Appendix 1. Cognitive Impairment and Dementia Service Elm Lodge 4a Marley Close Greenford Middlesex UB6 9UG

Size: px
Start display at page:

Download "Appendix 1. Cognitive Impairment and Dementia Service Elm Lodge 4a Marley Close Greenford Middlesex UB6 9UG"

Transcription

1 Appendix 1 Mr Dwight McKenzie Scrutiny Review Officer Legal and Democratic Services Ealing Council Perceval House Uxbridge Road Ealing London W5 2HL Cognitive Impairment and Dementia Service Elm Lodge 4a Marley Close Greenford Middlesex UB6 9UG Tel: Fax: wlm-tr.opscmhtwest@nhs.net Response to Question 1: An update on any mapping and identification of existing dementia services and their costs including general and acute psychiatric care, primary care, nursing and residential care. West London Mental Health NHS Trust has a dedicated service for Cognitive Impairment and Dementia which incorporates both assessment and management of all aspects of Dementia care. In Ealing the dedicated service is based in two different centres, Elm Lodge in Greenford which covers the west of the borough and Sycamore Lodge in Acton which covers the East of the borough. Both of these centres have a Consultant Psychiatrist, Doctors, Nurses, Occupational Therapists and Psychologists, a Multi Disciplinary Team. There has been a significant increase in the referrals for assessment of dementia across the borough and we accepted 812 referrals in 11 months ( November 2012 to September 2013 ) approximately equating to 885 accepted referrals a calendar year. We also used to run a dedicated service for Working Age Dementia (people under the age of 65) which has now been incorporated into our ageless service to ensure equal access to resources for people of all ages. The number of referrals for this relatively younger patient group is significantly higher that the national and local assumptions and currently runs at approximately 60 cases per year, this needs further exploration. Our referrals are mostly received from Primary Care but also other agencies including Social Services, Acute General Hospitals can make referrals. All referrals are screened and there is an inclusive approach towards the acceptance of referrals. Each referral is assessed in detail following a comprehensive template by a trained member of the Multi Disciplinary Team. The assessment is supplemented by investigations as appropriate including blood tests, ECG and an MRI brain scan and neuropsychological assessment as per the guidelines from the National Institute of Clinical Excellence (NICE Clinical Guideline 42 ). Following completion of the assessment a diagnosis is given to the patient and the carer and the implication of the diagnosis, prognosis and treatment options are discussed along with signposting to other resources and various detailed discussions about the needs of the patient and the carer and follow up counselling is offered whenever possible. The patients who commence on medication remain under our care and this includes medication prescribing. We are currently working with Primary Care and the Clinical Commissioning Group to explore options of transferring the prescribing of clinically stable patients who are on anti-dementia medications and uncomplicated dementias to Primary Care. This will significantly free up specialist resources which can be then clinically redirected to speed up

2 the diagnostic process and to reconfigure existing resources to input into supporting people with more advanced stages of the disease often with challenging or difficult behaviour in the community. This has now been agreed in our CQUIN ( Care Quality and Innovation ) Target for & The cost of prescribing of memory treatment was 283K for the year and it is a significant proportion of non pay costs. We are working with CCG Dementia lead to shift the prescribing to primary care where suitable and hope to begin the process by the end of this year ( 2013 ). One goal of the service remains to try and reduce in-patient admission and institutionalisation and supporting people s independence but at the same time managing risk responsibly. We have regular input to support people in Nursing/ Residential care and more recently identified nurses to have regular input in larger Care Homes to maintain continuity. These are trained mental health nursing staff from Cognitive Impairment & Dementia Service for all grades of seniority. Our Consultants are also involved in Integrated Care Pathway Multi Disciplinary Groups and are regularly engaging with GP s and other Multi Disciplinary professionals to focus on managing older patients with complex mental and physical health needs in the community with a view to reduce admission to a general hospital and attendance in the accident and emergency department. This approach has been highly valued by all the partners of the Multi Disciplinary Group and has been a national pilot for the last three years. This project has commanded several national prizes including the coveted award by health service journal for managing long term conditions and there is key focus on elderly people and dementia. Our Care Pathway is still evolving and I embed a current version (Figure 1, see below). The estimated cost for Ealing Cognitive Impairment and Dementia Service from the Trust is 3.6 million for the year 2012/2013. This incorporates both pay and non-pay costs. We have agreed with commissioners to undertake a 3 borough ( Ealing, Hounslow and H & F ) service specification exercise. This will involve the definition of a pathway and should involve the costing of that. Response to Question 2: The role and contribution of individual services to the overall system of care for those with dementia in terms of commissioning objective cost and benefits. West London Mental Health NHS Trust plays a key role in providing the specialist service for dementia assessment, diagnosis, management, on-going management, emergency management and in-patient care. It also runs The Limes which is the continuing care service for the most difficult to manage patients in the community. West London Mental Health NHS Trust is one of the very few Trusts nationally who have a dedicated Cognitive Impairment and Dementia Service. Our service model is based on the National Institute of Clinical Excellence Guidelines and we provide a comprehensive and time efficient assessment service incorporating advanced neuro-imaging to give a robust diagnosis of dementia. Our approach is holistic and patient and carer centred. We believe our role is unique because we are able to provide specialist healthcare input in this group of patients in all stages of their illness. Response to Question 3: dementia care. Insight into any performance management system for We follow the NICE Guidelines with a robust system of reviewing patients that includes not only a review of their cognitive functions but also their behavioural and psychological problems and functional abilities. Our treatment of dementia care has been internally audited and is NICE compliant. We have participated rigorously in the POMH UK (Prescription observatory for Mental Health UK, an initiative by The Royal College of Psychiatrists )

