Adult people with learning disabilities have a wide range of social and health care needs. They will also have needs caused by social exclusion, including poverty, lack of housing and unemployment. Adults will be considered to have a learning disability (LD) if they meet any of the following conditions:
In Derby, the Local Authority and GP practice registers of those with a LD are comparable.
The Learning Disabilities Observatory (a collaboration between Public Health England, the Centre for Disability Research at the University of Lancaster, and the National Development Team for Inclusion) has published a local Learning Disabilities Profile that can be accessed from their ‘Improving Health and Lives’ website.
Of note in Derby are:
In relation to health Derby achieves a significantly better outcome of eligible adults with a learning disability having a GP health check; significantly better (lower) admission rate for non-psychiatric ambulatory care sensitive conditions in people with LD; significantly better at identifying people with LD in general hospital statistics. In terms of accommodation and social care the rate of adults (18-64) with a LD using day services is lower than average, as is the rate of adults receiving community services. There is also a higher rate of adults with a LD receiving direct payments in Derby.
The percentage of adults with learning disabilities in employment in Derby is low compared to comparator averages (see table below), with 5% of service users in employment. The proportion of adults with learning disabilities living in their own home or with family is 70% in Derby which is slightly less than the national average at 73%.