health age learning general population died care deaths death younger rest key disabilities carers dying Mental person reasonable training acute Capacity staff compared adjustments MCA mandatory review men women examples found Great listened primary PwLD provision recommendations regionally Named things locally lack family actions ALN coordinators earlier average avoidable ensure Hello issues made understanding summarise years nurses point role safeguarding services secondary RAs regular problems premature parent mortality multiple support social speak updates link input healthcare illness experienced agree allocated die diagnosed complex communication consultants contact Disability difficult advocacy agencies access ALNs Evening horrific identified identify ignoring IHAL hospital LDNs members understand subtle started worrying werent National needed page notice pain parts problem range regional recommends registers required shocking significant Twitter vulnerable listen Insist individual focus fear establishment avoid audit action agenda challenge basic battle big dont easy despair common Claire commissioners commitment completed completely detection aware chest bridge adjustment