3 National Audit on the use of anti-psychotic medication in dementia and in the year 2012/13 we have submitted the maximum number of case records nationally amongst 54 participating Trusts. Our response rate was 50% higher than the next comparable Trust. In the National Survey it was observed that we have one of the lowest usages of anti-psychotic medication for this group of patients ( 4 % across our trust compared to 13% nationally). This could be considered a key quality indicator for the care of people with Dementia because there has been so much concern raised with regard to inappropriate use of this medication in this patient group. However, the audit also highlighted that there is room for improvement in our monitoring of patients who are on this medication which we are addressing. We have developed a protocol to help primary care physicians to manage Dementia patients who are on antipsychotic medication and this is due to be adopted. The draft version has been submitted and we are expecting a meeting soon with commissioners to take this forward. We are also currently preparing to apply for the Royal College of Psychiatrist accreditation for our memory service and that would incorporate an audit of local GPs satisfaction about our service. We also have monthly performance meetings which check our compliance with KPIs (Key performance Indicators). We are planning to introduce an electronic system for feedback from patients and carers (the carers one is one of our CQUINS ). From a wider perspective one key national priority is to improve the rate of diagnosis of Dementia. In Ealing it is approximately 50% (Source: Alzheimer s Society : England mapping the Dementia Gap 2011 & 2012 update ) and a key target is to improve the rate to 60% by 2015/16 locally. One key issue in this context is identification of potential patients and referral to specialist services. From the specialist service point of view one key target would be a robust assessment delivering a time efficient diagnosis. The other key area of focus would be rapid response in the community in times of crisis and avoidance of inpatient admission. The proportion of people with Dementia living in the community and an overall reduction of placement in care home would also indicate good care in the community and carer support. There has to be focus on support following the diagnosis, living well with dementia. Response to Question 4: Insight into any developed or developing Joint Strategic Needs Assessment ((JSNA) on dementia. Dr Will Maimaris, Specialist Registrar in Public Health, London Borough of Ealing completed an excellent JSNA on dementia in Ealing earlier this year and I would highly recommend its content. He observes: Ealing has some strong local services for people with dementia, which are valued by services users and other stakeholders. These services include the Memory Clinic (part of the Cognitive Impairment and Dementia Service), Ealing Hospital s Liaison Psychiatry Team and the services provided by Dementia Concern Ealing and the Alzheimer s Society. However, the areas of need that are identified in the report from our perspective are: - Intermediate care and community services require specialist dementia input in order to support people in their own homes and prevent hospital admissions. - End of life care planning is often not discussed during the early stages of dementia. - For the care of people with learning disabilities and dementia improved linkages are required between specialist dementia services and learning disability services.

4 We are working with ICE service in Ealing and our commissioners to increase our specialist input to intermediate care and Clayponds hospital (via liaison service). We would continue to focus on these objectives. Response to question 5: Any identified shared risk, and assessment of a Service s contribution to managing risk of escalation to intensive forms of support for dementia care; i.e. residential, and inpatient care One key area of our service is managing crisis situation in the community and our key partners are CRHT ( Crisis resolution & Home Treatment Team run by WLMHT ), primary care, social service, intermediate care service ( ICE ) and other community services. Management of emergency in the community in the context of Cognitive Impairment & Dementia are often very complex and clinically challenging. For example a behavioural disturbance could often be a manifestation of an underlying physical problem in a frail individual who may be refusing engagement. We also have to deliver the care within statutory framework of mental capacity and right of self determination vs. risk, need and duty of care. The key approach for good management and risk sharing is proactive approach across professional and organisational boundaries and good communication. There are both good and not so good examples. From our perspective our presence in the intermediate care medical team would enhance care. The current approach is to ensure that care is provided in the community wherever possible in line with NICE guidance which highlights the need to avoid acute admissions wherever possible due to the additional disorientation and distress this can cause for this particular patient group. Available inpatient beds have been reducing over time. This needs to be coupled with a more rigorous approach of managing people in the community or in settings of less intensity (e.g. care homes instead of inpatient psychiatric unit) and use of detention under MHA only as a last resort. This is improving but much more work needs to be done between organisations, particularly between our service and Ealing Social Service to bring approaches to an agreed rational alignment. Response to Questions 6: Update and insight into any commissioning programme proposed and or agreed which achieves best outcomes and meet efficiency targets Question 7 Progress and performance in delivering targets against any existing Commissioning plan We have been working jointly with our commissioners and other stakeholders in a programme board to shape commissioning intentions for this and coming year. The key considerations are quality, productivity, patient and carer focus and cost effectiveness. We have in addition agreed to carry out a piece of work jointly with commissioners that define a clear service specification to be achieved by the end of the financial year. We have seen a significant increase in new referrals over the last 2-3 years and also a trend of people referred in an earlier stage of illness who need very careful assessment to avoid incorrect diagnosis. This early intervention approach has been the direct result of our involvement in the integrated care pilot for frail elderly, as well as working with commissioners on a specific target for increased identification of dementia. Further work is going on this year also to focus on a shared care approach in partnership with primary care on the management of those with dementia who are stable.. This latter piece of work is incorporated into our CQUIN targets agreed with our commissioners for Also incorporated into our CQUIN is that of reducing the use of antipsychotic medication (in line with the national focus in Dementia) and managing them well, and carer and user satisfaction.

