Self assessment data for Calderdale

Target	2009	2010
Target 1. Campus
1.1. Resettlement of identified people from long stay hospitals, is complete
1.2. All NHS Campuses will be closed by 2010
1.3. Discharge planning for all adults and young people
Target 2. Health Inequalities
2.1. Comprehensive recording in GP Registers Progress notes: 100% practices with QOF Registers. All validated 09-10. Differing GP systems hampers electronic data collection. Despite difficulty of having range of systems, have given comprehensive info on all points Main areas of work 2010-2011: Develop an audit tool to evaluate the DES at the end of 2011
2.2. Primary Care Teams tackling health inequalities Progress notes: Positive feedback from people about GPs and primary care staff. Easy read leaflets produced for GPs to send out about health checks. For more info contact: TBC. Training needs of p/care staff identified and being addressed. Increase in DES take up (88%) and progress made on AHCs. Detailed notes from Big Health Check event provided, show people feel there is positive progress. LD Health Action Plan for coming year gives thoughtful and systematic plan to ensure continued progress. For more info contact: TBC Main areas of work 2010-2011: By end of March 2011, 85% of people will have had a health check. By Sept 2010, Health Sub group will evaluate the HAP process
2.3. Equal access to disease prevention, screening, and health promoting activities Progress notes: Good initiatives described include development of service provider 'Health Champions' where five Health Champions have been trained through "Healthy Halifax" initiative, to support people with learning disabilities to attend a variety of healthy initiatives including, aerobics sessions in the local community, healthy eating initiatives, chair aerobics etc. For more info contact: TBC. Little data given on access to specific screening programmes. Roll out of AHCs and later DES audit should help - however, lack of data is still a key deficit in terms of being able to gauge current health status - and then, later, comparative health outcomes Main areas of work 2010-2011: Work with screening manager to improve screening invitations for people with learning disabilities
2.4. Services in wider primary care community Progress notes: Plans to improve discharge for people with long term conditions, and build links with community matrons. Targeted work being done with mainstream providers includes: - Falls prevention team provide support to people with learning disabilities. - Evaluation of eye care services included people with learning disabilities. - Training is available for supporting good oral hygiene for people with learning disabilities. - Additional Oral Health questions developed for GPs to include in Annual Health Checks. For more info on any of these initiatives contact: TBC Main areas of work 2010-2011: Health sub group meeting Medicines Management in April to see how pharmacists can help people to better understand their medication
2.5. Service Agreements secure a range of treatment choices and equity of access Progress notes: All NHS Providers have self assessed against CQC standards set out in Access to healthcare for people with learning disabilities, and now have action plans. Range of initiatives in acute hospital, including offering telephone pre-assessments; development of 'champions' (55 in CHFT). For more info contact: TBC. E learning package for junior doctors developed at CHFT. For more info contact: TBC. Reviewer's note: Commend thorough approach to raising awareness and giving support in a range of ways across all mainstream providers- in particular work in acute hospital. Positive feedback from people at Big Health Day, and the action planned for this year responds directly to views expressed at Big Health Day
2.6. National Service Frameworks and linked networks and projects apply equally to people with disabilities Progress notes: Response records positive joint working in range of areas (see also 2.4). Good focus on helping people understand issue of health inequality. Easy read version of Single Equality Scheme (2009-11) included as evidence. See this by following this link: ADD LINK). Self Advocacy Group are receiving training in the Summary Care records so they can support people with learning disabilities in making a choice about them. For more info contact: TBC. Reviewer's note: Calderdale's detailed action plan has number of planned actions to further influence and inform mainstream health work-streams
2.7. Equal access to benefits from the development of computer technology Progress notes: Good progress made, in particular in acute hospital setting. VIP alert system planned last year is now in place on hospital PAS system, making possible reasonable adjustments on individual basis. Will also go on the A+E and radiology systems. For more info contact: TBC. Electronic template being designed for Health checks for System One. For more info contact: TBC Main areas of work 2010-2011: Reviewer's note: Calderdale's detailed action plan is looking now at accessibility of the Choose and Book system
2.8. Good local planning for people from ethnic minority groups, and their carers Progress notes: Data provided projects increasing population. Low users of services but improving with direct payments. Independent review of services showed all are flexible and welcoming. Main areas of work 2010-2011: Increase the number of people from BME communities on the Partnership Board/Health sub group and/or "Be Healthy" group
2.9. Good local planning for people with profound disabilities and their carers Progress notes: More info this year about numbers of people now, and projected to 2021. Dedicated sub group and represented on LDPB. Strategy planned.
Target 3. Safety
3.1. NHS bodies taking action in light of Healthcare for All, HCC Audit etc Progress notes: Reviewer's note: Both HFA plan and now the SAAP suggest strong and coherent Partnership work across range of leaders in all organisations.
3.2. NHS bodies have robust key policies e.g. Consent, DED Progress notes: Response reports over 10 Best Interest Decisions completed by CTLD - and that these have supported people in securing positive health outcomes. Action planned here responds directly to feedback from carers and others. Main areas of work 2010-2011: We will provide a range of information and training for parents and carers as well as health staff on understanding consent by December 2010
3.3. Review of complaints and adverse incidents leads to improved practice in services Progress notes: SAAP shows detail of planned activity across a range of disciplines to learn from complaints and SUIs and to improve practice accordingly. Review and discussion of SUIs and complaints is built into contract review meetings. The local authority has appointed a contract compliance officer. with a learning disability - this officer will help support the team and give greater insight into the quality of service delivery. Main areas of work 2010-2011: By September 2010, all NHS services operating in Calderdale will have easy read complaints leaflets
3.4. Coherent local partnership in ensuring protection of vulnerable adults from abuse Progress notes: Comprehensive training on safeguarding described in response. Adult Safeguarding Training is now mandatory training for all staff providing adult services. Calderdale one of only 2 national pilot sites of "Mate Crime". To find out more about this pilot, contact ..... at ......... Main areas of work 2010-2011: The Partnership Board will routinely receive Safeguarding reports by October 2010
Target 4. Valuing people now
4.02. Good range of local specialist services Progress notes: Response records SAIS (Specialist Assessment and Intervention Service) training given to over 160 staff and family members. Survey completed of needs of Providers of services for people who challenge. For more info about the survey, contact ....... at ...... Feedback from Big Health Day points to need to recruit a SALT as a priority. Main areas of work 2010-2011: Complete in 2010-11 a whole system review of services for people with complex health needs, including challenging behaviour
4.03. Plans for local specialist services for young people in transition Progress notes: Transition Strategy group for people aged 14-25 in place. Person centred Health Action planning pilot starts with year 9 pupils; 20 staff across the Children's Trust trained to facilitate reviews in special and mainstream schools. Specific worker employed to support parents with learning disabilities who are parents.
4.04. People and families well involved in planning and delivery of health services Progress notes: Info provided shows well-attended events to talk about health: "It's my Health Day" and Big Health Check Day. Voice and Choices in January got wider range of people involved in telling the Partnership Board what is important to them in life generally. Self advocates are involved in delivering the training to primary care staff. Two people with learning disabilities were part of the panel to agree the approved provider lists for day services, homecare and supported living. Main areas of work 2010-2011: Reviewer's Note: It is clear that people are meaningfully involved in the work in Calderdale.
4.05. Good partnership working across local organisations Progress notes: Joint Programme across NHS Calderdale and Council will shape commissioning and workforce planning. Will plan to move away from block contracts to more individualized contracts. New Contract agreed with provider including improved monitoring. New service specification being completed for Community Nurses (due June 2010)
4.06. Good plans made, for people with learning disabilities who are ageing Progress notes: Good progress recorded linked to people with dementia following survey completed in July 09. For more info about that survey, contact ..... at ....... Pathway agreement in place for dementia screening. Extra Care housing service includes specific beds for people with learning disabilities.
4.07. Local partners planning together on autism Progress notes: Complex needs sub group includes people with autism. Register of children with autism. Strategy needed in line with now published national strategy Main areas of work 2010-2011: A whole system review of services for people with complex health needs, including autism and ASD is being completed in 2010-11
4.08. Services available to those who challenge services Progress notes: SWYPFT provides full spectrum of specialist A&T services for people with challenging behaviour. LD pathway in place to ensure timely intervention and thus better ability to sustain more independent, supported living in community. To find out more about this Pathway, contact .... at ...... Main areas of work 2010-2011: See actions planned at 4.2 and 4.7 above
4.09. Mental health policy and best practice equally applied to people with learning disabilities Progress notes: People have access to IAPT, and protocols are in place for 24 hour access to crisis team. LD and Green Light included in MH contract review. Reviewer's note: Better mainstream MH access was a priority for Calderdale last year and work has clearly progressed well. Main areas of work 2010-2011: In June are holding a "Mental Health" sub group meeting for service users, LD and MH providers to improve joint working
4.10. Robust local workforce planning Progress notes: Extract from LDPB review of workforce provided in feedback. Key priority is around the personalisation agenda - and also systems to facilitate corresponding budgetary arrangements
4.11. Offender health - people with learning disabilities in prison have access to a full range of healthcare Progress notes: No prison in Calderdale and no known people from Calderdale currently in prison. Response records CTLD have good links with Criminal Justice system. Learning Disability awareness training given to Probation. Service providers commissioned to provide extra support to rehabilitate and reduce reoffending behaviour.	-

