Welcome to the Learning Disability and Autism Clinical Network
This intranet page has been developed as a resource to support and inform colleagues of developments in delivery of services for adults with learning disabilities and/or autism. This applies to support that can be provided through our specialist learning disability services, services for autistic people and across our mainstream services.
We welcome feedback, comments and contributions to our programme of work and content – perhaps you would like to become involved in one of our projects or propose one – so please do get in touch by emailing: Alastair
The network exists to collaboratively create, learn, share and develop ways of working that support people with learning disability and autistic people to enable their human rights to live well, stay safe, and be healthy through addressing health inequalities (Purpose Statement, Terms of Reference)
The Learning Disability and Autism Clinical Network refers to a diverse group of colleagues contributing to the delivery of the Trust vision of Clinical Excellence as applied to Adult Learning Disability and Adult Autism Services. Work supported through the Clinical Network has a pan-borough focus, supporting alignment of processes and equitable working practices and provision across our Trust.
The Clinical Network is supported by multidisciplinary practitioners with interest and experience in working alongside adults with learning disabilities and/or autism from across our Mersey Care services and teams. It is inclusive of professional groups and is pan-borough in membership. Whilst there is a Core Group of colleagues who meet monthly with primary representation from across specialist learning disability and autism teams, participation with the Network is not exclusive to this meeting (see: How to get involved).
You can support this Clinical Network in a number of ways, with three key areas of access and engagement. Main levels of participation are in respect to:
- Core Group membership (places are necessarily limited)
- Project (Task and Finish) Group membership
- Keeping in touch via the intranet pages and updates
We offer a number of spaces at each monthly Core Group meeting to those who are interested in finding out about having greater involvement in this work programme.
We want to encourage and support engagement from all our colleagues across the Trust, from those who specialise in working with adults with learning disabilities and/or autism to those who may have limited experience in provisioning healthcare support for these populations.
Everyone has something potentially valuable to contribute to the projects and outputs of the Clinical Network and we welcome your support. Please just browse the monthly updates to see which projects are underway at present to which you may wish to contribute.
If you would like to find out more and can’t find what you are looking for in these pages, and you work within the services currently represented at the Core Group (see: Core Group membership and contacts) reach out to your local Core Group member for discussion. Otherwise, just email Alastair
The strength of a network is in its membership, so please stay informed and connected. We provide monthly updates (see: Core Group meeting summary presentations).
We welcome all our Mersey Care clinical teams and services to access the resources promoted by the Learning Disability and Autism Clinical Network and encourage broad membership of our project groups. However, membership of the Core Group is necessarily limited to support meaningful discussion and consistent representation in our monthly meetings. Note there are multiple ways in which you can support the Clinical Network (see: How to get involved with the Learning Disability and Autism Clinical Network) with Core Group members ensuring we have a direct interface with our specialist teams and Special Members representing other teams/services where significant key touchpoints in clinical operation and delivery are identified and/or interest expressed.
Below we list the Mersey Care Teams currently invited to participate within the Core Group and the representatives of those teams. We also provide details of our growing list of Special Members. These colleagues should serve as your local points of contact where Network items may have implications for local delivery.
