Old Age Psychiatric Day Hospital Survey

Size: px
Start display at page:

Download "Old Age Psychiatric Day Hospital Survey"

Transcription

1 ROYAL COLLEGE OF PSYCHIATRISTS FACULTY OF THE PSYCHIATRY OF OLD AGE Old Age Psychiatric Day Hospital Survey FINAL REPORT APRIL 2001 Bernard Audini Paul Lelliott Sube Banerjee Cait Goddard John Wattis Ken Wilson Senior Research Fellow, Royal College of Psychiatrists Research Unit Director, Royal College of Psychiatrists Research Unit Assistant Director, Royal College of Psychiatrists Research Unit Consultant Old Age Psychiatrist, Project management group Consultant Old Age Psychiatrist, Project management group Consultant Old Age Psychiatrist, Project management group THE ROYAL COLLEGE OF PSYCHIATRISTS RESEARCH UNIT 6 th Floor 83 Victoria Street London SW1H 0HW

2 Contents 1 Executive Summary Background Aim Method Results Findings/Outputs... Error! Bookmark not defined. 2 Introduction Old age psychiatric day hospital survey Aims Methods General methodology Site visits/project advice Questionnaire design Piloting of questionnaires Missing data and data management Data preparation Missing data survey one Missing data survey two Data analysis Results Survey one Survey two Organic day hospital service Functional day hospital service Other patient groups day hospital service

3 6 Findings Survey Survey Discussion and Conclusions Limitations of the study The representativeness of the data The quality of the data Future programme of work/development... Error! Bookmark not defined. 9 References Appendices Appendix I: Persons who provided assistance on this project Appendix II: Questionnaire I Appendix III: Questionnaire II

4 1 EXECUTIVE SUMMARY 1.1 Background The Faculty of Old Age Psychiatry of the Royal College of Psychiatrists commissioned the College Research Unit to undertake a preliminary survey of day hospital provision as part of a program of research and audit of Psychiatric Day Hospitals for older people. The objective of the research program is to promote best practice within Day Hospital services through out the UK and to review Day Hospital provision in the context of the impending changes within health and social service communities. Two surveys were conducted in order to provide a preliminary description and establish a database of Psychiatric Day Hospital services for older people. The next stage of the project is to develop a net work of participating day hospitals so as to share examples of good practice and develop audit and research collaborations. 1.2 Survey Aims To quantify the provision of day hospital services provided by the NHS and Ireland to specifically cater for older people with mental illness. To include: The identification of all consultants for the psychiatry of old age practising in the UK (NHS) and Ireland The identification of all consultants in psychiatry of old age with and without access to an old age psychiatric day hospital A description of the distribution and capacity, of old age psychiatric day hospital units Preliminary characteristics of the units Generalised patient characteristics of old age psychiatric day hospital services 1.3 Method The main components of this study included: A period of assessing the nature of the task by consulting with senior personnel and active clinicians from within the psychiatry of old age field; 5

5 The preparation of databases and the design and piloting of two questionnaires; Two questionnaire surveys were sent to all clinically active consultants for the psychiatry of old age working within the UK (NHS) and Ireland. 1.4 Results Survey one: 70% (n = 339) of consultants for the psychiatry of old age responded to the first survey; 553 clinically active consultants for the psychiatry of old age were identified in England, Scotland, Wales, Northern Ireland and Ireland; 462 consultants had access to an old age psychiatric day hospital in England, Scotland, Wales, Northern Ireland and Ireland; 440 old age psychiatric day hospitals were identified in England, Scotland, Wales, Northern Ireland and Ireland. Survey two: Demographic characteristics Valid returns were obtained from 47% (n = 207) of identified day hospitals from survey one The sample catchment population served by health organisations returning questionnaires was. 35,826,420 (all ages). Each country in the United Kingdom was represented in the returns. The proportion of people aged 65 and over, served by the returning health organisations was similar across the UK and Ireland: Mean; 16.5%, range 13.6% (Northern Ireland) to 18.7% (Wales) The population of older people ( 65) served by the returning health organisations in England, Scotland, Wales, Northern Ireland and Ireland was 6,045,496. The population of older people ( 65) served by day hospitals of the returning health organisations was 4,325, ,864 older people ( 65) attended the day hospitals, with a mean of 33 patients per day hospital 6

6 Service characteristics Over 80% of all consultants have access to a day hospital service There was wide variation in the numbers of consultants for the psychiatry of old age per 100,000 old age day hospital population, with Scotland demonstrating the highest rate Just over 50% of all day hospitals operated a service for between 10 and 20 patients The mean number of sessions for all day hospitals was 7 sessions per day hospital; In 31% (n = 64, and n = 68) of day hospitals, staff provided administration and domestic duties in addition to their therapeutic roles Clinical characterisitics Organic services 6602 patients suffering with organic disorders attended the day hospitals with a mean of 34 per day hospital The mean number of sessions for organic patients was 8 sessions per day hospital Just under 40% of day hospitals operating an organic service were full time (i.e. 10 sessions) Functional 5262 functional patients attended the day hospitals with a mean of 31 per day hospital Only 24% of day hospitals operating a functional service were full time The mean number of sessions for functional patients was 5 sessions per day hospital Mixed/others 76% (n = 157) of old age psychiatric day hospitals operated a mixed service (organic and functional) 19% (n = 39) of day hospitals had patients from other patient groups (i.e. adult mental illness, learning disabilities etc.) attending the day hospital in addition to organic or functional patients 615 patient from other patient groups attended the day hospitals with a mean of 15 per day hospital Implications of findings The main concerns of those who work in old age psychiatric day hospitals were found to be the shortage of day care facilities and the number of day hospital places available; There is some evidence that day hospital services are becoming silted-up with patients who would be better provided for by social care. This is by no means conclusive and requires further investigation; In addition to their therapeutic duties many day hospital staff had to provide all of the day hospital s administration and domestic requirements; 7

7 Comparison with previous surveys indicate that there has been an increase in the number of old age psychiatric day hospitals places 2 INTRODUCTION Day hospitals in Geriatric Medicine grew out of a profound conviction that, where possible, it was best practice to avoid hospital admission for older people (Broklehurst, 1979). Difficulty in discharge planning, institutionalisation and rehabilitation continue to present both users and the health services with considerable morbidity. The high prevalence of treatment resistant infections and associated complications present significant hazards for older, frail people. Psychiatry of Old Age followed the development of Geriatric Medicine in the UK (Wattis, 1994, 1994) and adopted a similar model of day services. In the early 1970 s (DHSS, 1970) the need for Day Hospital places for people with dementia was officially recognised with a recommended provision of 2-3 places per day per thousand over the age of 65 years for people with dementia. There was no separate recommendation for old people with functional mental illness (mostly depression). Most authors assumed that the provision for adults of all ages should be applied pro-rata to the elderly population. This gave 0.65 places per day per thousand elderly for functional mental illness (Health Advisory Service, 1982). The first national survey in 1980 showed that 75% of services had a day hospital for those with mental health problems in old age. The survey found that there were 0.82 places per thousand over 65 population, with 30% of services for assessment and treatment, 42% for dementia care and 20% for chronic functional mental illness (Wattis, 1981). By 1985 this had risen to 1.2 places per thousand elderly overall. There was a great deal of geographical variation in provision (Wattis, 1988). By 1995 rates had risen to 0.6 and 0.9 for organic and functional illness respectively (Wattis, 1999). The audit commission conducted a detailed survey of a limited number of day hospitals and again came out with a very varied picture of provision (Audit commission, 2000). To understand the extent of this variation, it is necessary to go back to the history of how services developed. The NHS in the 1970 s was still attempting to provide a comprehensive cradle to grave service and the recommended day hospital provision for people with dementia was clearly intended to provide a large component of continuing care. The recommendation for continuing care beds at the same time was equally high (DHSS, 1972). Services with their roots in the large asylums at this stage were often able to develop relatively generous day hospital provision. In the absence of asylum resources to asset-strip other services started with a more limited provision, often linked to a more rapid turnover and more acute assessment and treatment model. 8

