The Long Path to Primary Care Mental Health. Dr David Smart GP NHS Northamptonshire
|
|
- Angelica Walters
- 5 years ago
- Views:
Transcription
1 The Long Path to Primary Care Mental Health : Dr David Smart GP NHS Northamptonshire
2 Common Mental Health Common 2007 Prevalence 16.2% > Elderly / Deprivation > South Asian women Life time 25% 8% pop warrant treatment from healthcare professional 20% increase women aged Costly Depression 7.5Bn Anxiety 8.9Bn Medically Unexplained Symptoms 18Bn 20% days lost from work due to anxiety / depression. Critical Mental ill health largest cause disability 22.8% Cardiovascular 16.2% Major cause mortality working age 2/3 suicides in depressed people 10% depression chronic Postnatal depression affects child development PTSD associated drug alcohol and homelessness (Looked after children) Early intervention helps
3 Common Mental Health Curable? 50 % don t attend PHCT > 33% not recognised > practice nurses > if Long Term Condition Eu DEPRES -30% achieve remission 10 year follow up 50 % recurrence 2 nd episode= 70% 3 rd episode= 90% Antidepressants do work for more severe symptoms 33% stop <3m >50 % stop 6m <15% have a choice of IAPT IAPT recovery rates vary Not all CBT Self help,psycho-education, peer support, exercise, groups, IPT, EMDR, debt counselling STAR*D 50% remission after 2 treatment levels Collaborative care better outcomes especially comorbid LTC
4 AREAS FOR INTERVENTION No health without mental health- Economic case Parity of esteem between mental and physical health services 1. Early identification and intervention as soon as mental health problems emerge 2. The promotion of positive mental health and prevention of mental disorder in childhood and adolescence 3. The promotion of positive mental health and prevention of mental disorder in adults 4. Addressing the social determinants and consequences of mental health problems 5. Improving the quality and efficiency of current services
5 Humana Review: priorities for users and carers More choice of treatments / interventions Improved information Better primary care mental health More talking therapies Culturally aware services Integration of physical / mental health Stronger involvement of carers Improved respite care
6 Helen 28-year-old Part-time teacher struggling with work Nine-month-old child delivered by emergency Caesarean section Health visitor asked me to see her as concerned Fleeting thoughts of self harm, not actively suicidal, no risk to child Severity scale moderate to severe anxiety and depression Marital discord with arguments considering separation Previous triathlon runner Husband recently seen with stress at work, low back pain Her sister is also a patient with recurrent depression
7 Skills Time Attitudes Resources Systems
8 Helen - Outcome What I think helped Screening Team approach (HV) Psycho-social prescribing- (accessible public mental health) Accessible psychological therapies Antidepressants GP with an interest in follow-up What she thought helped Husband understanding her more (he read surviving abuse book) Feeling understood Space to talk Calming down living in the now Back to gym, space for herself as well as her appearance I am now the mother of my children I wish to be and the wife my husband married
9 E l e c t r o n i c I n t e g r a t e d C a r e P a t h w a y Delivery of an Integrated Mental Health Care Programme DRAFT Home Treatment team Acute Hospital Mental Health teams Pendered Assessment Team Draft format/basis for service model Need Local Action Points NB for * see "Mental Health Action Plan for Northampton " May 2003 CMHT Shared care Gateway Workers GPs with /Nurse special interestconsultant Shared care Graduate Workers Support Workers Formalised Liaison/ Referral processes Link to voluntary sector Duty system Formalised Liaison/ Referral processes Triage Formalised Liaison/ Referral processes PMHCT Counsellor/Helath Visitor/ PCMHNs Links to education PHCT Primary care mental health nurses(pcmhns) development of commissioned voluntary services PCT Link Worker Role 3. Specific evidence based therapy provided by appropriately trained mental health professional. Short to medium term interventions. Group interventions. Medication. Referral to Graduate Workers, Counsellors, triage - dependent upon degree of dysfunction. 2. Primary care mental health nurses, shared care and other trained members of the PHCT. Medication prescribed by GP. Referral to voluntary sector, self-help groups. 1. A range of interventions targeted at an individual, community and organisational level. 5. Interagency team approach. Possible inpatient care. Psychosocial interventions. Ongoing care as required. Shared care models. Onward referral to functional teams. 4. Psychotherapy and/or drug therapy from appropriately trained professional plus liaison with other agencies as required. Long term or episodic care. If not treatable at time of referral, advice on management plus support to primary care with the option to re-refer. Referral to triage. 