DOI: https://doi.org/10.36347/sasjm.2026.v12i06.018

Pages: 672-677

Background: People with learning disabilities experience substantial health inequalities, including higher rates of preventable mortality, multimorbidity, reduced access to preventive healthcare services, and inappropriate medication prescribing. Primary care plays a crucial role in addressing these disparities through accurate patient identification, personalized care planning, medication optimization, and implementation of reasonable adjustments. Objective: To evaluate and improve the quality of care provided to patients with learning disabilities within the Midland Medical Partnership (MMP), a large UK primary care network, through a structured quality improvement initiative targeting key areas of healthcare delivery. Methods: A multi-component quality improvement project was conducted across 11 primary care sites serving approximately 72,000 patients. Four targeted Quality Improvement Projects (QIPs) were implemented: (1) improving identification and coding of patients with learning disabilities, (2) recording and implementing reasonable adjustments, (3) optimizing medication prescribing practices in line with the Stopping Over-Medication of People with a Learning Disability, Autism, or Both (STOMP) initiative, and (4) utilizing findings from Learning Disabilities Mortality Review (LeDeR) reports to inform service improvements. Data were collected from electronic health records, clinical audits, and practice feedback and analyzed descriptively. Results: A review of 384 potentially eligible patients identified previously unregistered individuals with learning disabilities, resulting in improved register accuracy among participating practices. The implementation of reasonable adjustment flags enhanced documentation of patient-specific needs and improved healthcare accessibility. A structured medication review involving more than 360 patients identified opportunities to reduce inappropriate psychotropic prescribing and strengthen medication safety practices. Analys