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Expert Insights

Doped! Over-prescribing of anti-psychotic drugs to people with learning disabilities

Doped! Over-prescribing of anti-psychotic drugs to people with learning disabilities ›

15th September 2015 | Categories: Adult Social Care , Learning Disability , Mental Health

The news that people with learning disabilities are being prescribed anti-psychotic medication inappropriately reminds me of the ‘chemical cosh’ situations of the bad old days. We need to ask questions as to why these medicines are used. A study published in the British Medical Journal this month has revealed that a worrying number of people…

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Movement without medication

Movement without medication ›

7th September 2015 | Categories: Adult Social Care , Learning Disability

I have long had a ‘thing’ about the unnecessary use of laxatives. Its time to stop assuming these are a necessary fact of life for those with profound and complex needs. Chances are that if you support people with severe learning disability, you administered one of these today – Lactulose, Senokot, Movicol: the inevitable sticky…

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Medication for people with learning disabilities in care

Medication for people with learning disabilities in care ›

10th August 2015 | Categories: Learning Disability

The NHS in England has released a circular, expressing concern about the over-medication of people with learning disability. In the wake of the Winterbourne View abuse investigation in 2012, staff were convicted and some imprisoned for abuse of the patients at a private hospital. A Department of Health follow up to this scandal noted that…

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What is a Patient Group Direction (PGD)?

What is a Patient Group Direction (PGD)? ›

10th August 2015 | Categories: GPs

With the flu vaccination season almost upon us, I thought I would highlight the need for – and use – of PGDs. PGDs are the legal mechanism by which a prescription only medicine (POM) can be supplied or administered to a patient for whom no individual prescription exists. All vaccines come under the legal category…

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Take your medicine

Take your medicine ›

17th July 2015 | Categories: Learning Disability

This week NHS England responded to research that shows a worrying number of people with learning disability are being over prescribed medications. An urgent summit will be held today (17th July) to establish a plan of action to address it. I have memories of long ago in the large institutions pushing around a trolley full…

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A proportionate response to errors? ›

23rd July 2013 | Categories: Adult Social Care , Compliance

I recently attended a seminar on the management of errors in medicines administration and got into an interesting debate with a fellow professional about how such errors are managed. Neither of us disagreed with the premise that a full investigation to establish the root cause of the incident was needed. Very few errors are entirely…

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CQC Outcomes are now called Key Lines of Enquiry. CQC Essential Standards are now CQC Fundamental Standards.