5. Severe mental health problems with significant impairment of functioning (social/ cognitive/ occupation/ interpersonal/ financial). SMI's * Complex mental health problems, most likely long-standing and recurrent, significantly impairing quality of life and some functions. Reference: "Integrated Mental Health Services, Primary/ Secondary Care Interface", Northamptonshire Healthcare NHS Trust 3. Moderate mental health problems which are not likely to improve without specialist therapy, but which do not prevent most day-to-day coping. 2. Relatively common transient or mild to moderate mental health problems characterised by distress but with a limited effect on functioning. 1. Promotion of mental health for all. Reference: "PCT Mental Health Promotion Strategy" Physical health checks * 1.6 Link Worker Role* 2.6 Suicide prevention Nurse Consultant* 2.3 Reference: "Talking Therapy Services in Primary Care", Dr D Smart & Mr A Howard, April 2003 Reference: "Possible Model of Mental Health & Primary Care", Dr D Smart, March 2003 Primary secondary care interface group Graduate Workers* 2.2 Links to education *2.1 Self empowerment Talking therapy service CD Roms Primary Care Mental Healthcare Nurse / Health Visitor* 2.4 Get Set Go * 1.5 Activity referral programme * 1.7 Maternal Health ICP * 1.2 Access wall chart *1.1 Link to voluntary sector * HP Link to Local Authority Services * HP Electronic ICP* 4.4 Core curriculum *4.1 Carer support *3.2 User support* 3.2 Audit* 4.3 Clinical Supervision *4.6 Governance Pack *4.5 Access to education & training * 1.4
10 Why was this plan not implemented? Jenkins, Klein & Parker, BMJ, July Top heavy systems of mental health care are coupled with relatively underdeveloped systems of primary care.. While access to essential medicines is usually possible, access to evidence based psychological interventions is still limited. This arises from poor awareness of the international evidence base on diagnosis, effective services, and interventions. National strategic framework mental health 1999 NHS reorganisation- loss of relationships/gp influence Stigma / discrimination, not sexy?
11 Changing Minds Depression care training centre,1997 post defeat depression campaign. Interagency training centre Values-based education 10 essential shared capabilities Trailblazers New ways of working Nurse consultant primary care mental health Graduate workers Health visitor with special interest Wellbeing Partnerships Waller Trust Libraries Adult Education Exercise on prescription Public health Improving Access to Psychological Therapies
12 Integrating mental health in Primary Care Does Primary Mental Health Care Exist? Five High Impact Changes Screening Severity Risk Assessment Shared Management Plan Follow up Appointment Quality and Outcome Framework Continuity vs Team Resources Counsellors Link Workers Graduate Workers Antidepressants GPs /Practice Nurses Systems of Care Changing Minds- Well Being Teams Improving Access to Psychological Therapies Developing a Common Mental Health Pathway Collaborative Care?
13 The Wellbeing Service Network C O M M U N I T I E S STEP 1: GP Surgeries STEP 2: Choice Appointment & Follow Up Cross Cutting Services Citizens Advice Bureau Criminal Justice System Adult Education Peer Support Welfare Rights Job Centre Plus Housing Advice Parental Services Drug & Alcohol Crisis Support Wellbeing Team Review (May 2009) Increasing Access to Psychological Therapies (Sept 2009) STEP 3: CBT, Psychology & Counselling STEP 4: Step Down Project
14 Stepped Care Model for Anxiety and Depression (Adapted from NICE guidance, 2004 and 2007) Step Provider Interventions Step 1 GPs and other Primary Care Practitioners Screening and Structured Watchful Waiting Step 2 Well Being Teams Holistic assessment of needs and strengths Range of psychological and social interventions Recovery orientated and evidence based Step 3 Well Being Teams Increased intensity/duration - Senior Practitioner/ Consultant Nurse input and psychology Step 4 Well Being Teams Specialist Services Collaborative work between Well Being Teams and Specialist Services Step 5 Specialist Services Crisis Resolution, Inpatient Care, CMHT
15 Learn2b is investigating the impact of Adult Learning on physical and emotional wellbeing There is a significant increase in overall wellbeing and an improvement in HADs scores post learn2b Greatest improvements on the REF were that people had more confidence in their ability to cope, and felt that they had more meaningful activities and enjoyment in their life after attending a Learn 2b course. The REF measures which showed the least improvement after attending a Learn 2b course were people s ability to practice their spiritual beliefs and the level to which people felt supported by their family.
