The Trust was successful in its bid for funding from NHS England for the Individual Placement and Support (IPS) scheme, and will be recruiting employment specialists and an IPS team leader for the core and enhanced teams in Calderdale.
Service users who want paid work can be referred directly by their doctor or another mental health professional, and can also self-refer.
Employment specialists find suitable jobs matched to a person’s skills and interests, offer coaching around finding a job and preparing for interviews whilst providing tailored ongoing support when the person is in work. They can also speak to employers directly alongside the service user to identify well-suited roles – acting as a crucial link between patient, their employer and their clinical team.
How a service for young people in North Yorkshire works with other agencies to focus on all their emotional wellbeing, substance misuse and mental health needs.
How joining up mental health, alcohol and drug misuse services in a Derby hospital provided better support for people with addiction and mental health problems.
COMMENTARY ON: Robson D, Spaducci G, McNeill A, et al. Effect of implementation of a smoke-free policy on physical violence in a psychiatric inpatient setting: an interrupted time series analysis. Lancet Psychiatry 2017;4,540–6.. To read the full article, log in using your MPFT NHS OpenAthens details.
Open access. Involving mental health service users in planning and reviewing their care can help personalised care focused on recovery, with the aim of developing goals specific to the individual and designed to maximise achievements and social integration. We aimed to ascertain the views of service users, carers and staff in acute inpatient wards on factors that facilitated or acted as barriers to collaborative, recovery-focused care.
Open access. The move to community support for all people with intellectual disabilities is an aspiration with international significance. In this article, we draw on rich accounts from women with intellectual disabilities detained under the Mental Health Act (E&W) 1983 and staff at an National Health Service secure setting in England to explore how “moving on” is defined and perceived.
The Care Quality Commission has rated the care being provided by MOSAIC to be Outstanding after an inspection in January 2019.
MOSAIC is a substance misuse service operated by Stockport Metropolitan Borough Council and provides support and treatment for people with drug and alcohol issues, as well as support for young people whose parents misuse substances.
Anne Longfield, the Children’s Commissioner for England, is today (Wednesday) publishing a report looking at the amount spent on “low-level” mental health support for children in England. “Low-level” mental health services are preventative and early intervention services for treating problems like anxiety and depression or eating disorders, such as support provided by school nurses or counsellors, drop-in centres or online counselling services. These services are vital for offering early help to children suffering from mental health problems and can often prevent conditions developing into much more serious illnesses.
New and expectant mothers across the country can now access specialist mental health care in the area where they live, NHS England announced today.
The landmark rollout of specialist perinatal community services across the whole of England, means that mums and mums-to-be who are experiencing anxiety, depression or other forms of mental ill health should be able to access high quality care much closer to home.
There has been an increasing interest in the concept of value-based health care and how resources are allocated to improve outcomes. However, measuring outcomes in mental health services is often complex and fraught with difficulty, with professionals and service users often having very different perspectives on the nature of mental illness and the role of services in addressing it.
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A new report by NHS Providers reveals deep disquiet among NHS mental health trust leaders about a substantial care deficit resulting from the impact of growing social and economic hardship in their communities.
Mental health services: Addressing the care deficit looks at the levels of demand reported by frontline leaders across the range of services they provide, and examines what lies behind the growing pressures.
The Hub will help inform and guide people and services who deliver or would like to deliver peer support. As well as having high quality academic literature and ‘grey’ literature on the Hub, users can add their own resources through the Hub’s community upload function.
This statistical release makes available the most recent Improving Access to Psychological Therapies (IAPT) monthly and quarterly data, including activity, waiting times, and outcomes such as recovery.
IAPT is run by the NHS in England and offers NICE-approved therapies for treating people with depression or anxiety.
Busy emergency departments (EDs) are not the optimum environment for assessment of patients in mental health crisis. The Psychiatric Decisions Unit (PDU) was developed by the Birmingham and Solihull Mental Health Foundation Trust as an enhanced assessment service to ensure patients in mental health crisis receive optimal care.. To read the full article, log in using your NHS OpenAthens details.
