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Essex Learning Disability Partnership (ELDP)

Summary

The Essex Learning Disability Partnership is an innovative and forward-thinking collaboration between Hertfordshire University Partnership Foundation Trust & Essex Partnership University Trust which provides specialist community and inpatient learning disability services across Essex. The partnership’s key aims are to offer and provide expert support to everyone experiencing its services and to do all it can to remove the barriers and obstacles that too often stand in the way of good health and well-being for people with learning disabilities and their family carers.

Service Information

Our vision

Our vision is that all people with a learning disability in Essex (with or without Autism) will be able to:

  • Enjoy good health and wellbeing
  • Experience the best quality of life
  • Be fully included and feel valued members of the community
  • Lead independent lives and do as much as they are able to
  • Make their own choices.

Our principles

Our principles have been co produced with our service users which have influenced the service. The principles express what good quality integrated care looks like from their perspective, in their words, and are a constant thread running through our model.

The service

We are working to model which looks at each person as an individual. It focuses on increasing personal independence and choice, promoting better health and a better quality of life for people with learning disabilities as empowered citizens.

We are supporting people with learning disabilities to be cared for closer to home, have more control over personal budgets, and have less people going into inpatient services.

We are challenging inequalities in health, and ensure everybody across Essex has the same opportunities.

For more information about the Essex Learning Disability Partnership including how to refer and useful resources, please visit their website: www.eldp-hpftwput.nhs.uk.

Referral Information

WAY IN

What Is Way In?
Way In is another name for referral. We call it “Way In” because it is like an entrance that you come through to see us. It is where and how we decide who to help. As it is not possible for us to help everyone, we offer our specialist expertise to those people we are most able to help and benefit. Every person we cannot do something for is guided to somewhere else, such as another part of the health service that is able to help them.

Who can Way In help?
Why are we not able to help everyone we hear you ask! It is a good question and the answer is not that easy to give. Broadly speaking there are two parts to the answer.

Firstly, Way In is only able to offer expert help to people with a learning disability. The guidance that Way In follows to draw this line, which comes from diagnostic criteria from the medical profession and also from policy documents produced by the Department of Health, is what is called ‘eligibility’.

According to the Department of Health (DH) learning disability includes the presence of:

  • a significantly reduced ability to understand new or complex information, to learn new skills (impaired intelligence), with;
  • a reduced ability to cope independently (impaired social functioning);
  • which started before adulthood, with a lasting effect on development

Secondly, Way In will only offer expert help to people with learning disability if:

  1. Essex Learning Disability Partnership has the skills and resources to meet their needs; and
  2. there is not another service elsewhere with the necessary or perhaps even better skills and resources, including those available in all the services for the general population (for example mental health services, epilepsy services and dementia services).

Should other more appropriate services suit a person’s needs better – for example from alternative services in health or social care, or any other appropriate services like those in the voluntary sector - Way In will organise guided support for that person to access them.

In summary, to receive specialist input from Essex Learning Disability Partnership you need to be both eligible for a service and have needs that are appropriate for specialist learning disability health support

You can access Way In by completing our referral form. Please save it to your computer and then once completed, e-mail it to: eldp.wayinreferrals@nhs.net

 

Additional Services

What is a Speech & Language Therapist?
Speech and Language Therapists work as part of the Community Team for people with learning disabilities. The Speech and Language Therapist will work with people who use our services, their families and carers and other health professionals assess, treating and providing advice to adults who have communication difficulties or difficulties with eating, drinking and swallowing.

What can a Speech and Language Therapist help with?
A Speech and Language Therapist helps people who have communication difficulties and those who experience problems eating and drinking.
They help people who are showing new signs and symptoms of difficulty swallowing. They might come and see you during a meal or snack time and ask you to try some different types of food and drink.
A Speech and Language Therapist can help you and those that support you to understand how to eat and drink safely.
They can also assess your communication needs, give you advice on ways to help you and improve your communication and explore and teach new methods of communication-signing, symbols and speech.

Why might I get support from a Speech and Language Therapist?
You might get support from a Speech and Language Therapist if your GP feels you are having problems with eating and drinking, including having difficulties swallowing food. We can only see you if the GP has referred you to the team.
You might get help from a Speech and Language Therapist if you are having problems communicating things you want to share.
A Speech and Language Therapist may also talk to people involved in your life and provide them with advice and training.

