{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:26:11Z","timestamp":1790173571669,"version":"4.1.0"},"reference-count":38,"publisher":"Royal College of General Practitioners","issue":"749","license":[{"start":{"date-parts":[[2019,2,12]],"date-time":"2019-02-12T00:00:00Z","timestamp":1549929600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Gen Pract"],"accepted":{"date-parts":[[2024,8,7]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Adults with learning disability face multiple adversities, but evidence on their needs and primary care experiences is limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To compare the characteristics and primary care experiences of adults reporting learning disability with those who did not.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and setting<\/jats:title><jats:p>This was an analysis of the 2022 General Practice Patient Survey, a national probability sample survey conducted in 2022 with people registered with NHS primary care in England.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This analysis reports descriptive profiles, weighted and with 95% confidence intervals. Logistic regression models adjusting for gender, age, ethnicity, and area-level deprivation compared experiences of adults reporting learning disability with those who did not.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Survey participants comprised 623 157 people aged \u226516 years, including 6711 reporting learning disability. Adults reporting learning disability were more likely to be male, younger, of mixed or multiple ethnicities, and live in more deprived areas. All chronic conditions included in the survey were more common in adults reporting learning disability, especially reported sensory, neurodevelopmental, neurological, and mental health conditions. Adults reporting learning disability were twice as likely to have a preferred GP, and less likely to find their practice\u2019s website easy to navigate. They were also less likely to have confidence and trust in their healthcare professional, or feel their needs were met.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Adults reporting a learning disability had a higher likelihood of chronic health conditions. Their reported experiences of primary care indicate that, despite recent initiatives to improve services offered, further adaptations to the consistency and ease of access to primary care is needed.<\/jats:p><\/jats:sec>","DOI":"10.3399\/bjgp.2024.0056","type":"journal-article","created":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T11:35:15Z","timestamp":1728300915000},"page":"e845-e853","source":"Crossref","is-referenced-by-count":11,"title":["Primary care experiences of adults reporting learning disability: a probability sample survey"],"prefix":"10.3399","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0783-285X","authenticated-orcid":false,"given":"Samuel J","family":"Tromans","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6669-8534","authenticated-orcid":false,"given":"Lucy","family":"Teece","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1183-6933","authenticated-orcid":false,"given":"Rohit","family":"Shankar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9800-3909","authenticated-orcid":false,"given":"Angela","family":"Hassiotis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9786-9591","authenticated-orcid":false,"given":"Traolach","family":"Brugha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2711-0819","authenticated-orcid":false,"given":"Sally","family":"McManus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1987","published-online":{"date-parts":[[2024,10,7]]},"reference":[{"key":"2024112817354463000_74.749.e845.1","unstructured":"World Health Organization (2018) ICD-11 for mortality and morbidity statistics (WHO, Geneva)."},{"key":"2024112817354463000_74.749.e845.2","unstructured":"Parkin E (2023) Learning disabilities: health policies (House of Commons Library), https:\/\/researchbriefings.files.parliament.uk\/documents\/SN07058\/SN07058.pdf (accessed 9 Oct 2024)."},{"key":"2024112817354463000_74.749.e845.3","unstructured":"NHS England (2023) Health and care of people with learning disabilities, experimental statistics 2022 to 2023 (NHS England), https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/health-and-care-of-people-with-learning-disabilities\/experimental-statistics-2022-to-2023 (accessed 9 Oct 2024)."},{"key":"2024112817354463000_74.749.e845.4","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12654"},{"key":"2024112817354463000_74.749.e845.5","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1186\/s12875-015-0329-3","article-title":"Multiple physical and mental health comorbidity in adults with intellectual disabilities: population-based cross-sectional analysis","volume":"16","author":"Cooper","year":"2015","journal-title":"BMC Fam Pract"},{"key":"2024112817354463000_74.749.e845.6","unstructured":"Office for National Statistics (2021) National life tables \u2014 life expectancy in the UK: 2018 to 2020 (Office for National Statistics), https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/lifeexpectancies\/bulletins\/nationallifetablesunitedkingdom\/2018to2020#:\u223c:text=Across%20the%20UK%2C%20life%20expectancy,years%20for%20females%20in%20Northern (accessed 9 Oct 2024)."},{"key":"2024112817354463000_74.749.e845.7","unstructured":"White A Sheehan R Ding J (2023) Learning from lives and deaths: people with a learning disability and autistic people (LeDeR) report for 2022 (King\u2019s College London), https:\/\/www.kcl.ac.uk\/ioppn\/assets\/fans-dept\/leder-2022-v2.0.pdf (accessed 9 Oct 2024)."},{"key":"2024112817354463000_74.749.e845.8","doi-asserted-by":"crossref","unstructured":"Doherty AJ Atherton H Boland P (2020) Barriers and facilitators to primary health care for people with intellectual disabilities and\/or autism: an integrative review. 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