Agenda item

To receive a presentation on Wokingham Learning Disability Partnership Board - Joint Health and Social Care Self-Assessment. (15 mins)

The Board received a presentation on the Wokingham Learning Disability Partnership Board – Joint Health and Social Care Self-Assessment Framework.

During the discussion of this item the following points were made:

·         It was explained that the Joint Health and Social Care Self-Assessment Framework was an annual report that checked how well health and social care services were working for people with learning disabilities and their families.  Although non-mandatory, it was good practice.

·         It asked for data, compliance and people’s stories around three main areas: Staying Healthy, Keeping Safe and Living Well.

·         Public Health, with the support of the Partnership, had completed the framework.  51 people had shared their stories and 38 people had attended an engagement event held to share the information collected and RAG ratings produced.

·         The Board was informed of what was going well and where improvements could be made under the three main areas.

·         With regards to Staying Healthy it was noted that:

Ø  All GP practices were signed up to the Annual Health Check Direct Enhanced Service.

Ø  Good evidence of people with learning disabilities accessing prevention, health screening and health promotion opportunities. Dr Zylstra commented that cervical screening was on a three or five year rotation as was breast screening and that the figures provided seemed low. 

Ø  Good evidence of reasonable adjustments being made in all areas of Primary Care. 

Ø  The Learning Disability Co-ordinator role at Royal Berkshire Hospital was highly regarded.

·         Where improvements could be made included:

Ø  GP surgeries kept a register of people with learning disabilities, as per QOF requirements. Whilst data was aligned to the number of adults in receipt of social care the children’s data did not reflect actual numbers. Dr Zylstra clarified that Under 18’s were not included in the QOF.

Ø  Specific health improvement targets set in the Annual Health Check were not always integrated with the Health Action Plans.

Ø  The Joint Strategic Needs Assessment (JSNA) did not have a chapter on learning disabilities. It was noted that the updated JSNA would include a learning disabilities section.

·         With regards to Keeping Well it was noted that:

Ø  Good safeguarding reporting, training and partnership working, overseen by the Local Safeguarding Adults Board and the Local Safeguarding Children’s Board. An easy read booklet that explained the safeguarding process was being written.

Ø  Training around the Mental Capacity Act and Deprivation of Liberty Safeguards was being provided.

Ø  Some people with learning disabilities and their families were being involved in training and recruitment in learning disability specific services, although this was not happening across all areas.

·         Where improvements could be made included:

Ø  69% of people with a learning disability had had an annual review of their care package.  However, under 90% was rated as Red.  Stuart Rowbotham indicated that the 69% related to the 2013/14 data, that the 2014/15 data was due late September and that improvements were expected.

Ø  More involvement from people with learning disabilities, their carers and families in the commissioning and monitoring of services and the recruitment and training of staff within the service, was needed.

Ø  An amber rating had been received for the question asking if family carers and people with a learning disability agreed that all providers treated people with compassion, dignity and respect.

·         With regards to Living Well it was noted that:

Ø  Good evidence of those with learning disabilities having access to reasonably adjusted sports and leisure activities and cultural services.

Ø  Evidence of reasonably adjusted services which helped improve and enhanced access to the community such as Safer Places scheme and Changing Places toilets.

Ø  Targets for getting people with learning disabilities into employment had been exceeded year on year.

Ø  Good transition mapping and planning.

·         Where improvements could be made included:

Ø  There was uncertainty regarding the existence of a local Employment Strategy, meaning the Council’s employment rating was set at amber, despite high numbers of those with learning disabilities in employment. 

·         Stuart Rowbotham emphasised that the Council was one of the higher performers in the country for assisting those with learning difficulties into employment and congratulated the employment services provided by Optalis.  He also commented that any Employment Strategy would be out of date and that capacity regarding strategic support had reduced.  However, he would take the matter back for further consideration.

·         Dr Llewellyn indicated that Public Health had been successful in gaining McMillian funding for cancer services for those with learning difficulties.  She requested the assistance of the Partnership Board in discussions.

RESOLVED:  That the presentation on the Wokingham Learning Disability Partnership Board – Joint Health and Social Care Self-Assessment Framework be noted.