Collaborative: Annual Health Checks www.improvement.nhs.uk - - PowerPoint PPT Presentation

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Collaborative: Annual Health Checks www.improvement.nhs.uk - - PowerPoint PPT Presentation

National Patient Safety Improvement Programmes Managing Deterioration West of England Learning Disability Collaborative: Annual Health Checks www.improvement.nhs.uk @NatPatSIP Delivered by: Led by: NHS England NHS Improvement Welcome to


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National Patient Safety Improvement Programmes

Managing Deterioration

Delivered by: Led by:

NHS England NHS Improvement @NatPatSIP

www.improvement.nhs.uk

West of England Learning Disability Collaborative: Annual Health Checks

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To connect your audio click “Join with Computer Audio”

OR

If you have difficult connecting click “Phone Call” but YOU MUST use your participant ID XXX

912 8433 8380

Welcome to the webinar

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Set up your view…

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Speaker view Gallery view OR  Split screen Split screen 

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You can ask questions via the Zoom chat room…

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At any time during the webinar you’ll have the opportunity to submit your question to today’s presenters. To do so, just type your question into the chat. As time allows, the presenters will address as many questions as they can during the Q&A session at the end of the presentation. There will be an optional 30 minute virtual coffee break after the session if you have more questions that we don’t cover in the session. We will share all slides and a transcript of the chat after the session. First click onto chat at the bottom of your zoom screen If you have any questions or tech issues please let us know in the chat by messaging ':) Greg Harris' directly

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Webinar ground rules; consent for recording

When not speaking please go on mute to minimise background noise; click on the microphone icon to mute / unmute. Introduce yourself before speaking to the group. Use the chat function if you are unable to speak. You can send a private message to a specific individual or a message to everyone in the group. You can share reactions if you want to express yourself without interrupting or if it’s difficult to be heard (at the bottom of the main screen) or use the ‘raise your hand’ option in ‘manage participants’. Use of the video is optional; turn the camera off if you do not wish to have your camera on.

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National Patient Safety Improvement Programmes

Managing Deterioration

Delivered by: Led by:

NHS England NHS Improvement @NatPatSIP

www.improvement.nhs.uk

Introduction

Learn Live Lead

Hannah Little

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Today's hosts

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Nathalie Delaney Kevin Elliott Alison Tavaré Hannah Little

Today's speakers Salim Razak Priyesh Shah Iain Jarvis

Greg Harris

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Importance of AHCs Learn, Live and Lead Video proposal Learning disability register Mental capacity and remote consultations Arranging AHCs Quality AHCs and health action planning Leading change

Overview of content

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Learn, Live, Lead

Learn Live Lead

Learn At the Learning level you may be new to the subject or feel you need more knowledge before being proficient. Live At the Living level you will be able to apply your knowledge and will be on the road to developing your skills in practice. Lead At the Leading level you will be confident that you are able to lead yourself and others in the implementation of a subject area.

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  • Q1. Where do you feel you are on the Learn, Live, Lead spectrum?
  • Q2. Where would you like to be on the Learn, Live, Lead spectrum?

Learn Live Lead

Poll

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Learn, Live, Lead: Today's Webinar

Learn Live Lead

Learn We will hear from expert speakers on different aspects of annual health checks Live As we hear from speakers, think about how what you are hearing relates to your everyday practice / life. Lead Later, we'll be guided through a tried-and-tested technique for progressing learning and experience into leadership action

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National Patient Safety Improvement Programmes

Managing Deterioration

Delivered by: Led by:

NHS England NHS Improvement @NatPatSIP

www.improvement.nhs.uk

West of England Learning Disability Collaborative: Annual Health Checks

Alison Tavaré

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Health Education England Videos

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Thanks to Geoff Cooper Wessex AHSN

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What videos would you find useful? What videos are already out there? How would you share them with patients, families and carers? What content would you find useful? Information and resources

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What videos would you find useful? What videos are already out there? How would you share them with patients, families and carers? What content would you find useful? Information and resources

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Mental capacity and remote consultations Medication reviews How to prepare for AHC What is a AHC? Health Action Plans Learning disability registers Reasonable adjustments

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National Patient Safety Improvement Programmes

Managing Deterioration

Delivered by: Led by:

NHS England NHS Improvement @NatPatSIP

www.improvement.nhs.uk

Learning Disability Register

Kevin Elliott

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19 |

Identifying People with a Learning Disability for Inclusion

  • n GP Practice Learning Disability registers
  • All GP practice are encouraged to keep a register of all people (all age) with a

learning disability on their practice list

  • About 25% of estimated population of people with a learning disability are on

these list.

