Service models in adult psychiatry – Royal College of Psychiatrists – 29 May 2014

Posted on June 3, 2014. Filed under: Mental Health Psychi Psychol | Tags: |

Service models in adult psychiatry – Royal College of Psychiatrists – 29 May 2014

Statement about Service Models in Adult Psychiatry from Royal College of Psychiatrists – 29 May 2014

“Today the Royal College of Psychiatrists issued its report Service models in adult psychiatry. In the report, the College sums up its position on the separation of care between in-patient and community and within the community.

The report states that decisions about the best model of service delivery should be based on evidence that it will deliver better care for patients. Changes proposed should start as a pilot and be evaluated before wide-scale service redevelopment occurs.

Principals underpinning any change should be:

to ensure ease of access by patients to services
the configuration of services should deliver evidence-based treatment
to reduce the risk of poor commitment: continuity of care is important for patients and
patients must not be referred and assessed by different parts of the service before being provided treatment.

The report notes that in many parts of the country a separation of medical responsibility between in-patient and community teams is likely to be required. This is to ensure in-patient services have sufficient senior medical time reflecting the acuity of the illness of current in-patients and the need for daily decision-making on in-patient units.

Notwithstanding the need to have a separation of community from in-patient consultant, continuity of care is key to safe and effective services, and should be provided within a generic community mental health team, the report recommends.

And crisis services, however configured, must be responsive and have access to the resources necessary in terms of including adequate numbers of beds, sufficiently skilled staff, and alternatives to hospital admission to be able to offer safe and timely care.”

 

 

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Liaison psychiatry for every acute hospital: integrated mental and physical healthcare – Royal College of Psychiatrists – December 2013

Posted on December 24, 2013. Filed under: Mental Health Psychi Psychol | Tags: , |

Liaison psychiatry for every acute hospital: integrated mental and physical healthcare – Royal College of Psychiatrists – December 2013

“Liaison psychiatry is a critical service that should be integral to all acute hospitals. Services comprise multidisciplinary teams skilled to integrate mental and physical healthcare in people whose mental health problems arise in, or have an impact on management of, physical illness and symptoms.

The report starts with chapters that summarise existing evidence of need for liaison psychiatry services in all acute hospitals and then provides evidence for the range of problems Addressed, and range of interventions required, to meet core mental health demands in acute hospitals.

Further chapters show case examples that demonstrate the benefit of services; provide detailed considerations for service design, including principle organisational standards, access and response standards, hours of operation, remit and staffing; governance is addressed as a range of clinical and organisational risks and how these can be reduced by liaison psychiatry services are described. Lastly, key considerations required to set local standards for common mental health-related problems that occur in acute hospitals are provided. Each chapter ends with a summary of the key messages.

This report replaces CR118. Psychiatric services to accident and emergency departments from 2004.”

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Smoking and mental health – Royal College of Physicians and Royal College of Psychiatrists – 29 March 2013

Posted on April 3, 2013. Filed under: Mental Health Psychi Psychol | Tags: , , |

Smoking and mental health – Royal College of Physicians and Royal College of Psychiatrists – 29 March 2013

“A major new report from the Royal College of Physicians (RCP) and Royal College of Psychiatrists (RCPsych) says that smoking in people with mental disorders is neglected by the NHS. Smoking and mental health says that much of the substantially lower life expectancy of people with mental disorders relates to smoking, which is often overlooked during the management and treatment of their mental health condition.

One in three of the UK’s 10 million current smokers has a mental disorder. Although 20% of the general population smokes, the figure among people with mental health disorders is 40%, and is even higher in those with more severe mental disorders. Those with mental disorders also smoke more cigarettes, are more addicted to nicotine, and find it harder to quit, than those without.”

… continues on the site

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Whole-Person Care: From Rhetoric to Reality – Royal College of Psychiatrists – 26 March 2013

Posted on March 27, 2013. Filed under: Health Economics, Mental Health Psychi Psychol | Tags: |

Whole-Person Care: From Rhetoric to Reality – Royal College of Psychiatrists – 26 March 2013

“A major report demonstrating how parity between mental and physical health can be achieved is published today (26 March) by the Royal College of Psychiatrists – the week before new NHS structures come into force.

The report, Whole-Person Care: From Rhetoric to Reality, defines parity as valuing mental health equally with physical health. It highlights the significant inequalities that exist between physical and mental health care, including preventable premature deaths, lower treatment rates for mental health conditions and an underfunding of mental healthcare relative to the scale and impact of mental health problems.

It also highlights the strong relationship between mental health and physical health. Poor mental health is associated with a greater risk of physical health problems, and poor physical health is associated with a greater risk of mental health problems.”

continues on the site

Whole-Person Care: From Rhetoric to Reality (achieving parity between mental and physical health)

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A new Mental Health Discharge Summary – Royal College of Psychiatrists – 5 October 2012

Posted on October 16, 2012. Filed under: General Practice, Mental Health Psychi Psychol | Tags: , |

A new Mental Health Discharge Summary – Royal College of Psychiatrists – 5 October 2012

“A new Mental Health Discharge Summary has been developed to help standardise the information that GPs receive when a patient is discharged from in-patient mental health care.

Over the years GPs, patients and carers have expressed concerns that information received has been inconsistent or too detailed. This can lead to poor patient care. To meet this need, standards and summaries have been designed to provide useful, succinct information to help doctors improve the continuity of care.

The Summary has been developed in collaboration between the Royal Colleges of Psychiatrists, General Practitioners and Physicians and facilitated through the Department of Health Informatics Directorate’s Clinical Data Standards Assurance team.

This work builds on the headings that were developed by the Royal College of Physicians and approved by the Academy of Royal Medical Colleges in 2008. The Summary incorporates feedback from clinicians, patients, suppliers and health and social care representatives to ensure it meets the needs of GPs and their patients who have received in-patient mental health care.

The Summary will now be implemented at a number of Mental Health Trusts, including the Nottinghamshire Healthcare NHS Trust and Northumberland, Tyne and Wear NHS Foundation Trust. You can view the Summary

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Report of the first round of the National Audit of Dementia – Royal College of Psychiatrists – 16 December 2011

Posted on December 16, 2011. Filed under: Mental Health Psychi Psychol | Tags: , |

Report of the first round of the National Audit of Dementia – Royal College of Psychiatrists – 16 December 2011
Full report
Executive Summary

Media report from the Guardian – 16 December 2011
Hospital staff ‘lack skills to cope with dementia patients. ‘NHS-funded report says patients receive ‘impersonal’ care and suffer from boredom too often
 
Denis Campbell, health correspondent The Guardian

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The RCN’s UK position on health visiting in the early years – Royal College of Nursing – 5 July 2011

Posted on July 7, 2011. Filed under: Community Services, Nursing | Tags: , |

The RCN’s UK position on health visiting in the early years – Royal College of Nursing – 5 July 2011

Media release

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National audit of dementia care in general hospitals – Royal College of Psychiatrists interim report – December 2010

Posted on January 18, 2011. Filed under: Aged Care / Geriatrics | Tags: , |

National audit of dementia care in general hospitals – Royal College of Psychiatrists interim report – December 2010

“The National Audit of Dementia is working with hospitals providing general acute inpatient services to measure criteria relating to care delivery which are known to impact on people with dementia admitted to hospital.

Criteria include policies and governance in the hospital that recognise and support the needs of people with dementia, elements of comprehensive assessment, involvement of carers, discharge planning, and identified changes to support needs during admission. 99% of acute trusts in England and Wales have one or more sites registered for the audit.”

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