Suicide prevention Committee meeting 1

Transcription

1 Suicide prevention Committee meeting 1 Date: 10/02/17 Location: Minutes: Prince of Wales, NICE offices London Final Committee members present: Susan Jebb Chris Packham Joyce Rothschild Chris Owen Jeff Round Toby Prevost Raymond Jankowski Suzanne Jones Ian Basnett (+ carer) Stephen Habgood Rebeca Martinez Navneet Kapur Andrew Chapman Dave Cherrington Vikki Levick Amy Beck Ray Canham David Mosse In attendance: Caroline Mulvihill Technical Lead Pete Shearn Senior Technical Analyst Josephine Kavanagh Technical Analyst Rachel Walsh Assistant Technical Page 1 of 12

2 Analyst Jennifer Heaton Assistant Project Manager Kay Nolan Associate Director Beth Shaw Senior technical analyst Tom Hudson Information Specialist David McDaid London School of Economics Panos Zerdevas Public Health England Vicki Pollit YHEC Lindsay Claxton YHEC Apologies: Jane Leaman Helen Garnham Committee member PHE 1. Welcome and objectives for the meeting The Chair welcomed the Committee members and attendees to the1st meeting on Preventing suicide in community and custodial settings. The Committee members and attendees introduced themselves. The Chair welcomed the members of the public to the meeting. The members of the public had been briefed already, both verbally and in writing by the NICE team, and the Chair reminded them of the protocol for members of the public, whose role is to observe (they should not speak or ask questions). The Chair reminded all present that the Committee is independent and advisory, that its decisions and recommendations to NICE do not represent final NICE guidance, and that they may be changed as a result of public consultation. The Chair informed the Committee that apologies had been received. These are noted above. The Chair outlined the objectives of the meeting, which included: Receive an overview of the guideline scope Discuss the evidence review methods Receive an introduction to GRADE Receive an evidence review on postvention interventions Page 2 of 12

3 Discuss the health economics modelling approach Discuss the findings of a mapping exercise of the guideline evidence and how this impacts on expert testimony and call for evidence 2. Confirmation of matter under discussion, and declarations of interest The Chair confirmed that, for the purpose of managing conflicts of interest, the matter under discussion was Suicide prevention in community and custodial settings. The Chair asked everyone to verbally declare any interests. Name Job title, organisation Declarations of Interest, date declared Type of interest Decisi taken Susan Jebb Professor of Diet and Population Health, Department of Primary Care Health Sciences Salary, University of Oxford Writing and lecture fees Rosemary Conley Diet and Fitness magazine (ended Jan 2014) Dept. Health Science Advisor on Obesity (Ended March 2015) Chair Public Health Responsibility Deal Food Network (Ended May 2015) Trustee Association for the Study of Obesity (Ended Sept 2014) Member of UK, European and International Associations for the Study of Obesity Member - National Heart Forum Chris Packham Associate Medical Director, Nottinghamshir e Healthcare NHS Trust Member, Tanita Medical Advisory Board (ended Mar 2015) GP Associate, St Luke s Surgery, Nottingham practicing GP Chair, Health Services Committee, Faculty of Public Health Member, Department of Health Advisory Group on Hepatitis Special Professor at Nottingham University Associate Medical Director and Consultant Public Health Physician, Nottinghamshire Healthcare NHS Trust GP and Section 12 MHA approved doctor, Nottingham Emergency Medical Services Partner, Named Nurse for Child Safeguarding, Nottingham University Hospitals NHS Trust, Nottingham. Honorary Professor of Public Health Practice, Faculty of Medicine, Page 3 of 12

4 Toby Prevost Lucy Yardley Raymond Jankowski Mireia Jofre Bonet Suzanne Jones Professor of Medical Statistics and Clinical Trials, Imperial College London Professor of Health Psychology, University of Southampton National Lead for Healthcare Public Health, Public Health England Professor, City University (London) Consultant in Public Health Christine Liddell Professor of Psychology, Ulster University Jennifer Roberts Professor of Economics, University of Sheffield University of Nottingham UK Chair of Examiners (final professional examination), Faculty of Public Health, Royal College of Physicians (London). Clinical Commissioning Champion, Centre for Commissioning, Royal College of General Practitioners, London. Co-investigator on health research grants principally from NIHR (none specific to prevention of suicide) Currently co-investigator on the following grants which University of Southampton. (none specific to condom distribution) Independent consultant commissioned by NHS health organisations, Public Health England, local authorities, community interest companies. Husband is GP shareholder in Alexin Health Care (community interest company). Relative holds shares in GlaxoSmithKline and Diageo. As an academic, she is in a department (Department of Economics, University of Sheffield) which may apply for research grants relating to public health and work on public health related projects. Projects she is currently involved in for which the University of Sheffield receives funding: Evaluation of the Fulfilling Lives Programme: Supporting People With Page 4 of 12

