TY - JOUR
KW - England/epidemiology
KW - Family Practice/organization & administration/statistics & numerical data
KW - Health Services Accessibility/organization & administration/statistics & numerical data
KW - Health Services Needs and Demand/statistics & numerical data
KW - Humans
KW - Learning Disorders/epidemiology
KW - Medical Records Systems, Computerized/organization & administration/statistics & numerical data
KW - Prevalence
KW - Prospective Studies
AU - V. Allgar
AU - G. Mir
AU - J. Evans
AU - J. Marshall
AU - D. Cottrell
AU - P. Heywood
AU - E. Emerson
A1 - 
AB - BACKGROUND: In 2001, a white paper set out a commitment to ensure that people with a learning disability receive equal access to health services, with an expectation that general practices would have identified all people with a learning disability registered with the practice by June 2004. AIM: To outline the development of a template to create practice-based registers of people with learning disabilities in general practice. DESIGN OF STUDY: The study was prospective, employing a template to identify patients in general practice with a learning disability. The study used capture-recapture methodology to estimate the prevalence of learning disability in the population. SETTING: General practices in Leeds. METHOD: A template was developed that uses Read code searches of practices' electronic medical records, along with practice knowledge to identify patients who have a learning disability. RESULTS: The tool was piloted in 30 general practices in Leeds and validated against a city-wide database of people with learning disability. There was a wide variation between the practices in terms of how many people were identified, with the average being 0.4% of the practice population. Combined with validation from the city-wide database, this increased to 0.7%. CONCLUSION: The template provides a valuable tool for general practices to begin developing a practice-based register of patients with a learning disability. This is particularly timely in view of the revised General Medical Services contract Quality and Outcomes Framework indicator, stimulating practices to produce a register of patients with learning disability. Use of a common definition for learning disability is needed to improve consistency in identification across practices.
BT - The British journal of general practice : the journal of the Royal College of General Practitioners
C5 - HIT & Telehealth
CP - 551
CY - England
DO - 10.3399/bjgp08X299272
IS - 551
JF - The British journal of general practice : the journal of the Royal College of General Practitioners
N2 - BACKGROUND: In 2001, a white paper set out a commitment to ensure that people with a learning disability receive equal access to health services, with an expectation that general practices would have identified all people with a learning disability registered with the practice by June 2004. AIM: To outline the development of a template to create practice-based registers of people with learning disabilities in general practice. DESIGN OF STUDY: The study was prospective, employing a template to identify patients in general practice with a learning disability. The study used capture-recapture methodology to estimate the prevalence of learning disability in the population. SETTING: General practices in Leeds. METHOD: A template was developed that uses Read code searches of practices' electronic medical records, along with practice knowledge to identify patients who have a learning disability. RESULTS: The tool was piloted in 30 general practices in Leeds and validated against a city-wide database of people with learning disability. There was a wide variation between the practices in terms of how many people were identified, with the average being 0.4% of the practice population. Combined with validation from the city-wide database, this increased to 0.7%. CONCLUSION: The template provides a valuable tool for general practices to begin developing a practice-based register of patients with a learning disability. This is particularly timely in view of the revised General Medical Services contract Quality and Outcomes Framework indicator, stimulating practices to produce a register of patients with learning disability. Use of a common definition for learning disability is needed to improve consistency in identification across practices.
PP - England
PY - 2008
SN - 0960-1643; 0960-1643
SP - 423
EP - 428
EP - 
T1 - Estimated prevalence of people with learning disabilities: template for general practice
T2 - The British journal of general practice : the journal of the Royal College of General Practitioners
TI - Estimated prevalence of people with learning disabilities: template for general practice
U1 - HIT & Telehealth
U2 - 18505620
U3 - 10.3399/bjgp08X299272
VL - 58
VO - 0960-1643; 0960-1643
Y1 - 2008
ER -