Open access. Research into termination of long-term psychosocial treatment of mental disorders is scarce. Yearly 25% of people in Dutch mental health services receive long-term treatment. They account for many people, contacts, and costs. Although relevant in different health care systems, (dis)continuation is particularly problematic under universal health care coverage when secondary services lack a fixed (financially determined) endpoint. Substantial, unaccounted, differences in treatment duration exist between services. Understanding of underlying decisional processes may result in improved decision making, efficient allocation of scarce resources, and more personalized treatment.
Busy emergency departments (EDs) are not the optimum environment for assessment of patients in mental health crisis. The Psychiatric Decisions Unit (PDU) was developed by the Birmingham and Solihull Mental Health Foundation Trust as an enhanced assessment service to ensure patients in mental health crisis receive optimal care.- Mental Elf Blog post.
During 2018, stakeholders from the health and social care system, and the charitable sector, were asked to comment on the progress of the actions set out in the Challenge on dementia 2020 implementation plan and what else needed to be done to complete them.
This report summarises the responses and sets out revised actions for 2018 to 2020.
A new report by the Health Foundation highlights that NHS staff numbers are failing to keep pace with demand and that there is ongoing deterioration in workforce numbers in critical areas such as primary and community care, nursing and mental health.
Wakefield child and adolescent mental health services (CAMHS) have been delivering supportive sessions in schools.
The team works with professionals within local schools to offer consultations to develop a further understanding of young people’s emotional wellbeing, and to enable staff to talk about mental health concerns directly with parents. The sessions develop skills and provide resources to staff which can be used with other children they work with and reduce overall demand on mental health services.
Wakefield CAMHS also offer direct support to individual children and young people in school, offering information and guidance on topics such as anxiety, self-esteem, anger management, understanding emotions, bereavement, stress, and exam management.
Alongside this, they offer group sessions covering topics such as exam stress, mindfulness, and transitioning to secondary school.
Open access. Smoking has played a significant role in the historical culture of mental healthcare settings. Mental health professionals (MHPs) often hold dismissive attitudes regarding the importance of smoking cessation in the context of mental healthcare. In 2007, English mental health inpatient buildings were required by law to become smoke-free, and healthcare trusts have more recently begun to implement comprehensive policies (i.e. smoke-free grounds and buildings) and staff training in response to national guidance. It is therefore important to explore MHPs practice around smoking, smoking cessation, and smoke-free policy adherence. This study aimed to explore these issues by using the COM-B (capability, opportunity, motivation, behaviour) model to systematically identify barriers to, and facilitators for, MHPs addressing smoking with their patients.
Open access. Recent qualitative research suggests that changes to the way eligibility for welfare payments is determined in the UK may be detrimental to claimants with mental illnesses. No large-scale analysis has been undertaken to date.
Personalised Care will benefit up to 2.5 million people by 2024, giving them the same choice and control over their mental and physical health that they have come to expect in every other aspect of their life. This document confirms how we will do this by 2023/24. It is the action plan for the rolling out personalised care across England.
It is generally acknowledged that small, rural NHS health care providers face higher costs than larger, urban areas. For a number of years the NHS has adjusted financial allocations to account for these unavoidable variations in costs in different parts of the country. However, our review for the National Centre for Rural Health and Care suggests these adjustments may not be compensating enough to avoid some rural trusts facing increased difficulties.
Problem drinkers and smokers who end up in hospital will be helped by dedicated new services as part of the NHS Long Term Plan.
As part of new NHS prevention measures, people who are alcohol dependent will be helped by new Alcohol Care Teams, while more than half a million patients who smoke, including pregnant women and their partners will also be helped to stop, in a new drive that will see all smokers admitted to hospital encouraged to quit.