  • Diagnosis vs identifying people who may benefit from additional support
  • Inclusion Tool, Snowmed Codes
  • Potential benefits of being on the register:
  • For Individual Can offer:
  • Annual Health Check,
  • Flu vaccination,
  • Reasonable adjustments,
  • SCR with additional Info, &
  • RA Flag when rolled out
  • For services it better informs CCGs & Public Health teams on numbers of

people with a learning disability & improved understanding of population needs

  • For Example; General Practice Extraction Service ( GPES) -
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Helping GP Practices Identify People with a Learning Disability

When to use Toolkit:

  • Does the GP Practice suspect person

might have a learning disability?

  • Do they believe person would benefit from

being on the register? What is included?:

  • This tool aims to help clinical judgement –

it is not a diagnositic tool

  • Relevant Snowmed Codes are include for

conditions always associated, and sometimes associated with a learning disability are included

  • The Toolkit is available at:
  • https://www.england.nhs.uk/publication/im

proving-identification-of-people-with-a- learning-disability-guidance-for-general- practice/

  • See also NHSEI SW region resource hub

for more on Annual Health Checks

  • https://www.england.nhs.uk/south/info-

professional/learning-disabilities/

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GPES – Health & Care of People with a Learning Disability

https://digital.nhs.uk/data-and-information/data-tools-and- services/data-services/general-practice-data-hub/health-and-care-of- people-with-learning-disabilities

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National Patient Safety Improvement Programmes

Managing Deterioration

Delivered by: Led by:

NHS England NHS Improvement @NatPatSIP

www.improvement.nhs.uk

Mental Capacity Act and Annual Health Checks

Salim Razak

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National Patient Safety Improvement Programmes

Managing Deterioration

Delivered by: Led by:

NHS England NHS Improvement @NatPatSIP

www.improvement.nhs.uk

Annual Health Checks – Optimising the Process

Priyesh Shah

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Annual Health Checks – Downend Health Group

Invitation:

> Searches are carried out on the GP clinical system (EMIS) and pre-booked appointments are arranged with an easy read letter sent to the patient. > A reminder phone call is arranged for the practice clinical care coordinator to contact the patient/ carer on the day prior to the appointment.

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Annual Health Checks – Downend Health Group

Completing the Annual Health Check (AHC):

>The learning disability nurse completes the health check with the use of the National Learning Disability electronic template and arranges necessary follow ups. >A diary date is entered on the patient’s record as a reminder for the next review date.

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Annual Health Checks – Downend Health Group

How Covid19 has affected us:

>The clinical care coordinator contacts the patient/carer to arrange an appointment with the nurse providing that they are comfortable to come to the practice. >The patient is seen at the ‘Cold site’.

Some useful resources are available on: https://www.rcgp.org.uk/clinical-and-research/resources/toolkits/health-check-toolkit.aspx https://www.england.nhs.uk/learning-disabilities/improving-health/annual-health-checks/

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National Patient Safety Improvement Programmes

Managing Deterioration

Delivered by: Led by:

NHS England NHS Improvement @NatPatSIP

www.improvement.nhs.uk

Annual Health Checks – Clinical Quality

Iain Jarvis

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GP input into a HAP

 Guidance re Lifestyle

Choices Advice re:

 Further Health Checks

Needed

 Screening Needed  Further Investigations or

Referrals Needed

 Responsibility for the

Actions

 Time-frame if needed  Written Report

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My “automated” HAP writing tool 1

Feet

 It is important that you continue to see a Chiropodist.  Your carers are trained to care for your nails and feet.  You have been / will be referred to a chiropodist/podiatrist.

Bloods

 You need a blood test; we will make the arrangements for it to be

done in your home, in about ____date_____

 You need a blood test; please book an appointment in surgery for it

to be done, in ____date_____

 You need a blood test; we will send a reminder for you to book an

appointment in surgery for it to be done, in ____date_____

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My “automated” HAP writing tool 2

Breasts

It is important that you check your breasts for lumps and bumps and tell your carers if you find anything.

We discussed you checking your breasts. Your carers should be reminding you to do that each day before your shower. They will check with you afterwards that there are no concerns.

Your carers check your breasts visually when supporting you to wash, in your best interest, looking for lumps and bumps. It is important that they continue to do this regularly.