What is an Occupational Therapist?
An Occupational Therapist’s helps people to achieve independence in their activities of daily living. They will find out how you manage everyday activities, such as brushing your teeth, going shopping or making food and drinks and to support people to do activities for themselves. If a person needs help with activities, an Occupational Therapist might teach or practice skills with them or change their environment or prescribe equipment to make activities easier.

What can an Occupational Therapist help with?
An Occupational Therapist can provide you with some activities to help you feel ok about yourself. They might also suggest changes to your environment to make things easier for you.

An Occupational Therapist can support with ensuring safe systems of work to support moving & handling / to reduce risks for carers with moving and handling individuals.

In cases where the learning disability impacts the person benefiting from post discharge rehabilitation OT recommendations- this will be done collaboratively with the acute/community health services.

The avoidance of care/placement breakdown due to physical or mental health deterioration.

Prevention of hospital admission.

Difficulty engaging in activities where this is having a significant impact on daily life.

Why might I get support from an Occupational Therapist?
You might get support if you need help to learn about looking after yourself, for example support with bathing, teeth cleaning, shaving or dressing. You can get help from an Occupational Therapist to develop skills for work or college as well as day to day skills like money, cooking and road safety.

You might need to improve your confidence in certain activities or want help with feelings, behaviours and skills.

You might need help with your posture and positioning during the day and night – making sure you are sitting in chair and wheelchair that supports your muscles and abed that supports you while you sleep.

You might be finding that you are feeling different or experiencing changes in your behaviour. An Occupational Therapist will look to see if you have any sensory needs that are not being met.

What Is A Physiotherapist?
A Physiotherapist is a person who helps someone with their posture and movement. They can help people if they have a problem walking or with falling over. A Physiotherapist can help a person to sit comfortably or help them to get a special armchair or wheelchair by completing a specialist posture assessment and working alongside wheelchair services or equipment reps. They can also help with exercises to stay mobile, increase strength, improve movement and feel more comfortable. Physiotherapists can also help to improve or maintain your respiratory health, including exercise and positioning guidance.

What can a Physiotherapist help with?
A Physiotherapist can help with posture which includes referrals and assessments for specialist equipment including wheelchairs, seating, orthotics, mobility aids and sleep systems.

A physiotherapist can help improve movement and function. They may give you advice and exercises following a specialist assessment, taking into account your current health conditions. They will provide this intervention in an individualised way which incorporates your specific needs and work alongside other professionals as required. They may also help to provide you with equipment such as a walking aid or support you to access more appropriate seating and teach you how to use this correctly.

A physiotherapist can also help with your respiratory health, such as to try and reduce the number of chest infections you have by providing exercises, positioning advice and working alongside your GP.

Why might I get support from a Physiotherapist?
You might see a Physiotherapist if you have been falling over and hurting yourself, or you have a sudden deterioration of mobility/changes in mobility causing risk of a placement breakdown
You might get support from a Physiotherapist if you or your family or carer think you might need special footwear.

You might see a Physiotherapist if you need help with sitting or sleeping differently or need support with helping your body to move better.

If you have problems with your breathing - secretions associated with infection and need for postural drainage/ risk of aspiration pneumonia.
If you have had surgery and require specialist intervention, which cannot be managed by community physiotherapy team.

Byron Court is an assessment and treatment unit based in Billericay. It is commissioned for 7 beds however we are commissioned for 11 beds across Essex as part of the Essex Learning Disability Partnership. Each bedroom has an en-suite shower room. We will admit people diagnosed with a learning disability who have a mental health issue as well as people with Autism/learning disability.

The unit has a seclusion room a long term segregation suite and a de-escalation area as well as areas to relax and engage in activities.

We employ 2 chefs and fresh cooked meals are provided lunch times and evenings.

The nursing team are supported by an in-patient multi-disciplinary team based on site.

Address
Byron Court
5 Heath Close
Billericay
Essex
CM12 9NW

Telephone number
01277 637201

Visiting Times
2:00pm – 5:00pm and 6:00 – 8:00

This service operates Monday- Friday 9am -5pm.

Addresses:
Pride House
Christy Close
Southfields Industrial Estate
Laindon, Essex
SS15 6EA

Ely House
Churchill Avenue
Basildon
Essex
SS14 2BQ

John Tallack Centre
Thurrock Community Hospital
Long Lane
Grays
Essex
RM16 2PX

How and who can referrer (if relevant)
See Way In for details.

