News and updates from todays Improving Physical Health Outcomes for people with Mental Health Conditions
National Update: Improving Physical Health Outcomes for People with Mental Illness
Amy Clark, Programme Manager Adult Mental Health Programme, Clinical Policy & Strategy Team, & Lead for EIP and improving physical health in SMI, NHS England
Amy leads on implementing NHS England’s programme to improve physical healthcare for people with serious mental illness and Early Intervention in Psychosis. Amy recently joined NHS England in October 2017 having worked across King’s Health Partner’s in South London to establish an Integrated Heart Failure Service bringing together hospital, community and primary care services and working to integrate mental and physical health care. Amy began her career in the civil service and worked on a number of policy areas at the Department of Health including mental health, learning disability, and data security. Amy is passionate about improving access to and the quality of NHS care and, as a part time student of Health Economics, has a special interest in promoting the importance of service evaluation to spread good practice.
Physical healthcare in mental health settings: CQC Update and interview with
Dr David Shiers ‘a father’s perspective’ with Natasha Sloman, Head of Hospital Inspection, CQC
Pre Event Abstract
Despite many recent advances in our understanding of severe mental illnesses, those affected still lose 15-20 years of life on average compared to the general population. Cardiovascular disease (CVD) is the single biggest cause of dying earlier, far greater than suicide. Moreover the mortality gap is still widening as the reduction in CVD morbidity and mortality seen in the general population over the last three decades continues to elude people with severe mental illnesses, for whom the prevalence of CVD, obesity and diabetes are now of epidemic proportion.
High rates of tobacco use, physical inactivity and poor nutrition point to underlying health inequalities. Furthermore antipsychotic drugs may contribute to aggressive weight gain and metabolic disturbance particularly in the early treatment phase of psychosis. Yet often these adverse effects are not discussed, and remain unmonitored and untreated.
Twenty years of being a carer has convinced me that the early phase of major mental illness may provide a critical window of opportunity in which to prevent future life-restricting and life-shortening physical co-morbidities. Taking action only when individuals have established obesity or a physical illness like diabetes may be too late. Potentially modifiable risk factors provide natural targets for intervention from the onset of psychosis and its treatment. Extending the early intervention paradigm to embrace a far more holistic body & mind approach is overdue.
Full power point presentation
Natasha comments: "People with severe and prolonged mental illness are at risk of dying on average 15 to 20 years earlier than other people.
• Two thirds of these deaths are from avoidable physical illnesses, including heart disease and cancer, many caused by smoking."
Five year forward view: ‘NHS England should undertake work to define a quantified national reduction in premature mortality among people with severe mental illness, and an operational plan to begin achieving it from 2017/18.
• NHS England should also lead work to ensure that
• By 2020/21, 280,000 more people living with severe mental illness have their physical health needs met by increasing early detection and expanding access to evidence-based physical care assessment and intervention.
• Improving physical healthcare to reduce premature mortality in people with severe mental illness continues to be one of the CQUIN goals for 2016/17’
SCREEN AND INTERVENE:
• Good physical healthcare is not just about assessment and screening.
• Good physical healthcare also involves timely follow-up and monitoring by appropriately trained and experienced staff."
Integrating care to address the physical health needs of people with severe mental illness
Andy Bell, Deputy Chief Executive, Centre for Mental Health
Andy Bell is deputy chief executive at Centre for Mental Health, an independent charity that drives change in policy and practice.
Full powerpoint presentation
Also of Interest
Decision Making and Mental Capacity - A practical guide to best practice
Deprivation of Liberty Safeguards: Towards Liberty Protection Safeguards: Implications of the Law Commission Report & 2018 Government Response
Delivering Excellence in Recovery Oriented Services in Mental Health
Improving Mental Health Crisis Care
IAPT Long Term Conditions: Improving Outcomes & Access Delivering effective Integrated Mental Health Care & Support to people with Long Term Physical Conditions
The Mental Capacity Act Masterclass
10 September 2018