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Agenda and supporting papers - Plymouth Hospitals NHS Trust

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Item 11<br />

Over the past two years, members of DUG have been supported to promote initiatives such<br />

as Annual Health Assessments (primary care), development of their own Hospital Passports,<br />

consideration of Organ Donation <strong>and</strong> Staying Healthy campaign. They have also worked<br />

closely with <strong>Trust</strong> staff to contribute to the following:<br />

• Recruitment of staff to the LD Liaison team.<br />

• Signage across the hospital.<br />

• Secret Shopper feedback.<br />

• Webpage for Learning Disabilities on the <strong>Trust</strong>’s website.<br />

• Patient mealtimes <strong>and</strong> menus.<br />

Following discussion with the <strong>Trust</strong> Chairman <strong>and</strong> Chief Executive, at recent DUG meeting,<br />

members of DUG will be supported to continue work towards advising on signage <strong>and</strong> other<br />

aspects of the hospital environment <strong>and</strong> involved in improving the language <strong>and</strong> presentation<br />

of patient letters to people with Learning Disabilities.<br />

There are plans to extend the user group to include people with Learning Disabilities from<br />

both Devon <strong>and</strong> Cornwall local authority areas; also to include DUG in the wider patient/user<br />

feedback planned by the Patient Services team as part of the Patient Experience work.<br />

National St<strong>and</strong>ards for People with Learning Disabilities in Hospital<br />

Progress continues to be made towards the national st<strong>and</strong>ards as laid out in the Monitor<br />

framework <strong>and</strong> Care Quality Commission <strong>and</strong> is reported in Annex 4. The <strong>Trust</strong> continues to<br />

provide high quality care to people with Learning Disabilities:<br />

• Reasonable adjustments are made to care plans/care pathways for people with<br />

Learning Disabilities, through the involvement of LD liaison team <strong>and</strong><br />

communication with community services.<br />

• Clinical teams which care for people with Learning Disabilities on a regular basis,<br />

have active LD Link nurses. These provide leadership <strong>and</strong> support to other<br />

colleagues for the particular care needs for individuals <strong>and</strong> to promote the use of<br />

reasonable adjustments.<br />

• The role <strong>and</strong> scope of the LD liaison team in <strong>supporting</strong> people with complex<br />

needs has recently been reviewed <strong>and</strong> revised. The team provide important<br />

liaison with community services, advice to clinical teams <strong>and</strong> support to<br />

individuals <strong>and</strong> their families.<br />

• Discharges are well planned <strong>and</strong> communicated with community services,<br />

facilitated by the LD liaison team.<br />

• There is regular training <strong>and</strong> education for staff, to raise awareness of the specific<br />

needs of people with LD <strong>and</strong> those who are vulnerable adults.<br />

• Support is provided to carers as they work with clinical teams to meet the needs<br />

of patients in hospital. This is particularly relevant to parents of people with LD,<br />

some of whom have their own health <strong>and</strong> care issues – as they often spend long<br />

periods of time in hospital <strong>supporting</strong> patients.<br />

• Incidents <strong>and</strong> complaints involving patients with LD are flagged, to allow the<br />

involvement of the LD liaison nurses in the investigation <strong>and</strong> resolution of<br />

complaints/incidents.<br />

• The Meridian ‘Essence of Care’ audit system is used to review/audit to st<strong>and</strong>ards<br />

of care for patients identified with LD.

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