8 The presence and extent of social services day care provision also affected this evolution. In the 1980s there was a move to reduce NHS continuing care provision and to transfer much inpatient continuing care to the private sector (Alzheimer s disease society, 1993). At the same time in many places social services day centres began to assume a role in continuing care of people with dementia living in the community. In some places this enabled NHS facilities to reduce in size and increase in activity. In the era of the internal market, guidelines for provision were withdrawn and in some places inequity probably increased. More recently psychiatric day hospitals for working age adults have begun to be seen as an alternative to acute admission for at least a subgroup of people and evidence has begun to be gathered about their effectiveness in this role (Creed, 1997). The recent past has witnessed the development of significant initiatives. The National Service Framework for Older People describes Day Hospitals as integral to comprehensive Old Age Psychiatry services. However, this must be seen in the context of change as represented by the development of Care Trusts and potential for combined commissioning between Local Authority and Health organisations. In the light of these developments and the relative lack of information concerning the characteristics of day hospital care for older people with mental health problems the Research Unit was commissioned to conduct a preliminary survey. It is anticipated that this will provide a background against which further service development, audit and research can be carried out. These include the establishment of a network enabling day hospital staff to compare and contrast current practice. It is anticipated that members will be able to share audit material, learn from others experience and develop common research interests with view to improving the quality of care of older people attending these services. 2.1 Old age psychiatric day hospital survey Exceptional funding was provided by The Royal College of Psychiatrists (RCP), Faculty for the Psychiatry of Old Age (FPOA) to The College Research Unit (CRU) to address the identified deficit in the knowledge base by conducting a national survey of old age psychiatric day hospitals. The intention was to count, describe and compare mental health day hospital provision for older people in the UK and Ireland (including its distribution, capacity and other characteristics). The project had two phases: In phase I A list of the total number of clinically active consultants for the psychiatry of old age in the UK and Ireland was developed by examining and cleaning the RCP and FPOA databases. These consultants were then sent a postcard questionnaire asking whether they had an old age psychiatric day hospital as part of their service. A follow-up procedure involved telephoning the outstanding consultants/nhs trusts. This identified about 420 old age psychiatric day hospitals. 9

9 In phase II basic information was collected on old age psychiatric day hospitals using a national postal survey. Data included: location, purpose, size and the nature of their client group. 10

10 3 AIMS To conduct the first UK (NHS) and Ireland wide audit into the characteristics of old age psychiatric day hospitals and the general characteristics of the patients who attend them. To describe the extents of variation in the provision of old age psychiatric day hospitals. Survey one aims were: The identification of all consultants for the psychiatry of old age practising in the UK (NHS) and Ireland; The identification of all consultants for the psychiatry of old age with and without access to an old age psychiatric day hospital. Survey two aims were: Quantify the provision of day hospital services provided in the UK (NHS) and Ireland to specifically cater for older people with mental illness. To include; A description of the distribution and capacity, of old age psychiatric day hospital units; The characteristics of the units; The overall patient characteristics of old age psychiatric day hospital service. Additional aims of the project were: 1. To start the process enabling the identification best practise and to establish the basis for an old age psychiatric day hospital network. To establish a network for the collaboration and dissemination of good practise; Set up a national programme for continuous quality improvement and to promote clinical governance. 2. To obtain the required data necessary for the preparation of a grant application for a more detailed study into old age psychiatric day hospitals. 11

11 4 METHODS 4.1 General methodology The main components of this study consisted of a period of assessing the nature of the task by consulting with senior personnel in the field and active clinicians. This was followed by a period of database preparation and the design of two postal questionnaire surveys which were sent to all clinically active consultants for the psychiatry of old age working within the in the UK (NHS) and those in Ireland. 1. First survey: Was based upon a freepost postcard questionnaire with 4 questions. This identified the relevant facilities and personnel who would facilitate further study. All consultants for the psychiatry of old age within the UK (NHS) and Ireland; All consultants for the psychiatry of old age who have access to an old age psychiatric day hospital; Total number of old age psychiatric day hospitals within each trust; Name and location of old age psychiatric day hospitals; Name and contact number for the day hospital manager (or person able to provide information). 2. Second survey: A questionnaire consisting of 23 questions, generating 150 items designed to provide information concerning day hospital utilisation and configuration. Topic headings include: Catchment populations (trust total, trust total old age, and day hospital old age population); Overall times and days of operation, times and days of operation for specific client groups; Total number of staff, and the total number of patients; Diagnostic category of patients; Main concerns for old age psychiatric day hospital professionals; Physical environment of old age psychiatric day hospital. 12

12 4.1.1 Site visits/project advice A series of old age psychiatric day hospital site visits were undertaken. The remit was to gain an understanding of the range and diversity of old age psychiatric day hospital practise, the range of treatments available, and an understanding of the concerns of professionals, users and carers. In addition to the advice given by the members of the project steering group, discussions were held with other senior professionals involved with service delivery, research into old age services, and service evaluation (a full list of facilities and personnel are listed in appendix I). 4.2 Questionnaire design The design for the first survey was limited by the desire to maximise the number of returns. The research team opted to use a freepost postcard questionnaire. This approach limited the number of questionnaire items to 4 (see appendix II). Building upon the information gained from the site visits, the design of the second survey questionnaire aimed to maximise the amount of useful information while limiting the burden on health professionals in completing the questionnaire (see appendix III) Piloting of questionnaires The questionnaires were subject to limited period of piloting, this was to ensure that they; identified the most appropriate information, that the design would maximise the number of returns, that the questions asked could be answered without to much difficulty by all professionals, and that the questions were clearly written and were unambiguous. Questionnaire piloting was provided by those involved old age psychiatric day hospital service delivery, other health professionals, researchers and the project steering group (see appendix I). Piloting of the second questionnaire took place in situ in seven old age psychiatric day hospitals in the north and Southeast of England. As a result the questionnaires underwent revision and was subject to limited further piloting. 4.3 Missing data and data management Data preparation Initially the database of consultants for the psychiatry of old age was provided by the FPOA and was examined regarding its suitability for use. The advisory group thought that the overall numbers of clinically active consultant psychiatrists would number around 500 members. Due to its size (over 1000 members), the cost in terms of 13

13 research staff time and postal charges precluded the use of the main faculty database. A member of the faculty Dr Susan Benbow gave the project use of a file containing 537 clinically active members. This was then converted into a database and underwent further cleaning. Based upon the information gained from survey one, the databases were subject to further cleaning and updated. To ensure that the survey did not miss any day hospital an over inclusive approach was undertaken. All the outstanding non-responders from the first survey were approached with the second survey. Questionnaires were sent to all practising consultants for the psychiatry of old age (n = 521) Missing data survey one There was some confusion with regard to the total number of old age psychiatric day hospitals within some trusts. As a result a telephone follow-up had to be undertaken to establish a clearer picture. The confusion in the main appears to be due to the ongoing reconfiguration too fewer trusts, with many unaware of the total provision within the newly formed trust. A telephone follow-up of all trusts was undertaken to establish the total number of consultants currently practising in psychiatry for old age,. The collected data was entered into an Access database file and summary results produced. Ireland presented a particular problem in attempting to define the full complement of consultants for the psychiatry of old age and their old age psychiatric day hospital complement (the figures represented are an underestimate) Missing data survey two The questionnaire was correctly completed on all items for the majority of responders. However, many trusts had difficulty in answering several of the items. The catchment population items (question 4) caused most problems for respondents. This was expected, as health authorities no longer provide this information. Catchment population areas no longer exist since the introduction of the internal market (Griffiths, 1993: Department of Health, 1994). However many health authorities and trusts have calculated their populations. Staff also appeared to have difficulty in determining the whole time equivalent (WTE) of the staff complement of day hospitals (questions 10, 11, 12). Another frequently occurring problem in completing the questionnaire was due to staff ticking boxes when a number should have been entered (particularly question 15). Many telephone calls were undertaken to define more accurate information. Missing, incomplete or contradictory information occurred on all questions. This necessitated a telephone follow-up to determine the most accurate information. As this was not done for all questionnaire items the number of cases is given in most of the presented results. 14