5 Picture 1 (Diagnostic Care Pathway)

REPORT TO CLINICAL COMMISSIONING GROUP

REPORT TO CLINICAL COMMISSIONING GROUP REPORT TO CLINICAL COMMISSIONING GROUP 12th December 2012 Agenda No. 6.2 Title of Document: Report Author/s: Lead Director/ Clinical Lead: Contact details: Commissioning Model for Dementia Care Dr Aryan

More information

GOVERNING BODY MEETING in Public 22 February 2017 Agenda Item 3.4

GOVERNING BODY MEETING in Public 22 February 2017 Agenda Item 3.4 GOVERNING BODY MEETING in Public 22 February 2017 Paper Title Purpose of paper Redesign of Services for Frail Older People in Eastern Cheshire To seek approval from Governing Body for the redesign of services

More information

2010 National Audit of Dementia (Care in General Hospitals) Guy's and St Thomas' NHS Foundation Trust

2010 National Audit of Dementia (Care in General Hospitals) Guy's and St Thomas' NHS Foundation Trust Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: Guy's and St Thomas' NHS Foundation Trust The 2010 national

More information

2010 National Audit of Dementia (Care in General Hospitals) North West London Hospitals NHS Trust

2010 National Audit of Dementia (Care in General Hospitals) North West London Hospitals NHS Trust Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: rth West London Hospitals NHS Trust The 2010 national audit

More information

Young onset dementia service Doncaster

Young onset dementia service Doncaster Young onset dementia service Doncaster RDaSH Older People s Mental Health Services Introduction The following procedures and protocols will govern the operational working and function of the Doncaster

More information

FRAILTY PATIENT FOCUS GROUP

FRAILTY PATIENT FOCUS GROUP FRAILTY PATIENT FOCUS GROUP Community House, Bromley 28 November 2016-10am to 12noon In attendance: 7 Patient and Healthwatch representatives: 4 CCG representatives: Dr Ruchira Paranjape went through the

More information

AUTISM ACTION PLAN FOR THE ROYAL BOROUGH OF GREENWICH

AUTISM ACTION PLAN FOR THE ROYAL BOROUGH OF GREENWICH AUTISM ACTION PLAN FOR THE ROYAL BOROUGH OF GREENWICH NATIONAL CONTEXT Fulfilling and Rewarding Lives (2010) is the Government s strategy for adults with Autistic Spectrum Disorders. It sets out the Government

More information

Performance Management Framework Outcomes for Healthwatch Kent June 2016

Performance Management Framework Outcomes for Healthwatch Kent June 2016 Performance Management Framework Outcomes for Healthwatch Kent June 2016 A. Making a difference locally Outcome Statutory Function Examples of Good Outcomes/ 1. Local Healthwatch investigations bring added

More information

2010 National Audit of Dementia (Care in General Hospitals) Chelsea and Westminster Hospital NHS Foundation Trust

2010 National Audit of Dementia (Care in General Hospitals) Chelsea and Westminster Hospital NHS Foundation Trust Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: NHS Foundation Trust The 2010 national audit of dementia

More information

NHS HOUNSLOW CCG GOVERNING BODY Date: 15 th May 2013

NHS HOUNSLOW CCG GOVERNING BODY Date: 15 th May 2013 NHS HOUNSLOW CCG GOVERNING BODY Date: 15 th May 2013 Report title Dementia Services in Hounslow This report aims to give the CCG Board: an overview of national policy and direction of travel for dementia

More information

2010 National Audit of Dementia (Care in General Hospitals)

2010 National Audit of Dementia (Care in General Hospitals) Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: Barking, Havering and Redbridge Hospitals NHS Trust The 2010

More information

South Norfolk CCG Dementia Strategy and Action Plan Dr Tony Palframan, SNCCG Governing Body Member

South Norfolk CCG Dementia Strategy and Action Plan Dr Tony Palframan, SNCCG Governing Body Member Agenda item: 9.4 Subject: Presented by: Submitted to: South Norfolk CCG Dementia Strategy and Action Plan Dr Tony Palframan, SNCCG Governing Body Member Governing Body Date: 28 th July Purpose of paper:

More information

Assessment and early identification

Assessment and early identification The Right Care: creating dementia friendly hospitals Assessment and early identification Good practice for better care 1 Assessment and early identification Section 1 Self assessment statements from National

More information

People living well with Dementia in the East Midlands: Improving the Quality of Care in Acute Hospitals

People living well with Dementia in the East Midlands: Improving the Quality of Care in Acute Hospitals PROJECT INITIATION DOCUMENT We re in it together People living well with Dementia in the East Midlands: Improving the Quality of Care in Acute Hospitals Version: 1.1 Date: February 2011 Authors: Jillian

More information

Communications and engagement for integrated health and care

Communications and engagement for integrated health and care Communications and engagement for integrated health and care Report for Northern CCG Committee Mary Bewley STP Communications Lead 6 th September 2018 Background Aims Objectives Challenges Collaborative

More information

Standard Operating Procedure: Early Intervention in Psychosis Access Times

Standard Operating Procedure: Early Intervention in Psychosis Access Times Corporate Standard Operating Procedure: Early Intervention in Psychosis Access Times Document Control Summary Status: New Version: V1.0 Date: Author/Owner: Rob Abell, Senior Performance Development Manager

More information

2010 National Audit of Dementia (Care in General Hospitals) North Middlesex University Hospital NHS Trust

2010 National Audit of Dementia (Care in General Hospitals) North Middlesex University Hospital NHS Trust Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: rth Middlesex University Hospital NHS Trust The 2010 national

More information

Supporting and Caring in Dementia

Supporting and Caring in Dementia Supporting and Caring in Dementia Surrey and Sussex Healthcare, Delivering the National Dementia Strategy Strategy and Implementation Plan Final November 2011 1 National Strategy The National Dementia

More information

Dr Belinda McCall Consultant Geriatrician

Dr Belinda McCall Consultant Geriatrician Dr Belinda McCall Consultant Geriatrician Overview Background to our service Project Initial service provision Further developments Benefits of a geriatrician Questions Background National Dementia Strategy

