Results: 32

For: audit

Audit Commission reports on improving value for money across health and social care

For all the focus on joint working across the NHS and social care in recent years progress has been patchy. The Audit Commission has identified that PCTs could improve outcomes and achieve £132 million in efficiency savings per year.  This readable briefing for health and social care commissioners focuses on services for older people with [read the full story…]

Significant improvements needed to care for people with dementia in hospital, says national clinical audit


The first full report of the National Audit of Dementia has identified a need for significant improvements in hospital ward environments, staff training and the overall approach to care delivery for patients with dementia. Although the majority of wards meet basic safety requirements, the audit shows that many had not addressed simple measures that could [read the full story…]

Structured assessment framework improves adherence to requirements of mental capacity act


The Mental Capacity Act has created a legal framework for those supporting people with learning disabilities making decisions about the way they live their lives. The Act provides safeguards for those people who may be unable to make decisions for themselves and sets out guidance for supporters. The authors of this paper carried out an [read the full story…]

High prevalence of substance abuse found by audit of service users in forensic learning disability service


Last week we posted about a study in the Netherlands which called for more cross sector collaboration to tackle the issue of substance misuse , but there is little in the literature about possible links between the prevalence of substance abuse and links to offending behaviour among people with learning disabilities. The authors of this [read the full story…]

Psychological therapy services demonstrate benefits for patients but further improvement is needed

This meta-analysis included 29 RCTs, representing 10,430 patients from 11 countries, and reported a 43% reduction in anxiety from primarily CBT-based psychotherapies.

A report into the care received by patients with anxiety and depression across more than 350 NHS-funded psychological therapy services in England and Wales has revealed good overall standards of care, but substantial variation in quality. The National Audit of Psychological Therapies (NAPT), commissioned by the Healthcare Quality Improvement Partnership (HQIP) and carried out by [read the full story…]

Staff training on pain improves use of communication and assessment tools


In 2009, researchers in Surrey completed an audit of pain recognition and management within the learning disability services there. One of the key recommendations from that audit was that staff in learning disability services should receive training in pain recognition and management. As a result, nearly 200 services in the locality (from an invitation list [read the full story…]

Patients with learning disabilities visiting psychiatric ED may be sent home with no recorded follow up plans


Researchers in this Canadian study looked at the factors associated with the use of psychiatric emergency services by people with learning disabilities who were living with their family. They conducted an audit of hospital chart audits for a sample of 20 such individuals with learning disabilities who had visited the emergency department (ED) at the [read the full story…]

Use of simple visual prompt improves recording of capacity to consent assessments


This study set out to examine the practice of a number of psychiatrists working in a large learning disability service in relation to their recording capacity to consent to treatment and discussions with patients about side effects of medication. A number of measures were introduced to improve practice in the service including the application of [read the full story…]

Audit of antipsychotic prescribing shows good efficacy reviewing but poor monitoring of side effects

medicine in blisterpack

Antipsychotics are widely used for the management of behavioural problems in people with learning disability, despite concerns about the lack of a good evidence base for this practice (see Cochrane review) The researchers in this study set out to audit clinical practice of prescribing anti-psychotics against standards of good practice. The authors collected data from [read the full story…]

Poor monitoring for metabolic syndrome in people with learning disability taking antipsychotic medication


Anti-psychotic medications comprise between 30–50% of all psychotropics prescribed for people with learning disabilities as reported in this WELD post: This study set out to explore metabolic syndrome (a group of risk factors that occur together and increase the risk for coronary artery disease, stroke and type 2 diabetes in people with learning disabilities who [read the full story…]