FINAL MINUTES. Prof Morgan introduced the meeting and gave apologies given by absent Exec members and guests:

Transcription

1 Eating Disorders Faculty Executive Committee Meeting 3 October 2014, 21 Prescot Street Present: FINAL MINUTES Dr Stuart Leask, Dr Adrian Worrall, Mr Peter Thompson, Prof John Morgan, Dr Pippa Hugo, Dr Jane Morris, Ms Veronica Kamerling, Dr Carolyn Nahman, Ms Susan Ringwood, Dr Rebecca Cashmore, Dr Izabela Jurewicz, Dr Irene Yi, Dr Joan Brunton, Dr Mary Rowlands*, Dr Phil Crockett*, Dr Sonu Sharma*, Dr Jessica Morgan*, Dr Sandeep Ranote*. * = teleconferencing In attendance: Ms Lauren Wright (Committee Manager) 1. Introductions and apologies: Prof Morgan introduced the meeting and gave apologies given by absent Exec members and guests: Mr Mark Beavon, Dr Nadia Micali, Dr Melanie Temple, Dr Christine Vize, Dr Niki Kern, Dr Helen Murphy. 2. Minutes of last meeting and matters arising The minutes and workplan from the Strategy Day meeting on 4 July were agreed. 3. QED Prof Morgan welcomed Dr Adrian Worrall and Mr Peter Thompson. Dr Worrall invited Exec members to declare any conflicts of interest. Ms Ringwood reported that Beat have developed Beat Assured. Beat Assured is an innovative quality standard that uses the knowledge and experience of people who have been affected by eating disorders to audit services from the viewpoint of both sufferers and carers. Dr Worrall and Mr Thompson requested that Ms Ringwood leave the room. Prof Morgan explained that he did not believe that there was a conflict of interest but offered to agree to the request from Dr Worrall and Mr Thompson in relation to progressing the discussion. At this point, Ms Ringwood offered to leave the meeting room. Dr Worrall, Prof Morgan and the Exec acknowledged that Ms Ringwood left the room and thanked Ms Ringwood for her professionalism. Mr Thompson reported that there are currently 73 reviewers for Eating Disorders. 1

2 Prof Morgan explained that QED is a very valuable resource. Prof Morgan also highlighted the move from the pilot phase to the implementation phase in relation to how well QED might work. Mr Thompson reported that 24 services are currently participating in the second phase. Dr Cashmore raised the issue of the proportion of private providers within this number. Mr Thompson agreed to this information to Dr Cashmore. ACTION: Mr Thompson to Dr Cashmore regarding the second phase and the number of private sector providers. The Exec discussed the possibility of inviting a representative from the CCQI to another Exec meeting in months time. 4. CPD Online Prof Morgan welcomed Dr Stuart Leask, CPD Online Editor. Dr Leask explained that CPD Online is a series of online modules, primarily aimed at consultants. Dr Leask reported that 25 hours of CPD per year can be online. Dr Leask invited Exec members to suggest topics to be added to the CPD Online catalogue. Dr Leask also encouraged Exec members to suggest recommended authors to accompany module ideas. Dr Leask reported that authors need to be consultants although there is a possibility of involving authors who are trainees. The following modules were highlighted as needing to be revised: Assessment of adult bulimia Assessment of eating disorders in children and young people Exec members suggested the following modules: Assessment and clinical management in eating disorders (Dr Rhys Jones was suggested as a possible author) Managing weight gain Dr Morris suggested collaborating with Dr Leask regarding the New to Eating Disorders workstream. ACTION: Dr Leask and Dr Morris to take forward via . The Exec also discussed the possibility of including a module on MARSIPAN and a module on the role of carers. Dr Paul Robinson was suggested as a possible author for the MARSIPAN module. 5. Faculty Workplan: The Exec agreed that further discussion is needed regarding the Faculty workplan. The Exec agreed to carry this forward to the next meeting. A1) Promoting relationships with public health professionals To be discussed at the next Exec meeting. B1) MARSIPAN implementation 2

