P1259100026wgnYV

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Health Action Plans and Health Screening in South
Warwickshire
Presented by Joan Leelodharry 20th May 2009
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What we did

• Health screening was completed by the community
  nursing team in South Warwickshire in 2001-2004
• A second round of screening took place in
  2004-2007

There are 17 GP Practices in the Warwick
area and 19 in the Stratford area.
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How we helped the doctors

• GP practices were enabled
• to set up a register
• Community nurses started to offer health
  action plans

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During 2004-2007 277 health action plans were
completed
160 health action plans in the Stratford
area. 117 health action plans in the Leamington
area.
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Other Projects in 2004

• We held information days to tell
• everyone about health action plans
• We ran a healthy lifestyles group

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• The role of the acute liaison nurse was
  developed at Warwick hospital in 2004

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• Jeni Graham is the acute liaison nurse she is
  based at Warwick hospital.
• She helps patients who have a learning
  disability to get the best care when they are
  admitted to Warwick hospital

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Health Action Plans and Health Screening in North
Warwickshire and Rugby
Presented by Lynne Bonnar 20th May 2009
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What we did

• In North Warwickshire from 2001-2005 health
  screening was offered to all GP practices and
  carried out by the community nursing team
• In Rugby the community nursing team offered
  health screening to all GP practices from
  2005-2007

There are 28 GP Practices in the North
Warwickshire area this includes Rural North
Warwickshire, Nuneaton and Bedworth. There are
12 GP Practices in the Rugby area.
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How we helped the doctors

• GP practices were enabled to set up a
  register
• Community nurses started to offer health
  action plans

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During 2004-2007 277 health action plans were
completed
248 health action plans in the North
Warwickshire area. 77 health action plans in the
Rugby area.
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• The role of the acute liaison nurse was
  developed at George Eliot Hospital in 2004.
• There was no liaison nurse for nearly two years
  but we have had someone in post since March 2009

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• Sally Evans is the acute liaison nurse she is
  based at the George Eliot hospital with the
  hospital discharge team.
• She helps patients who have a learning
  disability to get the best care when they are
  admitted to the George Eliot hospital or
  attending other hospital departments.

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What we would like to do next
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• Health facilitator and the acute liaison nurse to
  work more closely together

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• To re-start the Healthy
• Lifestyles programme

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• To run Well women and Well men groups

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Training

• To help service users to become trainers

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• Promote the use of patient passports

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Direct Enhanced Service DES 2009

• GPs will get paid for inviting people with
  learning disabilities to have a health check
• You will be invited to have a health check
  every year

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Direct Enhanced Service DES

• We have completed four training sessions in
  Warwickshire with GPs, Practice Managers and
  other Primary Care Staff.

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Direct Enhanced Service DES What the training
covered

• What is a learning disability?
• How to identify people with a Learning
• Disability
• Understanding the health needs of a person who
  has a Learning Disability
• What a health check should cover
• Health action plans
• Overcoming barriers faced by people with Learning
  Disabilities
• Mental capacity and Discrimination Act.

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Direct Enhanced Service DES

• Feed back from the sessions has been
  positive
• Direct Enhanced Service Training has been
  completed and GPs are now offering
  health checks

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Transition

• Number of children leaving
• school in Stratford
• 4 in 2009
• 6 in 2010
• 14 in 2011
• 13 in 2012
• 11 in 2013

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Transition

• Number of children leaving school in North
  Warwickshire area
• 10 in 2009
• 10 in 2010
• 14 in 2011
• 9 in 2012

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Best Practice

• To make sure that all Health Action plans
  include mental health
• and behavioural issues if they are appropriate
  to the person.

• To make sure that there is a system so that all
  health action plans are
• the best they can be.

• To talk with Childrens services to make sure
  that all school leavers
• have a Health Action Plan completed before
  they leave school.