Vulnerable People

In certain circumstances some patient groups can be more vulnerable. For these patients groups there are additional local and national services which can make a real difference. In the sections below we provide links to general information and to local and national services. We also describe how our practice can help you.

Veterans and Service Families

“In 2017, there were an estimated 2.4 million UK Armed Forces Veterans in Great Britain, making up an estimated 5% of household residents aged 16 and over.”
“Annual Population Survey: UK Armed Forces Veterans residing in Great Britain, 2017”. Gov UK website Retrieved 14 February 2023.

Veterans

We know the healthcare needs of veterans can be different from other patients as they transition from the support and friendship of the military to life outside. We also know that veterans have higher levels of post-traumatic stress disorder, and that common conditions including anxiety and depression and problems relating to alcohol occur in veterans.

Service families

We know about the extra pressure on family life that comes with deployment and periods of separation, social isolation and regular changes of location.

Our support and please tell use if you are a veteran

We fully believe in the armed forces covenant and want to ensure that we deliver on it. We have brought together local and national information for veterans and the armed forces please see under

Please can you tell us that you are a veteran if you have not done so already, either by filling in the following form,

or informing one of our Care Navigators and we will add a code to your notes (on the GP computer system) to show that you are a military veteran.

Carers

A carer is a person of any age (including children) who provides unpaid support (excluding statutory allowances such as Carer’s Allowance) to a partner, relative, friend or neighbour who couldn’t cope without their help. This could be due to old age, frailty, disability, a serious health condition, mental ill health or substance misuse. Parents of children who are disabled or who have a serious health condition are also considered to be carers.

We know the significant contribution to the health and care system carers make but also value the care given to our individual patients who require care. 

For more information visit:

Dementia

As suggested by the Alzheimer’s Society
“Although there is no cure for dementia yet, support and treatments are available that can help with symptoms and managing daily life. 

These can allow people with dementia to lead active, purposeful lives and carry on doing the things that matter to them most.
“Five things you should know about dementia.” Alzheimer’s Society. Retrieved 15th February 2023.

The range of support required varies between people and also across time. This section provides information on local support which may be of help at some point of time.

Buckinghamshire’s Dementia Support Service

From Buckinghamshire council and the Alzeihmer’s society
Buckinghamshire’s Dementia Support Service Buckinghamshire’s Dementia Support Service | Buckinghamshire Council

Dementia toolkit

From Buckinghamshire Council
Provide some good information to start with on local support
Dementia Toolkit Dementia toolkit | Buckinghamshire Council
This includes

Dementia support services and groups in Buckinghamshire

From Buckinghamshire council and the Alzheimer’s society

From Buckinghamshire Council
You can search the Buckinghamshire Council data base, using the filter “suitable” for dementia.
Find activities and organisations near you  Find activities, groups and services near you | Bucks Online Directory | Buckinghamshire Council

From Age Space
Age Space is a national organisation whose information is written from the perspective of a carer for elderly parents and as such has some helpful insights. It provides links and information on some of the local dementia services and some local groups which can help with caring for someone with dementia.

Other support

You may want to start with just talking to someone locally and other good sources of support are

From Buckinghamshire Age UK
Offers advice on all issues of concern to older people, their families, friends and carers Age UK Buckinghamshire | Information and advice for later life

From Carers Bucks
Dedicated to supporting carers, providing advice, information, emotional support and workshops and training Carers Bucks | Dedicated to supporting carers – Carers Bucks

Finding other local support outside Buckinghamshire

You can locate other support outside the county if helpful, particularly if you live on the boundaries of Buckinghamshire:

From the Alzheimer’s society 

Self-refer for an occupational therapy assessment

From Buckinghamshire Council

INFORMATION ON LIVING INDEPENDENTLY

From Buckinghamshire Council – General

TRANSPORT AND MOBILITY (INCLUING HOW TO GET A BLUE BADGE FOR PARKING)

From Buckinghamshire Council
Blue Badge scheme for disabled parking Blue Badge scheme for disabled parking | Buckinghamshire Council

Self Referral for a SOCIAL CARE needs assessment

A FREE social care needs assessment can help you better understand what your social care needs are and also what your options are supporting those needs.

From Buckinghamshire Council – SELF REFERRAL for social care needs assessment

Explanation of a social care needs assessment

From the NHS
Getting a care needs assessment Getting a care needs assessment – Social care and support guide – NHS

From Buckinghamshire Council

Age UK provide a good explanation  of how a care needs assessment is the first step if you think you need social care
How do I get social care, whether home adaptions or a care home? How do I get a care needs assessment from my local council? The Care Needs Assessment Explained | Age UK

DRIVING AND DEMENTIA

As Alzheimer’s society suggest
“A diagnosis of dementia is not in itself a reason to stop driving. One in three people with dementia still drives. However, over time, dementia affects the skills needed for safe driving.” Driving and dementia | Alzheimer’s Society 

Living well with dementia

It is also possible to look to live well with dementia.