16 Proposed Whole System Care Pathway STEP 1 STEP 2 STEP 3 STEP 4 STEP 5 Recognition Managing mild problems Managing moderate to severe problems Involvement of specialist services Inpatient care 3 rd sector organisations Primary Care practitioner A and E Individuals GP out of hours T R I A G E Local Enhanced Primary care service: a managed network: Managed counselling service Wellbeing teams Carers support workers 3 rd sector services STR workers Employment support (ISA 1) 3 rd sector organisations Specialist Assessment & interventions (ISA 2) CRHT Specialist secondary Services Complex and long term care Assertive outreach Early intervention No 63 Acute Tertiary Residential Nursing care
17
18 Commissioning Strategy - No Health Without Mental Health 2008 NHS Northampton Board Northamptonshire CC Cabinet Commissioning Team Developing Flourishing Communities Integrating physical & mental health JCB/ NHSN Commissioning Executive Managed Network Board (implement strategy) Wellbeing Service Network Redesigning Specialist Services Dementia Pathway
19 MH Commissioning System and Process NCC Nene Commissioning Localities Declaration of Wellbeing Joint Commissioning Board (S75) Integrated care Partnership Forensic services Learning Disability Residential & Domiciliary Individual Packages Care Maternal health Drugs and Alcohol Team Mental Health Strategy + Interfaces Children's services Public Health Carers Social Care Health and wellbein g board Service users outcomes MH Managed Network Board MH Clinical network board Specification PBR Providers Long Term Conditions KEY Urgent Care E d u c a t i o n Social Movement Of Wellbeing 23/03/2011 monitoring COMMISSIONING CYCLE contracting quality GOVERNANCE ENGAGEMENT COMMISSIONING DELIVERY
20 Community elderly care service (+dementia) Alcohol pathway Acute Trust Mental Health Liaison Service Common mental health Public mental health Happiness Ward Assessment Self Harm
21 C O M M U N I T I E S Integrating the Wellbeing Service Network & Community Nurses- Opportunity to develop Collaborative Care? STEP 1: GP Surgeries STEP 2: Choice Appointment & Follow Up Cross Cutting Services Citizens Advice Bureau Criminal Justice System Adult Education Peer Support Welfare Rights Job Centre Plus Housing Advice Parental Services Drug & Alcohol Crisis Support STEP 3: CBT, Psychology & Counselling STEP 4: Collaborative Care C O M M U N I T Y N U R S E S
22 Foresight: Mental Capital and wellbeing project mental capital trajectory
23 The mental health spectrum From: Huppert Ch.12 in Huppert et al. (Eds) The Science of Well-being Flourishing 20% Moderate mental health 50% Languishing 20% Mental illness 10%
24 The effect of shifting the mean of the mental health spectrum From: Huppert Ch.12 in Huppert et al. (Eds) The Science of Well-being Flourishing Moderate mental health Languishing Number of symptoms or risk factors Mental disorder
25
26 The New Task - Market Facilitation a Joint Endeavour The interventions commissioners make in order to deliver the kind of market believed to be necessary for any given community. Market intelligence The development of a common and shared perspective of supply and demand, leading to an evidenced, published, market position statement for a given market. Market intervention Market structuring The activities designed to give the market shape and structure, where commissioner behaviour is visible and the outcomes 26 they are trying to achieve agreed, or at least accepted.