14 When duplicate questionnaire forms were returned only one was entered onto the database, if there were inconsistencies a telephone check was made to determine accuracy. To determine the range and diversity of treatments, a request was made of the day hospital to provide a timetable of the day hospital s daily program of events together with a list of available treatments (question 23). Many trusts were unable to do this stating they were being rewritten or completely overhauled at the time of the survey and they did not wish to provide inaccurate information. The location and personnel data from the second survey was used to update the Access database created from survey one. The quantitative data was entered onto computer using the SPSS version 9 for windows statistical package (SPSS Inc, 1999). 4.4 Data analysis Survey one: This data was analysed using a summary description of data items in total and by country of origin. This in the main was formed of simple counts and proportions determined by percentages. Survey two: SPSS Version 9 for windows (SPSS Inc, 1999) was used to create a database and to undertake the statistical analysis. Many original variables in the data set were subject to a variety of computations to create compound variables, this data was also analysed using summary descriptions in the form of simple counts, frequencies and proportions displayed in percentages. Where appropriate a t-test or chi-squared statistical test for significance was used to test for difference between groups. A Pearson s product-moment correlation coefficient (r) was used to test for the level of correlation where appropriate. 15

15 5 RESULTS 5.1 Survey one Out of 487 postcard questionnaires distributed, 339 (70%) replies were received. Of those replies only 7% (n = 25) of consultants for the psychiatry of old age stated that they have no access to an old age psychiatric day hospital. Supplementary telephone follow-up was conducted on the outstanding 30% nonresponders. All NHS Trusts with currently active consultants in the psychiatry of old age currently were followed up. Retired Consultants (n = 25) have been replaced on the newly created database with active clinicians from the respective NHS trust. The Clinically Active Consultant Psychiatrists in Psychiatry of Old Age database has now been extended to 553 consultants. Table 1 contains the results of the first survey, which identified the following number of old age psychiatric day hospitals, trusts and consultants for the psychiatry of old age: Number of identified Old Age Psychiatric Day Hospitals is 440. One hundred and ninety one health delivery organisations (NHS Trusts and services in Ireland) and 553 Consultants of Old Age delivered psychiatric services for older people. In England 147 NHS Trusts and 441 Consultants in Old Age Psychiatry were identified. These trusts supported 354 old age psychiatric day hospitals. In Wales 10 NHS trusts with 25 consultants in psychiatry of old age were identified. The Trusts supported 30 old age psychiatric day hospitals In Scotland 16 NHS trusts with 61 consultants in psychiatry of old Age were identified. The Trusts supported 45 old age psychiatric day hospitals. In Northern Ireland 12 health boards 1, and 16 consultants in psychiatry of old age were identified, providing 8 old age psychiatric day hospitals, with; In Ireland 6 health boards and 10 consultants in psychiatry of old age were identified, supporting 3 old age psychiatric day hospitals. 1 The term health board is used in Northern Ireland and is a joint health and social care organisation. 16

16 Table 1: Number of day hospitals, health trusts (boards), and consultants in psychiatry of old age No. of consultants for Country No. of day hospitals No. of trusts/boards the psychiatry of old age England 354 (80%) 147 (77%) 441 (80%) Wales 30 (7%) 10 (5%) 25 (5%) Scotland 45 (10%) 16 (8%) 61 (11%) Northern Ireland 8 (2%) 12 (6%) 16 (3%) Ireland 3 (1%) 6 (3%) 10 (2%) Total (%) = percentage of the total returned/identified Table 2 contains the results of the number of consultants for the psychiatry of old age, with, and without access, to an old age psychiatric day hospital by country of location. The total: Eighty three percent (n = 462) of responding consultants had access to an old age psychiatric day hospital. Six percent (n = 32) of consultants for the psychiatry of old age stated that they had no access to an old age psychiatric day hospital, with 11% (n = 59) of consultants failing to submit a response or the project team were unsure about their status; England: Eighty four percent (n = 369) of responding consultants had access to a day hospital. Four percent (n = 20) stated that they had no access to a day hospital, with 12% (n = 52) of consultants failing to submit a response or the project team were unsure about their status; Wales: All (n = 25) consultants who responded had access to an old age psychiatric day hospital; Scotland: Ninety percent (n = 55) of responding consultants had access to a day hospital. Three percent (n = 2) stated that they had no access to a day hospital, with 7% (n = 4) of consultants failing to submit a response or the project team were unsure about their status; Northern Ireland: Fifty six percent (n = 9) of responding consultants had access to a day hospital. Thirty eight percent (n = 6) stated that they had no access to a day hospital, with 6% (n = 1) of consultants failing to submit a response or the project team were unsure about their status; Ireland: Forty percent (n = 4) of consultants who responded had access to a day hospital. Forty percent (n = 4) stated that they had no access, with 20% (n = 2) of consultants failing to submit a response or the project team were unsure about their status. 17

17 Table 2: Consultant access to Day Hospitals Country No. of psychiatrists of old age No. of consultants with DH access No. of consultants without DH access No. consultants available analysis England 441 (80%) 369 (84%) 20 (4%) 52 (12%) Wales 25 (5%) 25 (100%) 0 0 Scotland 61 (11%) 55 (90%) 2 (3%) 4 (7%) Northern Ireland 16 (3%) 9 (56%) 6 (38%) 1 (6%) Ireland 10 (2%) 4 (40%) 4 (40%) 2 (20%) Total of not for 5.2 Survey two Using the information gained from the first survey 521 questionnaires were distributed and 240 (46%) were returned. Of the 240 questionnaires returned, 86% (n = 207) met the criteria for data entry and analyses. Fourteen percent (n = 33) of questionnaire returns not meeting the criteria for data entry were either incomplete or duplicates. Table 3 summarises valid returns by country, total adult population, older population and day hospital population. The number of valid responses was 207, representing 46% of those distributed. This related to 64% (n = 122) of health trusts/boards. The adult population of the returning health organisations was 35,826,069, with 6,045,496 aged sixtyfive and over. 4,325,432 fell into the catchment of the day hospitals identified by the survey. England submitted 83% (n = 172) of all responses. Sixty nine percent (n = 101) of English health trusts had an adult population of 30,297,351, 5,120,612 of which were aged 65 and over. 3,809,193 fell into the catchment of day hospitals. Wales submitted 5% (n = 11) of all responses. Fifty percent (n = 5) of Welsh health trusts had an adult population of 1,635,000, with an older population ( 65) of 306,000 and a day hospital catchment population of 176,000; Scotland submitted 9% (n = 18) of all responses. Sixty three percent (n = 10) of Scottish health trusts had an adult population of 3,290,069, with an older population ( 65) of 535,586 and a day hospital catchment population 238,

18 Northern Ireland submitted 2% (n = 5) of all responses. Forty two percent (n = 5) of Northern Ireland s health boards had an adult population of 604,000 with a health board and day hospital catchment population of 83,298 aged. Ireland submitted only 5% (n = 1) of all responses. 17% (n = 1) of Irish health boards. Only the day hospital catchment population over 65 was submitted of 18, Table 3: Number of returns by country, number of day hospitals, trust, and psychiatrists with population statistics 2 Country No. of day hospital No. of trust returns 3 returns Total trust adult population 1 Total trust population over 65 1 Day hospital catchment population (over 65) England 172 (49%) 101 (69%) 30,297,351 5,120,612 3,809,193 Wales 11 (37%) 5 (50%) 1,635, , ,000 Scotland 18 (40%) 10 (63%) 3,290, , ,941 Northern Ireland 5 (63%) 5 (42%) 604,000 83,298 83,298 Ireland 1 (33%) 1 (17%) 18,000 Total ,826,420 6,045,496 4,325,432 Question 4: What is the catchment population (Trust total, Trust over 65s, and Day Hospital over 65)? The results for this question have been described in several ways and summarised in tables 3, 4 and 5. Consultants in psychiatry of old age per 100,000 adult population: The number of old age psychiatrists per 100,000 adult population varied widely within countries, providing an overall mean of 1.08 with a range of between countries of.88 in Wales to 1.47 in Scotland. As expected this figure rose per 100,000 old age population ( 65) providing an overall mean of 6.64 with a range between countries of 4.80 in Wales to 8.80 in Scotland. The number of consultants for the psychiatry of old age per 100,000 old age day hospital catchment population (over 65) overall was 5.28 with a range between countries from 5.04 in England to 7.32 in Scotland. These figures are based only upon those who were designated consultant rank within trust but does not take into account whether the psychiatrist was part-time or whether they covered other mental illness duties. Day hospital places per 100,000 over 65s day hospital specific population: Based upon the standardisation of the over 65s day hospital specific population, the number of old age psychiatric day hospital places varied widely within countries. The overall mean was The total population figures is based upon the number of trusts who provided this information therefore the total figures described are underestimates 3 Percentages (%) in table 1 refer to the rate of returns when compared with the total number of identified in the survey 1 data 19

