This guide is an excellent example of developing resources to help learn from good practice. It has been written for all commissioners and providers, but in particular clinical commissioners, and mental health commissioners and practitioners. Primary care mental health The first section of the guide gives a comprehensive overview of the state of primary care [read the full story…]
There is considerable evidence that people with learning disabilities in residential settings are prescribed anti-psychotic medication to help reduce behaviours that challenge the service. However, there can be significant side effects from these powerful drugs and for some people these can be as debilitating as the impact of the behaviours. In some instances the effects [read the full story…]
Background Communication is a fundamental right, but as the BILD Communication factsheet states, communication difficulties affect anywhere between 50% and 90% of people with learning disabilities. This factsheet also suggests that about 20% of people with learning disabilities may have no verbal communication skills but that they do demonstrate a will to communicate, and show [read the full story…]
Background The use of social media is becoming increasingly important in establishing social identity, with individuals receiving often instant feedback online. In terms of social identity theory, it has been argued that the label of learning disability can become a person’s primary identity and impact on the interactions the person has with others, often shaping [read the full story…]
This collection of case studies is aimed at all people involved in the development and delivery of quality health services, in particular, commissioners, local authorities, voluntary sectors, and health professionals in all settings, including primary and secondary care. Some of the CCGs are also working with organisations from the retail sector, for example John Lewis. [read the full story…]
Background Some time ago, we posted about a case study with two individuals with learning disabilities, where the researchers used eye movement desensitisation and reprocessing (EMDR) to achieve a decrease in posttraumatic stress disorder -like symptoms Eye movement desensitisation is an approach that developed out of work in the late 80s, based on observations that [read the full story…]
This new report from the Nuffield Trust is the first output of a project developed with the Audit Commission and NHS Confederation. This first output is the result of qualitative research to capture learning from earlier periods of financial deficit within the NHS, with a view to preparing for the financial challenges ahead. The second [read the full story…]
Non-epileptic seizures can have a major impact on the quality of life of people affected. Those with an organic, physical cause may be relatively easy to diagnose, and if the underlying cause can be found, it may of course be amenable to treatment and if that treatment is successful, the seizures may stop. Some seizures [read the full story…]
Hospitals are supposed to make people better, not worse – so hospital-acquired infections are always a big topic. Clostridium difficile infection (CDI) is the most commonly diagnosed cause of antibiotic-associated diarrhoea, and causes more than 7,000 deaths each year in the US alone. There have been studies into risk factors for CDI, one of them [read the full story…]
The aim of this paper, written for commissioners, managers, and health decision-makers, was to look at how commissioning works for people with long-term conditions such as dementia. The authors carried out a multisite mixed methods case study research, involving three ‘commissioning communities’ and using interviews, documents, and meeting observations to reach their conclusions. A commissioning [read the full story…]