5 Multiple And Complex Needs. Funded by the National Lottery Fund Evaluation of the Employer Ownership Pilot Round One. Funded by Business Innovations & Skills Creating and Exploring Digital Empathy Funded by the Engineering and Physical Sciences Research Council. She acts from time-to-time, on a private consultancy basis, as expert advisor on projects for CFE Research ( CFE primarily work in the area of labour market, education and skills but occasionally they carry our health and public health related projects (see those marked * below). She is currently involved in 3 projects for which she receives direct payment from CFE: Retrospective Assessment Against the NHS Outcomes Framework funded by the Dept of Health. Evaluation of the Framework for Physical Activity Behaviour Change Funded by Macmillan Cancer Support. Evaluation of the Creative Employment Program. Funded by Arts Council England She is currently providing expert advice to Bayer and IMS Health around the conduct of analysis of utilities in diabetic macular oedema (DMO). Joyce Rothschild Chris Owen Ian Basnett Education Consultant Programme Manager and Director, Chrow Solutions Ltd Public Health Director, Bart s Health As one of the developers of the SF-6D health valuation algorithm she regularly receives Royalty payments (via the University of Sheffield) for sales of commercial licenses for the SF-6D. Independent consultant commissioned by University College London (Population Health), local authorities, schools. Page 5 of 12

6 1. Ray Canham Lay member Topic members Name Job title, organisation Declarations of Interest, date declared David Mosse Lay member Chair, Haringey Suicide Prevention Group (inter-agency group to plan and coordinate suicide prevention in LB Haringey) (5/7/16 on recruitment) Type of interest [ Decision taken Stephen Habgood Trustee, Mind in Haringey (mental health charity that hosts the Haringey Suicide Prevention Group) Core Member, The Alliance of Suicide Prevention Charities (TASC) Lay member I am currently a member of the NICE Guideline Development Group the mental healthcare of those in contact with the Criminal Justice System for which I am paid expenses and an attendance fee of 150 for each full day. I am on an NHS Working Group Making Families Count which is about involving families in the investigation into such events as suicides and homicides for which I am paid expenses and an attendance fee of 150 per day. These take place about once each month. I am on a Southampton University Study Steering Committee - Identifying nursestaffing requirements using the Safer Nursing Care Tool. Modelling the costs and consequences of real world application to address variation 2. Page 6 of 12

7 in patient need on hospital wards, for which I am paid expenses and an attendance fee of 150. There are just three meetings planned. I am on an Aneurin Bevan NHS Trust working group to establish protocols for the Support and Involvement of Families following a SUI. For my attendance at these meetings I am paid a fee of 250 and travel expenses. There are just two meetings each year. I am Chairman of a national charity PAPYRUS Prevention of Young Suicide for which I am paid expenses only. PAPYRUS is currently seeking to run a pilot project in a number of establishments delivering ASIST training and making our helpline available to staff and offenders. I do not receive any payment for supporting this project. 24/10/16 on application I am a lay member of the Midlands Therapeutics Review and Advisory Committee (MTRAC) MTRAC is a prescribing and commissioning advice committee funded by subscriptions from Clinical Commissioning Groups (CCGs) in the West Midlands. It meets six times per year to consider the evidence for efficacy, safety, and costeffectiveness of selected new medicines or classes of medicines not already covered by national bodies such as the National Institute for Health and Care Excellence (NICE). The purpose of the committee is to offer advice to prescribers, commissioners and other decision-makers in the local Page 7 of 12

8 Amy Beck Senior Forensic Psychologist, National Probation Service London region to support decisions about the introduction of new medicines. After consideration of the evidence for a new medicine or existing class of medicines, the committee discusses the local use of the new medicine and agrees a set of guidance points on prescribing and commissioning issues. As a Lay Member of the Committee I am required to participate as a voting member of the committee with particular responsibility to promote patient, carer and public views and experiences to inform discussions and the decisions that the committee makes. I am expected to attend four meetings a year. The role is voluntary and I am paid travel expenses only. 24/01/17 Current fulltime paid NOMS Employee (National Probation Service London) 2/11/16 on application Current Chair of the NPS London Suicide Prevention Steering Group. Chair of the NPS Suicide Prevention Steering Group for national suicide prevention work Current member of the NOMS Suicide and Self Harm Project Working Party Group Link person to the NSPA for NPS London Recent Subject Matter Expert on Department of Health Policy Research Programme Commissioning Panel reviewing research applications on selfinflicted deaths in the criminal justice system (unpaid but allowed for in employment time). There could be a conflict of interest if the successful research which was commissioned as part of this programme was included within Page 8 of 12

