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 PRG4LD 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.

Name of pathway Clinical leads Description
Triage Pathway for Learning Disability Teams Louise Hall

This provides details of our daily (office hours) Triage process within the Community Learning Disability Teams.

Click here to access the SOP for the Triage Pathway

Assessment of Learning Disability Pathway Alastair Barrowcliff & Jane Birchall-Smith

Provides details of the criteria that are used to define a learning disability and the processes that our adult learning disability teams follow to assess whether someone meets these criteria.

Click here to access the SOP for the Assessment of Learning Disability Pathway 

Click here to access a summary slide deck taking you through the SOP

Behaviours of Concern Pathway Sarah Wastell

This provides clear guidance for the classification, assessment, and provision of CLDT support when an adult presents with behaviours that cause concern that aren't accountable purely to issues of deteriorating mental health presentation.

Click here to access the SOP for the Behaviours of Concern Pathway

Click here to access a Template for a Behaviour Support Plan

Assessment of Autism in Adults with a Learning Disability Karl Jones  Provides an overview the diagnostic process when considering a formal assessment of Autism for adults with learning disabilities.
Parents with a learning disability

Amanda Roberts

Jane Birchall-Smith

Diane Roberts

This pathway recognises the centrality of the child's needs and the principle that they should be the paramount concern of all staff, while also appreciating that when a parent with learning disabilities receives inadequate support, the child's wellbeing will likely be affected. 
Dementia in adults with a learning disability  Shalini Gladston Assessment of dementia in adults with a learning disability can be complicated by a range of factors, such that guidance is provided to support differential diagnoses and additional areas to consider in this assessment area as a prelude to pursuit of a diagnosis of dementia. 

Diane Roberts

Sarah McGing

Rebecca Finn

Dysphagia is a common difficulty for people with a learning disability and can have a significant effect on a person's health and well being if not managed appropriately. 

This pathway provides clear guidance for the identification, assessment and management of dysphagia for people with a learning disability. 

End of Life Karen Turner  


We have a number of clinical guidance documents you may find useful to access when working with inidividuals who have communication diffiuclties and/or learning disabilities, in addition to general guidance documents developed by colleagues to help navigate our records systems and team processes, congruent with clinical pathways, for example.  

Name of Guidance Description
Creating Accessible Visual Information for Adults with Learning Disabilities

This guide will help you to present information, to people you support, in a way they will understand.  Created by colleagues in the Halton Community Learning Disability Team.

Click here to access the guidance

Using Rio in line with Clinical Pathways and Processes Supported by the PRG4LD

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