THE 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 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 informationThe future of mental health: the Taskforce 5 year forward view and beyond
The future of mental health: the Taskforce 5 year forward view and beyond May 2016 Content Mental Health Taskforce Overview Achieving Better Access Safe, Effective and Compassionate Care Integrating Physical
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 informationMental Health Financial Planning Frequently asked questions
Mental Health Financial Planning Frequently asked questions 1. What is Mental Health Investment Standard (MHIS)? How is it calculated? The Mental Health Investment Standard (MHIS) was previously known
More informationNew Savoy Conference Psychological Therapies in the NHS
New Savoy Conference Psychological Therapies in the NHS Claire Murdoch CEO, Central and North West London NHS FT & National Mental Health Director, NHS England 21 March 2018 Mental Health Five Year Forward
More informationNELFT Integrated Adult Care Pathway - Acute and Crisis Care. Asif Bachlani Wellington Makala
NELFT Integrated Adult Care Pathway - Acute and Crisis Care Asif Bachlani Wellington Makala Introductions Dr Asif Bachlani Consultant Psychiatrist B&D Access, Assessment and Brief Intervention Team Associate
More informationCARERS WELCOME PACK COMMUNITY MENTAL HEALTH DIVISION
CARERS WELCOME PACK COMMUNITY MENTAL HEALTH DIVISION Contents WELCOME CARE, TREATMENT AND SUPPORT FOR SERVICE USERS CARER S SUPPORT NATIONAL AND LOCAL CARERS SERVICES CARING IN A CRISIS INFORMATION SHARING
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 informationTHE FIVE YEAR FORWARD VIEW FOR MENTAL HEALTH
THE FIVE YEAR FORWARD VIEW FOR MENTAL HEALTH A Policy Unit briefing on the findings of the independent Mental Health Taskforce and the implications for psychiatrists and the wider NHS workforce Holly Taggart
More informationThe Infant-Parent Perinatal Service
The 7 th FEBRUARY 2014 - PERINATAL MENTAL HEALTH DISCUSSION DAY OXFORD HEALTH GERRY BYRNE (Clinical Lead, FASS, IPPS, ReConnect) Consultant Nurse & Consultant Psychotherapist JUDITH RICHARDSON (Clinician,
More informationClinical Strategy
Clinical Strategy 2014-2018 Contents About the clinical strategy Page 2 About our Trust Page 3 What we stand for Page 6 Our clinical services Page 9 Supporting our staff Page 12 The five year plan Page
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 informationWelcome to. Northern England and the Five Year Forward View for Mental Health. Thursday 2 February 2017 at the Radisson Blu, Durham
Welcome to. Northern England and the Five Year Forward View for Mental Health Thursday 2 February 2017 at the Radisson Blu, Durham Introductions Chairs: Catherine Haigh, Chair of North East together and
More informationChildren s Senior Psychotherapist. Therapeutic Services GRADE: 05. Context and Purpose of the Job
JOB TITLE: TEAM: GROUP: LOCATION: REPORTS TO: Children s Psychotherapist Therapeutic Services Operations Luton Children s Senior Psychotherapist GRADE: 05 HOURS: 21 hours per week Context and Purpose of
More informationREFERRAL GUIDELINES PSYCHOLOGICAL SUPPORT SERVICES VERSION: DRAFT 0.4
REFERRAL GUIDELINES PSYCHOLOGICAL SUPPORT SERVICES VERSION: DRAFT 0.4 Contents Introduction... 2 Reasons for Referral... 2 Referral Criteria for the Psychological Service... 2 Four Level Model... 3 Level
More informationJOB DESCRIPTION & PERSON SPECIFICATION JOB DESCRIPTION. Highly Specialist Psychological Therapist
JOB DESCRIPTION & PERSON SPECIFICATION JOB DESCRIPTION JOB TITLE: GRADE: Highly Specialist Psychological Therapist Band 7 and 8a HOURS OF WORK: 37.5 RESPONSIBLE TO: (Line manager) ACCOUNTABLE TO: Clinical
More informationWorcestershire Early Intervention Service. Operational Policy
Worcestershire Early Intervention Service Operational Policy Document Type Service Operational Unique Identifier CL-158 Document Purpose To Outline The Operation Of The Early Intervention Service Document
More informationThe Five Year Forward View and Commissioning Mental Health Services in 2015 and Beyond
The Five Year Forward View and Commissioning Mental Health Services in 2015 and Beyond Thames Valley Strategic Clinical Networks February 2015 Table of Contents Introduction & Context pp 3-11 SCN recommendations
More informationCommunity Mental Health Teams (CMHTs)
Community Mental Health Teams (CMHTs) Community Mental Health Teams (CMHTs) support people living in the community who have complex or serious mental health problems. Different mental health professionals
More informationSCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specifications Mandatory headings 1 4. Mandatory but detail for local determination and agreement Optional headings 5-7.Optional to use, detail for local determination
