Valuing people: health visiting and people with learning disabilities.
People with a learning disability have spent decades being excluded from mainstream society and remain almost invisible in our communities, workplaces and in family life. As a result, the health of people with a learning disability is significantly poorer than that of the general population. Despite the many reports and policy recommendations about how to improve the situation, little has been done to address the social exclusion of this group, and their health and wellbeing continue to decline. In a joint effort to challenge exclusion and address the agenda of 'Valuing People: A New Strategy for Learning Disability for the 21st Century', Warrington Primary Care Trust and Five Boroughs Partnership NHS Trust joined forces at a practical level. Two health visitors have developed a comprehensive programme of socially inclusive health care aimed at engaging people with learning disabilities more fully in their health care and their choices in leading healthy lives. The paper discusses Access All Areas--a comprehensive programme using a public health model of health care where people with learning disabilities are being supported to make healthy choices and, often for the first time, given information in accessible formats to support those choices. Led by health visitors, staff from all agencies involved in the care and support of people with learning disabilities are being trained and engaged in order to raise the standards across organisations and prioritise the health and wellbeing of this marginalised group. Health visitors are leading locally in the implementation of both health improvement and long-term condition strategies.