ArticleBMJ open2022
Improving access to primary care and annual health checks for people who have a learning disability: a multistakeholder qualitative study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Barriers to accessing healthcare for people with disabilities:a systematic review.Frontiers in public health · 2026Pooled it
- Stakeholders' perceptions and experiences of factors influencing the commissioning, delivery, and uptake of general health checks: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2025Pooled it
- Social care occupational therapy and learning disabilities: professional perspectives on communication, collaboration and making a difference.International journal of qualitative studies on health and well-being · 2026Article
- Deaf people's experience of the digital transformation of UK healthcare services: a qualitative study using semi-structured interviews.BMC health services research · 2026Article
- Article
- Access to healthcare for people with intellectual disability: a scoping review.Scandinavian journal of public health · 2026Article
- Cancer diagnoses, referrals, and survival in people with a learning disability in the UK: a population-based, matched cohort study.The Lancet regional health. Europe · 2026Article
- Access to preventive health assessments for people with intellectual disability: a systematic scoping review informed by the Levesque Access Framework.BMC health services research · 2025Article
- Primary care experiences of adults reporting learning disability: a probability sample survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Identifying barriers and facilitators to primary care practitioners implementing health assessments for people with intellectual disability: a Theoretical Domains Framework-informed scoping review.Implementation science communications · 2024Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate key stakeholders' views on how to improve access to primary care in general practice settings for people with learning disabilities (or intellectual disabilities). Further to explore how inequalities and barriers in specific areas including annual health checks might be addressed.
designA qualitative study design was used with data collected during focus groups, interviews and open-response surveys; data analysis was thematic and informed by stakeholder consultation. Processes to facilitate quality included triangulation of stakeholder perspectives, triangulation of data collection methods and checking interpretation of findings with participants.
settingUK regional services including learning disability organisations, primary care general practitioner (GP) clinical practice networks and supported housing organisations.
participantsSixteen people participated in the study: four people with learning disabilities participated in a focus group; four relatives completed an interview or survey; eight GPs, practice nurses and supported housing managers participated in interviews.
resultsFive overarching themes describing approaches to improve primary care access for people with learning disabilities were identified including: prioritisation, proactivity, innovation and improvement, personalisation and prevention and follow-up. Definitions of themes were described and illustrated with quotes. Ten recommendations informed by the thematic analysis, stakeholder consultation, research and primary care guidance were codeveloped with people with learning disabilities.
conclusionsAll stakeholders identified problems, with primary care interfaces being misaligned with the needs of people with learning disabilities. The recommendations informed by all stakeholders can be used to guide development of service provision to better meet the needs of people with learning disabilities in primary care. Future research should explore professionals' understanding of reasonable adjustments.
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