DEVELOPING A STRATEGIC DIRECTION FOR OLDER PERSONS MENTAL HEALTH SERVICES SUMMARY DOCUMENT
|
|
- Bertram Whitehead
- 5 years ago
- Views:
Transcription
1 DEVELOPING A STRATEGIC DIRECTION FOR OLDER PERSONS MENTAL HEALTH SERVICES INTRODUCTION SUMMARY DOCUMENT Cwm Taf has been working to improve mental health services for all adults living in Merthyr Tydfil and Rhondda Cynon Taf. A first phase of work, which looked at services for people of working age, has been completed and the second phase of work concentrating on services for older people is now underway. PRINCIPLES We aim to develop a needs-led service, which is supported by the new all- Wales Strategy Together for Mental Health. The plan is underpinned by the following principles: Equity - Mental health services should be available to all according to need, regardless of where someone lives, their age, their ethnic origin, gender, culture, religion or sexuality or any physical disability. Geographical variations in standards of care are unacceptable. Empowerment - Service users and their carers need to be involved in the planning, development and delivery of mental health services. This will require sustained support, care and information from mental health services. Empowerment should be at all levels, from encouraging selfmanagement and active participation in their own care through to formal involvement in planning. Effectiveness - Mental health services should improve quality of life by treating symptoms and their causes, preventing deterioration, reducing potential harm and assisting rehabilitation. Efficiency - Mental health services must use resources efficiently and be accountable for the way public money is spent. Health, social services and other local government agencies should work together and with voluntary agencies and the private sector to achieve best value. 1
2 KEY MESSAGES Older people s mental health services have traditionally been available for people over 65. We believe eligibility for the new services in Cwm Taf should be based on what best meets the needs of patients and not age. In other word, needs-led. The following areas have been identified as part of this work: - Develop and enhance the role of the crisis team Extend home treatment to include all ages this will help reduce admission rates and length of hospital stay A needs-led primary care mental health support service this will offer general and age-appropriate services across the age spectrum Improve discharge efficiency Improve services to residential and nursing home residents Develop additional day care services Improve services to primary care Address inequitable workloads at consultant and locality levels. WHY WE NEED YOUR VIEWS On 15 January 2014, Cwm Taf University Health Board agreed to start a period of engagement with service users, carers, staff, Cwm Taf Community Health Council and the public about our ideas to improve older people s mental health services. This will run between 17 January and 28 March 2014 and will involve extensive discussions with a wide range of stakeholders to raise awareness, seek views and ideas to inform and develop a range of options for the future of older people s mental health services. The outcome of the engagement exercise will be included in a robust project plan for implementation of the proposed service changes, which may then be subject to formal consultation. During this initial stage we will need to carry out a range of engagement activities and communications to set the context / case for change and explore the options for services. Your views will help to inform this work and this is your opportunity to have your say on the future shape of older people s mental health services within Cwm Taf. WHERE ARE WE NOW? Historically, services have been organised around an age-defined threshold for transition from services for adults of working age to services to older adults. 2
3 Inpatient services for older person s mental health are currently provided at the following sites and compared to other Health Boards/Trusts are quite high in number for this patient group: - Hospital Ward Number Ysbyty George Thomas Fernhill 19 Ysbyty George Thomas Dinas 19 Ysbyty George Thomas Cambrian 19 Royal Glamorgan Seren 14 Royal Glamorgan St David s 10 Royal Glamorgan Enhanced Care Unit 5 Dewi Sant 1 18 Ysbyty Cwm Cynon 7 15 Prince Charles Hospital However, our community services in Cwm Taf for older people with mental health problems in comparison to other Health Boards / Trusts are relatively small and include: - Four memory assessment services Four Community Mental Health Teams Three day services (none in the Cynon Valley) 3.2 Psychologists, of which only 1.6 wte are in the community One Discharge Liaison Nurse Limited crisis management out of hours WHY DO WE NEED TO CHANGE? There are a number of risks associated with the current service model, which we must address to ensure we can provide an effective and efficient service to meet the needs of older people living in Cwm Taf: - Ward 35 is too isolated at Prince Charles Hospital to treat patients who have challenging behaviour and the environment is too constrictive for 15 patients. This has resulted in excessive and unsustainable use of one-to-one nursing and a temporary reduction of beds to 12 Ward one in Dewi Sant Hospital, in Pontypridd, is isolated, on a second floor level, not purpose built and has limited out of hours cover and multi-disciplinary support Delayed transfers of care and continuing healthcare delays are problematic Community mental health teams are very low in staff numbers when annual leave and sickness absence occur, the impact on staffing levels is significant. Staffing levels are unsustainable when compared to the projected population growth The current nursing establishment at the Royal Glamorgan Hospital Older Persons Mental Health Unit is not sufficient to meet the range of 3