This statistical release makes available the most recent Improving Access to Psychological Therapies (IAPT) monthly and quarterly data, including activity, waiting times, and outcomes such as recovery. It also makes available, for the first time, additional experimental statistics about a pilot programme for integrated IAPT services.
Open access. Many people diagnosed with schizophrenia, bipolar or other psychoses in England receive the majority of their healthcare from primary care. Primary care practitioners may not be well equipped to meet their needs and there is often poor communication with secondary care. Collaborative care is a promising alternative model but has not been trialled specifically with this service user group in England. Collaborative care for other mental health conditions has not been widely implemented despite evidence of its effectiveness. We carried out a formative evaluation of the PARTNERS model of collaborative care, with the aim of establishing barriers and facilitators to delivery, identifying implementation support requirements and testing the initial programme theory.
This is an ambitious plan that includes a number of commitments which – if delivered – will improve the lives of many people. NHS leaders should be applauded for focusing on improving services outside hospitals and moving towards more joined-up, preventative and personalised care for patients. But some significant pieces of the jigsaw are still missing, and there should be no illusions about the scale of the challenge ahead.
The NHS Long Term Plan has been launched and long it indeed is, in every sense of the word, clocking in at a weighty 120 pages. Here’s my take on the top five things you need to know.
We've added 10 new Be Aware updates following your suggestions:
Musculoskeletal ; Osteoporosis ; Nutrition and obesity ; Falls ; HR ; Research Methods ; Information Governance ; Bladder, bowel and pelvic healthcare ; Rheumatology ; Medicines and healthcare products regulatory agency (circulated email)
Professor Steve Field, Chief Inspector of Primary Medical Services and Integrated Care, said: “Our review of health and social care services in the county found that older people had varied experiences of health and social care services. There were variations in what was available to them depending on where they lived, which meant that people’s experiences of care and the support they received were inconsistent.
The Care Quality Commission has published its findings following a review of health and social care services in Leeds.
This report is one of a number of targeted local system reviews looking specifically at how older people move through the health and social care system, with a focus on how services work together.
COMMENTARY ON: Robson D, Spaducci G, McNeill A, et al. Effect of implementation of a smoke-free policy on physical violence in a psychiatric inpatient setting: an interrupted time series analysis. Lancet Psychiatry 2017;4,540–6.. To read the full article, log in using your NHS OpenAthens details.
Open access. Peer-review networks aim to help services to improve the quality of care they provide, however, there is very little evidence about their impact. We conducted a cluster randomized controlled trial of a peer-review quality network for low-secure mental health services to examine the impact of network membership on the process and outcomes of care over a 12 month period.
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Researchers continue to build on findings from NIMH’s Recovery After an Initial Schizophrenia Episode (RAISE) program, which investigated the effectiveness of early intervention services for people experiencing first episode psychosis. Two recent studies add to the evidence that team-based early intervention services are feasible in real-world health care settings and result in improved outcomes for patients.
Sonia Johnson and Bryn Lloyd-Evans reflect on the NIHR Mental Health Policy Research Unit contribution to the Independent Review of the Mental Health Act.
Thousands of Londoners experiencing a mental health crisis will be sent a specialist nurse and a paramedic in a car on blue lights.
By responding together, the specialist ambulance crew is expected to reduce mental health hospital admissions from 58,000 to 30,000 per year once it is rolled out across the capital.
A highly innovative children’s hospital for the east of England has been given the go ahead today by Health Secretary Matt Hancock.
Up to £100 million of public capital has been made available for a completely new facility that is purpose-built to meet the needs of the region’s youngest patients. It will integrate mental and physical health and provide the highest quality services with ground breaking science and research.
Built on land adjacent to Addenbrooke’s Hospital and The Rosie Hospitals in Cambridge, the children’s hospital will bring together some of the world’s top scientists to explore new ways of diagnosing and treating some of the most challenging diseases of childhood.