19 places per 100,000 people ( 65) day hospital population with a range between countries from a mean of 143 in Northern Ireland to a mean of 326 in Wales Table 4: Summary data on population Country Total No. of trusts Total range trust population Total No. of trusts Total range of trust population over 65 Total No. of trusts Range of DH catchment population (over 65) England 87 58,681 to 1,254, ,205 to 203, ,200 to 98,569 Wales 5 180,000 to 500, ,000 to 90, ,500 to 28,500 Scotland 8 106,000 to 900, ,000 to 145, ,000 to 45,500 Northern Ireland 5 84,000 to 160, ,500 to 23, ,500 to 23,000 Ireland 1 18,000 20

20 Table 5: Population data by trusts who provided data Total Trust Population Range No. of Trusts who provided information Trust Old Age Population Range No. of Trusts who provided information England Wales Scotland Northern Ireland Ireland Total 58,681 to 1,254, ,000 to 500, ,000 to 900,000 84,000 to 160,000 35,826, ,205 to 203,392 Day Hospital Population Range 4,200 to 98,569 No. of Trusts who provided information Mean percentage % of the proportion of over 65 in the Total population Range 8.1 to ,000 to 90,000 21,000 to 145,000 8,500 to 23,000 6,045, ,500 to 28,500 4,000 to 45,000 8,500 to 23,000 18,000 4,325, N/A to Number of consultants for the psychiatry of old age per 100, to to 18.0 N/A 8.1 to 30 No. of consultants per 100, Range.18 to to to to to 3.33 No. of cons per 100,000 OA pop Range 1.54 to to to to to 32.0 No. of cons per 100,000 OA DH catchment pop Range 1.01 to to to to to 25.0 Day hospital places by diagnostic category per 100,000 over 65s day hospital specific population DH places per 100,000 DH pop Range 10.5 to to to to to Organic DH places per 100, DH pop Range 7 to to to to to 779 Functional DH places per ,000 DH pop Range 26 to to to to 362 Combined DH places per 100,000 5 DH pop Range 26 to to to to 977 Table 5 describes the rate and range per 100,000 population of consultants for the psychiatry of old age and the rate and range of old age psychiatric day hospital places by diagnosis. 51% (n = 105) of the total number of valid responses provided a total population figure of 35,826,420 with an average of 341,203 population per trust Includes organic, functional and other patient groups using an old age day hospitals Organic and functional patients only

21 Question 6: What is the number of patients attending for each day? There were 205 valid responses, which enabled the calculation of the number of patients attending per day to be conducted. Thirteen percent (n = 27) of responding day hospitals had less than 10 attendees per day. Twenty six percent (n = 54) had between 10 and 15 attendees, 24% (n = 49) between 15 and 20, 17% (n = 34) between 20 and 25, 10% (n = 20) between 25 and 30, 10% (n = 21) had over 30 attendees per day. Question 5: For each diagnostic category, how many patients are using the Day Hospital? And Question 7: In addition to old age what other groups of patients does your Day Hospital cater for? The results for these questions have been described by diagnostic category Organic day hospital service 17% (n = 36) of all day hospital returns provided a service for organic patients only. 93% (n = 192) of all old age psychiatric day hospitals provided some sessions 6 for organic patients. The number of sessions provided varied. Twenty percent (n = 38) provided five sessions or less, 35% (n = 67) of day hospitals provided between six and nine sessions, 39% (n = 75) operated a full time service i.e. 10 sessions, with only six percent (n = 12) providing additional sessions or a weekend service. One day hospital, which serviced organic patients, did not provide information on the number of available sessions. The number of organic patients attending day hospitals varied widely. One hundred and ninety three day hospitals provided returns concerning organic patients. Thirty percent of these (n = 58) had 20 or less organic patients on their books, 54% (n = 104) have between 21 and 50 patients, 14% (n = 27) have between 51 and 100 patients. There were two percent (n = 4), which had in excess of 100 patients on their register Functional day hospital service Only seven (n =14) of all day hospital returns provided a functional only day hospital service. However 83% (n = 171) of all old age psychiatric day hospitals provided some sessions for functional patients. The number of sessions provided varied, 44% (n = 75) provided 5 or less sessions, 30% (n = 51) of day hospitals provided between 6 and 9 sessions, with 24% (n = 41) providing a full time (10 session) service, with only 2% (n = 4) providing additional sessions or a weekend service. The number of functional patients' serviced by returning day hospitals varied widely. Of the 171 day hospitals which provided some information on its functional patients, 38% (n = 65) had 20 or less patients on their books, 43% (n = 74) have between 21 6 A session equals a half day 22

22 and 50 patients, 19% (n = 32) have between 51 and 100 patients. No service had in excess of 100 functional patients on their register Other patient groups day hospital service 18% (n = 37) of all day hospitals had some provision for other groups of patients, of these day hospitals 50% (n = 21) catered for adult MI in addition to old age, however 95% (n = 20) of these had only 1 or 2 patients. The total number of other patient s serviced by returning day hospitals varied widely. Of the 40 day hospitals which provided information on its other patients 83% (n = 33) of day hospital services catering for 20 or less patients on their books, 5% (n = 2) have between 21 and 50 patients, 5% (n = 2) have between 51 and 100 patients. There were 8% (n = 3) which had in excess of 101 other patients on their day hospital register. 10% (n = 4) of day hospital services had patients with learning disabilities on their register, though none had more than 2 patients. Twenty three percent (n = 9) also had patients with drug or alcohol problems, though all had less than 4 patients Table 6: No. of days of day hospital operation for organic, functional and other patients (based upon actual No.'s attending per day) No. of days of operation Organic patients Functional patients Other patients No. of DH % No. of DH % No. of DH % 1 day 8 4% 12 7% 11 31% 2 days 27 14% 51 31% 2 6% 3 days 50 26% 34 21% 11 31% 4 days 22 12% 18 11% 4 11% 5 days 74 39% 44 27% 7 20% 6 days 3 2% 2 1% 0 7 days 8 4% 2 1% 0 Total % % % Question 8: How many sessions or half days does the Day Hospital function per week for those with mental health problems in old age? Working hours committed to the care of patients with, organic illness varied substantially. Of the 192 (93%) valid responses just under 5% (n = 9) were open for 5 hours or less, 82% (n = 157) were open for between 5 and 8 hours, with 13% (n = 26) operating between 8 and 11 hours per day. A similar number of working hours is devoted to care of older people with functional conditions. Of the 163 (79%) valid responses just under 7% (n = 11) were open for 5 hours or less, 81% (n = 133) were open for between 5 and 8 hours, with 12% (n = 19) operating between 8 and 11 hours per day. Responses to question 8 (see above) provide an overview of service provision by diagnostic group provided by returning day hospitals. Slight discrepancies are evident when these findings are compared to findings generated by answers to previously relevant questions (questions 5,6,7) because of variance in responders. Sixty percent 23