4 care needs of patients admitted there. This can result in protracted lengths of stay and the need to occasionally close beds temporarily to maintain safety when the case mix of patients is complex There is an increasing reliance on nurse bank because of fluctuations in staffing levels, which is impacting on already tight financial budgets. WHERE DO WE WANT TO BE? We are proposing that within the new service structure eligibility for services will be based on what best meets the needs of the patient rather than purely on the basis of age. Patients with mixed needs would be jointly managed between services for adults of working age and older adult services where required. This model would be supported by the development of locality teams, which would contain all the expertise needed to deal effectively with the broad range of mental health issues which present to the service. The following areas of change and development have been identified to provide an effective and efficient service to meet the needs of the older adult population of Cwm Taf. 1. Develop and Enhance the Role of the Crisis Team The mental health crisis team provides point of access for assessment of people presenting in an emotional and often social crisis. The team should be developed and the skills enhanced to enable efficient assessment of those presenting with age-related mental disorder. This will provide safe and effective signposting to appropriate community services where these exist and ensure that admission to hospital is an intervention of last resort. 2. Extend Home Treatment to Include Patients of all Ages This has reduced admission rates and length of inpatient stay for adults of working age and should be extended to include older adults with the aim of achieving the same goal. This element may be particularly important if concentrating inpatient beds in fewer hospitals is the preferred model. 3. A Needs Led Primary Care Mental Health Support Service The Primary Care Mental Health Support Service organises assessment of need in respect of access to non-urgent services. The service is defined in legislation as ageless and will offer general and age-appropriate services across the age spectrum. This will include screening of those presenting with memory issues and access to the memory assessment pathway via a clinical nurse specialist for dementia. 4
5 4. Improve Discharge Efficiency When admission to an inpatient hospital bed is needed discharge planning should start as soon as a person is admitted or even sooner if that admission is planned. This allows all potential barriers to discharge to be identified as early as possible and reduces the length of stay to the minimum period necessary. 5. Improve Services to Residential and Nursing Home Residents Significant numbers of admissions to older people s beds from residential and nursing homes arise because of mental health and behavioural issues could be avoided if those issues were identified earlier and if appropriate interventions were offered. Some of these could be achieved by developing a care home liaison and in-reach services, including: - Enhancement of the Community Integrated Assessment Service (CIAS) into a holistic frailty service including mental health as well as physical assessment and intervention Redevelopment of existing ward-based nursing and psychology roles to provide in reach to nursing homes on a regularly scheduled and urgent (as required) basis to provide advice and guidance, to develop nursing home staff skills, to support management of residents who might otherwise require admission and to support early discharge to nursing homes. 6. Develop Additional Day Care Services Day care services are currently unevenly distributed across Cwm Taf. There is evidence these services can be effective in preventing unnecessary admission to hospital by providing support to patients and families, including day respite. Development of equitable services in each locality could result in fewer patients needing to be admitted to hospital for inpatient care. 7. Improve Services to Primary Care Joint home visits with GPs and engagement with GP nursing home rounds will be promoted and encouraged to support decision-making and improve knowledge and expertise to improve the quality of care and delay or avoid unnecessary hospital admissions. 8. Address Inequitable Workloads at Consultant and Locality Levels to Improve Equity of Services Community mental health services for older adults are currently organised into four geographic localities - Merthyr Tydfil, Cynon Valley, Rhondda and Taff Ely. The populations of each sector vary considerably resulting in 5
6 inequitable case loads for consultants and teams. This is reflected in assessment clinic waiting list size and waiting times and has an adverse effect on the quality of care. Consideration will be given to reorganising locality boundaries to bring them into line with those of the adult service to accommodate any remaining inequalities in service demand. HOW WILL WE GET THERE? Over the next three years we will redesign older person s people s mental health services shifting the focus of treatment and care from in-patient settings to the community to improve the quality of patient care. Our aim is for patients to have high-quality treatment and care in the right place at the right time without delays and to be treated by people with a high level of expertise. We expect inpatient assessments to be progressive; continual assessment to be consistent and liaison services to be enhanced. Developing acute assessment services on one site will enable smaller professional groups such as psychology and therapies to provide more intense support for patients, carers and staff In year one, we will focus on inpatient care and building a sustainable model; in year two we will ensure we have robust community and liaison services and in year three better outcomes overall compared to our current baseline across a range of key performance indicators. In summary, we need to do different things not just do things differently. Achieving this will ensure that Cwm Taf deals with the projected growth in health demand and ensure high quality treatment and care for older people. The combination of reconfigured inpatient mental health services for older people, enhanced liaison services and reinvestment from increased productivity will provide better outcomes for patients and the community. Doing nothing is not an option as the demographic profile demonstrates a growth in demand which will engulf the current model of services, not only in mental health but the wider healthcare system. On the basis of the changes we propose in this new model of service, we plan to have: - Shorter inpatient stays for assessment through locating all assessment on one site at the Royal Glamorgan Hospital 6