Self assessment data for Calderdale

Target 1. Campus

1.1. Resettlement of identified people from long stay hospitals, is complete

1.2. All NHS Campuses will be closed by 2010

1.3. Discharge planning for all adults and young people

Target 2. Health Inequalities

2.1. Comprehensive recording in GP Registers

2.2. Primary Care Teams tackling health inequalities

2.3. Equal access to disease prevention, screening, and health promoting activities

2.4. Services in wider primary care community

2.5. Service Agreements secure a range of treatment choices and equity of access

2.6. National Service Frameworks and linked networks and projects apply equally to people with disabilities

2.7. Equal access to benefits from the development of computer technology

2.8. Good local planning for people from ethnic minority groups, and their carers

2.9. Good local planning for people with profound disabilities and their carers

Target 3. Safety

3.1. NHS bodies taking action in light of Healthcare for All, HCC Audit etc

3.2. NHS bodies have robust key policies e.g. Consent, DED

3.3. Review of complaints and adverse incidents leads to improved practice in services

3.4. Coherent local partnership in ensuring protection of vulnerable adults from abuse

Target 4. Valuing people now

4.02. Good range of local specialist services

4.03. Plans for local specialist services for young people in transition

4.04. People and families well involved in planning and delivery of health services

4.05. Good partnership working across local organisations

4.06. Good plans made, for people with learning disabilities who are ageing

4.07. Local partners planning together on autism

4.08. Services available to those who challenge services

4.09. Mental health policy and best practice equally applied to people with learning disabilities

4.10. Robust local workforce planning

4.11. Offender health - people with learning disabilities in prison have access to a full range of healthcare