Team/service name | Member name and job title |
Liverpool CLDT |
Charlotte Marshall, Clinical Psychologist Georgia Fair, Highly Specialist Occupational Therapist (Deputy Chair) Liam Thomas, Enhanced Care Home Learning Disability Practitioner |
Sefton CLDT |
Daniel Walsh, Specialist Physiotherapist Max Jenkinson, RNLD |
St Helens CLDT |
Amanda Smith, RNLD and Clinical Lead Dionne Broda, RNLD within ISF Beth Cronin, Specialist Physiotherapist Alastair Barrowcliff, Consultant Clinical Psychologist (Chair) |
Knowsley CLDT |
Karl Jones, RNLD/Clinical Lead Sarah McGing, Advanced Speech & Language Therapist Shannon Smyth, RNLD within ISF |
Warrington CLDT |
Debbie Kerr, RNLD/Training & Development Facilitator Laura Edwards, RNLD Nicola Evans, Clinical Lead/ Strategic Health Facilitator Rachel Boswell, RNLD/Team Manager |
Wavertree Bungalows |
Amy Peacock, RNLD/Team Manager |
Byron Ward |
Bethan Bell, Consultant Clinical Psychologist Eleanor Dibbert, Health Care Assistant Stephen Quinn, Support Worker |
Liverpool/Sefton Autism team |
Andrew Barlow, Clinical Specialist Eleanor Taylor, Clinical Psychologist John Rogers, Joint Team Manager |
Former Mid Mersey Autism areas |
Elizabeth Doherty, ASC Diagnostic Practitioner Clare Spooner, ASC Diagnostic Practitioner Sonia Anderson, Consultant Clinical Psychologist/Clinical Lead |
Low Secure (LD) services |
Johannes Cronje, Consultant Forensic Psychiatrist and Clinical Director |
Special members/Teams |
Rachel Mayner, Nurse Consultant Learning Disability and Autism Amy McMeekin, Service Lead, The Life Rooms Alison Paul, Equality, Diversity and Inclusion Lead Alexandra Shepherd, Senior Clinical Skills Facilitator, Clinical Skills Team |
Please access and share meeting summaries, below. Here you can keep up to date with key projects being pursued and where new project group members are being sought.
Meeting date |
Team summary |
March 2025 | See the attached document |
August 2024 | See the attached document |
April 2024 | See the attached document |
March 2024 | See the attached document |
Februay 2024 | See the attached document |
January 2024 | See the attached document |
December 2023 | See the attached document |
November 2023 |
See the attached document |
October 2023 |
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September 2023 |
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August 2023 |
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July 2023 |
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June 2023 |
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May 2023 |
We have a number of clinical pathways specific to working with adults with a learning disability that have been developed and are recommended by the Core Group for use across the Trust. Others are currently in development and/or being reformatted to follow a Standard Operating Procedure structure. Details of links and leads are provided in the table below - the leads will welcome contact if you are interested in contributing to the specific area of development or have questions about the information provided.
Pathway |
Leads |
Link |
Assessment of Learning Disability: Standard Operating Procedure (SOP) |
Alastair Barrowcliff Damian Howard Louise Bell |
This pathway is active from 1 August 2025. This pathway Standard Operating Procedure replaces all previous guidance used within local Community Learning Disability Services. We have provided below links to key information:
The working group are in the final stages of competing some Easier Read information for this pathway and we will upload it here when finalised. |
Supporting Parents with a Learning Disability: Standard Operating Procedure (SOP) |
Diane Roberts Max Jenkinson |
The aim of the pathway is to provide a consistent and supportive approach for working with Parents with a Learning Disability accessing our services. The SOP is undergoing the final stages of approval. Once this is approved, we will of course upload all relevant materials here. Training dates for this pathway across our CLDTs are being scheduled and a formal launch date should be announced imminently |
Reasonably Adjusted and Accessible Care Plans: Clinical Guidance and Templates |
Sarah McGing Beth Cronin |
This group aims to produce easier read profession-specific care plans, to supplement those currently available on Rio which are not accessible to people with a Learning Disability or communication difficulties. The working group has representatives across professional groups within Mersey Care Community Learning Disability Teams, being comprised of the Intensive Support Team, Nursing, Occupational Therapy, Physiotherapy, Clinical Psychology, and Speech and Language Therapy. At this stage Psychiatry and inpatient/respite services are not included, but we welcome colleagues who would like to contribute these elements joining the working group. The Easier Read Care Plans are currently available in draft format and the working group are collecting feedback from professionals and service users in order to make changes prior to a final draft being agreed at the Clinical Network and being made available as a Rio editable template.
|
Reasonable Adjustment Care Plan: A Template Care Plan | Alastair Barrowcliff | This is a working group formed under the auspices of the Operational Transformation Programme and has cross divisional service input including CYPS, Community Health, and Learning Disability Services. We are producing a Reasonable Adjustments Checklist which, when completed within Rio, will automatically generate an accessible Reasonable Adjustments Care Plan. |
Sex and Relationships |
Abbie Fox Elyse Alexander
|
The project aim is to develop a pathway for individuals with Learning Disability and/or autistic adults to access information and education around safe sex and appropriate relationships. As of June 2025, this group is early in development of this work and welcomes expressions of interest from interested colleagues
|
Working with Behaviours of Concern: Standard Operating Procedure (SOP) |
Bethan Bell Sarah Wastell |
This pathway is planned to be active from 01 September 2025. This pathway Standard Operating Procedure replaces all previous guidance used within local Community Learning Disability Services.