7 Reduced lengths of stay in specialist dementia beds through enhanced community services, better discharge, faster access to diagnosis & therapies and avoiding unnecessary admissions Safe and high quality patient environments and investment in staffing and community based services through bed reductions at either Ward 1 Dewi Sant Hospital or Ward 35 at Prince Charles Hospital Fits with WAG Strategy Hospital Care & Long term Care Age Neutral & Needs led CMHT & CRHT Primary Care Self Help (only 1 in 4 mental health problems in the older person is a dementia) HOW YOU CAN GET INVOLVED We are committed to making sure people in Cwm Taf know about our intentions and make their views known about what they can expect from our services. Copies of the full document can be found on our website at We welcome views from service users, carers, staff, partner organisations and anyone with an interest in mental health services in the Cwm Taf University Health Board area. On the basis of the changes we propose in this new model of service we would like to hear your views on the following questions: - 7
8 Question 1: Do you agree that there should be greater access to communitybased mental health services? - This will be achieved through moving resources from hospital beds to community services, reducing beds in either Ward 1 or Ward This will result in reduced lengths of stay in specialist dementia beds through improved assessment, treatment and discharge arrangements. Question 2: To ensure we have a shorter-length of stay for assessment, do you agree that all assessment beds should be located on one site at the Royal Glamorgan Hospital? - This will be supported through a concentration of expertise and diagnostics in one site (currently two) - Robust transport plans will be implemented to support patients and carers Question 3: Do you agree with the way we propose to change the services to ensure that patient care and treatment is safe, equitable and accessible? - This will be achieved by improving inpatient care pathways and by improving access to local care and treatment. The closing date for comments is 5pm on Friday 28 March 2014 and comments should be sent to: - Comments can also be ed to: - Mental Health Your Views Cwm Taf University Health Board Ynysmeurig House Navigation Park Abercynon CF45 4SN cthb_mentalhealthyourviews@wales.nhs.uk 8
EMERGENCY PRESSURES ESCALATION PROCEDURES
OP48 EMERGENCY PRESSURES ESCALATION PROCEDURES INITIATED BY: Director of Therapies & Health Sciences / Chief Operating Officer APPROVED BY: Executive Board DATE APPROVED: 21 September 2016 VERSION: 3 OPERATIONAL
More informationAdult Mental Health Services Follow up Report. 7 July
Adult Mental Health Services Follow up Report 7 July 2011 www.wao.gov.uk In relation to the Welsh Assembly Government and NHS bodies, I have prepared this report for presentation to the National Assembly
More informationGP OUT OF HOURS SERVICE
GP OUT OF HOURS SERVICE The GP Out of Hours (OOHs) service operates between the hours of: 6.30pm and 8.00am Monday Friday 6.30pm on Friday evening until 8.00am on Monday morning Plus all bank holidays
More informationMental Health Crisis Pathway Analysis
Mental Health Crisis Pathway Analysis Contents Data sources Executive summary Mental health benchmarking project (Provider) Access Referrals Caseload Activity Workforce Finance Quality Urgent care benchmarking
More informationCWM TAF UNIVERSITY HEALTH BOARD ESTATES STRATEGY 2014/ /18
CWM TAF UNIVERSITY HEALTH BOARD ESTATES STRATEGY 2014/15 2017/18 1 CONTENTS 1. Introduction... 4 2. Executive Summary... 4 3. Strategic Context... 6 3.1 Cwm Taf Vision and Strategic Objectives... 6 3.2
More informationTHE ROLE OF COMMUNITY MENTAL HEALTH TEAMS IN DELIVERING COMMUNITY MENTAL HEALTH SERVICES
THE ROLE OF COMMUNITY MENTAL HEALTH TEAMS IN DELIVERING COMMUNITY MENTAL HEALTH SERVICES Interim Policy Implementation Guidance and Standards [July 2010] - 1 - CONTENTS 1. Introduction... 3 2. The guiding
More informationIntensive Psychiatric Care Units
NHS Lothian St John s Hospital, Livingston Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We
More informationMy Discharge a proactive case management for discharging patients with dementia
Shine 2013 final report Project title My Discharge a proactive case management for discharging patients with dementia Organisation name Royal Free London NHS foundation rust Project completion: March 2014
More informationNHS Borders. Intensive Psychiatric Care Units
NHS Borders Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have assessed the performance
More informationBristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019
Bristol CCG North Somerset CGG South Gloucestershire CCG Draft Commissioning Intentions for 2017/2018 and 2018/2019 Programme Area Key intention Primary and community care Sustainable primary care Implement
More informationChanging for the Better 5 Year Strategic Plan
Quality Care - for you, with you 5 Year Strategic Plan Contents: Section 1: Vision and Priorities for Change 3 Section 2: About the Trust 5 Section 3: Promoting Health & Wellbeing and Primary Care 6 Section
More informationEnd of Life Care. LONDON: The Stationery Office Ordered by the House of Commons to be printed on 24 November 2008
End of Life Care LONDON: The Stationery Office 14.35 Ordered by the House of Commons to be printed on 24 November 2008 REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 1043 Session 2007-2008 26 November
More informationYou said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18
Commissioning Intentions Engagement for 2017/18 You said We did Care Closer to home Acute and Community Care services Top three priorities were: Shifting hospital services into the community Community
More informationHospital Discharge and Transfer Guidance. Choice, Responsiveness, Integration & Shared Care
Hospital Discharge and Transfer Guidance Choice, Responsiveness, Integration & Shared Care Worcestershire Mental Health Partnership NHS Trust Information Reader Box Document Type: Document Purpose: Unique
More informationNICE guideline Published: 22 September 2017 nice.org.uk/guidance/ng74
Intermediate care including reablement NICE guideline Published: 22 September 2017 nice.org.uk/guidance/ng74 NICE 2017. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).
