Wednesday, May 6, 2020
Is Hospital Admissions For Adults With A Learning Disability
Prior to The Department of Health report ââ¬Å"Transforming careâ⬠(DH,2014) I had not thought that hospital admissions could be perceived as restrictive practice and was not aware of the potential legislation put in place to safeguard vulnerable adults and the health inequalities faced by adults with a learning disability (Emerson, Baines, 2010). I have been more involved in decision making by following the Transforming care program which focuses on providing the best care for adults with a learning disability or co-morbidity. (DH, 2012) Being involved in this process gives me a feeling of involvement and understanding of why robust assessments are necessary to obtain the desired outcome. Evaluation Assessment is the collection of subjective,â⬠¦show more contentâ⬠¦Also environmental risks, location, family members, risk to self, others and the general public. Many specific considerations have to taken before admission, capacity, gender issues, patient group dynamics, environmental factors, suitability, facilities/equipment required, age, ethnic/cultural requirements, safeguarding issues, costing and desired outcomes. Alongside the referral process is a Care and Treatment Review (CTR) these are in accordance with recommendations from NHS England (2015) and Clinical commissioning groups (CCGs). This admission assessment process is underpinned by NHS Englandââ¬â¢s Improving lives team and follows recommendations made in The Winterbourne view report (DH, Transforming care, 2012). This process looks at both subjective and objective data. Any patient not meeting the assessment criteria would be signposted to a more appropriate service. Following the Winterbourne view report the least restrictive option would be chosen.(DH, 2012) These frameworks look at whether the service best meets the individuals needs. This is a shared decision process between two or more Health professionals. (NHS England, 2015.Homes not Hospitals) Analysis
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