Different but Equal

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Different but Equal

• Jainab Desai
• Hospital Learning Disability Liaison Nurse
• Royal Bolton Hospital

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• Jainab Desai

• Royal Bolton Hospital

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Death by Indifference
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Death by Indifference

• Martin

• Emma

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Health Care for All Sir Jonathan Michaels
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Reasonable Adjustments

• Appointment times
• Minimise waiting times
• Staggered admission times
• Introduction to hospital staff
• Flexibility to hospital rules
• Flexible visiting times
• Flexible doctors appointments

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Keeping Me safe
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Case Study

• Joshua
• 21 years old 3st 9lb
• Cerebral palsy which affects all 4 limbs
• Unable to move arms or legs
• No speech
• Requires constant supervision

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Hospital Experience

• Admission via GP
• Unable to take blood and to be given fluid
• Blood results showed infection
• Oral antibiotics via gastrostomy tube
• Several episodes of vomiting
• Transferred to childrens ward approximately 18
  hours in hospital by this time
• Familiar staff looking after Joshua X-ray
  showed fracture

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As a result

• Very unhappy experience for Joshua and his family
• Worried about future admissions
• Lack of confidence in Royal Bolton Hospital
• Inadequate access to health care

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What happened next?

• To raise awareness
• Acknowledging Joshua unable to access health care
  at Royal Bolton Hospital
• Commitment from Royal Bolton Hospital to improve
  and implement reasonable adjustments

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• Communication
• Communication
• Communication

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Pathway

• Prevention
• Equipment
• Carers Needs
• Initial contact

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PATHWAY
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The Challenge Continues