More informationPlans for urgent care in west Kent:
Plans for urgent care in west Kent: Introduction and background A summary of our draft strategy NHS West Kent Clinical Commissioning Group (CCG) is working to improve urgent care services and we would
More informationDischarge to Assess Standards for Greater Manchester
Discharge to Assess Standards for Greater Manchester 1 Contents 1. Introduction... 3 2. Definition of Discharge to Assess... 3 3. Discharge to Assess Pathways... 4 4. Greater Manchester Standards for Discharge
More informationIntensive Psychiatric Care Units
NHS Highland Argyll & Bute Hospital, Lochgilphead Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity.
More informationNHS Grampian. Intensive Psychiatric Care Units
NHS Grampian Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have assessed the performance
More informationHOME TREATMENT SERVICE OPERATIONAL PROTOCOL
HOME TREATMENT SERVICE OPERATIONAL PROTOCOL Document Type Unique Identifier To be set by Web and Systems Development Team Document Purpose This protocol sets out how Home Treatment is provided by Worcestershire
More informationIntegrated Health and Care in Ipswich and East Suffolk and West Suffolk. Service Model Version 1.0
Integrated Health and Care in Ipswich and East Suffolk and West Suffolk Service Model Version 1.0 This document describes an integrated health and care service model and system for Ipswich and East and
More informationCardiac Rehabilitation Baseline Review and Strategy development. Rose Batten Nurse Clinical Lead Sue Wilshere Network Manager SEWCN
Cardiac Rehabilitation Baseline Review and Strategy development Rose Batten Nurse Clinical Lead Sue Wilshere Network Manager SEWCN 1 Cardiac Disease NSF Std 6 Everyone with established coronary heart disease
More informationEdinburgh Mental Health Implementation Plan2008/09 1. Purpose
LOTHIAN NHS BOARD PAPER 15 Edinburgh Community Health Partnership 15 th October 2008 General Manager Edinburgh Mental Health Implementation Plan2008/09 1. Purpose 1.1. The purpose of this report is to
More informationThe management of chronic conditions by NHS Wales. 4 December
The management of chronic conditions by NHS Wales 4 December 2008 www.wao.gov.uk I have prepared this report for presentation to the National Assembly under the Government of Wales Acts 1998 and 2006.
More information106,717 people accessed mental health. 192,192 access A&E. 1,011,942 patient contacts with community staff. 2,245,439 patient contacts
Employs 15,285 2,245,439 patient contacts 192,192 Assisted 91,360 Dispensed 13,598,605 prescription items** 38,107 1,011,942 patient contacts with Across 11 clusters, 540,850 people are registered with
More informationWestminster Partnership Board for Health and Care. 21 February pm pm Room 5.3 at 15 Marylebone Road
Westminster Partnership Board for Health and Care 21 February 2018 4.30pm - 6.00pm Room 5.3 at 15 Marylebone Road Agenda Item # Item and discussion points Lead Papers Timing 1 Preliminary business Welcome
More informationMental Health Services 2010 Mental Health Catchment Area Report
Mental Health Services 2010 Mental Health Catchment Area Report MENTAL HEALTH CATCHMENT AREA (SUPER CATCHMENT AREA) HSE AREA MENTAL HEALTH SERVICES Carlow/Kilkenny/South Tipperary South Carlow/Kilkenny/South
More informationStrategic Plan for Fife ( )
www.fifehealthandsocialcare.org Strategic Plan for Fife (2016-2019) Summary Document Supporting the people of Fife together Foreword NHS Fife and Fife Council are working together in a new Integrated Health
More informationEnd of Life Care Strategy
End of Life Care Strategy 2016-2020 Foreword Southern Health NHS Foundation Trust is committed to providing the highest quality care for patients, their families and carers. Therefore, I am pleased to
More informationHealth and care services in Herefordshire & Worcestershire are changing
