liaison Nurse
Key points More than 50 examples of
best practice - EVERY hospital had examples
Liaison Nursing with top level support
Leadership to improve
Accessible information
Flagging systems
Check how you are doing and improving
Involving people and their families
www.swacutehospitalreview4ld.org.uk
www.apictureofhealth.southwest.nhs.uk
www.organiconsulting.com
