6. Health Action Plans Health Action Plans Indicator name Increased number of health action developed for people with a learning disability who have had an annual health check Indicator weighting (% of CQUIN scheme available) To be agreed locally Description of indicator Percentage of people with a learning disability for whom a health outcome proforma was received by the Community Learning Disability Team (CLDT), and who have had a health action plan developed Numerator Number of health action plans developed Denominator Number of health check outcome proformas received by the CLDT Rationale for inclusion Community Learning Disability Teams are responsible for ensuring that health needs identified by the GP practice in the annual health check are appropriately followed up. Data source CLDT report Frequency of data collection Quarterly Organisation responsible for data collection Community provider Frequency of reporting to commissioner Quarterly Baseline period/date Q1 2016/17 Baseline value Q1 2016/17 indicator period/date (on which payment is based) Q2 – Q4 2016/17 Final indicator value (payment threshold) To be agreed locally Final indicator reporting date As soon after Q4 as possible
Number of children and adult acute admissions with a LD ICD-10 code and a Length of Stay greater than 2 days with a completed risk assessment AND required adjustments for patient management documented in the care record. Denominator Part 1 – diagnosis recording number of secondary care/acute admissions, including children, or total number of community contacts (including A&E and outpatient attendances). Part 2 – recording of key milestones in care pathway Number of admissions (elective surgical; non-elective medical or maternity) with a LD ICD-10 code. Part 3 – Risk assessment and reasonable adjustment Number of acute admissions with a LD ICD-10 code and a Length of Stay exceeding 2 days. Rationale for inclusion People with a learning disability experience significantly poorer health and access to health care and treatment. This CQUIN scheme encourages providers of acute and community services to make reasonable adjustments, having identified and flagged such patients, so that the relevant population can receive equitable healthcare compared to those without learning disabilities. Data source Provider’s administration systems Frequency of data collection Quarterly
Quarter 1 Identification of individuals: Screening centre to establish a process with catchment area GP practices to identify individuals who have a learning disability and that relevant individuals are entered onto a register for eventual screening invitations. Description of process for identifying individuals to be sent to commissioner. End of Q1 Quarter 2 Reasonable adjustments: Screening Centre identifies and implements reasonable adjustments that can be made that consider: Improving communication Removing barriers to access Consideration of the environment Tailored appointment Additional support where results are not straight forward Screening centre to provide commissioner with report on what reasonable adjustments have been made. End of Q2 Quarter 3 Training and awareness: End of Q3
Milestones Date/period milestone relates to for achievement of milestones (including evidence to be supplied to commissioner) Date milestone to be reported Milestone weighting (% of CQUIN scheme available) Quarter 1 Introduce the tool to the staff. Agree on a data capture system. a sampling approach with commissioners. July 20xx 50% Quarter 2 Implement the tool in the phased approach agreed. Report on initial baseline scores. September 20xx 15% Quarter 3 Audit of care records to show outcomes built in. December 20xx 20% Quarter 4 Report on reassessments compared to baseline figure to evidence improvements in scores. Report on roll-out. 20xx 15%