Health and care services in Herefordshire & Worcestershire are changing An update on a five year plan to provide safe, effective and sustainable care in our area www.yourconversationhw.nhs.uk Your Health
More informationOur five year plan to improve health and wellbeing in Portsmouth
Our five year plan to improve health and wellbeing in Portsmouth Contents Page 3 Page 4 Page 5 A Message from Dr Jim Hogan Who we are What we do Page 6 Page 7 Page 10 Who we work with Why do we need a
More informationREPORT OF THE SOUTH WALES PROGRAMME BOARD TO HEALTH BOARDS/WAST JANUARY 2014
REPORT OF THE SOUTH WALES PROGRAMME BOARD TO HEALTH BOARDS/WAST JANUARY 2014 SOUTH WALES PROGRAMME BOARD RECOMMENDATIONS FOR THE FUTURE CONFIGURATION OF CONSULTANT- LED MATERNITY AND NEONATAL CARE, INPATIENT
More informationIntensive Psychiatric Care Units
NHS Greater Glasgow and Clyde Stobhill Hospital, Glasgow Intensive Psychiatric Care Units Service Profile Exercise ~ November 009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and
More informationHEALTHCARE PROFESSIONALS FORUM Tuesday 13 March 2018 Rhondda Room, Ynysmeurig House, Navigation Park, Abercynon 1pm-4pm AGENDA
1. Agenda HPF 13 March 2018 PART 1. PRELIMINARY MATTERS 1.1 Welcome and Introductions 1.2 Apologies for Absence 1.3 Declaration of Interests HEALTHCARE PROFESSIONALS FORUM Tuesday 13 March 2018 Rhondda
More informationNHS GRAMPIAN. Local Delivery Plan - Mental Health and Learning Disability Services
NHS GRAMPIAN Board Meeting 01.06.17 Open Session Item 8 Local Delivery Plan - Mental Health and Learning Disability Services 1. Actions Recommended The Board is asked to: Note the context regarding the
More informationClinical Strategy
Clinical Strategy 2012-2017 www.hacw.nhs.uk CLINICAL STRATEGY 2012-2017 Our Clinical Strategy describes how we are going to deliver high quality care in response to patient and carer feedback and commissioner
More informationOur next phase of regulation A more targeted, responsive and collaborative approach
Consultation Our next phase of regulation A more targeted, responsive and collaborative approach Cross-sector and NHS trusts December 2016 Contents Foreword...3 Introduction...4 1. Regulating new models
More informationAgenda Item 5.1 Appendix 11 CWM TAF UNIVERSITY LOCAL HEALTH BOARD
CWM TAF UNIVERSITY LOCAL HEALTH BOARD MINUTES OF THE MEETING OF THE PRIMARY CARE COMMITTEE HELD ON 26 AUGUST 2015 AT YNYSMEURIG HOUSE, ABERCYNON PRESENT: Professor D Mead Mr J Palmer Mr G Bell Cllr C Jones
More informationRapid Response. Crisis Team. Anne Williams Alison Dalley
Rapid Response Health and Social Care Health and Social Care Crisis Team Anne Williams Alison Dalley Salford the context Population 220,000 Long history of joint working across Council/PCT Provide range
More informationDraft Commissioning Intentions
The future for Luton s primary care services Draft Commissioning Intentions 2013-14 The NHS will have less money to spend over the next three years. Overall, it has to make 20 billion of efficiency savings
More informationA SURVEY OF THE USE OF AN ASSESSMENT AND TREATMENT UNIT FOR ADULTS WITH LEARNING DISABILITY IN LANARKSHIRE OVER A SIX YEAR PERIOD ( )
The British Journal of Developmental Disabilities Vol. 54, Part 2, JULY 2008, No. 107, pp. 89-99 A SURVEY OF THE USE OF AN ASSESSMENT AND TREATMENT UNIT FOR ADULTS WITH LEARNING DISABILITY IN LANARKSHIRE
More informationShetland NHS Board. Board Paper 2017/28
Board Paper 2017/28 Shetland NHS Board Meeting: Paper Title: Shetland NHS Board Capacity and resilience planning - managing safe and effective care across hospital and community services Date: 11 th June
More informationExecutive Summary / Recommendations
Learning Disability Change Programme A Strategy for the Future Proposed Service Specification for Adult Learning Disability Services in Greater Glasgow & Clyde Executive Summary / Recommendations 1 1.
