Eating Disorders: Developing a Gold Standard Service: News & Updates
Chaired by Andy Roberts, National Service and Commissioning Advisor, The National Collaborating Centre for Mental Health (NCCMH) for the Access and Waiting Time Standard for Children and Young People with an Eating Disorder Commissioning Guide This conference focuses on improving services for children and young people with eating disorders, meeting the new national waiting time standard, and ensuring gold standard care. There is a particular focus on developing rapid early intervention services in line with the new waiting time standard, meeting quality standards for eating disorder services, preventing relapse, commissioning effective services for eating disorder, and looking forward to the 2017 updated NICE guidance and waiting time standard.
The day opens with a presentation from a Young Adult with Lived Experience of Eating Disorder, followed by Anne O’Herlihy, Child and Adolescent Mental Health Project Manager, NHS England with a presentation on New pathways for Eating Disorder in Children and Young People and discussing:
- what does a gold standard eating disorder service look like?
- service models and pathways
- new resources for evidence based community eating disorder teams
- looking forward to the waiting time standard for Eating Disorders due in 2017
- NHS England update
In her presentation Anne O'Herlihy discussed:
The five year plan is about promoting resilience, prevention and early intervention and recommends that Future in mind is delivered in full. It also makes further important recommendations relevant to CYP, including: Better crisis care for all ages – available 7 days an week, Much better use of data and information across agencies, Addressing inequalities in mental health care, The roll out of proven community forensic CAMHS and complex need services nationally from 2016, A new generic referral to treatment pathway for generic CAMHS to be developed in 2016-17, A payment system by 2017-18 to drive whole system to improve outcomes that are of value to CYP and parents/carers and Integrated regulation of CYP services to assess how health, education and social care systems work together to improve outcomes
“We hope to see by 2020 is having a trained workforce, improving access for parents, build around their needs and move away from a tiered model.”
“Budget announcement in Spring 2015 agreed to £1.5b over the next 5 years – Will improve our capabilities and build capacity”
“Local transformation plans – Highlighting the need to be transparent, what impact this new additional money is having. How much money is spent? On what? And to what effect. Are local areas changing to deliver services in line with the principles and values of the Cyp IAPT programme – evidence based, outcomes focussed, collaborative”
Key Facts 16% of LTP areas are compliant with the new eating disorders guidance…84% of LTP areas are making plans on how to become compliant…93% of LTP areas are delivering eating disorder services with other areas
“The majority of the focus for eating disorders is on waiting times and improving access with 35% of the KPIs relating to eating disorders covering these two topics”
Most areas are making plans around developing a community eating disorders service with a trajectory towards achieving a fully compliant service by 2020. “2020 should not be the end of it, we need to be thinking of plans for the future.”
“Aim is for 95% of those referred for assessment or treatment receive NICE concordant treatment with the ED standard RTT by 2020”
“The earlier you pick up on the eating disorder, the more likely you are to intervene successfully”
“Data is really to be viewed as your friend, and it is really important to drive change. The data is a guide to getting more help”
Anne O’Herlihy Biography:
As Project Manager for the Children and Young People’s Mental Health Programme in the Medical Directorate within NHS England, Anne’s role involves supporting the CYP IAPT service transformation programme to embed the CYP IAPT principles within CAMHS partnerships, and project lead the CYP eating disorder programme, our participation contracts, training curricula development, and related mental health work within NHS England. Prior to this post, Anne worked at the Royal College of Psychiatrists Centre for Quality Improvement (CCQI), where I managed a number of CAMHS health service research projects (NICAPS, 2001; CIRS, 2007; COSI-CAPS, 2007) and quality improvement and accreditation programmes.
Louise Dunne, Acting Head of Services, Beat - Beating Eating Disorders will delivered a presentation on Bridging the Gap Through the Involvement of Carers and will discuss:
- the value of carers in collaborative working
- the importance of listening to Carers
- “The Triangle of Care” and improved recovery outcomes
"Aims of a collabertive approach are to improve knowledge - Parents don't always understand or know whats going on"
"Develop skills to promote change and support recovery"
"A supportive, warm, calm environment gives people the energy to fight an eating disorder"
"1.5 million people care for someone with mental ill health in the UK
The Six Key Standards state that:
1. Carers and the essential role they play are identified at first contact or as soon as possible thereafter
2. Staff are ‘carer aware’ and trained in carer engagement strategies
3. Policy and practice protocols re: confidentiality and sharing information, are in place
4. Defined post(s) responsible for carers are in place
5. A carer introduction to the service and staff is available, with a relevant range of information across the care pathway
6. A range of carer support services is available
The Triangle of Care Carers Included: A Guide to Best Practice in Mental Health Care in England Second Edition
Louise Dunne Presentation Abstract:
Carers often tell us that they don’t have the skills or knowledge to deal with the difficult eating disordered behaviours, and that this can lead to feelings of frustration, guilt and disempowerment. Caring for someone with an eating disorder is associated with heightened levels of criticism and emotional over-involvement, which can contribute to a volatile and stressful environment. This has been termed ‘High Expressed Emotion’ (EE), and has been found to negatively impact outcomes in mental illness. The New Maudsley Method advocates involving Carers at every stage of the recovery process, seeing them as a valuable resource for beating the eating disorder, supporting a collaborative approach where professionals, carers and the person with the eating disorder work together towards recovery.
The Workshops are rooted in Communication and Motivational Interviewing: a therapeutic approach to communication that focuses on warmth, empathy and self-reflection. This reduces resistance to change by directing people in a gentle, non-confrontational way towards finding their own solutions.
Workshops aim to support carers to become aware of vicious maintaining Cycles, in which they may have become trapped, and offer skills to help break those cycles. Using this method, the Collaborative Care Skills Workshops encourage carers to work with their own capacity for change, becoming change coaches for their loved one. The presentation also explores the parallel in the Collaborative Care Skills approach with the Triangle of Care.
Louise Dunne Biography:
Louise has worked with Beat for almost 7 years, initially as Network Development Officer managing the UK wide network of Beat Self Help and Support Groups, then as Volunteering Coordinator, and is currently Interim Head of Services. Louise worked both professionally and on a voluntary basis in mental health support services over 15 years, and has wide experience in developing and managing projects and services, managing volunteers, group and workshop facilitation and training. Currently, she also delivers parent and carer support services within an NHS partnership with Beat throughout Norfolk. Previously, Louise worked for the NHS for 30 years with experience in Paediatric and Neonatal Intensive Care, and managing Occupational Health Services for a variety of NHS and external contracts, including a large Mental Health Trust.
Future events of interest:
Delivering Excellence in Recovery Oriented Services in Mental Health
Tuesday 4 October 2016
Hallam Conference Centre, London
Smoking Cessation in Mental Health
Friday 21 October 2016
De Vere West One, London
Masterclass: Deprivation of Liberty Safeguards
Tuesday 22 November 2016
Hallam Conference Centre, London
The Mental Capacity Act Masterclass
Tuesday 6 December 2016
Hallam Conference Centre, London
Improving Mental Health Crisis Care: Maintaining Momentum
Tuesday 6 December 2016
Manchester Conference Centre, Manchester
6 July 2016