More informationService Specification: Immigration Removal Centre Mental Health Services. NHS England Publications Gateway Reference Number: 07038
1 Service Specification: Immigration Removal Centre Mental Health Services August 2017 NHS England Publications Gateway Reference Number: 07038 Classification: Official 2 Service Specifications Mandatory
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 information17. Updates on Progress from Last Year s JSNA
17. Updates on Progress from Last Year s JSNA 3. The Health of People in Bromley NHS Health Checks The previous JSNA reported that 35 (0.5%) patients were identified through NHS Health Checks with non-diabetic
More informationImproving Access To Psychological Therapies for People in Early Intervention in Psychosis Services. Alison Brabban Sarah Khan
Improving Access To Psychological Therapies for People in Early Intervention in Psychosis Services Alison Brabban Sarah Khan What Service Users Want To be listened to. To have experiences and feelings
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 informationPATIENT EXPERIENCE AND INVOLVEMENT STRATEGY
Affiliated Teaching Hospital PATIENT EXPERIENCE AND INVOLVEMENT STRATEGY 2015 2018 Building on our We Will Together and I Will campaigns FOREWORD Patient Experience is the responsibility of everyone at
More informationAcademic Health Science Network for the North East and North Cumbria Mental Health Programme. Elaine Readhead AHSN NENC Mental Health Programme Lead
Academic Health Science Network for the North East and North Cumbria Mental Health Programme Elaine Readhead AHSN NENC Mental Health Programme Lead Background No health without mental health Five Year
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 informationOUTLINE PROPOSAL BUSINESS CASE
OUTLINE PROPOSAL BUSINESS CASE Name of proposer: Dr. David Keith Murray, General Practitioner, Leeds Student Medical Practice, 4, Blenheim Court, Blenheim Walk, LEEDS LS2 9AE Date: 20 Aug 2014 Title of
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 informationNHS Bradford Districts CCG Commissioning Intentions 2016/17
NHS Bradford Districts CCG Commissioning Intentions 2016/17 Introduction This document sets out the high level commissioning intentions of NHS Bradford Districts Clinical Commissioning Group (BDCCG) for
More informationMental Health Services 2011
Mental Health Services 2011 Inspection of Mental Health Services Resource Centre Day Hospital Inspected Executive Catchment Area HSE Area Droumleigh Resource Centre, Bantry South Lee, West Cork, South
More informationCommissioning Intentions 2019 / 20
Commissioning Intentions 2019 / 20 September 2018 Version 1.1 Final version. Approved at JCC on 26th September (by Jon Singfield - 24/09/18) 1) Introduction Introduction The development of commissioning
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 informationThe Scottish Public Services Ombudsman Act 2002
Scottish Public Services Ombudsman The Scottish Public Services Ombudsman Act 2002 Investigation Report UNDER SECTION 15(1)(a) SPSO 4 Melville Street Edinburgh EH3 7NS Tel 0800 377 7330 SPSO Information
More informationNational Framework for NHS Continuing Healthcare and NHS-funded Nursing Care in England. Core Values and Principles
National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care in England Core Values and Principles Contents Page No Paragraph No Introduction 2 1 National Policy on Assessment 2 4 The Assessment
More informationCore Domain You will be able to: You will know and understand: Leadership, Management and Team Working
DEGREE APPRENTICESHIP - REGISTERED NURSE 1 ST0293/01 Occupational Profile: A career in nursing is dynamic and exciting with opportunities to work in a range of different roles as a Registered Nurse. Your
More informationDelivering the transformation of children and young people s mental health services
Delivering the transformation of children and young people s mental health services Simon Medcalf Head of Mental Health, NHS England 4 October 2016 1 Context: Implementing the Five Year Forward View for
More informationSolent. NHS Trust. Allied Health Professionals (AHPs) Strategic Framework
Solent NHS Trust Allied Health Professionals (AHPs) Strategic Framework 2016-2019 Introduction from Chief Nurse, Mandy Rayani As the executive responsible for providing professional leadership for the
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 informationNHS England Community Mental Health Services Audit Results 42 - Hampshire & IoW
NHS England Community Mental Health Services Audit Results 42 - Hampshire & IoW Raising Standards through Sharing Excellence Contents Page Introduction 6 Context inpatient provision 8 Community Mental
More informationCare Programme Approach (CPA)
Care Programme Approach (CPA) The Care Programme Approach (CPA) is a package of care that may be used to plan your mental health care. This factsheet explains what CPA is, when you should get and when