More informationImproving Mental Health Services in South Gloucestershire
Improving Mental Health Services in South Gloucestershire Andy Sylvester Executive Director of Operations Welcome & Introductions Housekeeping Format of the day Presentations Questions and answers Information
More informationFramework for Cancer CNS Development (Band 7)
Framework for Cancer CNS Development (Band 7) Opening Statement This framework provides a common understanding of the CNS role across the London Cancer Alliance and will be used to support the development
More informationNational review of NHS acute inpatient mental health services in England: implications for psychiatric intensive care units
National review of NHS acute inpatient mental health services in England: implications for psychiatric intensive care units Nicola Vick, Project lead September 2008 Outline of presentation 1. Overview
More informationKey Working relationships: Hospice multi-professional team members
JOB DESCRIPTION Job Title: Responsible to: Accountable to: Qualifications: Hospice at Home Team Leader Hospice at Home Manager Director of Patient Care Location: Based at St Clare Hospice Hours: 37.5 Responsible
More informationHealth Board Report SOCIAL SERVICES AND WELL-BEING ACT (WALES) 2014: REVISED REGIONAL IMPLEMENTATION PLAN
Agenda Item 3.3 27 JANUARY 2016 Health Board Report SOCIAL SERVICES AND WELL-BEING ACT (WALES) 2014: REVISED REGIONAL IMPLEMENTATION PLAN Executive Lead: Director of Planning & Performance Author: Assistant
More informationGetting the Right Response In A Mental Health Crisis
Getting the Right Response In A Mental Health Crisis Imagine someone you knew suddenly experienced a mental health crisis What response are you able to provide at the moment? What are the barriers in your
More informationMental health and crisis care. Background
briefing February 2014 Issue 270 Mental health and crisis care Key points The Concordat is a joint statement, written and agreed by its signatories, that describes what people experiencing a mental health
More informationImproving Mental Health Services in Bath & North East Somerset
Improving Mental Health Services in Bath & North East Somerset Andy Sylvester Executive Director of Operations Welcome & Introductions Housekeeping Format of the day Presentations Questions and answers
More information1 Introduction 2 2 Definitions of levels of care 3 3 Common principles 4 4 Admission criteria 5 5 Referral procedure
ADMISSION & DISCHARGE POLICY FOR ADULT CRITICAL CARE SERVICES CONTENTS Page 1 Introduction 2 2 Definitions of levels of care 3 3 Common principles 4 4 Admission criteria 5 5 Referral procedure 5-7 5.1
More informationMental Health (Wales) Measure Implementing the Mental Health (Wales) Measure Guidance for Local Health Boards and Local Authorities
Mental Health (Wales) Measure 2010 Implementing the Mental Health (Wales) Measure 2010 Guidance for Local Health Boards and Local Authorities Januar y 2011 Crown copyright 2011 WAG 10-11316 F6651011 Implementing
More informationSouth East Essex. Discharge to Assess Strategy
South East Essex Discharge to Assess Strategy 2018-2020 Version 3.5 27 th March 2018 Document Control: Revision: Name Date: Version 2.0 Shirley Regan 12 December 2017 Version 2.1 Amendments-Paul 19 December
More informationLEARNING FROM THE VANGUARDS:
LEARNING FROM THE VANGUARDS: STAFF AT THE HEART OF NEW CARE MODELS This briefing looks at what the vanguards set out to achieve when it comes to involving and engaging staff in the new care models. It
More informationSERVICE SPECIFICATION
SERVICE SPECIFICATION Service Rotherham Hospice Lead Gail Palmer Provider Lead Paula Hill / Mike Wilkerson Period 21 st July 2010 20 th July 2013 1. Purpose This specification describes the services which
More informationThe Community Crisis House model
An evaluation of Wales first crisis house If it had not been for the Crisis House staff I honestly don t think I would still be here. I can t thank you enough for all your help. I now feel that I actually
More informationThe Status Quo of Mental Health and Learning Disabilities Services in Hywel Dda
Hywel Dda University Health Board The Status Quo of Mental Health and Learning Disabilities Services in Hywel Dda Technical Document to inform the Transforming Mental Health agenda. The Status Quo of MHLD
More informationWestminster Partnership Board for Health and Care. 17 January pm pm Room 5.3 at 15 Marylebone Road
Westminster Partnership Board for Health and Care 17 January 2018 4.30pm - 6.00pm Room 5.3 at 15 Marylebone Road Agenda Item # Item and discussion points Lead Papers Timing 1 Preliminary business Welcome
More informationAdult Social Care Assessment & care management In-house care services
Adult Social Care Assessment & care management In-house care services Service Plan 2015/16 Date 19/03/15 Final Directorate: Education Health and Social Care 1. Introduction Policy Context The Adult Social
More informationUnless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version
Policy No: MH27 Version: 2.0 Name of Policy: Care Programme Approach & Care Co-ordination Effective From: 25/08/2015 Date Ratified 24/07/2015 Ratified Mental Health Committee Review Date 01/07/2017 Sponsor
More informationpractice. A Health Board education campaign? To be launched
W95045 Tony Pandy Health Centre Practice Development Plan Services Priority The issues Aims and objectives How will this be done? ( Practice; GP Cluster; Health Board) Access DNA rates on To reduce the
More informationMental Health Services 2010 Mental Health Catchment Area Report
Mental Health Services 2010 Mental Health Catchment Area Report MENTAL HEALTH CATCHMENT AREA (SUPER CATCHMENT AREA) HSE AREA MENTAL HEALTH SERVICES Limerick, North Tipperary, Clare West Limerick, Clare,
More informationImplementing A Vision for Change
A Vision for Change ADVANCING MENTAL HEALTH IN IRELAND Implementing A Vision for Change Moving towards a modern, quality and responsive mental health service. Carlow / Kilkenny / South Tipperary Mental
More informationCWM TAF HEALTH BOARD ANNUAL ESTATE REPORT 2011/12 & 2012/13
CWM TAF HEALTH BOARD ANNUAL ESTATE REPORT 2011/12 & 2012/13 1. Introduction and Key Messages The on-going maintenance and development of the estate is a key enabler for the Health Board in terms of achieving
More informationServices for older people in Falkirk
Services for older people in Falkirk July 2015 Report of a joint inspection of adult health and social care services Services for older people in Falkirk July 2015 Report of a joint inspection of adult
More informationRedesigning adult mental health services
Redesigning adult mental health services A new model for the organisation of adult mental health services provided by Northamptonshire Healthcare NHS Foundation Trust October 2010 Contents Executive summary...
