An investigation into the implementation of Annual Health Checks for people with intellectual disabilities
Abstract
This project, conducted during 2010 by a researcher working with a self-advocacy group, investigated the implementation of Annual Health Checks (AHCs) for people with intellectual disabilities in Oxfordshire, where only 26.1 percent of AHCs were completed in 2009–10 (national average 41 percent). AHCs were introduced in England in 2008 as a response to findings that people with intellectual disabilities have significantly worse health care than other groups. GP practices are financially incentivized to offer AHCs. This study found that slow progress in implementing AHCs was attributable to: uncertainty over who was eligible; limited awareness in general practices about the legal duty to make ‘reasonable adjustments’ to facilitate access; limited awareness of AHCs and their potential benefits amongst carers and adults with intellectual disabilities; and in some cases scepticism that AHCs were either necessary or beneficial. The article also explores the benefits of undertaking this project in partnership with a self-advocacy group.
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The use of easy-read information, sign language, non-face-to-face communication, such as via the telephone, not overloading the service user with verbal information, and use of virtual reality have been suggested as preferred methods of communication for this population.
“The use of easy-read information, sign language, non-face-to-face communication, such as via the telephone, not overloading the service user with verbal information, and use of virtual reality have been suggested as preferred methods of communication for this population.26,52”
From Barriers and facilitators to primary health care for people with intellectual disabilities and/or autism: an integrative review (2020) · cites this paper as [52]
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- Authors
- Walmsley, J.
- Affiliations
- London South Bank University (GB)
- Corresponding author
- Walmsley, Jan
- ORCID
- Walmsley, Jan
- Venue
- Journal of Intellectual Disabilities
- Publisher
- SAGE Publications
- Published
- 2011-09
- Volume
- 15
- Issue
- 3
- Pages
- 157-166
- ISSN
- 1744-6295 (ISSN-L)
- 1744-6309
- OpenAlex
- W1997394419
- Cited by
- 28
- References
- 10
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 2 · 2022: 1 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 2
- FWCI
- 0.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Intellectual Disabilities (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Royal College of General Practitioners
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
- Social Sciences › Safety Research › Disability Rights and Representation
- Health Sciences › Health Professions › General Health Professions › Health Services Management and Policy
- Keywords
- annual health checks, intellectual disability, general practice, self-advocacy groups, reasonable accommodation, health disparities, Oxfordshire
- MeSH terms
- England, Humans, Intellectual Disability, Physical Examination, Primary Health Care, Persons with Intellectual Disabilities, General Practitioners
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