Westminster

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Westminster

• Good Practice Highlights
• By Elaine Ruddy
• Learning Disability Service Development Manager
• 0207 641 1065
• elaine.ruddy_at_westminster-pct.nhs.uk

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Aims and Objectives

• To provide brief overview of some good practice
  commissioning examples in Westminster.
• The secret to their success.

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Three of Our Projects

• Choosing the Chance to Change.
• The Good Sexual Health Project.
• The Good Oral Health Project.

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Overall Aim of Projects

• To work with mainstream healthcare providers
  around improving the health of people with
  learning disabilities.
• To raise awareness and support mainstream health
  services on making reasonable adjustments.

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Choosing the Chance to Change

• a healthy living project for people with learning
  disability.
• The project has included the development of the
  
• A health action planning DVD
• An eight week health and physical activity
  promotion course for people with learning
  disabilities.
• Education sessions for carers and support
  staff on
• supporting people with learning
  disabilities around
• healthy eating and physical activity.

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Choosing the Chance to Change

• Commenced in 2008. Locally In Westminster at
  least 65 of people with learning disabilities
  are overweight or obese.
• The project was developed as part of the NHS
  Westminster Obesity Strategy.
• The 8 week course and education sessions are
  delivered by the mainstream vulnerable adults
  dietician and exercise co-coordinator with
  support from the learning disability service.

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The Good Sexual Health Project

• NHS Westminster and Westminster City Council
  commissioned
• The Good Sexual Health Project for people with
  learning disabilities in
• Westminster provides
• Sex and relationships education for people with
  learning disabilities through individual or group
  work.
• Sexual health training for staff working
  with/supporting people with learning
  disabilities.
• Support work with parents and carers of people
  with learning disabilities.
• Opportunities for people with learning
  disabilities to access support around sex, sexual
  health and relationships.
• The project group has developed a policy on
  sexual health and relationships for care staff.
  This policy is also available in an easy read
  format.

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The Good Sexual Health Project

• Commenced in April 2009 a 2yr project, that has
  funded a full-time Personal Relationship
  Facilitator from the Family Planning Association.
• To date 132 support staff have received sexual
  health training which consists of a 3 day course.
• 28 service users have accessed training via an 8
  week group session or a 10 week 11 session.
• Feedback regarding the training and policy has
  been very positive. We are currently evaluating
  the impact the project has had on practice.

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The Good Oral Health Project

• The project has been commissioned by NHS
  Westminster and run in partnership with
  Westminster Learning Disability (WLDP) and the
  Central London Community Healthcare Community
  Dental Service (CDS).
• The aim of the project was to develop a better
  dental service in the Westminster area for adults
  with Learning Disabilities.
• There were two phases to the project
• The first phase was a baseline assessment of
  dental preventive, clinical, educational and
  service needs among the client group.
• The second phase involved a proactive
  approach to bring the most
• appropriate educational, preventive and
  treatment services to the clients.

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The Good Oral Health Project

• How the project was started
• 411 people with LD on the register
• 318 were contacted , 269 have been seen.
• Only 30 had their own high street dentist
• So far 95 seen from residential placements

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The Good Oral Health Project

• Findings
• 28 had dental decay
• 11 had no teeth
• Observed oral health hygiene
• 70 received support with brushing from others
• All service users seen offered an oral health
  action plan.

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The Good Oral Health Project

• As a result of this project the number of people
  receiving treatment within the Community Dental
  Service has almost doubled.
• The Oral Health Action Plan now raises oral
  awareness in people with learning disabilities.
• More people are now registered with our service.
• Oral Health has improved.
• Oral health awareness is much higher in carers
  and support workers

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The Good Oral Health Project

• Lesson Learned
• The impact mainstream Health can have on Health
  outcome.
• Highlighted challenges faced for carers, dental
  and health professionals.
• Raised awareness of the health needs of people
  with learning disabilities.

• As a result
• There is a clear dental recall pathway in place.
• Raised awareness about the dental service.
• Decay and Gum Disease being treated.

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The secret to their success

• Access to good data via QOF or annual health
  check information.
• A commitment from mainstream primary care
  services and commissioning.
• Good Partnership working between services.

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Any Questions