This is well covered by the NHS as part of their dementia guide
Living well with dementia Living well with dementia – NHS

From Age UK
Living well with dementia Tips on living well with dementia | Age UK

From Alzheimer’s society
Daily living Daily living | Alzheimer’s Society 

DELAYING THE IMPACT OF DEMENTIA

Though there is no cure for dementia at present, there are steps you can take to delay the progression and so the impact of dementia. These are covered in detail under:

How common is dementia in the UK and what are the risk factors for dementia?

THE NUMBER OF PEOPLE WITH DEMENTIA IS INCREASING

“There are currently around 850,000 people with dementia in the UK. This is projected to reach 1.6 million people in the UK living with dementia in 2040.”
“How many people have dementia and what is the cost of dementia care? The Alzheimer’s Society. Retrieved 23rd March 2023.

From NICE
What are the risk factors Risk factors | Background information | Dementia | CKS | NICE

An overview on how can you reduce your risk of dementia or delay its impact

AN OVERVIEW OF ALL THE STEPS TO REDUCE YOUR RISK OF DEMENTIA

A simple overview of how you can reduce your risk of dementia is provided by these websites:

From Dementia UK
How to reduce your risk of dementia or delay its impact Prevention and risk factors – Dementia UK

From the Alzheimer’s Association
This is an American website but is included because of its well-presented information
10 Ways to Love Your Brain 10 Ways to Love Your Brain | Alzheimer’s Association

From the NHS
Can dementia be prevented? Can dementia be prevented – NHS

Diagnosing risk factors for dementia: Blood pressure

DIAGNOSING NEW RAISED BLOOD PRESSURE (NOT ON ANY TREATMENT)

From the NHS
What is blood pressure? What is blood pressure? – NHS

HOW CAN YOU CHECK YOUR BLOOD PRESSURE?

Many pharmacies can take your blood pressure, or perform cholesterol and blood sugar testing.
From the NHS: How your pharmacy can help – NHS

You may be entitled to an NHS Health Check see under

Many patients are also now buying their own blood pressure machine as suggested by the British Heart foundation

CHECK WHAT YOUR BLOOD PRESSURE READINGS MEAN AND IF ANY ACTION IS REQUIRED

If you take your blood pressure at home or with your local pharmacy you can also check what your blood pressure reading means and get information what to do next

From the NHS
Check your blood pressure reading Check your blood pressure reading – NHS

If your Blood pressure is high your GP can manage this with you, so it is controlled, reducing your risk of dementia.

Reduce your risk of dementia by managing underlying medical conditions

GOOD MANAGEMENT OF CERTAIN MEDICAL CONDITIONS CAN HELP REDUCE RISK

There are a number of possible underlying medical conditions including

  • Cardiovascular disease (Heart attacks and angina)
  • Cerebrovascular disease (Stroke and transient ischaemic attacks)
  • Hypertension (High blood pressure)
  • Diabetes

From NICE
What are the risk factors Risk factors | Background information | Dementia | CKS | NICE

Older Adult Community Mental Health Teams

Though you cannot self-refer to these services, if you are already under the care of the Older adult community mental health team you can contact them directly. The contact details for North Buckinghamshire and South Buckinghamshire can be found under
Older Adult Community Mental Health Teams Older Adult Community Mental Health Teams – Oxford Health NHS Foundation Trust

From Dementia UK
Call our Helpline for free to speak to a dementia specialist Admiral Nurse. Dementia Helpline – Alzheimer’s Helpline – reach out to an Admiral Nurse

Dedicated to supporting carers, providing advice, information, emotional support and workshops and training Carers Bucks | Dedicated to supporting carers – Carers Bucks

From Buckinghamshire Council
I am caring for someone with dementia I am caring for someone with dementia | Buckinghamshire Council

National support

From Dementia carers
“Are you caring for someone with dementia? Feeling alone, overwhelmed, or worried about money? We can help.” Carer Support Line – Dementia Carers Count

Learning Disabilities

Under 25: Local advice and support to help with all aspects of learning disability

Contact details and directory for special educational needs and disabilities (send local offer for under 25)

From the Family Information Service
Support for children and young people (under 25) with SEND and their parents – divided into Buckinghamshire Council SEND services and SEND support and activities by local organisations
SEND support services  SEND support services | Family Information Service

Before using the directory it is worth looking at the information below, to gain a better understanding of what is available:

DIRECT SUPPORT AND ADVICE IN BUCKINGHAMSHIRE FOR CHILDREN AND YOUNG PEOPLE (UNDER 25)

From Buckinghamshire Council
Under 25
The Special Educational Needs and Disability Information, Advice and Support Service or SENDIAS, provides free, confidential, impartial information, advice and support on all matters relating to special educational needs and disability for children and young people aged 0 to 25 and their parents/carers.