More information

Draft Falls Prevention Strategy

Draft Falls Prevention Strategy Cheshire West & Chester Council Draft Falls Prevention Strategy 2017-2020 Visit: cheshirewestandchester.gov.uk Visit: cheshirewestandchester.gov.uk 02 Cheshire West and Chester Council Draft Falls Prevention

More information

HERTS VALLEYS CCG PALLIATIVE AND END OF LIFE CARE STRATEGY FOR ADULTS AND CHILDREN

HERTS VALLEYS CCG PALLIATIVE AND END OF LIFE CARE STRATEGY FOR ADULTS AND CHILDREN HERTS VALLEYS CCG PALLIATIVE AND END OF LIFE CARE STRATEGY FOR ADULTS AND CHILDREN 2016-2021 1 1. Introduction Herts Valleys Palliative and End of Life Care Strategy is guided by the End of Life Care Strategic

More information

Project Initiation Document:

Project Initiation Document: Project Initiation Document: Lancashire Support Services for Children, Young People, Families and Carers Affected by Autistic Spectrum Disorder (ASD) and Diagnosis 1. Background The Children and Young

More information

Dorset Health Scrutiny Committee

Dorset Health Scrutiny Committee Dorset Health Scrutiny Committee Date of Meeting 15 June 2018 Officer/Author Diane Bardwell, Dementia Services Review Project Manager, NHS Dorset Clinical Commissioning Group Subject of Report Dementia

More information

Healthy London Partnership - Prevention Programme Healthy Steps Together Expression of interest

Healthy London Partnership - Prevention Programme Healthy Steps Together Expression of interest Healthy London Partnership - Prevention Programme Healthy Steps Together Expression of interest October 2015 Register your interest to become a stage 1 Partner Demonstrator Site in a school, social housing

More information

Dementia Action Alliance

Dementia Action Alliance Dementia Action Alliance Dementia-Friendly Hospital Charter Introduction In October 2012 the Dementia Action Alliance launched the Right Care: a call to action to create dementia-friendly hospitals. All

More information

Dorset Health and Wellbeing Board

Dorset Health and Wellbeing Board Dorset Health and Wellbeing Board Date of Meeting 09 November 2016 Subject of Report Sustainability and Transformation Plan Refresh Update Report Author Partner Organisation Tim Goodson, Chief Officer,

More information

SCHEDULE 2 THE SERVICES. A. Service Specifications

SCHEDULE 2 THE SERVICES. A. Service Specifications SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification No. 04/MSKT/0013 Service PAN DORSET FRACTURE LIAISON SERVICE Commissioner Lead CCP for Musculoskeletal & Trauma Provider Lead Deputy

More information

Dementia Strategy MICB4336

Dementia Strategy MICB4336 Dementia Strategy 2013-2018 MICB4336 Executive summary The purpose of this document is to set out South Tees Hospitals Foundation Trust s five year strategy for improving care and experience for people

More information

Safeguarding Business Plan

Safeguarding Business Plan Safeguarding Business Plan 2015-2018 Contents 1. Introduction 2. The Care Act 3. Organisational Development 4. Vision, Values and Strategic Objectives 5. Financial Plan 6. Appendix A Action Plan 7. Appendix

More information

Item No: 10. Meeting Date: Wednesday 20 th September Glasgow City Integration Joint Board. Alex MacKenzie, Chief Officer, Operations

Item No: 10. Meeting Date: Wednesday 20 th September Glasgow City Integration Joint Board. Alex MacKenzie, Chief Officer, Operations Item No: 10 Meeting Date: Wednesday 20 th September 2017 Glasgow City Integration Joint Board Report By: Contact: Alex MacKenzie, Chief Officer, Operations Anne Mitchell, Head of Older People & Primary

More information

Test and Learn Community Frailty Service for frail housebound patients and those living in care homes in South Gloucestershire

Test and Learn Community Frailty Service for frail housebound patients and those living in care homes in South Gloucestershire Test and Learn Community Frailty Service for frail housebound patients and those living in care homes in South Gloucestershire Introduction This document introduces South Gloucestershire Clinical Commissioning

More information

Recommendations from the Devon Prisons Health Needs Assessment. HMP Exeter, HMP Channings Wood and HMP Dartmoor

Recommendations from the Devon Prisons Health Needs Assessment. HMP Exeter, HMP Channings Wood and HMP Dartmoor from the Devon Prisons Health Needs Assessment HMP Exeter, HMP Channings Wood and HMP Dartmoor 2011-2012 In April 2006 the responsibility for prison healthcare transferred from HM Prison Service to the

More information

Draft v1.3. Dementia Manifesto. London Borough of Barnet & Barnet Clinical. Autumn 2015

Draft v1.3. Dementia Manifesto. London Borough of Barnet & Barnet Clinical. Autumn 2015 Dementia Manifesto for Barnet Draft v1.3 London Borough of Barnet & Barnet Clinical Commissioning Group 1 Autumn 2015 .it is estimated that by 2021 the number of people with dementia in Barnet will grow

More information

Use of anti-psychotic medication in care homes Response from the Royal Pharmaceutical Society in Wales

Use of anti-psychotic medication in care homes Response from the Royal Pharmaceutical Society in Wales Use of anti-psychotic medication in care homes Response from the Royal Pharmaceutical Society in Wales About us The Royal Pharmaceutical Society (RPS) is the professional body for pharmacists in Great

More information

Strategic Plan

Strategic Plan Strategic Plan 2015 18 President s message The Royal College of Psychiatrists is committed to improving the lives of people with mental illness. This strategic plan is based on the top three priorities

