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People with a learning disability often have poorer physical and mental health than other people. An annual health check can improve people’s health by spotting problems earlier.
Watch these films to find out how great annual health checks and health actions plans are helping Charlotte and Harshi to keep healthy and stay well.
In order to reduce the risk of increased unnecessary deaths in people with a learning disability during the coronavirus outbreak it is essential that annual health checks continue to be carried out.
This easy read letter, which has been developed with people with lived experience, can be adapted to help explain to people with a learning disability and their family and carers that the way health checks are carried out may have changed.
Learning disability services in Hertfordshire have produced this useful pathway to completing annual heath checks during the coronavirus pandemic.
People with a learning disability can sometimes find it hard to know when they are unwell, or to tell someone about it. A health check once a year gives people time to talk about anything that is worrying them and means they can get used to going to visit the doctor.
To find out more you can watch an annual health check video from the NHS website.
Anyone over the age of 14 with a learning disability, can have an annual health check. Children would usually see a different doctor until they are 14 years old.
To have an annual health check your doctor needs to know you have learning disability. Watch this video which we have made with Mencap to tell you how to make sure you don’t miss out on your health check.
In 2020/2021, we asked NHS organisations across the country to put themselves forward to become learning disability exemplars. The role of the exemplars will be to look at how care can be made better so that people with a learning disability can live healthier and happier lives.
The organisations sought to increase annual health checks by:
The NHS Long Term Plan set an ambition that by 2023/24, at least 75% of people aged 14 or over with a learning disability will have had an annual health check. Performance in 2020-21 has been impacted by multiple factors, particularly COVID-19 and it is important to consider other novel ways of improving both uptake and quality.
In June 2021, we called for local community and specialist learning disability service providers and other teams across the country to develop local pilots. The pilots were to showcase the opportunity for new and creative ways of working at a system-wide or clinical commissioning group level. They were able to demonstrate the specific contribution that community or specialist providers can make in supporting local annual health check arrangements which would lead to increased uptake and support improved quality of annual health checks for people with a learning disability.
The ambition was for the pilot sites to work in collaboration with their local stakeholders to deliver health improvements via the annual health check process. Delivery of annual health checks are the responsibility of individual GP practices in primary care and this project aims to build on, and not to detract or undermine, these principles.
Slides from the introductory webinar held on 29 June 2021 are available.
Seven pilot sites (shown below), one in each region, were selected from a number of wider ranging and innovative bids focused on delivering uptake and quality of annual health checks utilising wider partnership working and expertise. There were 36 bids submitted in total across all regions. The intention was that successful pilot sites would operate from the 1st of October 2021 to 30th of September 2022. In some cases, given organisational changes caused by Covid19, this period of operation has been extended into 2023.
NHS Suffolk and North East Essex Integrated Care Board on behalf of Norfolk and Suffolk Foundation Trust
NHS Gloucestershire Integrated Commissioning Board on behalf of One Gloucestershire and Partners
NHS South West London Integrated Commissioning Board on behalf of Sutton Health and Care Provider Alliance and Partners
NHS Kent and Medway Integrated Commissioning Board on behalf of Kent Council and Partners
NHS Nottingham and Nottinghamshire Integrated Commissioning Board on behalf of Nottinghamshire Healthcare NHS Foundation Trust. and Partners
NHS Humber and North Yorkshire Integrated Commissioning Board Group on behalf of Bridlington Primary Care Network and Partners
NHS Cheshire and Merseyside Integrated Commissioning Board on behalf of Cheshire and Wirral Partnership NHS Foundation Trust and Partners.
We are working with partners to get more people on their GPs learning disability register.
This will mean that more people will have a health check and get the care that they need.
To make sure this happens there has been an increase in the payment available for GPs providing annual health checks the introduction of a national health check template.
The template has been produced on three of the main GP clinical systems. It is available on EMISWeb and on Vision now and the template for TPP System One is in its final stages and will be available soon.
If you use different GP system software please visit the NHS Employers resources to view the national template in Word version and with EMIS screenshots www.england.nhs.uk/gp/gpfv/investment/gp-contract/
Emis users
The template is in EMIS Library > Primary Care Templates > Learning Disabilities HCAP
The template is active, the protocol is inactive.
The protocol – To activate the protocol, you need to go into the templates manager and then navigate to EMIS Library > EMIS Protocols > DES Protocols Its in as Health Check Action Plan Launch and Print Protocol. Right click on it, select Status and click activate, it will then be available to add to your F12 menu
Vision users
For Vision users instructions for downloading templates are found on the Vision website.
The health checks for people with learning disabilities toolkit is being updated and will be linked to from here when completed. It will be aimed at helping GPs, Practice Nurses and Primary Care professionals, carry out the health check to a high standard and make sure that people with a learning disability get timely access to the healthcare they need in the right place, at the right time.
Better health for people with a learning disability: what social care staff need to know about GP learning disability registers, Annual Health Checks and the Summary Care Record – this guidance document and accompanying film was developed by NDTi and VODG and is designed to support social care providers who want to improve the health and therefore the lives of the people they support.
Another way to help patients with a learning disability is by asking for their consent to add additional information to their summary care record.