Direct enhance service the impact of health facilitation for people with learning disability
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DIRECT ENHANCE SERVICE The impact of Health Facilitation for People with Learning Disability. Setting the Scene. People with Learning Disabilities experience a different pattern of ill health when compared with general population

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Setting the Scene

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DIRECT ENHANCE SERVICE The impact of Health Facilitation for People with Learning Disability

Setting the Scene

People with Learning Disabilities experience a different pattern of ill health when compared with general population

Designing services purely to meet the needs of the general population will fail to meet the needs of people with learning disabilities.

Strategic Impetus


  • The Northern Ireland Review of Mental Health and Learning Disability (Bamford) was established by the DHSSPS to carry out an independent review of the effectiveness of policy and service provision


Work in strong partnership with Trust, Primary Care, Communities, Carers/Families and People with Learning Disability, so that we can deliver better health care for the Person with learning Disability

Role of Health Facilitator

  • Developing an accurate register of People with Learning Disability

  • Support practices to get screening completed & help arrange access for People with Learning Disability to receive health screens

  • Provide accessible help/information to all GP practices

  • Advising/supporting practices in the importance of screening People with Learning Disability & reviewing their health

  • Advising & overcoming access difficulties People with Learning Disability have using GP practices

  • Raising awareness & supporting the Person with Learning Disability when they visit the GP

  • Improving the Persons experience when using primary care services

  • Providing an information leaflet on Health Screening, designed to inform patient/carer about health Screening

  • Providing a GP information Pack to help the GP communicate with the person with Learning Disability

GP Information Pack

  • Contact details

  • Summary of HF Role

  • On Line Resource Sheet

  • Screening Tool/Checklist for identification of a Learning Disability

  • Health Assessment Form

  • Health Check Action Plan

  • Summary of Health Assessment

  • Patient Satisfaction Survey

GP screening for year 1,2 and 3


Looking at evidence and developing the concept of health facilitation and health action plans into the lives of people with learning disability


“A Health action plan is a tool that should detail the action needed to maintain and improve the health of a person and any help that is required” (DOH2002). It is a mechanism to link the range of services and supports they need, the person with learning disability is to have better health.......

Primary Objectives

  • To apply a person centred holistic and sustainable health action plan

  • To help improve access to primary health care services

What's in the Health action Plan Booklet?

  • Consent

  • Information about person, people and services involved

  • Background to health

  • Medication information

  • Questions on present state of health

  • Areas to be considered for health action plan

  • My health plan and who is going to support me

Health Action Plan

Pages in the Health Action Plan

  • People who help me with my health

  • Epilepsy (optional)

  • My feelings/behaviour/worries (optional)

  • Height & weight chart

  • My medication (optional)

  • How I communicate (pictures at the back of file)

  • Overview of my lifestyle

  • My Health Action Plan

  • Note for people to write in

  • My appointments diary (optional)

Health Action Plans

  • Pilot Study in Two areas

  • Phase 1. Statutory Residential & Supported Living Services

  • Phase 2. Residential /Nursing & Supported Living Services

  • Phase 3. Community & ARCs

  • Transition from children to adult services

Health Development Forum

  • Looking at the Health Promotion needs of People with learning disability

  • Using data collected from Health Screens

  • Areas targeted – weight smoking, substance abuse, mental health, physical activity & sexual health

  • Nutritional group


Pat Cuming

Health Facilitator for People with Learning Disability

South Eastern Trust

Ph. 02891511190


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