More information

Sandwell Safeguarding Adults Board. ANNUAL REPORT 2016/2017 Executive Summary

Sandwell Safeguarding Adults Board. ANNUAL REPORT 2016/2017 Executive Summary Sandwell Safeguarding Adults Board SSAB@SSAdultsBoard ANNUAL REPORT 2016/2017 Executive Summary SEE SOMETHING DO SOMETHING Safeguarding is everyone s business SEE SOMETHING If you are concerned that an

More information

SCHEDULE 2 THE SERVICES

SCHEDULE 2 THE SERVICES 04e SCHEDULE 2 THE SERVICES A. Service Specifications This is a non-mandatory model template for local population. Commissioners may retain the structure below, or may determine their own in accordance

More information

Dementia 2014: A North East Perspective. Summary Report

Dementia 2014: A North East Perspective. Summary Report Dementia 2014: A North East Perspective Summary Report Debbie J Smith and Peter Otter July 2014 Contents Introduction 2 Context 3 Key groups and organisations in the North East 4 Research 6 Awareness and

More information

Co-ordinated multi-agency support for young carers and their families

Co-ordinated multi-agency support for young carers and their families Practice example Co-ordinated multi-agency support for young carers and their families What is the initiative? A partnership between a young carers service and a council Who runs it? Off The Record s Young

More information

Networking for success: A burning platform in Berkshire West

Networking for success: A burning platform in Berkshire West SERVICE REDESIGN CASE STUDY 1: NOVEMBER 2014 Networking for success: A burning platform in Berkshire West SUMMARY In 2012, four federated CCGs set up a network to redesign diabetes services in Berkshire

More information

Alcohol and Drug Commissioning Framework for Northern Ireland Consultation Questionnaire.

Alcohol and Drug Commissioning Framework for Northern Ireland Consultation Questionnaire. Alcohol and Drug Commissioning Framework for Northern Ireland 2013-16 Consultation Questionnaire. This questionnaire has been designed to help stakeholders respond to the above framework. Written responses

More information

Item No: 6. Meeting Date: Tuesday 12 th December Glasgow City Integration Joint Board Performance Scrutiny Committee

Item No: 6. Meeting Date: Tuesday 12 th December Glasgow City Integration Joint Board Performance Scrutiny Committee Item No: 6 Meeting Date: Tuesday 12 th December 2017 Glasgow City Integration Joint Board Performance Scrutiny Committee Report By: Susanne Millar, Chief Officer, Strategy & Operations / Chief Social Work

More information

Resource impact report: Eating disorders: recognition and treatment (NG69)

Resource impact report: Eating disorders: recognition and treatment (NG69) Resource impact report: Eating disorders: recognition and treatment (NG69) Published: May 2017 Summary This report looks at the resource impact of implementing NICE s guideline on eating disorders: recognition

More information

Summary of Oxford AHSN Mental Health activities

Summary of Oxford AHSN Mental Health activities www.oxfordahsn.org Summary of Oxford AHSN Mental Health activities What is the Oxford AHSN? Oxford Academic Health Science Network is a partnership of NHS providers, commissioners, universities and life

More information

Commitment for commissioners in heath, social care and GP commissioning

Commitment for commissioners in heath, social care and GP commissioning Commitment for commissioners in heath, social care and GP commissioning 1. Improving the quality and experience of care for people with dementia (and their carers), by commissioning a whole systems approach

More information

PROGRAMME INITIATION DOCUMENT MENTAL HEALTH PROGRAMME

PROGRAMME INITIATION DOCUMENT MENTAL HEALTH PROGRAMME PROGRAMME INITIATION DOCUMENT MENTAL HEALTH PROGRAMME 1. BACKGROUND: 1.1 Primary Care 90% of mental health care is provided within primary care services, with the most common mental health problems identified

More information

IMPLEMENTING NICE GUIDELINES

IMPLEMENTING NICE GUIDELINES IMPLEMENTING NICE GUIDELINES Coexisting severe mental illness and substance misuse: community health and social care services NICE guideline [NG58]. November 2016 Dr Raffaella Margherita Milani Course

More information

NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SCOPE. Dementia: the management of dementia, including the use of antipsychotic medication in older people

NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SCOPE. Dementia: the management of dementia, including the use of antipsychotic medication in older people NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE 1 Guideline title SCOPE Dementia: the management of dementia, including the use of antipsychotic medication in older people 1.1 Short title Dementia 2 Background

More information

POLICY REF NO: SABP/SERVICE IMPROVEMENT/0024 POLICY

POLICY REF NO: SABP/SERVICE IMPROVEMENT/0024 POLICY POLICY REF NO: SABP/SERVICE IMPROVEMENT/0024 POLICY NAME OF POLICY: REASON FOR THE POLICY: WHAT THE POLICY WILL ACHIEVE: WHO NEEDS TO KNOW ABOUT IT: DATE APPROVED: VERSION NUMBER: APPROVING COMMITTEE:

More information

Q. As noted in the NICE Quality Standard for ADHD ( can you please provide information on:

Q. As noted in the NICE Quality Standard for ADHD (  can you please provide information on: Q. As noted in the NICE Quality Standard for ADHD (https://www.nice.org.uk/guidance/qs39), can you please provide information on: 1. What proportion of children and young people with symptoms of ADHD have

More information

Implementing NICE clinical guidelines on Parkinson s disease

Implementing NICE clinical guidelines on Parkinson s disease ORIGINAL PAPERS Clinical Medicine 2009, Vol 9, No 5: 436 40 Implementing NICE clinical guidelines on Parkinson s disease Beverly A Ryton and B Jane Liddle ABSTRACT Implementing national guidance such as