23 (n = 124) of all day hospitals operated a mixed organic and functional day hospital. Sixteen percent (n = 34) operated an organic only service. Two percent (n = 4) of day hospitals serviced organic and other patients groups (drugs and alcohol, adult mental illness, or learning disabilities). Fifteen percent (n = 30) of all day hospitals contained organic, functional and other groups of patients. Six percent (n = 12) operated a functional only service and one percent (n = 3) of all the day hospital returns were for the use of functional and Other patient groups only. Question 9: What proportion of the funding of the Day Hospital is provided by each of these agencies (NHS, Local Authority, Private or Voluntary Sectors)? Of the 205 health providers returning information of the source of funding 92% (n = 190) were wholly funded by the NHS. The 15 remaining day hospitals were subject to joint funding with NHS with the local authority providing 50% of funding for 8 of the day hospitals and providing between 10 and 30% for 5 of the day hospitals. Private or independent agencies provided some funding for two day hospitals, providing 2% and 40% respectively. Question 10: What is the staffing complement of the Day Hospital? All 207 returns gave some information on numbers of whole time equivalent (WTE) staffing levels. Day hospitals were predominantly staffed by nurses, representing 99% (n=204) of the staffing compliment and providing 93% of service provision. Three percent of day hospital services (n = 7) were predominately staffed by occupational therapists, two percent (n = 4) were evenly staffed by occupational therapists and nurses and one percent (n = 2) were evenly staffed by nurses, occupational therapists and social workers. Only one day hospital reported social workers as the main professional provider. Staff deficits: Nineteen percent (n = 40) of all day hospitals did not have any occupational therapy input with 56% (n = 115) not having any psychologist sessions and 81% (n= 39) had no social worker input. In addition many day hospitals had low levels of administration, with 31% (n = 68) reporting they had no administrative support. There was a similar finding for the lack of domestic support with 31% (n = 64) of all day hospitals. 24

24 Mean; WTE staff Mean; WTE Staff > 30 > Figure 1: Level of WTE staffing per day by No. of patients attending per day (non- medical) Staff Unqualified Staff Qualified <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 No. of patients attending day hospital per day Figure 2: Level of WTE staffing, nursing and occupational therapist per day by No. of patients attending per day Nurse Qualified Nurse Unqualified OT Qualified OT Unqualified >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 No. of patients attending per day 25

25 Mean; WTE staff Mean; WTE staff > 30 > Figure 3: Level of WTE staffing, physiotherapists, psychologists and social worker per day by No. of patients attending per day Physio Qualified Physio Unqualified Psychol Qualified Psychol Unqualified SW Qualified SW's Unqualified >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 No. of patients attending per day Figure 4: Level of WTE Medical input per day by No. of patients attending per Psychiatrist 0.0 Medical Other >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 day No. of patients attending per day 26

26 Table 7: Mean WTE staffing level by No. of patients attending the day hospital per day Profession WTE staffing level Number of patients attending the day hospital per day >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 > 30 Total Mean No. Mean No. Mean No. Mean No. Mean No. Mean No. Mean No. Staff qualified Staff unqualified Nurses qualified Nurses unqualified OTs qualified OTs unqualified Psychologist qualified Psychologist unqualified Physiotherapy qualified Physiotherapy unqualified S W's qualified SW's unqualified Psychiatrist Medical Other Admin/sec; Domestic Volunteer

27 Nursing qualified Table 8: No. of WTE staff by No. of patients attending the day hospital per day WTE Number of patients attending the day hospital per day >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 > 30 Total No. >= 0 to <= % 31 42% 11 15% 11 15% 2 3% 1 1% 74 36% >= 2 to <=4 7 8% 18 20% 30 34% 16 18% 12 14% 6 7% 89 44% >= 4 to <=6 1 4% 3 11% 5 19% 5 19% 5 19% 8 30% 27 13% > 6 1 8% 2 15% 3 23% 1 8% 1 8% 5 39% 13 6% Total 27 13% 54 27% 49 24% 33 16% 20 10% 20 10% 203 Nursing WTE unqualified >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 > 30 Total No. >= 0 to <= % 40 35% 32 28% 15 13% 8 7% 3 3% % >= 2 to <=4 1 2% 5 11% 11 24% 8 17% 10 14% 11 24% 46 25% >= 4 to <= % 2 19% 4 33% 12 7% > % 1 13% 2 25% % 8 4% Total 19 10% 48 26% 44 24% 31 17% 20 11% 20 11% 182 OT qualified WTE >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 > 30 Total No. >= 0 to <= % 39 25% 35 22% 32 20% 18 11% 15 10% % >= 2 to <=4 2 25% % % 8 4% >= 4 to <= % % Total 21 13% 40 24% 37 22% 32 19% 18 11% 19 11% 167 OT WTE unqualified >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 > 30 Total No. >= 0 to <=2 10 9% 28 26% 24 22% 21 20% 12 11% 12 11% % >= 2 to <=4 2 29% 1 14% 1 14% 2 29% 1 14% 7 6% >= 4 to <= % 1 1% Total 12 10% 29 25% 25 22% 21 18% 14 12% 14 12% 115 Psychologist WTE qualified >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 > 30 Total No. >= 0 to <= % 16 18% 25 28% 16 18% 12 13% 10 11% 90 98% >= 2 to <= % 1 1% >= 4 to <= % 1 1% Total 11 12% 17 19% 25 27% 16 17% 12 13% 11 12% 92 Psychologist unqualified >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 > 30 Total No. >= 0 to <=2 2 4% 10 22% 11 24% 5 11% 8 18% 9 20% 45 98% >= 2 to <= % 1 2% Total 2 4% 10 22% 12 26% 5 11% 8 17% 9 20% 46 Social Worker >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 > 30 Total No. WTE qualified >= 0 to <=2 4 10% 10 26% 10 26% 8 21% 3 8% 4 10% 39 Total 4 10% 10 26% 10 26% 8 21% 3 8% 4 10% 39 Social Worker unqualified >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 > 30 Total No. >= 0 to <=2 3 30% 4 40% 2 20% 1 10% 10 77% >= 2 to <= % 1 8% >= 4 to <= % 1 8% > % 1 8% Total 3 23% 4 31% 4 31% 2 15% 13 28

28 Administrati on WTE Table 9: No. of WTE administration and domestic staff by No. of patients attending the day hospital per day >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 > 30 Total No. >= 0 to <=2 12 9% 32 24% 35 26% 27 20% 15 11% 15 11% % >= 2 to <=4 2 67% 1 33% 3 2% >= 4 to <=6 1 50% 1 50% 2 1% Total 13 9% 32 23% 37 26% 27 19% 15 11% 17 12% 141 Domestic WTE input >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 > 30 Total No. >= 0 to <=2 13 9% 37 27% 35 25% 26 19% 13 9% 14 10% % >= 2 to <=4 1 33% 2 67% 3 2% >= 4 to <= % 1 1% Total 13 9% 37 26% 37 26% 26 18% 13 9% 16 11% 142 Psychiatrist WTE input Table 10: No. of WTE medical staff by No. of patients attending the day hospital per day >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 > 30 Total No. >= 0 to <= % 32 27% 22 19% 21 18% 15 13% 10 8% % >= 2 to <=4 1 13% 1 13% 6 75% 8 6% >= 4 to <=6 1 50% 1 50% 2 2% > % 1 1% Total 20 15% 33 25% 23 18% 21 16% 16 12% 17 13% 130 Other Medical WTE input >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 > 30 Total No. >= 0 to <= % 27 23% 30 25% 19 16% 14 12% 15 13% % >= 2 to <=4 1 33% 2 67% 3 2% >= 4 to <= % 1 1% > % 1 1% Total 16 13% 27 22% 31 25% 19 15% 14 11% 17 14% Figure 5: WTE staff vacancies > 30 > 25 to <= 30 Total Vacancies Qualified Unqualified 29 >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 No. of patients attending per day

29 Question 11: How many WTE Day Hospital posts (overall) are at present vacant? Forty percent of (n = 82) day hospitals had vacant posts, this ranged from 0.2 to 4.0, with an overall mean of 1.35 WTE staff vacancies. There was no difference between size of day hospital and the number of staff vacancies. Question 12: What is the WTE per week staff posts covered by agency staff? Nineteen percent (n = 39) of day hospitals reported the use of agency staff at the time of the survey, with a mean of 0.9 WTE staff per day hospital Table 11: No. of WTE Vacancies and agency staff by No. of patients attending the day hospital per day Vacancies/Agency WTE input Number of patients attending the day hospital per day >= 1 to <= 10 > 10 to <= 15 > 15 to <= 20 > 20 to <= 25 > 25 to <= 30 > 30 Total No. Mean No. Mean No. Mean No. Mean No. Mean No. Mean No. Mean No. Vacancy qualified and unqualified Qualified staff Unqualified staff Agency qualified and unqualified Qualified agency Unqualified agency Question 13: Are any of the Day Hospital staff involved in providing outreach services? These day hospitals provided day services to residential homes and patients own home Table 12: No. of day hospitals and proportion of staff providing outreach services Number of day hospitals Staff >= 0 to <= 2 > 2 to <= 4 > 4 to <= 6 > 6 Total No. % No. % No. % No. % No. % All staff (combined) 38 67% 19 11% 9 5% 4 2% % Qualified staff 42 81% 6 12% % Unqualified staff 26 96% 0 1 4% % 30