The Healthcare Safety Investigation Branch (HSIB) has today published its latest report highlighting the variation in mental health care across emergency departments and setting out four recommendations aimed at improving patient care.
Police officers are increasingly being used as the service of default in responding to people with mental health problems, a report by Her Majesty’s Inspectorate of Constabulary and Fire & Rescue Services has confirmed.
THE first-ever national guidance for NHS mental health trusts to ensure ways of improving services are learned from patients’ deaths is unveiled today.
The guidance, drawn up by the Royal College of Psychiatrists (RCPsych), focuses on patients with severe mental illness and on four ‘red-flag’ scenarios, including where concerns have been raised by families and carers or where patients have experienced psychosis or had an eating disorder.
The survey published today (Thursday 22 November) highlights concerns around access to care, care planning and support for people with mental health conditions in relation to physical health needs, financial advice or benefits.
A total of £10.5 million of funding is being allocated by Public Health England (PHE), to help improve the lives of adults and children impacted by alcohol, consisting of:
£4.5 million innovation fund for local projects working with children and families
£6 million capital fund to improve access to alcohol treatment in the community
Team-based coordinated specialty care (CSC) for first episode psychosis (FEP) resulted in more optimal prescribing of antipsychotics and fewer side effects when compared with typical community care, according to findings from NIMH’s Recovery After an Initial Schizophrenia Episode (RAISE) project.
This paper aims to compare changes over two years in patients' health‐related quality of life (HRQL) with the health and social care costs of diagnosis and treatment of people newly referred to MAS.. To read the full article, log in using your MPFT NHS OpenAthens details.
Free article. Integrated care is defined as health services that are managed and delivered such that people receive a continuum of health promotion, disease prevention, diagnosis, treatment, disease management, rehabilitation, and palliative care services, coordinated across the different levels and sites of care within and beyond the health sector and, according to their needs, throughout the life course. In this Review, we describe the most relevant concepts and models of integrated care for people with chronic (or recurring) mental illness and comorbid physical health conditions, provide a conceptual overview and a narrative review of the strength of the evidence base for these models in high-income countries and in low-income and middle-income countries, and identify opportunities to test the feasibility and effects of such integrated care models. We discuss the rationale for integrating care for people with mental disorders into chronic care; the models of integrated care; the evidence of the effects of integrating care in high-income countries and in low-income and middle-income countries; the key organisational challenges to implementing integrated chronic care in low-income and middle-income countries; and the practical steps to realising a vision of integrated care in the future.
Luke Sheridan-Rains on a study of the Mental Health Act in England over the last 30 years, which points to an inexorable rise in involuntary admissions.
Open access. Street triage services are increasingly common and part of standard responses to mental health crises in the community, but little is understood about them. We conducted a national survey of mental health trusts to gather detailed information regarding street triage services alongside a survey of Thames Valley police officers to ascertain their views and experiences.
Open access. The Five Year Forward View for Mental Health (FYFVMH) was a welcome development in the emerging ‘Parity of Esteem’ agenda, but focused mainly on a select few specialist services; much more limited attention was given to ‘core’ general adult and older age mental health services, such as community mental health teams, crisis teams and in-patient units. This relative policy vacuum, when combined with prolonged financial pressures and limited informatics, has left core services vulnerable and struggling to meet growing demands, with little sense of hope, in contrast to some of the newer, ‘shiny’ specialist services growing around them.
We are proud to partner with Stay Alive, the UK’s first suicide prevention app, which offers information, help and support to people in Gloucestershire and Herefordshire.
NHS recruitment practices must change, and the NHS needs to become an employer of choice, according to a leading healthcare workforce expert. Candace...
The examples in this report show what can be achieved by system leaders and staff from local government, the NHS, the voluntary, community and social enterprise sector, and service user and carer groups working together to improve health and deliver person-centred care.