More information

BACKGROUND TO THE HEALTH AND WELLBEING STRATEGY. Neil Revely

BACKGROUND TO THE HEALTH AND WELLBEING STRATEGY. Neil Revely BACKGROUND TO THE HEALTH AND WELLBEING STRATEGY Neil Revely STRUCTURE OF PRESENTATION SETTING THE CONTEXT WHAT DO WE HAVE TO DO? THE HEALTH AND WELLBEING BOARD WHY A HEALTH AND WELLBEING STRATEGY? SETTING

More information

Community alcohol detoxification in primary care

Community alcohol detoxification in primary care Community alcohol detoxification in primary care 1. Purpose The purpose of this primary care enhanced service is to improve the health and quality of life of people whose health may be compromised by their

More information

Hounslow Safeguarding Children Board. Training Strategy Content.. Page. Introduction 2. Purpose 3

Hounslow Safeguarding Children Board. Training Strategy Content.. Page. Introduction 2. Purpose 3 Hounslow Safeguarding Children Board. Training Strategy 2018-2020. Content.. Page Introduction 2 Purpose 3 What does the Training Strategy hope to achieve?. 4 Review.. 4 Local context.. 4 Training sub

More information

Children and young people s emotional health and wellbeing transformation plan refresh 2016

Children and young people s emotional health and wellbeing transformation plan refresh 2016 Children and young people s emotional health and wellbeing transformation plan refresh 2016 October 2016 Contents 1. Introduction... 2 2. What have we achieved since our first transformation plan in 2015?...

More information

Barnet Scrutiny Committee report 13 th October Barnet Sexual Health Strategy Dr Andrew Howe, Director of Public Health

Barnet Scrutiny Committee report 13 th October Barnet Sexual Health Strategy Dr Andrew Howe, Director of Public Health Barnet Scrutiny Committee report 13 th October 2015 Title Report of Wards Status Urgent Key Enclosures Officer Contact Details Barnet Sexual Health Strategy 2015-2020 Dr Andrew Howe, Director of Public

More information

in North East Lincolnshire Care Trust Plus Implementation Plan Executive Summary

in North East Lincolnshire Care Trust Plus Implementation Plan Executive Summary North East Lincolnshire Care Trust Plus Living Well with Dementia in North East Lincolnshire Implementation Plan 2011-2014 Executive Summary Our vision is for all Individuals with Dementia and their carers

More information

DESIGNED TO TACKLE RENAL DISEASE IN WALES DRAFT 2 nd STRATEGIC FRAMEWORK for

DESIGNED TO TACKLE RENAL DISEASE IN WALES DRAFT 2 nd STRATEGIC FRAMEWORK for DESIGNED TO TACKLE RENAL DISEASE IN WALES DRAFT 2 nd STRATEGIC FRAMEWORK for 2008-11 1. Aims, Outcomes and Outputs The National Service Framework Designed to Tackle Renal Disease in Wales sets standards

More information

They are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:

They are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see: Chronic fatigue syndrome myalgic encephalomyelitis elitis overview bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They are updated

More information

How to get a Clinical Psychologist. Dr Ian Kneebone Consultant Clinical Psychologist & Visiting Reader

How to get a Clinical Psychologist. Dr Ian Kneebone Consultant Clinical Psychologist & Visiting Reader How to get a Clinical Psychologist Dr Ian Kneebone Consultant Clinical Psychologist & Visiting Reader How to make a case to the new clinical commissioning groups (CCG) If CCGs do not eventuate basics should

More information

Evaluation of the Health and Social Care Professionals Programme Interim report. Prostate Cancer UK

Evaluation of the Health and Social Care Professionals Programme Interim report. Prostate Cancer UK Evaluation of the Health and Social Care Professionals Programme Interim report Prostate Cancer UK July 2014 Contents Executive summary... 2 Summary of the research... 2 Main findings... 2 Lessons learned...

More information

Dementia: Reducing use of antipsychotics in patients with behavioural and psychological symptoms of dementia (BPSD) National & London Context

Dementia: Reducing use of antipsychotics in patients with behavioural and psychological symptoms of dementia (BPSD) National & London Context Dementia: Reducing use of antipsychotics in patients with behavioural and psychological symptoms of dementia (BPSD) National & London Context Lelly Oboh Consultant Pharmacist, Care of older people and

More information

The functions of the LSCB prescribed in the Local Safeguarding Children Boards Regulations 2006 are as follows:

The functions of the LSCB prescribed in the Local Safeguarding Children Boards Regulations 2006 are as follows: Draft Joint Working Protocol between Barnet s Health and Wellbeing Board, Local Safeguarding Children Board and Local Safeguarding Adults Board July 2014 1. Introduction There are three statutory boards

More information

NHS Southwark have advised SLaM of their commissioning intentions and requested that they restructure their services such that:

NHS Southwark have advised SLaM of their commissioning intentions and requested that they restructure their services such that: South London and Maudsley NHS Foundation Trust pre-consultation paper on the restructuring of services to meet the requirements of NHS Southwark s mental health contract for 2010/12 Introduction NHS Southwark

More information

North Somerset Autism Strategy

North Somerset Autism Strategy North Somerset Autism Strategy Approved by: Ratification date: Review date: September 2017 1 Contents 1 Introduction and background... 3 2 Defining Autism...Error! Bookmark not defined. 3 National and

More information

Sandwell & West Birmingham integrated community care diabetes model (DICE) the future of diabetes services?