Dental public health intelligence programme North West oral health survey of services for dependant older people, 2012 to 2013

Dental public health intelligence programme North West oral health survey of services for dependant older people, 2012 to 2013 Dental public health intelligence programme rth West oral health survey of services for dependant older people, 2012 to 2013 Report 2: adult residential care, nursing homes and hospices About Public Health

More information

Anaesthetics, Pain Relief & Critical Care Services Follow-Up Study REGIONAL REPORT. Performance Review Unit

Anaesthetics, Pain Relief & Critical Care Services Follow-Up Study REGIONAL REPORT. Performance Review Unit Anaesthetics, Pain Relief & Critical Care Services Follow-Up Study REGIONAL REPORT Performance Review Unit CONTENTS page I INTRODUCTION... 2 II PRE-OPERATIVEASSESSMENT... 4 III ANAESTHETIC STAFFING AND

More information

Place Value. Key Skills. Complete the daily exercises to focus on improving this skill.

Place Value. Key Skills. Complete the daily exercises to focus on improving this skill. Day 1 1 Write Four Million, Four Hundred and Twelve Thousand, Eight Hundred and Seventy One in digits 2 Write 6330148 in words 3 Write 12630 in words 4 Write 71643 in words 5 Write 28009 in words 6 Write

More information

Chair based exercise: a survey of care homes in Nottinghamshire

Chair based exercise: a survey of care homes in Nottinghamshire East Midlands Research into Ageing Network (EMRAN) Discussion Paper Series ISSN 2059-3341 Issue 2, June 2015 Chair based exercise: a survey of care homes in Nottinghamshire Robinson K 1, 2, Gladman J 1,

More information

Community Mental Health Services in Ireland:

Community Mental Health Services in Ireland: Activity and catchment area characteristics 2004 Community Mental Health Services in Ireland: Activity and Characteristics 2004 Mental Health Commission May 2006 Activity and catchment area characteristics

More information

Second English National Memory Clinics Audit Report

Second English National Memory Clinics Audit Report Second English National Memory Clinics Audit Report December 2015 Funded by: Department of Health Conducted by: Royal College of Psychiatrists Authors: Sophie Hodge & Emma Hailey Correspondence: Sophie

More information

Obsessive-Compulsive Disorder and Body Dysmorphic Disorder

Obsessive-Compulsive Disorder and Body Dysmorphic Disorder South West London and St George s Mental Health NHS Trust A National Service for Obsessive-Compulsive Disorder and Body Dysmorphic Disorder Springfield University Hospital A Referrer s Guide 1 Who we are

More information

Stroke rehabilitation

Stroke rehabilitation Costing report Stroke rehabilitation Published: June 2013 http://guidance.nice.org.uk/cg162 This costing report accompanies the clinical guideline: Stroke rehabilitation (available online at http://guidance.nice.org.uk/cg162).

More information

All staff who undertake the role of Care Co-ordinator. All Mental Health qualified inpatient nursing and medical staff

All staff who undertake the role of Care Co-ordinator. All Mental Health qualified inpatient nursing and medical staff Care Program Approach (Mental Health Services) Enhanced Emergency Skills (Mental Health) (Junior doctors on rotation of less than 6 months undertake basic life support incorporating AED and Anaphylaxis)

More information

118 One hundred Eighteen

118 One hundred Eighteen 1 2 3 4 5 6 7 8 9 10 ten 11 Eleven 12 Twelve 13 Thirteen 14 Fourteen 15 Fifteen 16 Sixteen 17 Seventeen 18 Eighteen 19 Nineteen 20 Twenty 21 Twenty 22 Twenty 23 Twenty 24 Twenty 25 Twenty 26 Twenty 27

More information

THE ACQUIRED BRAIN INJURY STRATEGY FOR GRAMPIAN.

THE ACQUIRED BRAIN INJURY STRATEGY FOR GRAMPIAN. THE ACQUIRED BRAIN INJURY STRATEGY FOR GRAMPIAN. 2011-2016 * 1 January 2011. Contents 1. Executive Summary 2. Progress and Developments since Grampian BI Strategy 2004-2010 3. Definitions and Epidemiology

More information

public health problem Romanian Ministry of Public Health

public health problem Romanian Ministry of Public Health Romania: Mental Health as a public health problem The Public Mental Health approach In Romania, the concept of MH came to attention at the beginning of the 1990 s, as a result of the splitting of the clinical

More information

Home Treatment Accreditation Scheme (HTAS) Developmental Review Process

Home Treatment Accreditation Scheme (HTAS) Developmental Review Process Home Treatment Accreditation Scheme (HTAS) Developmental Review Process 2016 The Royal College of Psychiatrists 1 Home Treatment Accreditation Scheme (HTAS) Contents Introduction to HTAS... 4 Background...

More information

Discharging older patients from hospital

Discharging older patients from hospital Report by the Comptroller and Auditor General Department of Health Discharging older patients from hospital HC 18 SESSION 2016-17 26 MAY 2016 4 Key facts Discharging older patients from hospital Key facts

More information

Alternatives to Hospital: Models of Integrated Care

Alternatives to Hospital: Models of Integrated Care Alternatives to Hospital: Models of Integrated Care Tom Bowen The Balance of Care Group www.balanceofcare.com IMA Health 2007, London, UK 2 April 2007 Projects taking whole systems approach Sheffield Designed

More information

!!!!!!!!!!!! Liaison Psychiatry Services - Guidance

!!!!!!!!!!!! Liaison Psychiatry Services - Guidance Liaison Psychiatry Services - Guidance 1st edition, February 2014 Title: Edition: 1st edition Date: February 2014 URL: Liaison Psychiatry Services - Guidance http://mentalhealthpartnerships.com/resource/liaison-psychiatry-servicesguidance/

More information

South Tyneside Occupational Therapy Service. Student Information Pack

South Tyneside Occupational Therapy Service. Student Information Pack South Tyneside Occupational Therapy Service Student Information Pack Older Persons Community Mental Health Team South Tyneside Occupational Therapy Placement Information Student Information Clinical Area:

More information

Mental Health Services Follow-up

Mental Health Services Follow-up Mental Health Services Follow-up REGIONAL SUMMARY Performance Review Unit Department of Health, Social Services and Public Safety CONTENTS page BACKGROUND... 3 STRATEGIC DIRECTION... 6 PROVISION OF SERVICES...

More information

Care Home Census 2014

Care Home Census 2014 Publication Report Care Home Census 2014 Statistics on Adult Residents in Care Homes in Scotland Publication date 20 October 2015 THIS IS A REVISED REPORT. THE FOLLOWING MINOR CHANGES WERE MADE TO THE

More information

Haringey Joint Strategic Needs Assessment: Adults and Older People. Learning Disabilities

Haringey Joint Strategic Needs Assessment: Adults and Older People. Learning Disabilities Adults and Older People Learning Disabilities Learning Disabilities Introduction Key issues and gaps Who is at risk and why The level of need in the population Current services in relation to need Service

More information

Inspectorate of Mental Health Services. National Overview of Psychologists Working in Mental Health Services Ireland 2012

Inspectorate of Mental Health Services. National Overview of Psychologists Working in Mental Health Services Ireland 2012 Inspectorate of Mental Health Services National Overview of Psychologists Working in Mental Health Services Ireland 2012 As part of the inspection of mental health services in 2012, the Inspector of Mental

More information

CLINICAL GOVERNANCE STANDARDS for Mental Health and Learning Disability Services

CLINICAL GOVERNANCE STANDARDS for Mental Health and Learning Disability Services Clinical Governance Support Service promoting excellence in mental health and learning disability services CLINICAL GOVERNANCE STANDARDS for Mental Health and Learning Disability Services Structures and