3 It was reported that a book regarding MARSIPAN and Junior MARSIPAN will be published shortly. The importance of ensuring that the MARSIPAN guidelines are relevant to physicians was discussed. Prof Morgan highlighted MARSIPAN as an example of parity between mental health care and physical health care. It was reported that the second edition of the MARSIPAN guidelines has now been published and is available on the College website (CR189). Dr Sharma reported that work is underway regarding integrating MARSIPAN within curricula. ACTION: Dr Sharma to contact Dr Peter Bowie. B2) Publish revision of CR130 guidance on nutritional management of anorexia nervosa To be discussed at the next Exec meeting. B3) Develop a New to Eating Disorders Training Programme Dr Morris gave an update regarding the New to Eating Disorders Training programme. The chapter headings are: 1. What ARE eating disorders? Diagnosis, what is it like to suffer from an ED the sufferer s perspective, what is the prevalence, incidence, prognosis? 2. Causes of and formulation of eating disorders 3. The Carer s perspective Veronica Kamerling 4. Risk assessment and management, ethical and medico-legal issues Niki Kern/Joan Brunton 5. Evidence-based treatments for BN & BED 6. Evidence based treatments for anorexia nervosa 7. Nutritional care both dietetic and behavioural Carolyn Nahman 8. Exercise and activity 9. Body image 10.SEED- chronic eating disorders, maintaining hope, compassionate management of death 11.Joined-up care teamwork, collaborative care, managing transitions Phil Crockett 12.Current research in the field Sonu Sharma. Dr Brunton offered to assist with writing chapter 4. Ms Ringwood offered to assist with finding a patient representative for chapter 1. Dr Jonathan Baggott was also suggested as a possible contributor for the opening chapter. Dr Nahman offered to assist with chapter 7. Dr Morris reported that the deadline for drafts will be 31 December. B4) Develop a transition guide Dr Crockett reported that a draft of the transitions guide will be circulated shortly. 3

4 Dr Hugo reported that a NICE guideline is currently being developed regarding transitions. The Chair is Prof Swaran Singh. Dr Hugo encouraged Exec members to send relevant clinical vignettes to Prof Singh. The Exec discussed the importance of registering as a stakeholder. It was reported that if the deadline for registering as a stakeholder has passed, then it will be possible to feed into the process via Dr Jane Shapleske. ACTION: Dr Crockett to find out whether if it s possible for the Faculty to register as a stakeholder. C1) Deliver Faculty conferences Covered under agenda item 8.1 (see below). C2) Publish Faculty newsletter and maintain the website Dr Crockett invited Exec members to submit content for the website. Dr Cashmore invited Exec members to submit content for the newsletter. 6. Chair s business 6.1 Coroner s letter Prof Morgan reported that correspondence has been received from a Coroner regarding the death of a young woman from Addison s disease. Prof Morgan reported that various recommendations were made. The Exec discussed MARSIPAN adherence and contacting Dr Paul Robinson in relation to the recent MARSIPAN review. 7. Vice Chair s business 7. 1 Endorsing/adopting ED Charter The Exec discussed the possibility of endorsing the ED Charter. Dr Hugo reported that the Charter was recently discussed at the Specialised Services for Eating Disorders Clinical Reference Group. The Exec agreed to endorse the Charter. The Exec discussed the possibility of adding the RCPsych logo. ACTION: Dr Hugo to send the ED Charter to Ms Wright for uploading to the College website. 7.2 Training in ED Dr Hugo reported that training in Eating Disorders for different professional groups was discussed at a recent Specialised Services for Eating Disorders Clinical Reference Group meeting. The Exec was supportive of this idea. 8. Academic Secretary s Business 8.1 Faculty Conference