More informationLeicester, Leicestershire and Rutland s Sustainability & Transformation Plan (STP)
Leicester, Leicestershire and Rutland s Sustainability & Transformation Plan (STP) UPDATE Toby Sanders, STP Lead 13 September, 2016 What is the STP? Health and care place based plan for Leicester, Leicestershire
More informationConsultation on proposals to introduce independent prescribing by paramedics across the United Kingdom
Patient and public summary for: Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom The full consultation document is available on the NHS England consultation
More informationHalton. Local system review report Health and Wellbeing Board. Background and scope of the local system review. The review team
Halton Local system review report Health and Wellbeing Board Date of review: 21-25 August 2017 Background and scope of the local system review This review has been carried out following a request from
More informationJOB DESCRIPTION. Community Mental Health Nurse, CMHT Band: Band 6 27,635-37,010 plus DIA per annum pro rata
JOB DESCRIPTION 1. JOB IDENTIFICATION Job Title: Community Mental Health Nurse, CMHT Band: Band 6 Salary: 27,635-37,010 plus DIA per annum pro rata Hours of work: 37.5 (1 WTE) Reporting to: Senior CMHT
More informationAPPROVAL OF MENTAL HEALTH CLINICAL RISK ASSESSMENT & MANAGEMENT POLICY
FOR DECISION AGENDA ITEM 7.2 June 19 th 2012 APPROVAL OF MENTAL HEALTH CLINICAL RISK ASSESSMENT & MANAGEMENT POLICY Report of Paper prepared by Executive Nurse Director Divisional Nurse Mental Heath Executive
More informationChild Health 2020 A Strategic Framework for Children and Young People s Health
Child Health 2020 A Strategic Framework for Children and Young People s Health Consultation Paper Please Give Us Your Views Consultation: 10 September 2013 21 October 2013 Our Child Health 2020 Vision
More informationMental Health Act Monitoring Inspection (Unannounced) Cwm Taf University Health Board; Pinewood House
Mental Health Act Monitoring Inspection (Unannounced) Cwm Taf University Health Board; Pinewood House 11 August 2015 This publication and other HIW information can be provided in alternative formats or
More informationNorth Wales Clinical Strategy for Adult Mental Health
North Wales Clinical Strategy for Adult Mental Health How can we improve the quality of our current care for people with mental health needs in North Wales? 90 Day Cycle First Stage Interim Report March
More informationSeven day hospital services: case study. South Warwickshire NHS Foundation Trust
Seven day hospital services: case study South Warwickshire NHS Foundation Trust March 2018 We support providers to give patients safe, high quality, compassionate care within local health systems that
More informationNHS Lambeth Clinical Commissioning Group and Guy s & St Thomas NHS Foundation Trust
and Guy s & St Thomas NHS Foundation Trust Summary of proposed changes to: inpatient intermediate care services at Lambeth Community Care Centre and Pulross and rehabilitation services for people who have
More informationFREQUENTLY ASKED QUESTIONS / KEY ISSUES RAISED DURING THE CONSULTATION PERIOD (updated 7 September 2017)
TRANSFORMING MENTAL HEALTH SERVICES Consultation 22 June 15 September 2017 FREQUENTLY ASKED QUESTIONS / KEY ISSUES RAISED DURING THE CONSULTATION PERIOD (updated 7 September 2017) Q1. Why has some documentation
More informationUrgent and emergency mental health care pathways
Urgent and emergency mental health care pathways Initial guidance for improving data quality in the Mental Health Services Dataset (MHSDS) Published August 2018 Copyright 2018 NHS Digital Contents Who
More informationBarnet, Enfield and Haringey. Mental Health NHS Trust. Trust Clinical Strategy
Barnet, Enfield and Haringey Mental Health NHS Trust Trust Clinical Strategy 2013-18 Contents Section 1. Introduction 3 Section 2. Our clinical priorities for the next five years 4 Section 3. About us
More informationDelivering Local Health Care
Delivering Local Health Care Accelerating the pace of change Contents Joint foreword by the Minister for Health and Social Services and the Deputy Minister for Children and Social Services Foreword by
More informationTitle of the Health Board Report
AGENDA ITEM 3.2 Title of the Health Board Report IMPLEMENTING THE OUTCOME OF THE SOUTH WALES PROGRAMME THROUGH ACUTE CARE ALLIANCES AND DEVELOPMENT OF THE SOUTH WALES HEALTH COLLABORATIVE Executive Lead:
More informationRedesign of Front Door
Redesign of Front Door Transforming Acute and Urgent Care Strategic Background and Context Our Change and Improvement Programme What have we achieved and how? What did we learn? Ian Aitken, General Manager
More informationJOB DESCRIPTION. Head of Mental Health, Learning Disability and Addictions. Director, North Ayrshire Health & Social Care Partnership