9 the evidence base. I have previously published research into suicide prevention directly co-authored on: Mackenzie, J. M., Cartwright, T., Beck, A., & Borrill, J. (2015). Probation staff experiences of managing suicidal and self-harming service users. Probation Journal, Borrill, J., Mackenzie, J., Cook, L., & Beck, A. (2015). Relationships in the context of suicide risk. Probation Journal, 62(1), Borrill J, Cook, L. Beck A. Suicide and Supervision: issues for probation practice. Probation Journal In press 2016 Facilitated the below research: Mackenzie, J., Cartwright, T., & Borrill, J. (Under Review). Exploring Suicidal Behaviours by Probation Clients A Qualitative Near-Lethal Approach. (Paper under review in the Journal of Public Health) Mackenzie, J. M., Borrill, J., & Dewart, H. (2013). Researching suicide, attempted suicide and near-lethal self-harm by offenders in community settings: challenges for future research. International Journal of Forensic Mental Health, 12(1), Cook, L & Borrill, J (2015). Identifying suicide risk in a metropolitan probation trust: Risk factors and staff decision making. Legal & Criminological Psychology, 20 (2), Prior to applying to join the committee I registered the National Probation Service (NPS) as a Stakeholder on the NICE Suicide Prevention Guidelines in order the NPS could comment on the draft recommendations. I have requested this role is transferred Page 9 of 12

10 Andrew Chapman Dave Cherrington Navneet Kapur Rebeca Martinez Vikki Levick Helene Dyson Suicide Prevention Lead Officer by City of York Council ( Public Health Department) Chief Inspector force custody lead, Thames Valley Police Professor of Psychiatry and Population Health, University of Manchester Associate Medical Director, Suicide Prevention. Mersey Care NHS Trust Senior Learning & Knowledge Manager, National Offender Management Service Commissioning, Wokingham Borough Council to another employee of the National Probation Service to ensure no conflict of interest in the future. Currently employed by North Yorkshire Partnership Commissioning Group/ Scarborough and Ryedale Clinical Commissioning Senior Suicide Prevention Co-ordinator 24/05/16 on application 24/10/16 on application I am a clinical academic with a longstanding research interest in suicide and suicidal behaviour and have published widely. The Centre for Suicide Prevention receives grant funding from UK government and charitable sources to carry out research in this area (research income approximately 3 million over the last three years). We do not receive industry funding. I currently chair the NICE guideline development group for the depression in adults guideline (update) and sit on the Department of Health (England) National Suicide Prevention Strategy Advisory Group. 24/05/16 on application 24/05/16 on application Current full-time paid NOMS Employee (National Offender Management Service, London) 16/05/16 on application Conflict of interest in relation to the Page 10 of 12

11 The Chair and a senior member of the Developer s team noted that the interests declared did not prevent the attendees from fully participating in the meeting. 3. Overview of Scope and Equality Impact Assessment The Chair introduced Caroline Mulvihill, Technical Lead NICE, who gave a presentation on an overview of the scope. The Committee then discussed the issues presented in relation to this guideline. The Chair thanked Caroline for her presentation. The Chair introduced Pete Shearn, Senior Technical Analyst, NICE, who gave a presentation on the equality impact assessment. Pete took questions from the group. The Committee then discussed the issues presented in relation to this guideline. The Chair thanked Pete for his presentation. 4. Evidence Review Methods The Chair introduced Tom Hudson, information specialist, NICE, who gave a presentation on the evidence review methods. The Committee then discussed the issues presented in relation to this guideline. The Chair thanked Tom for his presentation. 5. Introduction to GRADE The Chair introduced Beth Shaw, Senior Technical Advisor, NICE, who gave a presentation on the evidence review methods. Beth took questions from the group. The Committee then discussed the issues presented in relation to this guideline. The Chair thanked Beth for her presentation. 6. Post-vention interventions evidence review The Chair introduced Pete Shearn, Senior Technical Analyst, NICE, who gave a presentation on the post-vention interventions evidence review. Pete took questions from the group. The Committee then discussed the issues presented in relation to this guideline. The Chair thanked Pete for his presentation. 7. Health Economic Modelling introduction The Chair introduced Kay Nolan, Associate Director, NICE, who introduced health Page 11 of 12

12 economic modelling. 8. Suicide Prevention economic modelling and approach The Chair introduced David McDaid, LSE and Panos Zedervas, PHE, who gave a presentation on the suicide prevention economic model. David and Panos took questions from the group. The Chair thanked David and Panos for their presentation. The Chair introduced Vicki Pollit and Lindsay Claxton, YHEC, who gave a presentation on suicide prevention economic modelling approach. Vicki and Lindsay took questions from the group. The Committee then discussed the issues presented in relation to this guideline The Chair thanked Vicki and Lindsay for their presentation. 9. Mapping of the guideline evidence exercise The Chair introduced Josephine Kavanagh who gave a presentation on the mapping exercise of the guideline evidence, plan and approach for future reviews. Josephine took questions from the group. The Committee then discussed the issues presented in relation to this guideline. The Chair thanked Josephine for her presentation. 10. Next Steps The Committee discussed expert testimony and call for evidence and were given the opportunity to ask questions. 11. Any other business There was no other business for discussion Date of next meeting: 21/03/17 Location of next meeting: Avonhouse, London Page 12 of 12