Your carers have been advised of the importance of checking your breasts when washing you, in your best interest, looking for lumps and bumps. It is important that they continue to do this regularly. Mammogram

You have had a mammogram, it was done in _______year.

You are due a mammogram and should hear from them soon.

You should have had a mammogram; I will ask them to send you an appointment.

You were invited for a mammogram in ……….………… but you did not wish to be screened. This makes it even more important that your carers check your breasts when helping with your personal care. Advice booklets can be obtained from www.fairadvice.org.uk regarding checking of testes / breasts / smears and many other aspects of healthy living including diet and exercise.

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National Patient Safety Improvement Programmes

Managing Deterioration

Delivered by: Led by:

NHS England NHS Improvement @NatPatSIP

www.improvement.nhs.uk

Lead (Learn, Live, Lead)

Learn Live Lead

Hannah Little

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Lead – 15% Solutions

>Discover and focus on what each person has the freedom and resources to do now >Identify any first step or solution that you can do without approval or resources from

  • thers and that is entirely within your discretion to act

>Reveal the actions, however small, that everyone can do immediately >Focus on what you can do, rather than on things you cannot change

www.liberatingstructures.com/7-15-solutions/

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Lead – 15% Solutions

  • 1. First, take a minute to ask yourself:

“What is your 15 percent? Where do you have discretion and freedom to act? What can you do without more resources or authority?” Perhaps jot down a few

  • notes. (1-2 min)
  • 2. In groups of 3, each person will have 2 minutes to discuss their 15%

Solutions with the group. (6-7 min) We'll let you know when to swap.

  • 3. Everyone comes back together to share solutions via the chat. (3-5 min)

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Where do you now feel you are on the Learn, Live, Lead spectrum?

Learn Live Lead

Poll

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National Patient Safety Improvement Programmes

Managing Deterioration

Delivered by: Led by:

NHS England NHS Improvement @NatPatSIP

www.improvement.nhs.uk

Next steps, opportunities and feedback

Hannah Little and Alison Tavaré

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Flu vaccination programme 20-21

  • Combined winter/flu campaign featuring ‘Help Us Help You’
  • Three phases: Access (with a cancer and maternity focus), Flu

and Pressures

  • Each phase will target 'Just' excuses and collateral has people

with the word ‘Just’ tattooed in various places of their body to indicate an illness/issue. It’s just a lump, it’s just the flu, I’ll just wait and see

  • Audience insight shows greater interest in receiving the flu

vaccine due to Covid-19 alongside fears about safety

  • Regionally - vaccine/vaccination not ‘jab’ or ‘injection’
  • Big push for health and social care workers
  • First year data will be recorded regarding people with a

learning disability

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Flu campaign resources

Regional communications toolkit - available via our resource hub – to support increasing uptake of the flu vaccination for people with learning disabilities and their carers. Contents includes:

  • Rationale – when, why
  • Key messages for both audiences
  • What GP surgeries can do
  • Relevant campaign resources e.g. videos, leaflets,

posters, template letters

  • Template copy – e.g. newsletters, press release
  • Empowering advocate letter
  • Social media messaging and graphics

National resources available via the Campaign Resource Centre – sign up, click flu.

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Revised 20/21 QOF guidance

1. Review and update their current registers of people with a learning disability 2. Restore full operation of annual health checks for people with a learning disability 3. Implement a plan to improve their delivery of flu vaccinations 4. Record the need for, and the type of reasonable adjustments 5. Review all DNACPR decisions

https://www.england.nhs.uk/gp/investment/gp-contract/

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Additional opportunities and resources

Updated resources from NHSE/I regional colleagues https://www.england.nhs.uk/so uth/info-professional/learning- disabilities/#flu-vaccination

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Additional opportunities and resources

Save the date – more details to follow

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Next webinar Tue 17th Nov 12:30-13:30 Video focus group TBC

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Additional opportunities and resources

Free training available for staff in care homes and supported living facilities in the West of England www.weahsn.net/our- work/transforming-services-and- systems/keeping-people-safe-during- and-after-covid-19/care-homes- during-covid-19/training-resources- for-care-homes/

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Additional opportunities and resources

Webinar 8th October 12-1pm www.kingsfund.org.uk/events/ personalising-digital-tools- people-learning-disabilities

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Additional opportunities and resources

Free resources for unpaid carers www.e- lfh.org.uk/programmes/supporting- unpaid-carers/

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Two minute Feedback

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https://www.surveymonkey.co.uk/r/WELDCwebinarSep2020