More information

The age of foster care. Helen Clarke. May the voice of foster care

The age of foster care. Helen Clarke. May the voice of foster care The age of foster care Helen Clarke May 2009 the voice of foster care Introduction There are over 51,000 children living with 43,000 foster families on any one day in the UK. Today s foster carers are

More information

Intermediate care and reablement

Intermediate care and reablement Factsheet 76 May 2015 About this factsheet This factsheet explains intermediate care, a term that includes reablement. It consists of a range of integrated services that can be offered on a short term

More information

Summary of responses to the consultation and our decisions as a result

Summary of responses to the consultation and our decisions as a result Outcomes of the consultation on guidance for registrants about the statutory requirement to have appropriate professional indemnity cover as a condition of registration Summary of responses to the consultation

More information

4. Proposed changes to Mental Health Nursing Pre-Registration Nursing

4. Proposed changes to Mental Health Nursing Pre-Registration Nursing Developments in nurse education in England Summary BSMHFT employs 1319 registered nurses and 641 health care assistants 53% of the total workforce. BSMHFT works in partnership with Birmingham City University

More information

Abuse of Vulnerable Adults in England. 2011-12, Final Report, Experimental Statistics

Abuse of Vulnerable Adults in England. 2011-12, Final Report, Experimental Statistics Abuse of Vulnerable Adults in England 2011-12, Final Report, Experimental Statistics Published: 6 March 2013 We are England s national source of health and social care information www.ic.nhs.uk enquiries@ic.nhs.uk

More information

Mental Health Act. Institute of Psychiatry, Psychology & Neuroscience

Mental Health Act. Institute of Psychiatry, Psychology & Neuroscience Institute of Psychiatry, Psychology & Neuroscience South London and Maudsley NHS Foundation Trust in association with reliable and up-to-date information about psychosis for family members and friends

More information

Your local specialist mental health services

Your local specialist mental health services Your local specialist mental health services Primary Care Liaison Service B&NES Primary Care Mental Health Liaison service is a short-term support service to help people with mental health difficulties

More information

CF WI PHYSIOTHERAPY WORKFORCE REVIEW CENTRE FOR WORKFORCE INTELLIGENCE. Andrew Beddow

CF WI PHYSIOTHERAPY WORKFORCE REVIEW CENTRE FOR WORKFORCE INTELLIGENCE. Andrew Beddow CF WI CENTRE FOR WORKFORCE INTELLIGENCE PHYSIOTHERAPY WORKFORCE REVIEW Andrew Beddow 24.08.10 www.cfwi.org.uk TABLE OF CONTENTS Table of contents... 1 Executive summary... 2 1 Specialty description and

More information

National Overview Meeting on Addiction Services. in Mental Health Services

National Overview Meeting on Addiction Services. in Mental Health Services National Overview Meeting on Addiction Services in Mental Health Services Introduction In 2011 as in other years, the Inspectorate was interested in looking at a range of mental health services on a national

More information

Executive Summary and Recommendations: National Audit of Learning Disabilities Feasibility Study

Executive Summary and Recommendations: National Audit of Learning Disabilities Feasibility Study Executive Summary and Recommendations: National Audit of Learning Disabilities Feasibility Study Contents page Executive Summary 1 Rationale and potential impact of a future audit 2 Recommendations Standards

More information

Resource implications Resource implications for future seminars have been accounted for in the Education and Communications departmental work plans.

Resource implications Resource implications for future seminars have been accounted for in the Education and Communications departmental work plans. Education and Training Committee 6 March 2014 Education seminar feedback report 2013 14 Executive summary and recommendations Introduction The Education seminar feedback report covers the eight seminars

More information

Better Skills Better Jobs Better Health. National occupational standards for the practice of public health guide

Better Skills Better Jobs Better Health. National occupational standards for the practice of public health guide Better Skills Better Jobs Better Health National occupational standards for the practice of public health guide March 2004 Acknowledgements These national occupational standards describe good practice

More information

Parkinson s Disease: Factsheet

Parkinson s Disease: Factsheet Parkinson s Disease: Factsheet Tower Hamlets Joint Strategic Needs Assessment 2010-2011 Executive Summary Parkinson s disease (PD) is a progressive neuro-degenerative condition that affects a person s

More information

CEM Clinical Audits 2013

CEM Clinical Audits 2013 CEM Clinical Audits 2013 Consultant Sign-off National Findings Introduction This report shows results from audits against the consensus based clinical standard set by the College of Emergency Medicine

More information

Working with you to make Highland the healthy place to be

Working with you to make Highland the healthy place to be Highland NHS Board 2 June 2009 Item 5.3 POLICY FRAMEWORK FOR LONG TERM CONDITIONS/ANTICIPATORY CARE Report by Alexa Pilch, LTC Programme Manager, on behalf of Dr Ian Bashford, Medical Director and Elaine

More information

Securing better mental health for older adults

Securing better mental health for older adults Securing better mental health for older adults This document marks the start of a new initiative to combine forces across mental health and older people s services to ensure that older people with mental

More information

Mental Health Crisis Care: Shropshire Summary Report

Mental Health Crisis Care: Shropshire Summary Report Mental Health Crisis Care: Shropshire Summary Report Date of local area inspection: 26 and 27 January 2015 Date of publication: June 2015 This inspection was carried out under section 48 of the Health

More information

EduSahara Learning Center Assignment

EduSahara Learning Center Assignment 06/05/2014 11:23 PM http://www.edusahara.com 1 of 5 EduSahara Learning Center Assignment Grade : Class VI, CBSE Chapter : Knowing Our Numbers Name : Words and Figures Licensed To : Teachers and Students

More information

Information Governance. A Clinician s Guide to Record Standards Part 1: Why standardise the structure and content of medical records?

Information Governance. A Clinician s Guide to Record Standards Part 1: Why standardise the structure and content of medical records? Information Governance A Clinician s Guide to Record Standards Part 1: Why standardise the structure and content of medical records? Contents Page 3 A guide for clinicians Pages 4 and 5 Why have standards

More information

TRAINING AND QUALIFICATIONS FOR OCCUPATIONAL HEALTH NURSES

TRAINING AND QUALIFICATIONS FOR OCCUPATIONAL HEALTH NURSES TRAINING AND QUALIFICATIONS FOR OCCUPATIONAL HEALTH NURSES Summary The Council for Work and Health is concerned that the current system of training and qualifications for occupational health nurses in

More information

Policy Statement 16/2006. Acute and Multidisciplinary Working

Policy Statement 16/2006. Acute and Multidisciplinary Working RCN Policy Unit Policy Statement 16/2006 Acute and Multidisciplinary Working The Royal College of Nursing of the United Kingdom and the Royal College of Physicians (London) September 2006 Royal College

More information

Numbers Galore using. Print. font

Numbers Galore using. Print. font Numbers Galore! Numbers Galore using Print font 0 zero Draw Tally 0 0 zero 1 one Draw Tally 1 1 1 1 1 one one 2 two Draw Tally 2 2 2 2 two two 3 three Draw Tally 3 3 3 3 three 4 four Draw Tally 4 4 4 4

More information

MEDICINE SPECIALTIES JOB PLANNING GUIDANCE AND MODEL JOB PLAN EXAMPLE

MEDICINE SPECIALTIES JOB PLANNING GUIDANCE AND MODEL JOB PLAN EXAMPLE MEDICINE SPECIALTIES JOB PLANNING GUIDANCE AND MODEL JOB PLAN EXAMPLE INTRODUCTION Since 1991 it has been a contractual requirement for all consultants to have a job plan, which is agreed and reviewed

More information

Supporting information for appraisal and revalidation: guidance for General Practitioners

Supporting information for appraisal and revalidation: guidance for General Practitioners Supporting information for appraisal and revalidation: guidance for General Practitioners Based on the Academy of Medical Royal Colleges and Faculties Core for all doctors 2 Supporting information for

More information

Job Description MEDICAL SERVICES. 2. To provide appropriate and timely advice and assistance to the Acute Care Services.