JOB DESCRIPTION 1. JOB DETAILS Job Title: Responsible to: Responsible for:. Location: Head of Mental Health, Learning Disability and Addictions Director, North Ayrshire Health & Social Care Partnership
More informationParticulars Version 22. NHS Standard Contract 2018/19. Particulars Enhanced Homeless Health
NHS Standard Contract 2018/19 Particulars Enhanced Homeless Health 1 SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification No. Service OOHS_011 Enhanced Homeless Health Commissioner Lead
More informationMidlothian Health and Social Care Partnership
Midlothian Health and Social Care Partnership the right care the right support the right time This document is a draft, work in progress version. It includes current thinking on priorities / direction
More informationA Step-by-Step Guide to Tackling your Challenges
Institute for Innovation and Improvement A Step-by-Step to Tackling your Challenges Click to continue Introduction This book is your step-by-step to tackling your challenges using the appropriate service
More informationIntegrated heart failure service working across the hospital and the community
Integrated heart failure service working across the hospital and the community Lynne Ruddick Professional Lead (South) British Heart Foundation 31st October 2017 Heart Failure is an epidemic. NICE has
More informationA new mindset: the Five Year Forward View for mental health
A new mindset: the Five Year Forward View for mental health Paul Farmer Chief Executive mind.org.uk Five Year Forward View for Mental Health Simon Stevens: Putting mental and physical health on an equal
More informationNHS Futures Scenario: The Future Hospital
NHS Futures Scenario: The Future Hospital Professor Timothy Evans, Royal College of Physicians Dr Mark Newbold, NHS Confederation Hospitals Forum Executive Summary In March 2012 the Royal College of Physicians
More informationValuing and Supporting Carers. Stockport s Carers Strategy and Action Plan
Valuing and Supporting Carers Stockport s Carers Strategy and Action Plan 2013 to 2016 1 CONTENTS Page Executive Summary 3 Who Do We Mean by Carers? 4 Profile of Carers in Stockport 5 Our Vision 9 1. Integrated
More informationDELIVERING THE CARE PROGRAMME APPROACH IN WALES
DELIVERING THE CARE PROGRAMME APPROACH IN WALES Interim Policy Implementation Guidance [July 2010] - 2 - CONTENTS PART 1 Introduction and background... 5 1. Introduction... 5 2. Mental Health (Wales) Measure,
More informationAdult Mental Health Services. A National Service Framework for Wales
Adult Mental Health Services A National Service Framework for Wales April 2002 National Service Framework for Mental Health Wales 1. The National Service Framework for Mental Health in Wales (NSF) has
More informationIMPLEMENTING THE OUTCOME OF THE SOUTH WALES PROGRAMME THROUGH ACUTE CARE ALLIANCES AND DEVELOPMENT OF THE SOUTH WALES HEALTH COLLABORATIVE
AGENDA ITEM 3.3 9 September 2014 IMPLEMENTING THE OUTCOME OF THE SOUTH WALES PROGRAMME THROUGH ACUTE CARE ALLIANCES AND DEVELOPMENT OF THE SOUTH WALES HEALTH COLLABORATIVE Executive Lead: Chief Executive
More informationNHS BORDERS CLINICAL STRATEGY. 'A plan for person-centred, innovative healthcare to help the Borders flourish'
NHS BORDERS CLINICAL STRATEGY 'A plan for person-centred, innovative healthcare to help the Borders flourish' CONTENTS NHS BORDERS CLINICAL STRATEGY FOREWORD 3 EXECUTIVE SUMMARY 4 THE CASE FOR CHANGE 5
More information5. ADULT MENTAL HEALTH PLANNING FRAMEWORK. 5.1 Analysis of Local Position
5. ADULT MENTAL HEALTH PLANNING FRAMEWORK 5.1 Analysis of Local Position 5.1.1 The Joint Planning, Performance & Implementation Group (JPPIG) in Renfrewshire has lead responsibility for planning of Adult
More informationMental Health Services - Delayed Discharges: Update
NHS Greater Glasgow & Clyde NHS Board Meeting Chief Officer, Glasgow City HSCP and Nurse Director October 20 Paper No: /56 Mental Health Services - Delayed Discharges: Update Recommendation:- The NHS Board
More informationSCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN
Appendix-2016-59 Borders NHS Board SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Aim To bring to the Board s attention the Scottish
More informationRe-designing Adult Mental Health Secondary Care Services through co-production and consultation. 1 Adult Mental Health Secondary Care Services
2016 Re-designing Adult Mental Health Secondary Care Services through co-production and consultation 1 Adult Mental Health Secondary Care Services Contents Forward Vision & Values Introduction Adult Mental
More informationNorth Gwent Crisis Resolution & Home Treatment Team Operational Policy
North Gwent Crisis Resolution & Home Treatment Team Operational Policy Mission Statement The purpose of the Crisis Resolution & Home Treatment Team (CRHTT) is to provide emergency assessment and intervention
More information