Sandwell & West Birmingham integrated community care diabetes model (DICE) the future of diabetes services? Sandwell & West Birmingham integrated community care diabetes model (DICE) the future of diabetes services? Dr PARIJAT DE DUK Clinical Champion Clinical Lead for Diabetes & Endocrinology, Sandwell & West

More information

Norfolk Suicide Prevention Strategy

Norfolk Suicide Prevention Strategy Appendix 1 2016 Norfolk Suicide Prevention Strategy 2016-2021 DRAFT FOR CONSULTATION COMMENTS TOnadia.jones@norfolk.gov.uk Norfolk Suicide Prevention 2016-21 Norfolk County Council is committed to working

More information

The audit is managed by the Royal College of Psychiatrists in partnership with:

The audit is managed by the Royal College of Psychiatrists in partnership with: Background The National Audit of Dementia (NAD) care in general hospitals is commissioned by the Healthcare Quality Improvement Partnership on behalf of NHS England and the Welsh Government, as part of

More information

Assessment and management of selfharm

Assessment and management of selfharm Assessment and management of selfharm procedure Version: 1.1 Consultation Approved by: Medical Director, CAMHS Director, Director of Quality, Patient Experience and Adult services Medical Director Date

More information

DRAFT. Consultees are asked to consider and comment on the CEPP National Audit: Antipsychotics in Dementia document.

DRAFT. Consultees are asked to consider and comment on the CEPP National Audit: Antipsychotics in Dementia document. Enclosure No: Agenda item No: Author: Contact: xx/xxxxx/xxxx0918 xx CEPP National Audit: Antipsychotics in Dementia All Wales Therapeutics and Toxicology Centre Tel: 02920 71 6900 awttc@wales.nhs.uk 1.0

More information

Richard Watson, Chief Transformation Officer. Dr P Holloway, GP Clinical Lead for Cancer Lisa Parrish, Senior Transformation Lead

Richard Watson, Chief Transformation Officer. Dr P Holloway, GP Clinical Lead for Cancer Lisa Parrish, Senior Transformation Lead GOVERNING BODY Agenda Item No. 08 Reference No. IESCCG 18-02 Date. 23 January 2018 Title Lead Chief Officer Author(s) Purpose Cancer Services Update Richard Watson, Chief Transformation Officer Dr P Holloway,

More information

Vanessa G. BA (Hons), MSc. Post Grad Diploma Neuropsychology

Vanessa G. BA (Hons), MSc. Post Grad Diploma Neuropsychology Vanessa G BA (Hons), MSc. Post Grad Diploma Neuropsychology HCPC Registration No. PYL26754 DBS Registration No. 001481251441 PROFESSIONAL QUALIFICATIONS & EXPERTISE Professional Qualification(s) Consultant

More information

SCHEDULE 2 THE SERVICES. A. Service Specifications

SCHEDULE 2 THE SERVICES. A. Service Specifications SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification 11J/0232 No. Service Enhanced Frailty Service (Christchurch MP and Farmhouse Surgery) Commissioner Lead Primary Care Team Provider

More information

Solihull Safeguarding Adults Board & Sub-committees

Solihull Safeguarding Adults Board & Sub-committees Solihull Safeguarding Adults Board & Sub-committees 2016 Safeguarding Adults Board Solihull Safeguarding Adults Board [SSAB or the Board] was established in 2008. It is a multi-agency partnership comprising

More information

KEY QUESTIONS What outcome do you want to achieve for mental health in Scotland? What specific steps can be taken to achieve change?

KEY QUESTIONS What outcome do you want to achieve for mental health in Scotland? What specific steps can be taken to achieve change? SCOTTISH GOVERNMENT: NEXT MENTAL HEALTH STRATEGY Background The current Mental Health Strategy covers the period 2012 to 2015. We are working on the development of the next strategy for Mental Health.

More information

They are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:

They are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see: Ongoing care for adults with psychosis or schizophrenia bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They are updated regularly

More information

Early Intervention Teams services for early psychosis

Early Intervention Teams services for early psychosis Early Intervention Teams services for early psychosis Early intervention services work with people who are usually between 14 and 35, and are either at risk of or are currently experiencing a first episode

More information

The Powys Dementia Plan

The Powys Dementia Plan The Powys Dementia Plan 2016-2019 Achievements to date and next steps Pledge 1 To raise public awareness in relation to dementia, improving the lived experience Over 85 people attended the First Powys

More information

We need to talk about Palliative Care COSLA

We need to talk about Palliative Care COSLA Introduction We need to talk about Palliative Care COSLA 1. Local government recognises the importance of high quality palliative and end of life care if we are to give people greater control over how

More information

South Lanarkshire Council. Autism Strategy. Action Plan. Update April 2014

South Lanarkshire Council. Autism Strategy. Action Plan. Update April 2014 South Lanarkshire Council Autism Strategy Action Plan Update April 2014 Ten Indicators for current best practice in the provision of effective Autism Spectrum Disorder (ASD) services 1. A local Autism

More information

1. RE-COMMISSIONING OF DRUG AND ALCOHOL TREATMENT AND RECOVERY SERVICES

1. RE-COMMISSIONING OF DRUG AND ALCOHOL TREATMENT AND RECOVERY SERVICES Cabinet Member Decision 7 August 2014 1. RE-COMMISSIONING OF DRUG AND ALCOHOL TREATMENT AND RECOVERY SERVICES Relevant Cabinet Member Relevant Officer Recommendation Mr M J Hart Director of Adult Services

More information

Shaping Diabetes Services in Southern Derbyshire. A vision for Diabetes Services For Southern Derbyshire CCG

Shaping Diabetes Services in Southern Derbyshire. A vision for Diabetes Services For Southern Derbyshire CCG Shaping Diabetes Services in Southern Derbyshire A vision for Diabetes Services For Southern Derbyshire CCG Vanessa Vale Commissioning Manager September 2013 Contents 1. Introduction 3 2. National Guidance