How to contact
Via The Contact Centre: 01268 739150 or 01268 739134 - ask to speak to a member of the Community Specialist Heath Team.

The main job of an Enhanced Support is to provide support for people who are in a mental health or behaviour crisis. Their role is to work with people who are at risk of being admitted to a mental health or learning disability inpatient hospital so that they can help to keep them at home in the community. The Occupational Therapist and Speech and Language Therapists also provide an In reach service to the Assessment and Treatment Unit (Byron Court) to ensure therapeutic Interventions are provided during their In-patient stay.

What can Enhanced Support help with?
The Enhanced Support Team can help you with your feelings and emotions and help you to manage your mental health in a positive way. They might check you medication Is working properly and prepare and support you at appointments with specialists. The Enhanced Support Team can also help to provide support with keeping safe In the community, developing social skills and your independence as well as supporting communication and comprehension assessments.

Why might I get support from an Enhanced Support?

  • You might see a Learning Disability Nurse, Occupational Therapist and a Speech and Language Therapist. The team works alongside Consultant Psychiatrists.
  • If you are at risk of losing your community placement including residential and/or day services because your mental health has deteriorated or your behaviours have Increased/changed.
  • You might see and Enhanced Support If you are presenting with risky behaviour that Is putting yourself or others at risk.
  • You might see an Enhanced Support If your family or carers need support to put a Positive Behaviour Support Plan in place.
  • You might have support with reducing or optimising your medication this is called.
  • STOMP means Stopping the Over Medication of People with a Learning Disability, Autism or both. We have a STOMP clinic to support this.

How to refer?
See "Way In" for details.
Can be contacted via The Contact Centre: 01268 739134 -ask to speak to a member of the LD Enhanced Support Team

Address
1 Heath Close
Billericay
Essex
CM12 9NW

Opening hours
Monday - Friday 8:00am - 8:00pm
Sat-Sun and Bank holiday- 9:00am-5:00pm

Assessment and Treatment for adults with Learning Disability and having Mental Health or behavioural Issues.

What Is a Psychologist? 
A psychologist is trained to help people deal with problems and manage their feelings. They help people feel better through talking, learning new skills and giving advice. They are part of a health team, like doctors and nurses, but they do not give medication or use needles.

What Can a Psychologist help with? 
A psychologist can help by finding out more about your difficulties. This can give a good understanding of why the difficulties started and what is keeping them going. Other assessments can help you with accessing the right services, like those that need a diagnosis of Learning Disability, or we may contribute to assessments around neurodevelopmental disorders (such as Autistic Spectrum Disorder), as part of ongoing care.

A psychologist can support you when you are struggling with difficult emotions, like anger, feeling low, feeling worried, or struggling with things that have happened to you (now or in the past). They use talking therapies and adapted interventions and they listen to you. Psychologists can use different ways of working, depending on the problem and what that person needs the most.

Sometimes a psychologist may not work with you directly, but may offer support to people close to you, such as family, carers or staff. They may give teaching or training on important topics, so that others can then feel more skilled to offer you help.

Why might I get support from a Psychologist? 
You might get support from a psychologist if you would find it helpful to talk about your feelings and if you are feeling upset about your life. You might get support if you are finding it hard to do things you enjoy or to meet your goals in life. The people supporting you might want help in understanding you and the things you are experiencing better, and what they could change.

What Is a Behaviour Therapist?
A Behaviour Therapist is trained to offer support to people with learning disability and additional behaviours that challenge. They help you to change behaviours that cause concern that may also make it hard for you to access some activities, places or support. They carry out assessments and observations to gather important data about you, your life and where you live. This helps to understand the reason for the behaviours so that everyone is providing support that is best for you.

What Can a Behaviour Therapist help with?
A Behaviour Therapist can help you to increase your quality of life and develop new skills. They can help with self-injury, physical or verbal aggression, or withdrawing from services, or other behaviours that are worrying you or others. They will work with you, and help your family, carers or staff team.

Why might I get support from a Behaviour Therapist?
You might get support from a Behaviour Therapist if your family or carers have raised concerns about your behaviour. This can include you or other people getting hurt, not attending or being able to attend your activities, or not being able to stay where you live.


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