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Cardiff Health Check Protocol & Locally Enhanced Services PowerPoint PPT Presentation


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Cardiff Health Check Protocol & Locally Enhanced Services. Azharuddin Siddiqui GPST1. Enhanced services are Essential, additional or OOH services delivered to a higher specific standard Services not provided through essential or aditional services 3 types:

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Cardiff Health Check Protocol & Locally Enhanced Services

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Cardiff Health Check Protocol & Locally Enhanced Services

Azharuddin Siddiqui

GPST1


  • Enhanced services are

    • Essential, additional or OOH services delivered to a higher specific standard

    • Services not provided through essential or aditional services

  • 3 types:

    • Directed enhanced services – provided by PCT

    • Locally enhanced services – Locally developed to meet local health needs

    • Nationally enhanced Services – services to meet local needs, commissioned to national specifications


LES and Cardiff Health Check Protocol

  • Protocol used to provide health checks to people with learning diabilities

  • Valuing People (2001)

    • Government strategy on commitment to improving life chances

    • Key area was health


LES and Cardiff Health Check Protocol

  • Estimated 240,000 people with moderate to severe learning difficulties (LD) known to social services in England

  • Directly enhanced services encourage practices to identify these patients, as defined by the same criteria used by local authority


LES and Cardiff Health Check Protocol

  • Practices delivering the directly enhanced services will be required to

    • Setup and agree with PCT a health check Learning Disabilities Register

    • Aim is to identify registered patients that have LD, and provide annual heath checks.


LES and Cardiff Health Check Protocol

  • Health care checks need to include:

    • Provision of relevant health promotion advice

    • Chronic illness and system enquiry

    • Physical examination

    • Consideration of whether pt suffers from epilepsy

    • Consideration of pt’s behaviour and mental health

    • Specific syndrome check

    • Appropriateness of any prescribed medication

    • Review of co-ordination arrangement with secondary care


LES and Cardiff Health Check Protocol

  • In carrying out the health checks, the contractor should use either:

    • Cardiff health check protocol, or

    • Similar protocol agreed with PCT


LES and Cardiff Health Check Protocol

  • Monitoring of health checks is essential for payment arrangements

  • Practices should record health checks using:


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