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 informationRefocusing CPA: a summary of the key changes. Bernadette Harrison CPA Manager Bedfordshire & Luton Mental Health & Social Care Partnership NHS Trust
Refocusing CPA: a summary of the key changes Bernadette Harrison CPA Manager Bedfordshire & Luton Mental Health & Social Care Partnership NHS Trust Introduction In March 2008, the Department of Health
More informationMental Health in Prisons Stakeholder Scoping Workshop
Mental Health in Prisons Stakeholder Scoping Workshop Wednesday 3 rd September 2014, 10am-1pm Royal College of General Practitioners, 30 Euston Square, London, NW1 2FB Group 1 Facilitator: Steve Pilling
More informationImproving Access to Psychological Therapies. Guidance for Commissioning IAPT Training 2012/13. Revised July 2012
Improving Access to Psychological Therapies Guidance for Commissioning IAPT Training 2012/13 Revised July 2012 IAPT Programme Department of Health Wellington House 133-155 Waterloo Road London SE1 8UG
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 informationHealth Management and Social Care
Health Management and Social Care Introduction 1. The Health Management and Social Care (HMSC) curriculum builds upon the concepts and knowledge students have learned at junior secondary level from various
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 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 informationAdult Clinical Neuropsychology Service Information & Guidelines for Referrers Psychology Department Community & Therapy Services Across Site
Adult Clinical Neuropsychology Service Information & Guidelines for Referrers Psychology Department Community & Therapy Services Across Site This leaflet has been designed to give you important information
More informationMental Health Crisis Care: The Five Year Forward View. Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust
Mental Health Crisis Care: The Five Year Forward View Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust Overview Parity of esteem What are the challenges for people
More informationIn sight and in mind: improving mental health rehabilitation pathways
Webinar In sight and in mind: improving mental health rehabilitation pathways The whole system mental health rehabilitation pathway A whole system approach to recovery from mental ill health which maximizes
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 informationThe Way Forward. Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador
The Way Forward Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador 2 Table of Contents Introduction... 2 Background... 3 Vision and Values... 5 Governance... 6
More informationAssertive Community Treatment (ACT)
Assertive Community Treatment (ACT) Assertive Community Treatment (ACT) services are therapeutic interventions that address the functional problems of individuals who have the most complex and/or pervasive
More informationPreparing to implement the new access and waiting time standard for early intervention in psychosis
Preparing to implement the new access and waiting time standard for early intervention in psychosis Sarah Khan Deputy Head of Mental Health (Policy & Strategy) 1. Context for the introduction of access
More informationMental Health Crisis Care: Essex Summary Report
Mental Health Crisis Care: Essex Summary Report Date of local area review: Onsite 16-17 December 2014 Date of publication: June 2015 This inspection was carried out under section 48 of the Health and Social
More informationThe Priory Hospital Roehampton
The Priory Hospital Roehampton Expert mental health and addiction treatment A REAL AND LASTING DIFFERENCE FOR EVERYONE WE SUPPORT Priory is the UK's leading provider of therapy and consultant-led mental
More informationMental Health Social Work: Community Support. Summary
Adults and Safeguarding Commitee 8 th June 2015 Title Mental Health Social Work: Community Support Report of Dawn Wakeling Adults and Health Commissioning Director Wards All Status Public Enclosures Appendix
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 informationPsychological Therapies for Depression and Anxiety Disorders in People with Longterm Physical Health Conditions or with Medically Unexplained Symptoms
Psychological Therapies for Depression and Anxiety Disorders in People with Longterm Physical Health Conditions or with Medically Unexplained Symptoms Guide for setting up IAPT-LTC services 1. Aims The
More informationThe Way Forward. Report Card: The First Six Months Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador
The Way Forward Report Card: The First Six Months Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador Measuring Progress On June 27, 2017, the Government of Newfoundland
More informationCrisis Care The National Context and Crisis Care Concordat.
