Eligible

The client/patient must:

Be resident in Redbridge.

Be registered with a GP of either Waltham Forest, Redbridge, Havering, Barking or Dagenham.

Be aged 18 or over.

• A service user with formal diagnosis of Learning Disability with impact of LD as predominant need. Learning disability defined as significantly below intellectual functioning and adaptive behaviour functions.
• Formal diagnosis is preferable, but not essential, if LD diagnosis is confirmed at referral, with evidence of diagnosis.  
• Has a significantly reduced ability to understand new or more complex information or to learn new skills. A person’s I.Q. (Intelligence Quotient) is not the only defining factor, but those with an I.Q. below 70 would be considered for the purpose of this definition.
• Alongside the above, has a significantly reduced ability to cope independently, i.e. they have impaired personal and social skills (for example: with communication, self-care, daily living skills, use of community resources, health and safety, leisure, or work),
• Has a disability that started before adulthood (18 yrs) with a lasting effect on their development.
  • Where the LD diagnosis is unclear, further screening (‘Eligibility Assessment’) will be undertaken.
• Some service users with a Learning Disability can access mainstream services with support of Learning Disability Specialists with reasonable adjustments considered (Equality Act 2010).

Non-eligble

• Learning difficulty (e.g. Dyslexia, ADHD, Dyspraxia) or Neurodevelopmental Disorder (e.g. Autism) alone (i.e. without diagnosis of Learning Disability)
• People with high functioning Asperger’s syndrome or high functioning Autism whose cognitive abilities are in the average range or above.
• ‘Borderline’ LD suggestive of ability to access mainstream services with reasonable adjustments.
• Where learning disability is not the predominant need and/or another service may be more appropriate.
• Acquired brain damage after the age of 18 years old leading to the loss of the ability to understand new or more complex information or to learn new skills (e.g. victims of road traffic accidents).
• Those adults with social/communication disorders with average or above average intelligence.
• Those whose function has been affected by environmental/emotional circumstances e.g. emotional trauma, abuse, limited educational opportunities, (people in these situations may be subject to further clinical assessment).
• Those whose primary disorder and support needs are related to alcohol and drug misuse, sensory impairment, psychiatric illness, or physical impairment.
• Develop an adult onset medical condition that leads to difficulties with cognitive functioning e.g. degenerative neurological conditions, dementia, stroke etc.

Learning Disability usually means people who meet:

World Health Organisation (ICD-11) definition of ‘6A00 Disorders of in Telephonelectual development’.

• The presence of significant limitations in in Telephonelectual functioning across various domains such as perceptual reasoning, working memory, processing speed, and verbal comprehension
• The presence of significant limitations in adaptive behaviour, which refers to the set of conceptual, social, and practical skills that have been learned and are performed by people in their everyday lives.
• Onset occurs during the developmental period.
• The person must have experienced problems before the age of 18.

Factors which MAY indicate a learning disability;

• Record of delayed development/difficulties with social functioning & daily living before 18.
• Requires significant assistance to provide for own survival (eating & drinking, keeping self clean, warm and clothed) and/or with social/community adaptation (e.g. Social problem solving/reasoning). NB need for assistance may be subtle.
• Presence of all three criteria for LD i.e. Impairment of inTelephonelectual functioning/social adaptive functioning and age of onset.
• Range of information presenting a picture of difficulties in a number of areas of function, not explainable by another ‘label’ contact with specialist LD consultant.

Safeguarding

If you have a safeguarding concern about an adult who you feel is being abused or is at risk of abuse, contact details as follows:

To make an online referral please click on the weblink as follows: Safeguarding referral

Telephone:   020 8708 7333 (Monday to Friday except Bank Holidays, 9am to 5pm) – choosing Option 2, or telephone 020 8553 5825 (Evenings and weekends and Bank Holidays)

Email either:

SafeguardingAdults@Redbridge.gov.uk

adults.alert@redbridge.gov.uk

For NELFT clinicians, please ensure an incident report has been raised in line with NELFT policy.

The north east London adult emergency duty team (EDT) provides an emergency social care service outside of normal office hours. The service is designed to deal only with emergency situations that cannot wait until the next working day.

Members of the public and health and social care professionals can contact the team if a carer or a vulnerable adult is in urgent need or requires protection from harm. A vulnerable adult is a person of 18 years or over with a social care need. This can include people with mental health problems, physical or learning disabilities or older people. The service includes but is not restricted to the provision of Mental Health Act assessments by an approved mental health professional. 

The service has access to the health and social care client record as necessary and applicable.

Operating Hours: Mon to Fri: 5 pm to 9 am & 24 Hrs on Saturdays, Sundays & Bank Holidays.

Members of the public please contact EDT on:

Telephone: 0208 708 5897

Email: adult.edt@nhs.net      

Professionals can contact EDT in relation to social care on the contact below:

Telephone:  0300 555 1249 Ext: 67773

Intensive Support Team information

The Intensive Support Team for people with a learning disability and autism aims to enhance the current function of the Adult Community Learning Disability Teams (CLDTs) across NELFT. Its purpose is to provide intensive support for those with more complex needs, offers (through consultancy and preventative and proactive working) rapid and intensive support to ensure, as far as is reasonably practicable, that a user of service remains in their own home or environment and relies on joint working with the CLDTs to liaise regarding the Dynamic Support Register (DSR). 

The Team is multi-disciplinary and made of a Consultant Psychiatrist, a Speech and Language Therapist, a Behaviour Specialist, an Occupational Therapist, Senior Nursing staff, Support, Time and Recovery workers, as well as Administrative staff. The service currently runs from Monday to Sunday, from 9am to 9pm. Calls after 9pm will be directed to the Integrated Criss Assessment (ICAH) Hub. While CLDT remains the first port of call for carers and providers during normal working hours, the team will respond to all out of hours crisis calls.  

Planned activity

The team will accept referrals from the CLDTs mainly, other mental health teams and through Psychiatric Liaison Services. Once a referral is received, the team will triage and respond within 2 hours in order to agree a plan. If assessment is agreed, a staff member will conduct the assessment and provide an outcome of the assessment. IST is expected to be involved for approximately 6 weeks however, all interventions and support is based on the needs of the person being cared for. Referrals are accepted for the team as a whole and not for individual clinicians or professionals. If referrals are not found to be suitable, the team will offer recommendations and agree a clear plan with the referrer.

The team will also offer direct support to inpatient areas when a user of service has been admitted to Sunflowers Court and will support with formulating care plans the facilitation of discharge plans.

Team base and contact

IST are located at Goodmayes Hospital, in Maggie Lilley suite and after 9pm in Block 8 as part of ICAH.  They can be contacted on 0300 300 1719 or you can email ist@nelft.nhs.uk

For any further enquiries, please contact Mariatu Kanu, IST Manager on 0300 555 1200 Ex: 59259.