The role – delivered in partnership between our Trust, Wakefield Clinical Commissioning Group (CCG) and Wakefield and District Housing (WDH) – has addressed a gap in support that meant people with complex mental health conditions were encountering barriers when trying to return to accommodation in the community.
Quarterly data on number of patients on Care Programme Approach (CPA) followed up within 7 days of discharge from psychiatric inpatient care, and gate keeping inpatient admissions by Crisis Resolution Home Treatment (CRHT) teams.
Official statistics are produced impartially and free from any political influence.
Developing person‐centred recovery‐oriented care is a challenge in mental health systems, particularly psychiatric hospitals.. To read the full article, log in using your MPFT NHS OpenAthens details.
The move to making NHS estates smoke-free has been enshrined in policy for a number of years. The desire to stop people smoking is clearly linked to potential health benefits, yet hospitals continue to “collude” with individuals to enable them to carry on smoking. Travelling around hospitals you often see patients being wheeled outside to smoke, or staff turning a blind eye to patients or colleagues smoking. This is not just in mental health settings.
Open access. Dementia presents a significant challenge to health systems and to the person and family affected. Home care is increasingly seen as a key service in addressing this challenge in a person-centred and cost-effective way. Intensive Home Care Packages (IHCPs) were introduced in Ireland to provide personalised and high levels of support for people with dementia to remain at home or be discharged home from hospital, and to build on the work of the HSE & Genio Dementia Programme. This realist evaluation is concerned with real world questions of feasibility and effectiveness; specifically understanding in what ways IHCPs work, how optimum outcomes are achieved, for whom and in what contexts do IHCPs work best.
The article focuses on the National Healthcare Service (NHS) primary care services. Topics discussed provide patients with their first point of contact with the healthcare system; gives the illusion and a range of services that can meet the client's needs; and have less satisfied staff, low retention rates and burnout, as well as clients with less satisfactory outcomes.. To read the full article, log in using your MPFT NHS OpenAthens details.
Empirical research seldom reports on clinical outcomes within low secure services. By comparing outcome measures prior to admission and following discharge this study aimed to investigate the care pathways of patients admitted to a low secure unit (LSU). The study was conducted in an LSU and consisted of 70 patients (54 male, 16 female). Data were collected retrospectively and analysed in relation to placement security (upon admission and discharge) and admissions to hospital. Results revealed that admissions to hospital and time spent in hospital decreased post-discharge in comparison with pre-admission. Forensic patients were found to have fewer admissions than civil patients prior to LSU admission. Some differences were also observed within gender and Mental Health Act (MHA) section status for placement security. The findings demonstrated that following treatment in a LSU, care pathways may be less restrictive than prior to admission. Further, more robust research on the outcomes of LSUs is required.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
A joint initiative between Mersey Care, Sefton Council and Merseyside Fire and Rescue Service aims to help prevent falls in older people and avoid unnecessary admissions to hospital.
People in South Sefton area who have fallen, are at risk of falling or fear falling can now benefit from a programme of educational sessions, exercise and assistance to make their homes safer.
Just over a year after Mersey Care NHS Foundation Trust transformed the former Living Well centre in Southport into a community hub and home to the Recovery College, Mr Blundell unveiled a plaque to mark its official opening.
Since opening its doors to the local community, service users, carers and families in May 2017, Southport Life Rooms has welcomed 17,521 people through its doors. Mr Blundell met staff and volunteers and took part in a Men’s Mental Health Recovery College Course and spoke to participants at craft and board games sessions.
Chancellor Philip Hammond said £2 billion of funding over the next five years would mean measures first trialled by CPFT - 24/7 mental health support in A&Es and a mental health crisis line along with "safe havens", which are run locally as part of a link-up with Cambridgeshire, Peterborough and South Lincolnshire Mind, will now be made available across England.
