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News and Presentations for todays Medically Unexplained Symptoms/Somatic Symptom Disorder National Summit 2018

Dr Mark GriffithsDr Mark Griffiths

News and presentations from today's Medically Unexplained Symptoms Summit chaired by Dr Brian Rock, Director of Education and Training at The Tavistock and Portman NHS Foundation Trust. 

Opening address from Annie Fleming giving a personal account of her experience, what can be learnt, and the importance of the mind and body being linked.

The partnership approach at Sussex Partnership NHS FT to the management and treatment of MUS with David Kirkpatrick Clinical Psychologist saying they are moving from a biomedical appraoch to therapeutic.
Full PowerPoint Presentation 

Care for the Carers – whole team consultation for GP and Primary Care Teams – Balint-plus for the 21st century
Tim Kent,
Service Lead Primary Care, Consultant Psychotherapist and Social Worker, The Tavistock and Portman NHS Foundation Trust
Tim is the Primary Care Service Lead and Consultant Psychotherapist and Social Worker at the Tavistock and Portman NHS Foundation Trust.  He undertook a first degree in Psycho-Social studies  at UEL leading to Social Work at London Met and MA at Essex with clinical training in Psychoanalytic Psychotherapy (TQAP – M1) at the Tavistock Centre.  He has worked for 20 years in East London , initially in Child Protection and later as a  Consultant and service manager in both Child / Adolescent and Adult Mental health services. For the last 7 years he has been immersed in the Tavistock / Hackney CCG  Primary Care Psychotherapy Consultation Service ( PCPCS)  and is now also  leading the Camden primary care based Team Around the Practice (TAP) since 2015. Tim has a special interest in the application on Tavistock traditions to external settings, translating theory into everyday language (to help train and educate anyone with a core interest in understanding the human condition) and bringing psychoanalytic work to people who might never have access to it outside of a GP surgery.

An enhanced care approach to Medically Unexplained Symptoms at A&E
Dr Mark Griffiths,
Consultant Lead Clinical Psychologist, Department of Clinical Health Psychology, Aintree University Hospital NHS Foundation Trust
Pre Event Abstract
An increasing volume of NHS policy, clinical evidence and guidance emphasises the strong and integral overlap and dynamic relationships between mental and physical health status.
Mental health factors now being increasingly acknowledged and understood as commonly affecting physical health symptomology; with an equally pertinent inverse relationship existing, particularly relevant when people are faced with living with chronic physical conditions or illness.  These dynamic relationships driving a huge volume of healthcare need, frequently mismanaged by traditional healthcare pathways. Usual care pathways often failing to identify the relevance of psychological or psychosocial factors on medical status, thereby perpetuating unhelpful patient journeys and iatrogenic factor influence.
This presentation describes our model and experience at Aintree University Hospital in Liverpool, following the development of our A&E Medical (LTC/ MUS) Psychology Service; which seeks to support improved integrated A&E care.
The aim of this service model being to reduce the number of recurrent medical attendances to A&E, of patients presenting with (persistent) medical complaints, where patterns of presenting  medical illness cannot be fully or adequately medically explained.  Supporting an enhanced assessment and treatment pathway that aims to better accommodate the impact of mental health interactions and effects on health status.
Operational specifics and outcomes so far are discussed; with positive outcome trends being indicated, including improved patient flow, culture shift and significant healthcare cost-avoidance achievement.  Ongoing challenges and developments are also discussed, together with discussion of next steps.
Full PowerPoint Presentation

Why services for complex needs and MUS should be a priority for commissioners – awareness, understanding and policy implications
Andy Bell,
Deputy Chief Executive, Centre for Mental Health
Pre Event Abstract
The aim of this session is to look at the policy and commissioning environment and look at ways in which complex needs can be afforded a higher priority.
Full PowerPoint Presentation

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