During her presidency of the BMA, Professor Sheila Hollins has hosted a number of seminars on issues faced by vulnerable groups in the NHS, one of which looked at the issues facing people with learning disabilities. This report by the BMA Board of Science aims to move towards ‘parity of esteem’, a term which is [read the full story…]
There are many interfaces in mental health services, such as the one between physical and mental health. Where there are interfaces, there are inevitably gaps for patients to fall through. Consequently opportunities are missed to treat mental health problems in those with physical health problems. There is mounting evidence for the effectiveness of Collaborative Care (CC) [read the full story…]
Background Personal Health budgets were introduced to enable people with long term conditions and disabilities to have greater choice, flexibility and control over the health care and support they receive. This month (April 2014), people who are eligible for NHS Continuing Healthcare (NHS CHC) will have the right to ask for a personal health budget. [read the full story…]
This guidance has been published and should be read alongside the Commissioning Policy A05 Complex and Specialised Obesity Surgery Services of the NHS Commissioning Board April 2013. It has been sponsored by the British Obesity and Metabolic Surgery Society, and is supported by a number of relevant professional bodies, including the Association of UK Dietitians [read the full story…]
Last year, we posted a guest blog by Pauline Heslop, a researcher at the Norah Fry Research Centre, who set out the alarming findings of a confidential enquiry into premature deaths of people with learning disabilities. The enquiry found that people with learning disabilities die significantly younger in England and Wales than people without learning [read the full story…]
Background The recent position paper by the Royal College of Psychiatrists on the need for in-patient beds for people with learning disabilities was published as part of the response to the Winterbourne View scandal. The paper made it clear that it was important to make a very clear distinction between the function of in-patient support [read the full story…]
Background The Care Programme Approach (CPA) was introduced in the early 1990s as a response to a number of high profile situations involving significant lack of coordination of care. The CPA meant that anyone with experiencing severe mental health problems and who meets one or more criteria, should have their care co-ordinated under the Care [read the full story…]
De-institutionalisation, the advent of community care and development of psychotropic medicines are implicated in the reduction in hospital bed numbers and mean length of stay. There remains a huge variance in length of stay and outcomes across the UK and beyond (NHS Confederation, 2011). Figures on length of stay and service configuration are difficult to [read the full story…]
Background A number of reports in recent years have highlighted concerns about the treatment of patients with learning disabilities in NHS hospitals, highlighting poor communication, incorrect assumptions about quality of life and poor understanding by healthcare professionals putting people at continued risk of poor care – and even death. In 2008, the publication of the [read the full story…]
Background We have posted extensively about the current state of knowledge around the health care needs of people with learning disabilities and the nature of the responses by UK health providers. The Mencap Getting it Right campaign launched after the publication of Death by Indifference’, aims to support local campaigners, health professionals, GP surgeries, hospitals [read the full story…]
