Training and developing staff in general hospitals: intellectual disability liaison nurses and the RAID model

Walsh, Nick; Handley, Tricia; Hall, Ian

doi:10.1108/amhid-04-2014-0006

Cited by 6 publications

(5 citation statements)

References 14 publications

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“…Another potential means by which the objectives of the learning disability liaison nurse can be achieved is to integrate the role within the newly developed Rapid, Assessment, Interface and Discharge (RAID) model of providing psychiatric liaison services to acute general hospitals. 38 …”

Section: Discussionmentioning

confidence: 99%

An audit of the quality of inpatient care for adults with learning disability in the UK

et al. 2016

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ObjectivesTo audit patient hospital records to evaluate the performance of acute general and mental health services in delivering inpatient care to people with learning disability and explore the influence of organisational factors on the quality of care they deliver.SettingNine acute general hospital Trusts and six mental health services.ParticipantsAdults with learning disability who received inpatient hospital care between May 2013 and April 2014.Primary and secondary outcome measuresData on seven key indicators of high-quality care were collected from 176 patients. These covered physical health/monitoring, communication and meeting needs, capacity and decision-making, discharge planning and carer involvement. The impact of services having an electronic system for flagging patients with learning disability and employing a learning disability liaison nurse was assessed.ResultsIndicators of physical healthcare (body mass index, swallowing assessment, epilepsy risk assessment) were poorly recorded in acute general and mental health inpatient settings. Overall, only 34 (19.3%) patients received any assessment of swallowing and 12 of the 57 with epilepsy (21.1%) had an epilepsy risk assessment. For most quality indicators, there was a non-statistically significant trend for improved performance in services with a learning disability liaison nurse. The presence of an electronic flagging system showed less evidence of benefit.ConclusionsInpatient care for people with learning disability needs to be improved. The work gives tentative support to the role of a learning disability liaison nurse in acute general and mental health services, but further work is needed to confirm these benefits and to trial other interventions that might improve the quality and safety of care for this high-need group.

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Section: Discussionmentioning

confidence: 99%

An audit of the quality of inpatient care for adults with learning disability in the UK

et al. 2016

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“…However, this review shows knowledge is still inadequate with potentially serious consequences. LDLN positions have been created to act as a clinical reference point with their role based on Michael's (2008) recommendations (Walsh et al, 2014 (Saunder and Berridge, 2015), despite recommendations for improvement (Michael, 2008). Saunder and Knight (2017) published a single site study involving a multi-media simulated resource called CitySCaPE with the aim to educate health-care staff on how to treat and look after patients with learning disabilities.…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

“…Simple changes include no fixed visiting times ensuring carers can stay with patients, providing 1:1 support to reduce distress, and communicating in a simple way to minimise confusion (Blair, 2011). To support these RA, hospitals have implemented additional measures to improve care including the following: patient passports that remain with learning disabled patients while in hospital, and provide useful personalised information (Northway et al, 2017); an electronic "flag" to recognise learning disabled patients allowing quick identification and adjustments to be made to care for them appropriately (Kelly et al, 2015); the employment of LD Liaison Nurses (LDLN) whose role includes the training and education of the wider general hospital staff to ensure RA are made to treatments (Walsh et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Factors influencing the quality of care learning disabled patients receive in hospital

Durrant

2020

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Purpose In total, 40% of the deaths of patients with learning disabilities have been classed as avoidable, and there is a known increased risk of harm while inpatients in hospital. This paper aims to look at the current experiences and treatment of people with learning disabilities within a general hospital setting to examine factors that affect their care. Design/methodology/approach A comprehensive literature search was conducted of primary research between 2013 and 2019 to evaluate what is known about the quality of care and treatment that learning disabled patients experience within a general hospital. Findings The research suggests that people with learning disabilities receive haphazard care in hospital settings, with inconsistent implementation of reasonable adjustments, insufficient arrangements to support family and other carer input, and poor knowledge of learning disability amongst hospital staff. Originality/value Previously, reviews focussing on hospital care have mainly focussed on access to health care rather than its delivery. This review has found evidence of significant failings in delivering care to this patient group, identifying a gap of knowledge in this field regardless of policies and laws already in place. There should be stricter monitoring of the Equality Act’s enforcement, along with improved and mandatory training for all general health-care staff. It is crucial that health-care professionals learn from mistakes to improve the care and experiences of learning disabled inpatients.

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“…They also provide training to staff in general hospitals to improve communication with service users and thus the quality of care they receive. In this issue Walsh et al (2014) describe in detail the role of the intellectual disability liaison nurse and outline joint working models with liaison psychiatry to ensure the needs of people with intellectual disabilities are met in general hospitals.…”

Section: Discussionmentioning

confidence: 99%

Avoiding delays in diagnosis: the importance of proactive liaison and education of staff in the general hospital

Walder

Green

Soni

2014

Advances in Mental Health and Intellectual Disabilities

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Purpose -The purpose of this paper is to illustrate the difficulties patients with intellectual disabilities face when they present to a general hospital with ambiguous symptoms and highlights the importance of adequate training for general staff in caring for people with learning disabilities. Design/methodology/approach -The authors describe the pathway of a person with a learning disability and mental health problems from A&E, through a general hospital, to discharge and the problems encountered in terms of diagnostic clarity and subsequent treatment. Findings -Delay in recognising a psychiatric cause for his symptoms and wrongly attributing his symptoms to his learning disability may have led to a protracted admission and invasive tests. Originality/value -Education of healthcare professionals and proactive liaison work can help improve outcomes for people with intellectual disabilities when they are admitted to generic services.

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Training and developing staff in general hospitals: intellectual disability liaison nurses and the RAID model

Cited by 6 publications

References 14 publications

An audit of the quality of inpatient care for adults with learning disability in the UK

An audit of the quality of inpatient care for adults with learning disability in the UK

Factors influencing the quality of care learning disabled patients receive in hospital

Avoiding delays in diagnosis: the importance of proactive liaison and education of staff in the general hospital

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