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Learning Disabilities Needs Assessment

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Andy Davis

on 17 November 2015

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Transcript of Learning Disabilities Needs Assessment

Recommendations to Reduce Health Inequalities
Health checks and health action plans for all adults with learning disabilities in Warwickshire
Data
Recommendations
Many of the recomendations made in the Needs Assessment relate to data; sometimes the way in which information is recorded, others the lack of recording.
Learning Disabilities Needs Assessment

Accommodation
All people with a learning disability should have the opportunity to live in an ordinary street in an ordinary house, just like everybody else...
Warwickshire Joint Strategic Needs Assessment 2014
Background
The needs assessment was started in April 2013 to coincide with the end of Warwickshire's Learning Disability Strategy 2011-2014.
Its aim was to inform the production of a new Learning Disability Strategy covering the period from 2015 to 2020.
Commissoners will benefit from having access to robust evidence in order to support or question the applicability of suggested models of care for people with learning disabilities, and highlight any key issues within Warwickshire.
There is currently no definitive national record or statistical collection of the number of people with a learning disability. Any figures published on the true prevalence of learning disabilities are based on estimations rather than actual figures.
The total estimated 'true' prevalence of all people with a learning disability in Warwickshire in 2013 was
11,030
of whom 9,469 are adults aged 18+ and 1,561 are children and young people aged 0-17 years.
1,143 pupils in Warwickshire between 4 and 19 years were identified as having a SEN statement of learning disability, of which 74.7% had a moderate learning disability, 23.3% had a severe learning disability & 2.0% had a profound/multiple learning disability. The number of children with a SEN statement of learning disability increases with age until peak incidence at 14 years, followed by a decline.
Differences in the estimations of adults in Warwickshire with a learning disability.

Approximately two-thirds of adults with learning disabilities expected to be in contact with social services are receiving a service from social care in Warwickshire.
Develop a local register of those people with a diagnosed learning disability which is timely and accessible to both health and social care colleagues
Parents and neonates with a learning disability recorded in the Maternity Services Data Set must be added/matched to the proposed local register and brought to the attention of Warwickshire's SENDAR team
IT support is required to ensure that Health Checks & Health Action Plans are integrated within GP operating systems in order to prevent this being a barrier to their completion
SLA between commissioned services & WCC to ensure accurate data capture from providers
Prevalence of Learning
Disabilities in Warwickshire
Health Inequalities
People with learning disabilities have
significantly worse
health than their non-disabled peers. Access to the NHS for people with learning disabilities is poor, leading to undiagnosed illness & in some cases, avoidable death.
1,770 adults with learning disabilities in Warwickshire were identified as eligible for an Annual Health Check in 2013/14, of which
57.5%
went on to have one.

Significantly higher than the England and West Midlands averages at
44.2%
and
46.0%
respectively.
Cancer Screening
Cervical cancer screening
:

Out of
242
women with learning disabilities in Warwickshire who were eligible for screening only
62
had received a cervical smear test in the past 5 years.

25.6%
compared with
75.8%
of Warwickshire's general population
Breast cancer screening:

Out of
126
women with learning disabilities in Warwickshire who were eligible for screening only
19
had mammographic screening in the past 3 years.

15.1%
compared with
77.5%
of Warwickshire's general population.
Bowel cancer screening:

Out of
97
people with learning disabilities in Warwickshire who were eligible for screening only
23
had satisfactorily completed bowel cancer screening within 6 months of invite.

23.7%
compared with
62.0%
of Warwickshire's general population
Only
44.0%
of adults with learning disabilities in Warwickshire had a Health Action Plan completed (779 adults with learning disabilities out of 1,770 eligible).
Raise awareness of the dangers of obesity-related health problems, such as coronary heart disease, stroke and diabetes.
Promote access to healthy lifestyle initiatives and services through schools and the community.
Joined up health and social care for parents with learning disabilities to ensure that they receive the support that they need.
Warwickshire Learning Disability Customers by Tenure Type, 2012/13 & 2013/14
2013/14 ASCOF measures show that Warwickshire is currently in the
bottom 25%

of all councils in England for the number of working age learning disability customers who live on their own or with their families

67.4% vs National Average of 74.8%
The number of people with a learning disability living in residential settings has decreased from 2012/13 to 2013/14, whislt the number of people living independently is increasing
however...
Personalisation
In 2013/14, 22% of people with a learning disability known to social services received a direct payment in Warwickshire
This is an increase of 61% in the past 2 years
Flexibility at the cost of insight?
Housing Recommendations
Customers who are currently placed out of area will be supported to move back to Warwickshire where appropriate
Housing initiatives which give people with learning disabilities independence such as Extracare should continue to be prioritised.
Carers
"The provision of unpaid care and support to family members and friends is a major contributing activity to the health and wellbeing of our society"
The number of carers to adults with a learning disability whose own care and support needs were assessed by a social worker in Warwickshire in 2013/14 was 415; a decrease of 5% from 2012/13.
No carers under the age of 18 were recorded as being assessed for their own needs on CareFirst in 2013/14.
Recommendation:

Carer assessments must
be carried out for all
carers in accordance with the Children and Families Act 2014 and the Care Act 2014.
Prevalence of Learning Disabilities in School-Age Children
Prevalence of Learning Disabilities among Adults in Warwickshire
"Starting with a person with individual strengths, preferences & aspirations, giving people choice & control over their lives."
Recommendations Putting Personalisation at the Heart of Planning
Commissioners must seek to come up with innovative and engaging ways to develop people's understanding and awareness of the benefits of self-directed support.
Commission a programme of re-assessment and review of individuals with learning disabilities in Warwickshire
Develop person-centered support plans to enable individuals and their families identify what is important to them now and in the future
Looking Ahead
The number of people with a learning disability is likely to increase by 1% per annum over the next 15 years due to increased life expectancy and increasing numbers of children with complex needs surviving into adulthood.
On average the number of adults with learning disabilities with a critical or substantial need, using social care services will increase by 1.7% every year to 2030.
Increased choice and control for individuals with a learning disability and their families across health and social care adds to the complexity of service development.
This will impact on the range and choice of services available and hopefully will improve outcomes for individuals.
Support people to live at home with their families, if this is their choice
SAF action plan
Actioned through:
Statement of intent
Fast-track bid
In 2014/15, provisional data is showing that Warwickshire's position has improved (73.5%) but still lower than England 2013/14.
CareFirst data shows that the number of WCC social care customers with LD living in a residential care home has decreased by 5% from 2012/13 to 2014/15
Shift towards supported accommodation such as Extracare and Shared Lives schemes, enabling people with LD to live more independently
Increase in the number of people with LD living as a tenant in privately rented accommodation
Slight decrease in the number of people with LD who are living in their own homes (owner occupier or shared ownership)
On top of this, there will be policy changes in terms of a new model of care for people with learning disabilites.
Next Steps
Many of the recommendations from this needs assessment have already been incorporated into local plans
However, these plans must not just stay on paper and need to be actioned
As part of Warwickshire's JSNA review process, recommendations from this needs assessment will be monitored in terms of their implementation
AND
their outcome
This will be measured one year after sign-off
Any Questions?
Full transcript