More information

Living Well With Dementia on the Isle of Wight

Living Well With Dementia on the Isle of Wight Living Well With Dementia on the Isle of Wight 2014 2019 A partnership approach to the development of services on the Isle of Wight for people living with Dementia. Living Well With Dementia on the Isle

More information

National Audit of Dementia

National Audit of Dementia National Audit of Dementia (Care in General Hospitals) Date: December 2010 Preliminary of the Core Audit Commissioned by: Healthcare Quality Improvement Partnership (HQIP) Conducted by: Royal College of

More information

The National Autism Project s priorities for the Department of Health

The National Autism Project s priorities for the Department of Health The National Autism Project s priorities for the Department of Health The attached briefing outlines the key priorities for the Department of Health identified by the National Autism Project (NAP). It

More information

Placing mental health at the heart of what we do

Placing mental health at the heart of what we do 27 Jul 2018 Placing mental health at the heart of what we do Welcome to the first edition of the partnership bulletin from Cheshire and Merseyside Mental Health Programme Board. Who are we? Mental Health

More information

NICE UPDATE - Eating Disorders: The 2018 Quality Standard. Dr A James London 2018

NICE UPDATE - Eating Disorders: The 2018 Quality Standard. Dr A James London 2018 NICE UPDATE - Eating Disorders: The 2018 Quality Standard Dr A James London 2018 Background Estimated number of people aged 16 years or older with eating disorders in England Description Percentage of

More information

Norfolk Falls Prevention and Management

Norfolk Falls Prevention and Management Norfolk Falls Prevention and Management Fiona Craig North Norfolk Integrated Commissioning Manager Tracey Sparks NFR Service Manager North Norfolk Kate Wyatt Care Home Practitioner South Norfolk CCG Norfolk

More information

Fixing footcare in Sheffield: Improving the pathway

Fixing footcare in Sheffield: Improving the pathway FOOTCARE CASE STUDY 1: FEBRUARY 2015 Fixing footcare in Sheffield: Improving the pathway SUMMARY The Sheffield Teaching Hospitals NHS Foundation Trust diabetes team transformed local footcare services

More information

Annual General Meeting

Annual General Meeting NHS Harrogate and Rural District CCG Annual General Meeting. 2 August 2018 1 Welcome and introductions Dr Alistair Ingram Clinical Chair NHS Harrogate and Rural District Clinical Commissioning Group 2

More information

Helen Wilding, Wellbeing and Health Partnership Coordinator Context: Wellbeing and Health Partnership HW Information

Helen Wilding, Wellbeing and Health Partnership Coordinator Context: Wellbeing and Health Partnership HW Information Wellbeing and Health Partnership Mental Health Strategic Board Meeting to be held Monday 15 November, 2pm - 4pm, Bewick Room Contact Officer: Membership: Helen Wilding, Wellbeing and Health Partnership

More information

Communications and Engagement Approach

Communications and Engagement Approach Communications and Engagement Approach 2016-2020 NHS Cumbria CCG commissioning hospital and community services to get the best healthcare and health outcomes for our communities Contents Section 1 Section

More information

Core Competencies Clinical Psychology A Guide

Core Competencies Clinical Psychology A Guide Committee for Scrutiny of Individual Clinical Qualifications Core Competencies Clinical Psychology A Guide Please read this booklet in conjunction with other booklets and forms in the application package

More information

ELR CCG Annual General Meeting. Tuesday 26 September 2017

ELR CCG Annual General Meeting. Tuesday 26 September 2017 ELR CCG Annual General Meeting Tuesday 26 September 2017 1 Programme Welcome and introductions Responses to questions submitted today A patient and carer experience - Living with Dementia An introduction

More information

Mental Health in STH Mike Richmond, Medical Director Mark Cobb, Clinical Director of Professional Services Debate & Note

Mental Health in STH Mike Richmond, Medical Director Mark Cobb, Clinical Director of Professional Services Debate & Note SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE TRUST HEALTHCARE GOVERNANCE COMMITTEE E TO BE HELD ON 27 FEBRUARY 2012 Subject: Supporting Director: Author: Status 1 Mental

More information

POLICY BRIEFING. Prime Minister s challenge on dementia 2020 implementation plan

POLICY BRIEFING. Prime Minister s challenge on dementia 2020 implementation plan POLICY BRIEFING Prime Minister s challenge on dementia 2020 implementation plan Date: 14th March 2016 Author: Christine Heron LGiU associate Summary The Prime Minister s challenge on dementia contains

More information

Job Description ST4-ST6 Sussex Partnership NHS Foundation Trust

Job Description ST4-ST6 Sussex Partnership NHS Foundation Trust Job Description ST4-ST6 Sussex Partnership NHS Foundation Trust Post: Specialty: Base: ST4-6 Old Age Psychiatry Beechwood Unit, Uckfield Hospital, Uckfield, E. Sussex Trust: Trainer: Catchment Area: Sussex

More information

Streamlining Memory Service Pathways. Guidance from the London Dementia Clinical Network

Streamlining Memory Service Pathways. Guidance from the London Dementia Clinical Network Triage Initial Assessment Investigations 2nd Appointment Streamlining Memory Service Pathways Guidance from the London Dementia Clinical Network London Dementia Clinical Network July 2017 1 Contents Introduction...

More information

Dumfries and Galloway Alcohol and Drug Partnership. Strategy

Dumfries and Galloway Alcohol and Drug Partnership. Strategy Dumfries and Galloway Alcohol and Drug Partnership Strategy 2017 2020 1 Contents Foreword...3 1. Introduction... 4 1.1 Background... 4 1.2 Aim... 4 1.3 National Context... 4 2. Strategic Priorities...

More information