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Manchester Learning Disability Partnership Board

Keeping healthy

hm Minutes of the March meeting Getting a job Issue 36 • Free • Every two months May and June 2010

w w w. p a r t n e r s h i p b o a r d . o r g

Meetings for 2010

Tuesday 18 May 13 July 14 September 16 November All meetings start at 10:30am We meet at Manchester People First’s offices: 3 Broughton Street, Cheetham Hill, Manchester, M8 8RF

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The Partnership Board’s web site is at: The newsletter is based on the minutes of the March 2010 meeting, if you want to see the full minutes, please get in touch.

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March 2010 meeting Keeping Healthy Gary Parvin from the Joint Commissioning Team told us about health care for people with learning disabilities.


All areas are doing a self-assessment every year to see how health services are working for people with a learning disability and what can be done better. There are 4 targets across the country: • All institutions to close by 2010. • People with a learning disability get the same health services as everyone else. • People with a learning disability are safe using health services and lessons are learned. • Meet the main aims of Valuing People Now. Some of the good things done in Manchester: • All institutions have closed, people live in the community. • Most GPs do annual checks for learning disabled people. • Good work is being done by dentists and local hospitals. • Learning disabled people who are known to services have a Health Action Plan. Some things could be done better in Manchester: • Better care in hospital. • A plan for making health services better for people with a learning disability. • Collect information in a better way. People at the meeting talked about their experiences.



Annual health checks Gail Henshaw from NHS Manchester and Moira Donlan from MLDP told us about annual health checks for people with a learning disability. The Department of Health say GPs should do health checks for people with a learning disability. They will fund these for 2 years until April 2011. There were 4 training events for staff in Manchester. • 60 out of 102 GP surgeries do the health checks (some do not have any learning disabled people registered). • 983 people with a learning disability are on the list to get a health check. • 722 have had a health check. Nurses from MLDP have looked at the health checks. 30 more practices will offer health checks in the next year. There have been some problems: • Some doctors did not think the health checks were a good thing, but they have been reassured. • Doctors have not done enough screening. • Mental Capacity was not looked at. • Sexual health was not looked at. • Health Action Plans were not ready. • Medication was looked at, but not changed. • Cultural differences sometimes meant physical examinations did not always happen.


Some good things that happened because of health checks: • Doctors know more about MLDP’s services. • Doctors asked for support from MLDP and made referrals. • Problems such as a hernia and breast lumps were spotted. • Safeguarding issues were found. • Learning disabled people and their families were asked about health checks.

There will be a new round of health checks in 2010 and 2011. After that health checks will be part of the usual service doctors give, but this must be of a good standard. Duncan Mitchell said a lot of things have been done over the last year. Deborah Goodman said practices could link up to help. It is important for people and their family carers to ask for a health check. Stephen Kingsberry asked if there were problems with doctors and patients understanding each other? Moira Donlan said speech and language staff had helped train doctors and nurses. Getting a Job Denise Price from the Joint Commissioning Team came to talk about paid work and learning disabled people in Manchester. • 96 learning disabled people in Manchester are in paid work. • 73 were in paid work a year ago. • Growth is mainly from people aged 18 to 24. • People work across the city. Pure Innovations Rachel Roberts-Newton, from Pure Innovations, came to talk about how they support learning disabled people to get a job. Pure Innovations has a contract with Manchester City Council to support learning disabled people to get work. They work with the person and the employer. Learning disabled people are referred to Pure Innovations by their Care Manager. A job coach from Pure Innovations visits the person, gets to know them and does a list of their skills. The job coach helps the person search for a job, and supports them during a working interview. Some work roles are changed for the learning disabled person. Once a person has got a job they have regular reviews.


Pure Innovations is a partner in the Getting a Life project, the Youth Supported Employment Project in Manchester and Project Search. Project Search is part of the government’s Valuing Employment Now plan. From September 2010, 12 sites all over the country will try out the plans. In Manchester, Project Search will be made up of: • Manchester University (host employer). • Central Manchester University Hospitals (host employer). • The Manchester College (tutor). • Pure Innovations (job coach). 10 learning disabled trainees will go on a 12-month course based with the host employers and taught by a college tutor. The trainees will do 3 traineeships, each lasting 10 weeks. They will learn skills that they can use in different jobs. Some of the trainees will get jobs with the host. The Youth Supported Employment Project will help learning disabled people aged 16-19 years old, get a part time job after school or at weekends. Pure Innovations has got funding from the Learning Disability Development Fund to pay for a project co-ordinator. 8 young learning disabled people will get peer support from non-disabled young people, and will plan for the job they want to do when they leave school or college. The City Council wants to employ learning disabled people. Pure Innovations is working with Adult Social Care to pilot working interviews.


MLDP has developed a reception assistant role in their Day Services and Pure Innovations has supported 3 people to do working interviews. Lucy did a working interview at Chapman Place and since September 2009 works for 17.5 hours a week.

Support for Asian carers Kay Ahmend told us about Himmat’s work. She told us about forced marriages which is when people are be forced by their families to marry without agreeing. Himmat has seen marriages done when older carers and the extended family cannot carry on. The carer does not know about what services there are, and wants to sort out care for the future. Himmat started the Green Fingers Project in Spring 2009. The Joint Commissioning Team gave funding for seeds, plants and equipment. 6 learning disabled people take part. Some of them are married, none of them get services. Himmat also started sewing classes. So far, 24 carers have done a 6 week course. They have learnt a traditional craft, which helps them feel more confident and less isolated. In June 2009, Himmat started working with 6 Asian learning disabled people and their husband or wives. The project is funded by Manchester City Council Third Sector Team. Trust has been built up with extended families and groups. Things Himmat found to be important include: • Hard work is needed with couples. • Working out who is the main carer. • Claiming benefits and becoming an appointee. • Money and household management. • Setting up home away from the extended family. • There are similar issues in the Somali and Chinese communities.


Kay is being part of some research being done by Nottingham University, funded by the Home Office Forced Marriages Unit. Himmat will have a conference in June 2010 in Manchester, which will look at what they have found out. Kay asked for help finding a venue. Breakthrough UK and the Council’s Third Sector Team will help. Mark Burton said Care Managers will check if their client is married when they do an assessment of care needs. More details from Kay Ahmend Phone: 0161 248-0425 Email: A place to live This will be looked at in the next meeting.

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Together issue 36