Psychosis & Schizophrenia in Adults: Speakers Updates & News
The Mental Health Taskforce recently published its national strategy document in March 2016. This conference focused on implementing the recommendations and new national waiting time standards for Psychosis and Schizophrenia in Adults. The conference also looked at improving services for early intervention in psychosis following the July 2016 audit results which showed -marked variation in access and waiting times for EIP services across England.” (EIP Audit, Royal College of Psychiatrists July 2016)
Speakers and Presentations from the day Include:
Mark Winstanley Chief Executive Rethink
Psychosis and Schizophrenia in Adults: Mental Health Taskforce recommendations and implementation
- the Mental Health Taskforce findings and recommendations for psychosis and schizophrenia in adults
- moving forward
Mark Winstanley Full Pesentation Click Here
In his presentation Mark stated:
Maintaining momentum – this is what we really need to do!
Rethink Mental ilIness – provide advice and information, 200 services, 150 support groups. Campaign nationally for policy change.
Taskforce overview. Report accepted by government.
Rethink were on task force and two senior staff provided the secretariat.
Mental health isn’t just a medical issue – it’s a wider issue concerning the whole of society.
Access and waiting times – early intervention is key. Care pathways with quality standards and guidelines are essential.
Physical health for mental health patients – better physical care assessment and intervention- prevention and screening.
Secure care – prevent avoidable admissions and support recovery, least restrictive setting, as close to home as possible. £94m funding committed over next 3 years.
Prescribing – develop standards for prescribing which include discussion of risks and benefits of treatment, take into account people’s personal preferences (e.g. side effects like weight gain which may or may not be a serious concern depending on personal views)
Increased access to therapies for psychosis, bipolar and personality disorder sufferers.
Access to crisis care – 24/7 community based crisis response and intensive home treatment as alternative to inpatient admission. These services need to operate to specific standards. Avoid out of area treatment as this is expensive and distressing to those involved.
Mental Health Act – revisions to strengthen protection of people’s autonomy.
Mental Health liaison – to ensure all acute hospitals will have all age mental health liaison teams in place and 50% of these to meet the Core 24 service standard.
Liaison and diversion – Care not Custody alliance, piloting services in this area. To reach 100% of population by 2020/21.
Suicide Prevention – reduce suicides by 10% by 20220/21 versus 2016/17 – interagency cooperation.
Supported Housing – key component in mental health, unfortunately the government has capped local housing allowance levels.
Employment Support – Individual placement and support (IPS) works better than other intervention so will double this so more people living with mental illness can find and retain employment.
Summary – still early days, still in planning. Great ambitions. Implementation plan is encouraging. Need to turn into reality and not limit ambitions to the taskforce.
Alison Brabban Specialist Committee Member, Schizophrenia in Adults Quality Standard NICE & Consultant Clinical Psychologist Tees Esk and Wear Valleys NHS Foundation Trust Honorary Senior Clinical Lecturer Durham University National Advisor for Severe Mental Illness (IAPT) NHS England
Monitoring progress against the NICE Quality Standard for Psychosis & Schizophrenia
- monitoring national and local progress against the NICE Quality Standard for Psychosis and Schizophrenia
- a reminder of the 10 Quality Statements
- key priorities and national imperatives
- moving forward
Alison Brabban Full Presentation Click Here
In her presentation Alison Stated:
These therapies have been around for 14 years! Still not implementing them very routinely. e.g. CBT only 10% of people who needed this actually got access to it.
Travesty that we have therapies available that can help but people don’t have access – wouldn’t happen with other conditions e.g. cancer, wouldn’t say, “you can have chemo but not radiotherapy”
15/16 Access& Waiting Time Standard – by 1Apr 2016, more than 50% would be treated with a NICE care package after first episode of psychosis.
Barriers to implementing therapies – Limited access to interventions that can mprove outcomes, access to poor quality is money wasted, service user dissatisfaction.
Good enough is not good enough! e.g. poor delivery of CBT – can give therapies a bad name.
Implementation - £40m of funding to support delivery of standard funding committed over next 5 years.
In addition, work with group of experts, workforce calculator, funding for regional EIP preparedness programmes.
£5m for training staff – high quality courses in valid therapies. Ensure staff have competencies.
Monitoring the standards – data re waiting times and interventions, also self assessment process of quality of care.
5 Year Forward View – commitment to improve access to NICE concordant care, reducing early mortality
Publication of clear and comprehensive care pathways, with accompanying quality standards and guidance.
Physical health needs to be addressed by early detection and intervention – guidance/standards to be implemented.
Challenges – listening, service user centred.
Alison Brabban Biography:
Alison qualified as a Clinical Psychologist in 1990 and since then has specialised in the application and implementation of psychological therapies for Psychosis, particularly CBT. She feels passionately that everyone experiencing psychosis should have access to high quality evidence & values based care and aims to achieve this ambition in her role as the Advisor to the Adult Mental Health Team within NHS England. Alison also works as the lead for Recovery and as a clinician in the Early Intervention in Psychosis service in Tees, Esk and Wear Valleys NHS Trust in the North East of England. She was part of the Schizophrenia Commission and was also involved in the development of the recent update of the NICE Guideline for Schizophrenia and Psychosis and the related Quality Standards.
Future events of interest:
30 September 2016