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Study found that the vulnerabilities of people with learning disabilities can, and do, lead to compromised patient safety in NHS hospitals. Barriers to safer care include: a lack of effective flagging systems to identify patients with learning disabilities; a lack of staff understanding of learning disability issues; insufficient carer involvement and staff misunderstanding of the carer role; and the absence of clear lines of responsibility and accountability for the care of patients with learning disabilities. Learning disability liaison nurses and ward managers are key facilitators of better care.

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I Tuffrey-Wijne,1,* N Giatras,2 L Goulding,2 E Abraham,2,3 L Fenwick,4 C Edwards,5 S Hollins,2,6 

1 Faculty of Health, Social Care and Education, St George’s, University of London and Kingston University, London, UK
2 Division of Population Health Sciences and Education, St George’s, University of London, London, UK
3 Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK
4 Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK
5 Institute of Leadership and Management in Health, Kingston University, London, UK
6 House of Lords, London, UK
* Corresponding author ; Email:

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