From the Family Information Service
For under 25

From the Council of Disabled Children
Find details for any national SENDIAS service
For Buckinghamshire SENDIAS service Buckinghamshire

SUPPORT FOR EDUCATION (INCLUDING TRANSPORT)

From the Family Information Service
Education and SEND Education and special educational needs and disabilities | Family Information Service

Local advice and support to help with social care

SELF REFERRAL FOR A SOCIAL CARE NEEDS ASSESSMENT (age 18 and over)

A FREE social care needs assessment can help you better understand what your social care needs are and also what your options are supporting those needs.

From Buckinghamshire Council – SELF REFERRAL for social care needs assessment

EXPLANATION OF A social CARE NEEDS ASSESSMENT and care

From the NHS
Getting a care needs assessment Getting a care needs assessment – Social care and support guide – NHS

From Buckinghamshire Council

Finding local activities, and support groups

Under 25: LOCAL ACTIVITIES AND SUPPORT GROUPS

From the Family Information Service
Local help with autism includes an excellent large directory of support which is divided up by categories such as “advice and support “ ,“ things to do” , “education and learning” etc.
Activities for SEND (includes link to “search the directory”Activities for SEND | Family Information Service

Under 25: SUPPORT FOR SHORT BREAKS

From the Family Information Service
We help children and young people with disabilities, and their families and carers, by giving you access to short breaks.
Short breaks Short breaks and respite care for children with SEND | Family Information Service

Over 25: LOCAL ACTIVITIES AND SUPPORT GROUPS

From Buckinghamshire Council
The Bucks Online Directory provides a data base which you can search for activities and groups across the county. To find the best activities use the filters “suitable for” which includes “learning difficulties” and also the age filter to put the minimum age (e.g., 30) and the maximum age (e.g., 60)
Find activities and organisations near you Find activities, groups and services near you | Bucks Online Directory | Buckinghamshire Council

Support in hospital

HOSPITAL SUPPORT – general information

From the NHS
Support if you are going into hospital Learning disabilities – Support if you are going into hospital – NHS

From Mencap
Visiting hospital: Information to help people with a learning disability visiting hospital. (includes hospital passports) Visiting hospital | Mencap

Local support over 18

From Buckinghamshire NHS Healthcare Trust
Our learning disability liaison team helps adult patients with learning disabilities and autism, and their carers, to access high quality care and have a positive experience in hospital.
Patients with learning disabilities and autism Patients with learning disabilities and autism – Buckinghamshire Healthcare NHS Trust

From Frimley Healthcare Trust (Wexham Park Hospital)
Learning disability liaison nurses Patients with a learning disability :: Frimley Health NHS Foundation Trust

From Hillingdon Hospital NHS foundation trust
Responding to the needs of people with learning disabilities Responding to the needs of people with learning disabilities | The Hillingdon Hospitals NHS Foundation Trust

Other local and national hospitals will normally have an adult learning disabilities team available in the hospital

Training, work experience and employment after leaving school and college

From Buckinghamshire Council
Training, work experience and employment Jobs, training, work and preparing for adulthood (SEND) | Family Information Service

From Buckinghamshire Skills Hub
Special Educational Needs and Disabilities “If you have a Special Educational Need or Disability, or you know someone who does, you might be wondering what success looks like. We are here to give you the support you need to realise your potential.” Special Educational Needs and Disabilities | Career Seeker Type | Buckinghamshire Skills Hub

NATIONAL HELPLINES

Mencap and Contact provide supportive helplines, with Mencap also supplying a package of support covering a number of areas. There is also support on this website in other areas such as finance.

From Mencap
The Learning Disability Helpline is our free helpline service offering advice and support for people with a learning disability, and their families and carers.
Learning Disability Helpline Learning Disability Helpline | Mencap
Services to help you
“We don’t have a ‘standard’ approach at Mencap – all our personal support and services start with us spending time to understand you as an individual.”
There is a great range of services and we recommend you look at this page to understand all that is available.
Our services  Learning Disability Support Services | Mencap

From Contact

  • Our helpline is for parents and carers in any part of the UK with a disabled child aged from birth to 25. Contact us | Contact
  • Our 1-1 telephone appointments for parent carers looking for emotional support. Listening Ear | Contact

From SCOPE
“Scope’s helpline provides free, independent and impartial advice and support on issues that matter to disabled people and their families.”