The final SOP will be uploaded here following final ratification by the LDS Senior Leadership Team. Documents already approved to support this pathway are:
|
Dementia Pathway for Adults with a Learning Disability |
Zoe Lucock Jane Boyer |
The project aim is to develop and agree a service-wide best practice pathway for individuals with a learning disability to be screened and assessed for dementia and provided with post-diagnostic support. There is a healthy pan-bough MDT working group formed for this work and they welcome expressions of interest from colleagues in specialist dementia services to support recognition and flow across pathway touchpoints and to highlight best practice guidance. |
Physical Health Workstream |
Chloe Hughes |
The Physical Health working group is working collaboratively to support the reduction in health inequalities faced by people with learning disabilities and autistic people. The group will bring together professionals to develop an action / implementation plan in response to key themes identified through the national LeDeR programme. Also highlighting and sharing of good practice amongst all 6 community teams in relation to health of people with a learning disability. Current programmes of work include:
|
Resource |
Leads |
Description and link |
Video/Audio Recording of Clinical Sessions: Trust Consent Guidance with updated Easy Read Consent Information and Forms |
Alastair Barrowcliff |
Trust guidance is available regarding various conditions under which practitioners may wish to record clinical sessions. For example, for monitoring your own clinical work, for use in supervision, and/or for teaching and training. Whilst the initial guidance did have a basic easy read consent form appended, this has now been significantly updated with the help of self-advocates and is recommended for your use. Please use the easy read information and consent forms for the recording of therapy sessions. |
External referral form for use across all Mersey Care Community Learning Disability Teams (CLDTs) |
Alastair Barrowcliff Damian Howard |
Learning Disability Referral Form - editable version This replaces all previously circulated CLDT locality specific referral forms from 1 December 2024. |
Resources for use in the Easier Read Appointment Letter template from Rio | Alastair Barrowcliff |
Five minute interval Analogue/Digital clocks CLDT images and contact details |
A weight management toolkit for all Health Professionals supporting people with a learning disability and/or autism to live well |
Chloe Hughes |
|
Details of local weight management support services |
Chloe Hughes |
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Assessment tool | Chloe Hughes |
This is a systematic tool which can be used by professionals to determine and address unmet health needs to inform health action plans for adults with a learning disability. |
We have also provided a template Stage 2 proforma you can complete if Rio is unavailable when undertaking a Stage 2 assessment. This means you can simply copy and paste content into the online form when you are again online.
We have a range of clinical resources you can access through this page.
All of the clinical resources accessible here have been recommended by the Clinical Network. They are included here where they are not yet available on Rio (note we have checked for copyright).
If you have a tool, resource, or guidance that would be useful for use across services for adults with a learning disability and/or autism please let us know.
External resource |
Description |
Link |
Clinical Outcome Routine Evaluation-Learning Disabilities 30-Item (CORE-LD30)
|
The CORE-LD30 is recommended as a useful broad ranging pan theoretical measure of psychopathology for use with an ID population. Domains (problems/symptoms; risk to self; risk to others) may prove to be useful for research and clinical purposes. |
See: https://doi/10.1111/jir.12551 Blank record form |
Glasgow Depression Scale for Learning Disabilities (GDS-LD)
|
Useful measure of depression in people with a learning disability for both clinical and research practice. It is not intended as a diagnostic tool, although a clinical cut-off value is recommended. |
See: https://doi.org/10.1192/bjp.182.4.347 |
Glasgow Anxiety Scale for Intellectual Disability (GAS-ID)
|
Useful measure of anxiety in people with an intellectual disability for both clinical and research practice. It is not intended as a diagnostic tool. |
See: https://doi.org/10.1046/j.1365-2788.2003.00457.x |
An update regarding this comprehensive work undertaken within the Trust will follow very soon.
Easy Read Mental Health Act information
(to follow)