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Good Practice Guide

Working together is fundamental to high quality care provision particularly when meeting the challenges associated with supporting people with learning disabilities who have a history of poor quality health care provision and receive care and support from a wide range of carers ranging from families to paid carers.


Carers have a wealth of knowledge but may not hold medical qualifications and do not always know about the services that are available.

This guidance will enable more co-ordinated and individually tailored care to be provided, enabling people with a learning disability to have their health needs met as fully as possible. Joint working arrangements, joint training, the use of patient passports and closer liaison between services will foster greater knowledge and understanding of the respective roles of hospital and community services.

This guidance has been developed by a multidisciplinary team representing East Cheshire NHS Trust, Cheshire and Wirral Partnership NHS Foundation Trust, East Cheshire Advocacy, David Lewis, The Rossendale Trust and carer representatives.

It addresses a number of fundamental issues that will guide staff towards delivering high quality services to people with learning disabilities accessing services within Macclesfield District General Hospital which is an integral part of East Cheshire NHS Trust.