“Our advisers can answer questions and talk you through a wide range of topics connected with disability, including:

  • Benefits
  • Finance
  • Social care
  • Work
  • Equipment and assistive technology
  • Housing and home adaptations

We can also point you to other information providers and Scope services in your local area.”
Scope also provide online advice

From the Down’s Syndrome Association
“Our helpline is a unique service: we are the only helpline that anyone can contact on any topic related to Down’s syndrome. Our knowledgeable Information Team will answer questions on any topic that arises throughout the whole lifespan of a person who has Down’s syndrome.”

GENERAL ADVICE AND SUPPORT

Learning disability can affect different aspects of life and there is detailed information on this from a number of excellent websites. The sites below divide information into categories, rather than split this section into the different categories we emphasize the differences between the websites.

NATIONAL information

From Mencap
A wide-ranging guide
Advice and support Access Learning Disability Advice and Support | Mencap

From Contact
A detailed guide covering all aspects of learning disability
Information & advice Information & advice | Contact

From the NHS
Learning disabilities Learning disabilities – NHS

From NICE
Learning disabilities Learning disabilities | Health topics A to Z | CKS | NICE

LOCAL ADVICE for all over 25

From Buckinghamshire Council

More information on the adult social care service can be found under

LOCAL ADVICE for all under 25

From Buckinghamshire Council
Under 25
The Special Educational Needs and Disability Information, Advice and Support Service or SENDIAS, provides free, confidential, impartial information, advice and support on all matters relating to special educational needs and disability for children and young people aged 0 to 25 and their parents/carers.

From the Family Information Service
For under 25
There is extensive support in different aspects of life
Special educational needs and disabilities (SEND Local Offer) Special educational needs and disabilities (SEND Local Offer) | Family Information Service

local COMMUNITY NURSES for all under 20

From Buckinghamshire NHS Healthcare Trust
For under 20
Community Nurses for children and young people with a learning disability Community nurses for children and young people with a learning disability – Buckinghamshire Healthcare NHS Trust – CYP Website

DIRECT SUPPORT FOR PARENTS/ CARERS

From Contact
“Information about the help available in your area, from local advice organisations to parent support groups.”

Our 1-1 telephone appointments for parent carers looking for emotional support.

Listening Ear Listening Ear | Contact

16 TO 25

From the Family Information Service
SEND and moving between stages of education SEND and moving between schools and stages of education | Family Information Service

OVER 25

From Mencap
How can I get further education after school?
Further Education – Advice and Support | Mencap

MAKING DECISIONS

From Mencap
“The Mental Capacity Act is an important law for people with a learning disability. It protects your rights to make your own choices” What is The Mental Capacity Act? | Mencap
“Advocacy support can help give you or your loved one the confidence and ability to speak up about things that are important”.  Advocacy | Mencap

From Mencap and the Family Information Service
Transition into adult services

SEND and preparing for adulthood and independence | Family Information Service

Transition into adult services | Mencap

DAILY LIVING SUPPORT (SOCIAL CARE)

ALL ADULTS

From Mencap
Social care Social Care – Learning Disability – Advice and Support | Mencap

From Contact
Social care Social care | Contact

EXPLANATION OF A CARE NEEDS ASSESSMENT over 18

From the NHS
Getting a care needs assessment Getting a care needs assessment – Social care and support guide – NHS

From Buckinghamshire Council

FURTHER INFORMATION on adult social care

More detailed information on adult social care services can be found under

UNDER 25

Under 25: You can get information and advice from Buckinghamshire SENDIASS

From Buckinghamshire Council
Under 25
The Special Educational Needs and Disability Information, Advice and Support Service or SENDIAS, provides free, confidential, impartial information, advice and support on all matters relating to special educational needs and disability for children and young people aged 0 to 25 and their parents/carers.

From the Family Information Service
For under 25
There is extensive support in different aspects of life.
Special educational needs and disabilities (SEND Local Offer) Special educational needs and disabilities (SEND Local Offer) | Family Information Service

FINANCE AND TRANSPORT

From Mencap and the Family Information Service
Money advice for people with learning disabilities and their carers.

Transport for people with a learning disability

Support in all schools for children with SEND | Family Information Service

Transport for people with a learning disability | Mencap

Flu vaccination

As the NHS states
“The flu vaccine is offered free on the NHS to anyone with a serious long-term health condition, including learning disabilities” Flu vaccine – NHS 

From Gov UK
Information on how to protect yourself from flu: easy-read guide Information on how to protect yourself from flu: easy-read guide – GOV.UK

End of life support

From Mencap
“How to discuss death with a person with a learning disability”.
Dealing with a bereavement Dealing with bereavement and support with grief | Speak to a bereavement counsellor | Mencap
How can my child be supported when I am no longer around?
Wills and Trusts Service Wills and Trusts Service for parents and carers | Mencap