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The VIP scheme is supported by the learning disability liaison team in the acute hospital to improve health outcomes. The scheme promotes reasonable adjustments, person centred surgical care pathways, accessible information, and decision making care plans to support those who may lack the capacity to make health decisions. It also includes VIP champions and promotes evidence based training. The scheme is supported by the Wakefield Patient Experience Group made up of people who have a learning disability. The VIP scheme has improved health outcomes of patients with learning disabilities at Mid Yorkshire Hospitals Trust. The scheme, all though multi-faceted, has one common aim; Achieving equality for patients with a learning disability. http://southwestyorkshire.nhs.uk