evidence and practice
Health Equalities Framework: the effect of moving from a care home to other settings on determinants of health inequalities
Jonathan Gray Lecturer, Centre for Health Science, University of the Highlands and Islands, Inverness, Scotland
Kathryn Rennox Community Learning Disability Nurse, NHS Highland, Inverness, Scotland
• To understand the disparity in health between people with learning disabilities and the rest of the population
• To familiarise yourself with the effects of health inequalities on people with learning disabilities
• To enable you to improve your practice by developing relationships across health and social care to support people with learning disabilities
The disparity in health between people with learning disabilities and the rest of the population is well established. Many of the health inequalities experienced by people with learning disabilities can be avoided through the provision of appropriate and timely assessment, diagnosis and treatment. Addressing health inequalities has become a focus for services in Scotland, and the Health Equalities Framework (HEF) is being used as a tool to record the effect of services in addressing these challenges.
To explore how moving from a care home setting to other living arrangements affected the determinants of health inequalities for 19 people with learning disabilities. A total of 19 residents with learning disabilities at a care home in Scotland were required to find new accommodation as a result of their care home closing. The residents were moved into different types of accommodation. A HEF assessment was completed for all residents before the closure of the care home and a follow up HEF assessment was completed between 12 and 16 months after their move to new accommodation.
Reductions in overall HEF scores were found following the move, along with significant reductions in the social and lifestyle determinants. To the authors’ knowledge, this is the first time that the HEF has been used in people with a learning disability to determine the effect of changing accommodation on exposure to determinants of health inequalities. After moving from a geographically isolated care home setting to other community-based care settings, the participants experienced a statistically significant reduction in the exposure to determinants of health inequalities in the social and lifestyle behaviour determinants of care.
Learning Disability Practice. doi: 10.7748/ldp.2020.e2062Peer review
This article has been subject to external double-blind peer review and has been checked for plagiarism using automated softwareCorrespondence
Gray J, Rennox K (2020) Health Equalities Framework: the effect of moving from a care home to other settings on determinants of health inequalities. Learning Disability Practice. doi: 10.7748/ldp.2020.e2062
Published online: 14 May 2020
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