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Resources for Learning Disability Annual Health Checks and Health Action Plans

Checked: 12-01-2024 by 3 Vicky Ryan Next Review: 12-01-2025

Overview

On this page you will find a range of resources and links to websites to help you and your practice carry out Annual Health Checks (AHC) and create a health action plan (HAP).

CKS Nice https://cks.nice.org.uk/topics/learning-disabilities/ Covers diagnosis, management including AHC and behaviour that challenges.

Annual Health Check

People with learning disabilities have poorer health outcomes compared to the general population. The annual health check (AHC) promotes health and wellbeing and can identify problems early.

We recommend the use of the emis AHC template “Learning disabilities annual health check “or the Ardens® template “ learning disability” to help with a structured assessment.

Syndrome specific checks

People with genetic syndroms including Down’s -, Rett-, William-, Noonan-, Fragile X-, Angelman- and other syndromes need additional tests at the AHC.

Pre-health Check

Reasonable Adjustments

It is a legal duty to provide patients with reasonable adjustments so they can access health care the same as the general population.

It is good practice to document reasonable adjustments in the medical records. This will help with every patient contact and with annual recall for health checks, vaccination and chronic disease monitoring.

Health Action Plan

A Health Action Plan (HAP) must be produced as a result of the AHC outlining any actions and outcomes including recommendations on health promotion and wellbeing. The HAC plan is reviewed at the next AHC and progress monitored.

Following Health action plans are available in emis under documents:

Promotion of annual health checks

Autism Independence have produced posters in various languages to be used in GP practice waiting areas. The posters detail support that they provide for people with a learning disability to access their annual health check.

Feedback

You might want to ask for feedback after the annual health check.  Click here to access the Annual Health Check Patient Feedback Form from Southern Health.

Learning Disability Register and Coding

It is good practice to review and update the GP learning disability register. Add the code “learning disability” or on the learning disability register”. You do NOT need an expert opinion or specialist assessment before adding a patient to your register. You can use the Leeds inclusion toolkit if you are unsure if a patient should be added to the register.

Transition

Here are resources to help you support the transition of patient on the learning disability register from paediatric to adult services. Your best tool is an up-to-date learning disability register and inviting young people from the age of 14y for annual health checks.

Support

Join the network of learning disability champions. Anyone, if clinician or administrator can join. Email: sirona.ldchampions@nhs.net.

We are running regular learning disability lead GP forums and send out a learning disability newsletter. To get on our mailing list contact sirona.ldchampions@nhs.net

The Sirona Learning Disabilities Health Service

BNSSG Annual Health Check Team:

Juliane Matthies - GP Clinical Lead for Learning Disabilities BNSSG: juliane.matthies@nhs.net

Further Resources for Annual Health Checks

Videos for health care professionals and people with learning difficulties and their supporters about AHC from NHS England and NHS Improvement South West - Please see this document for full details.

AHC resources for health care professionals, carers and people with learning disability - NDTI health-check-resources-guides.

NHS England guidance including easy read resources: https://www.england.nhs.uk/learning-disabilities/improving-health/annual-health-checks/.

The west of England learning disability collaborative has excellent educational videos on many aspects of the annual health check, care planning, capacity/consent and oral health.

BNSSG Annual Health Check promotion video - BNSSG ICB commissioned the video with learning disabled actors to promote Annual Health Checks. It is designed for GPs to text to LD patients as a reminder to book an appointment. Text link is: https://youtu.be/dGITBtSSEGo

AUDIT / QUIP

Self-assessment toolkit for GP practices round AHC and reasonable adjustments: GP self assessment

Learning Disability and Autism Newsletter

LD Newsletter - October 2023

LD Newsletter - March 2023

LD Newsletter - January 2023

LD Newsletter - October 2022

LD Newsletter - June 2022

Other Resources

Appointment Card

These are examples of an easy read appoint cards that can be edited:

Blood Tests

Complaints

General Resources for Patients and Supporters

Cancer and Screening

Constipation and Fibre 

Eyes and Vision

SeeAbility support people with LD / autism and sight problems. Their website has a function to look for a local optician with expertise in people with learning disability.

Epilepsy

Flu

Healthy Lifestyle, Exercise and Diet

Mental Capacity Assessments and Best Interest decisions in Primary Care section on Remedy is here.

Respiratory

Pain scales and body maps

Leeds Team have developed the excellent "Let me tell you about my pain" booklet with non-verbal communication tools and body maps

Wong-Baker FACES® pain rating scale

Non-Communicating Adult Pain Checklist

Sepsis

Swallowing Difficulties

  • Swallowing Difficulties - help and advice for patients and healthcare professionals includes tool to find alternative formulations.


Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.