1 NHS Presentation to [XXXX Company] [Type Date] Crisis Care The National Context and Crisis Care Concordat. Dr. Geraldine Strathdee, National Clinical Director for Mental Health..@DrG_NHS CORC April 2015
More informationLiving With Long Term Conditions A Policy Framework
April 2012 Living With Long Term Conditions A Policy Framework Living with Long Term Conditions Contents Page Number Minister s Foreword 3 Introduction 4 Principles 13 Chapter 1 Working in partnership
More informationLuton s mental health and wellbeing (with a bit about Bedfordshire & Milton Keynes)
Luton s mental health and wellbeing (with a bit about Bedfordshire & Milton Keynes) Loraine Rossati Assistant Director, Personalisation & Mental Health Luton Clinical Commissioning Group Primary Care Mental
More informationRedesign of an Integrated Community Pain Service. Homerton Locomotor Service
Redesign of an Integrated Community Pain Service Homerton Locomotor Service Elizabeth Slee Clinical specialist physiotherapist in chronic pain Twitter @QIhomerton www.homerton.locomotor Issues relating
More informationProposal for the Development of a Stepped Care Model for Adult Mental Health Services
Proposal for the Development of a Stepped Care Model for Adult Mental Health Services DIRECTORATE OF MENTAL HEALTH AND DISABILITY Document History Version and Date: V0_01_300609 Approved by SMT 8 th July
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 informationOperational Focus: Performance
Operational Focus: Performance Sandra Iskander Changes for 2015/16 Change of focus of 18-weeks and A&E 4-hour wait targets as recommended by Sir Bruce Keogh, Medical Director, NHS England. 18-weeks to
More informationDeveloping an outcomes-based approach in mental health. The policy context
briefing December 2011 Issue 231 Developing an outcomes-based approach in mental health Key points A new Mental Health Network report explores the issue of outcome measurement in mental health. The report
More information1. Guidance notes. Social care (Adults, England) Knowledge set for end of life care. (revised edition, 2010) What are knowledge sets?
Social care (Adults, England) Knowledge set for end of life care (revised edition, 2010) Part of the sector skills council Skills for Care and Development 1. Guidance notes What are knowledge sets? Knowledge
More informationGuideline scope Intermediate care - including reablement
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Intermediate care - including reablement Topic The Department of Health in England has asked NICE to produce a guideline on intermediate
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 informationCCBHCs 101: Opportunities and Strategic Decisions Ahead
CCBHCs 101: Opportunities and Strategic Decisions Ahead Rebecca C. Farley, MPH National Council for Behavioral Health Speaker Name Title Organization It Passed! The largest federal investment in mental
More informationVictorian Labor election platform 2014
Victorian Labor election platform 2014 July 2014 1. Background The Victorian Labor Party election platform provides positions on key elements of State Government policy. The platform offers a broad insight
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 informationPsychological Wellbeing Practitioners
Psychological Wellbeing Practitioners Playing a key role in maintaining the nation s wellbeing Best Practice Guide 1 Forewords The publication of this good practice guide is a fantastic opportunity to
More informationSituation Analysis Tool
Situation Analysis Tool Developed by the Programme for Improving Mental Health CarE PRogramme for Improving Mental health care (PRIME) is a Research Programme Consortium (RPC) led by the Centre for Public
More informationCR197 Perinatal mental health services. Recommendations for the provision of services for childbearing women COLLEGE REPORT
CR197 Perinatal mental health services Recommendations for the provision of services for childbearing women COLLEGE REPORT College Report CR197 (revision of CR88) July 2015 Approved by: Policy Committee,
More informationEnclosures Appendix 1: Annual Director of Public Health Report 2015 Rachel Wells Consultant in Public Health
Title Health and Wellbeing Board 21 January 2016 The Five Ways to Mental Wellbeing in Barnet: The Annual Report of the Director of Public Health (2015) Report of Director of Public Health Wards All Status
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 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 informationMental Health Partnership Item No. 5. Senior Management Team. Subject: Presented by. Recommendation(s) Summary/ Background
Mental Health Partnership Item No. 5 Senior Management Team Meeting Date: 22 nd April 2010 Paper No 2010/001 (a) Subject: Presented by Recommendation(s) Summary/ Background Implementation Proposals for
More informationPLACEMENT OPENINGS: Two Post-Doctoral Residency positions are available for our Integrated Behavioral Health track
San Mateo Medical Center Medical Psychiatry Services 222 W. 39 th Ave. San Mateo, CA 94403 (650)573-2760 PLACEMENT OPENINGS: Two Post-Doctoral Residency positions are available for our Integrated Behavioral
More informationWest Kent CCG is working with KMPT to put systems in place to speed up the process of getting a diagnosis when appropriate.