Early intervention is a fundamental principle in health care and the past two decades have seen it belatedly introduced into the field of mental health. This began in psychotic disorders, arguably the least promising place to start. The steady accumulation of scientific evidence for early intervention has eventually overwhelmed the sceptics, transformed thinking in psychotic disorders and created an international wave of service reform. This paradigm shift has paved the way to a more substantial one: early intervention across the full diagnostic spectrum. 75% of mental illnesses emerge before the age of 25 years, and young people bear the major burden for those disorders that threaten the many decades of productive adult life. The paradox is that young people aged between 12 and 25 years have had by far the worst levels of access to mental health care across the whole lifespan. . To read the full article, log in using your NHS OpenAthens details.
This study identified service characteristics associated with quality of care in specialist mental health supported accommodation services that can be used in the design and specification of services.
Funding for mental health services in England faces many challenges, including operating under financial constraints where it is not easy to demonstrate the link between activity and funding. Mental health services need to operate alongside and collaborate with acute physical hospital services, where there is a well-established system for paying for activity. The funding landscape is shifting at a rapid pace and we outline the distinctions between the three main options – block contracts, episodic payment and capitation. Classification of treatment episodes via clustering presents an opportunity to demonstrate activity and reward it within these payment approaches. We discuss the results of our research into how well the clustering system is performing against a number of fundamental criteria. We find that, according to these criteria, clusters are falling short of providing a sound basis for measuring and financing services. Nevertheless, we argue that clustering is the best available option and is essential for a more transparent funding approach for mental healthcare to demonstrate its claim on resources, and that clusters should therefore be a starting point for evolving a better funding system.. To read the full article, log in using your MPFT NHS OpenAthens details.
In order to reduce the level of risk and ensure positive clinical outcomes for patients and staff it was decided to introduce a new system known as ‘Zonal Engagement and Observations’, which aimed to ensure appropriate observation of individual patients without the need to assign particular nurse to be in close proximity to the patient for long periods of time. Zonal observations and engagement aims to provide patients with increased activity and therapeutic engagement and to assess patient’s mental and physical health and document this in real time.
The pilot sees East Midlands Ambulance Service staff joining the mental health triage hub at Derbyshire Constabulary’s call centre. The hub has Derbyshire Healthcare NHS Foundation Trust mental health nurses and social workers supporting police when they are responding to mental health incidents, by providing advice and guidance. Now, with the inclusion of paramedics, the team will be able to provide an enhanced service to those who ring 999 asking for help.
Valerie Provan is a Nurse Consultant on Ruskin Unit, an assessment unit in Carlisle for older adults with organic mental illnesses such as Dementia. It is the only nurse led treatment centre of its kind in the country and several other trusts have visited to see how it could be replicated elsewhere.
People with intellectual disability experience higher rates of mental health disorders than the rest of the population, and expert opinion holds that multiple barriers prevent people with intellectual disability from accessing appropriate services.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
“West Cheshire’s crisis café will include a home treatment assessment area which will be staffed by professional mental health workers who can help people in crisis find a path to recovery and reduce the need visit A&E.”
Crisis cafés offer a drop-in service for people when they need urgent mental health support. In West Cheshire, it is anticipated that specially-trained peer support workers will operate alongside an enhanced Crisis Resolution Home Treatment Team.
All of the hard work and initiatives to improve the acute care pathway have contributed to a reduction in acute mental health out of area placements, shown on the NHS Collaboration platform but there is still more to do
A study led by Professor Sonia Johnson, Consultant Psychiatrist from the Trust’s Islington Early Intervention Service, has shown that providing peer support to people who have recently left acute mental health care reduces the chances of their re-admission.
Open access. Research suggests that a significant minority of hospital in-patients could be more appropriately supported in the community if enhanced services were available. However, little is known about these individuals or the services they require.
The causes of substance misuse and the solutions for tackling it are multi-factorial. It requires close working with partners, imagination and hard work. However, when we get it right it can have a tremendous impact.
As the case studies in this report show, lives are being turned around.