Change that leads to better lives

Health checks for people with learning disabilities

From 2008/09, the directed enhanced service (DES) offered health checks to people with learning disabilities aged 18 and over who were on the learning disability registers of participating practices. These practices were required to attend specified training and to use a health check format complying with certain requirements. The DES was based on evidence about the effectiveness and value of health checks in mitigating the health inequalities faced by people with learning disabilities. Practical guidance for commissioners and practitioners on implementing the DES can be found on the Public Health England website and a step-by-step guide for primary care is available from the Royal College of General Practitioners.

A new enhanced service (ES) was introduced from April 2014: its provisions built on the DES to extend eligibility to young people with learning disabilities aged 14 and over, and to require participating practices to produce a health action plan linked to each person’s health check.

Health checks

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