West Kent CCG Mental Health highlight report Dec 2016 Dementia Zena Watson Services for people with dementia and their families/carers are provided by a range of organisations across West Kent. Services
More informationPRISM: GPs - your questions answered
PRISM: GPs - your questions answered 1. What is Prism? Prism is our new primary care service for mental health and run by Cambridgeshire and Peterborough NHS Foundation Trust (CPFT). The service puts specialist
More informationCornwall and Isles of Scilly draft pending formal approval master 301015 Source documents: http://www.cornwall.gov.uk/health-and-social-care/cornwall-and-isles-of-scilly-drug-and-alcohol-action-team-(cios-daat)/about-cornwalland-isles-of-scilly-drug-and-alcohol-action-team-(cios-daat)/?alttemplate=_standard
More informationPost Title: Clinical Nurse Specialist, Multiple Sclerosis (CNM 2)
Job Description Post Title: Clinical Nurse Specialist, Multiple Sclerosis (CNM 2) Post Status: Permanent Contract Department Neurocent Department Location: Beaumont Hospital, Dublin 9 Reports to: Directorate
More informationHow the GP can support a person with dementia
alzheimers.org.uk How the GP can support a person with dementia It is important that people with dementia have regular checkups with their GP and see them as soon as possible if they develop any health
More informationEating Disorders Care and Recovery Checklist for Carers
Eating Disorders Care and Recovery Checklist for Carers The Eating Disorders Care and Recovery Checklist has been developed in consultation with the members of CEED s Carers Advisory Group. The carers
More informationA review of themes identified during the independent investigation into the care and treatment of Mr B
A review of themes identified during the independent investigation into the care and treatment of Mr B A report for: Sussex Partnership NHS Foundation Trust July 2014 Authors: Geoff Brennan Kathryn Hyde-Bales
More informationCHILDREN'S MENTAL HEALTH ACT
40 MINNESOTA STATUTES 2013 245.487 CHILDREN'S MENTAL HEALTH ACT 245.487 CITATION; DECLARATION OF POLICY; MISSION. Subdivision 1. Citation. Sections 245.487 to 245.4889 may be cited as the "Minnesota Comprehensive
More informationIt is essential that patients are aware of, and in agreement with, their referral to palliative care.
Title: Directorate: Responsible for review: Ratified by: CHRONIC HEART FAILURE REFERRAL TO PALLIATIVE CARE SERVCES Palliative Care Consultant in Palliative Care Care and Clinical Policies Group Ref No:
More informationPractice based commissioning in the NHS: the implications for mental health
Primary Care Mental Health 2005;2:00 00 2005 Radcliffe Publishing Research papers Health policy in England and Wales is changing fast and is likely to have wide ranging effects on how primary care mental
More informationPOSITION DESCRIPTION. Clinical Psychologist Paediatric Consult Liaison Psychological Medicine
POSITION DESCRIPTION Clinical Psychologist Paediatric Consult Liaison Psychological Medicine This role is considered a core children s worker and will be subject to safety checking as part of the Vulnerable
More informationPrimary Mental Health Program Guidelines
Primary Mental Health Program Guidelines February 2018 1. Introduction 1 2. Scope of the Guidelines 1 3. Murray PHN Priority Requirements 2 4. Service Principles 3 5. Service Access 5 6. Service approaches
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 informationCity and Hackney Clinical Commissioning Group Prospectus May 2013
City and Hackney Clinical Commissioning Group Prospectus May 2013 Foreword We are excited to be finally live as a CCG, picking up our responsibilities as commissioners for the bulk of the NHS. The changeover
More information