5 Dr Yi reported that the 2014 Faculty conference will take place on Friday 7 November at 21 Prescot Street. Dr Yi invited Exec members to volunteer for poster judging. Dr Morris and Dr Brunton offered to assist. The Exec agreed that it would be important to advertise the conference as widely as possible. Dr Hugo suggested advertising the conference through QNIC. The Exec discussed possible timings for the Business Meeting/AGM on 7 November, it was agreed that the meeting should take place during lunchtime (exact timings to be confirmed). Exec members suggested the following ideas for the Business Meeting agenda: The New to Eating Disorders Training Programme QED ED Charter Commissioning Guidelines developed by Dr Frances Connan on the Management of Life Threatening Anorexia Nervosa. The Exec discussed the possibility of endorsing the Management of Life Threatening Anorexia Nervosa document although it was felt that further information would be needed, including information regarding the target audience of the guidelines. ACTION: Ms Wright to circulate a copy of the document to the Exec. 9. Finance Officer s business There was no report. The Exec discussed the importance of Finance representation. The Exec agreed that if representation on the day of the Exec meeting isn t possible, then a written report would be required by . ACTION: Ms Wright to contact Dr Micali. 10. Divisional and regional business Dr Nahman reported that contact has been made with regional reps regarding inviting input into Exec meetings. 11. Role of an Adult Eating Disorder Consultant Psychiatrist Document Dr Jessica Morgan reported that the Role of an Eating Disorder Adult Consultant Psychiatrist document needs to be updated. It was suggested that (once updated) the document is used by regional reps when reviewing Consultant job descriptions. Prof Morgan explained that it will be important to specify the number of PAs for a Consultant. Dr Jessica Morgan agreed to amend the document and send to the College via Prof John Morgan. 12. Commissioning 5

6 Dr Hugo reported that the CAMHS Tier 4 review has now been published. Dr Hugo commented on joint commissioning between tiers 3 and 4. Dr Ranote reported that there is ongoing debate about what constitutes specialist commissioning. 13. CRG Covered under agenda items 7.1 and 7.2 (see above). 14. Reports from representatives on other College committees and Faculty/Faculty links 14.1 Education and Training Committee Izabela Jurewicz Dr Jurewicz gave an update from the recent ETC meetings (3 October and 13 June). Dr Jurewicz commented on the proposed process of credentialing within Psychiatry. Prof Morgan commented on the need for Eating Disorders Psychiatry to achieve parity with Liaison Psychiatry. Dr Morris commented on the demand for Eating Disorders specialists. Prof Morgan reiterated the Faculty goals from 2009: Achieve subspecialty status Develop and implement QED Achieve Faculty status Prof Morgan reported that the goal of achieving subspecialty status is still ongoing Central Policy Co-ordination Committee Christine Vize There was no report Links to other faculties and committees Addictions Faculty: (Izabela Jurewicz) Carers Forum: (Veronica Kamerling, via the minutes) Child & Adolescent Faculty: (Pippa Hugo) Child & Family Public Education Board: (Sandeep Ranote) Forensic Faculty: (John Morgan) General Adult Faculty: (Jessica Morgan) Liaison Faculty: (John Morgan) Perinatal Faculty: (Joan Brunton/Christine Vize) Primary Care Mental Health Forum: (Sonu Sharma) Professional Practice and Ethics: (Niki Kern) Psychiatric Trainees Committee: (Alex Keith) Medical Psychotherapy Faculty: (Phil Crockett) Public Education Committee: (Veronica Kamerling) Rehab & Social Faculty: (previously Adrienne Key) Service Users Recovery Forum: (Susan Ringwood) Workforce Committee: (vacant) 6

7 15. Trainee Update There was no report. 16. Links with other organisations: Academy for Eating Disorders: (John Morgan) Beat: (Susan Ringwood) College of Occupational Therapists: (Pippa Hugo - via colleagues) British Dietetic Association: (John Morgan) Royal College of Nursing: (Pippa Hugo - via colleagues) British Psychological Society: (Niki Kern) Intercollegiate Group on Nutrition: (Jane Morris) NHS England: (Sandeep Ranote) Dr Morris reported that work with the Intercollegiate Group on Nutrition is ongoing. 17. Any other business Ms Kamerling reported that the Christmas debate for young people will be taking place at the College on 11 December. Ms Ringwood reported that a memorial service to commemorate lives lost through eating disorders will take place in Norwich Cathedral on 22 October. Ms Kamerling reported that a carers conference will be taking place on 22 November. Dr Ranote reported that a Chair is needed for an Eating Disorders guideline being developed by NICE. Dr Ranote reported that the College are currently reviewing their position on the use of social media. 18. Future meetings Friday 7 November, Conference, 21 Prescot Street Thursday 8 January, 11-2, EXEC Friday 20 March, 11-2, EXEC Spring Meeting DATE TBC Friday 12 June, 11-4, STRATEGY DAY Friday 9 October, 11-2, EXEC Friday 6 November, CONFERENCE 7