Job Description MEDICAL SERVICES. 2. To provide appropriate and timely advice and assistance to the Acute Care Services. Job Description POSITION: PHYSICIAN RESPONSIBLE TO: CLINICAL DIRECTOR, MEDICAL SERVICES PRINCIPAL OBJECTIVES: 1. To provide medical services to the community served by the South Canterbury District Health

More information

Improving access to psychological therapies for people with severe and enduring mental health problems: rehabilitation psychiatrists perspectives

Improving access to psychological therapies for people with severe and enduring mental health problems: rehabilitation psychiatrists perspectives Improving access to psychological therapies for people with severe and enduring mental health problems: rehabilitation psychiatrists perspectives Dr Helen Killaspy Reader and honorary consultant in rehabilitation

More information

Specialist Module in Old Age Psychiatry

Specialist Module in Old Age Psychiatry A Competency Based Curriculum for Specialist Training in Psychiatry Specialist Module in Old Age Psychiatry Royal College of Psychiatrists Royal College of Psychiatrists 2009 SPECIALIST IN THE PSYCHIATRY

More information

HEALTH AND SOCIAL SERVICES DEPARTMENT ADULT MENTAL HEALTH ASSOCIATE SPECIALIST (PSYCHIATRY) SPECIALTY / ASSOCIATE GRADE JOB DESCRIPTION

HEALTH AND SOCIAL SERVICES DEPARTMENT ADULT MENTAL HEALTH ASSOCIATE SPECIALIST (PSYCHIATRY) SPECIALTY / ASSOCIATE GRADE JOB DESCRIPTION HEALTH AND SOCIAL SERVICES DEPARTMENT ADULT MENTAL HEALTH ASSOCIATE SPECIALIST (PSYCHIATRY) SPECIALTY / ASSOCIATE GRADE JOB DESCRIPTION INTRODUCTION: 1. This is a whole-time post in Adult Psychiatry. The

More information

Improving the Rehabilitation and Recovery Service Model in Leeds

Improving the Rehabilitation and Recovery Service Model in Leeds Improving the Rehabilitation and Recovery Service Model in Leeds Presenters: Emma Brown (Care Coordinator) James Byrne (Recovery Worker Leeds Mind) Nigel Whelan (Care Coordinator) Introduction Provide

More information

IMPROVING YOUR EXPERIENCE

IMPROVING YOUR EXPERIENCE Comments trom the Aberdeen City Joint Futures Brain Injury Group The Aberdeen City Joint Futures Brain Injury Group is made up of representatives from health (acute services, rehabilitation and community),

More information

Mental Health Services

Mental Health Services Mental Health Services At Maitland Private Hospital our team of professionals are committed to providing comprehensive assessment, treatment and support of people experiencing mental health issues. Located

More information

Position Statement: National Disability Insurance Scheme

Position Statement: National Disability Insurance Scheme 1 Position Statement: National Disability Insurance Scheme Multiple Sclerosis Australia (MSA) Position: People affected by MS, including their families and carers should have access to the type and level

More information

Forensic Psychiatry Research Society. Academic medicine is in crisis (Clark, 2005; Clark and Tugwell, 2004; ICRAM, 2004).

Forensic Psychiatry Research Society. Academic medicine is in crisis (Clark, 2005; Clark and Tugwell, 2004; ICRAM, 2004). Forensic Psychiatry Research Society Academic medicine is in crisis (Clark, 2005; Clark and Tugwell, 2004; ICRAM, 2004). Many academic posts remained unfilled yet many trainees interested in academic medicine

More information

Commissioning Intentions NHS Brent Clinical Commissioning Group

Commissioning Intentions NHS Brent Clinical Commissioning Group Commissioning Intentions NHS Brent Clinical Commissioning Group 2015-2016 Summary We are in the middle of making big changes to the way that people experience health and social care. We want to carry on:

More information

Dr Trevor Chan Locum Consultant Psychiatrist in Learning Disabilities Dr Vicky Turk Consultant Clinical Psychologist, Learning Disabilities

Dr Trevor Chan Locum Consultant Psychiatrist in Learning Disabilities Dr Vicky Turk Consultant Clinical Psychologist, Learning Disabilities Dementia in People with Learning Disabilities Dr Trevor Chan Locum Consultant Psychiatrist in Learning Disabilities Dr Vicky Turk Consultant Clinical Psychologist, Learning Disabilities Overview Context

More information

Excellence & Choice A Consultation on Older People s Services January 2009

Excellence & Choice A Consultation on Older People s Services January 2009 Excellence & Choice A Consultation on Older People s Services January 2009 CONTENTS 1. Introduction...3 2. Guiding principles for the delivery of services for older people...5 3. How are services for older

More information

Rehabilitation Network Strategy 2014 2017. Final Version 30 th June 2014

Rehabilitation Network Strategy 2014 2017. Final Version 30 th June 2014 Rehabilitation Network Strategy 2014 2017 Final Version 30 th June 2014 Contents Foreword 3 Introduction Our Strategy 4 Overview of the Cheshire and Merseyside Rehabilitation Network 6 Analysis of our

More information

Alcohol-use disorders: alcohol dependence. Costing report. Implementing NICE guidance

Alcohol-use disorders: alcohol dependence. Costing report. Implementing NICE guidance Alcohol-use disorders: alcohol dependence Costing report Implementing NICE guidance February 2011 (February 2011) 1 of 37 NICE clinical guideline 115 This costing report accompanies the clinical guideline:

More information

Specialist mental health service components

Specialist mental health service components Specialist mental health service components The specialist public mental health system consists of clinical services and psychiatric disability rehabilitation and support services (PDRSS). Clinical mental

More information

General Hospital Information

General Hospital Information Inpatient Programs General Hospital Information General Information The Melbourne Clinic is a purpose built psychiatric hospital established in 1975, intially privately owned by a group of psychiatrists

More information

Care Home Census. Scottish Statistics on Adults Resident in Care Homes Publication date 20 October 2015

Care Home Census. Scottish Statistics on Adults Resident in Care Homes Publication date 20 October 2015 Publication Report Care Home Census Scottish Statistics on Adults Resident in Care Homes 2006-2015 Publication date 20 October 2015 A National Statistics Publication for Scotland Contents Excel tables...

More information

CORPORATE REPORT. Performance against key targets

CORPORATE REPORT. Performance against key targets CORPORATE REPORT Performance against key targets Business Plan Review 2014/15 Performance against Key Targets The Commission has five key performance indicators (KPIs) agreed with the Scottish Government.

More information

NUTRITION SCREENING SURVEY IN THE UK AND REPUBLIC OF IRELAND IN 2011

NUTRITION SCREENING SURVEY IN THE UK AND REPUBLIC OF IRELAND IN 2011 NUTRITION SCREENING SURVEY IN THE UK AND REPUBLIC OF IRELAND IN 2011 A Report by the British Association for Parenteral and Enteral Nutrition (BAPEN) HOSPITALS, CARE HOMES AND MENTAL HEALTH UNITS NUTRITION

More information

PHARMACY DEPARTMENT JOB DESCRIPTION PRE-REGISTRATION TRAINEE PHARMACIST. Chief Pharmacist (Pre-Registration Manager)

PHARMACY DEPARTMENT JOB DESCRIPTION PRE-REGISTRATION TRAINEE PHARMACIST. Chief Pharmacist (Pre-Registration Manager) PHARMACY DEPARTMENT JOB DESCRIPTION POST: PRE-REGISTRATION TRAINEE PHARMACIST BAND: 5 REPORTS AND RESPONSIBLE TO: ACCOUNTABLE TO: RELATIONSHIPS: Principal Pharmacist, Medicines Management (Pre- Registration

More information

Your baby s care. Measuring standards and improving neonatal care. A guide to the National Neonatal Audit Programme 2015 Annual Report

Your baby s care. Measuring standards and improving neonatal care. A guide to the National Neonatal Audit Programme 2015 Annual Report Your baby s care Measuring standards and improving neonatal care A guide to the National Neonatal Audit Programme 2015 Annual Report #86,000 Neonatal Unit Admission Approximately 1 out of every 8 babies

More information

Guideline scope Eating disorders: recognition and treatment

Guideline scope Eating disorders: recognition and treatment Topic NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Eating disorders: recognition and treatment This guideline will replace the NICE guideline on eating disorders (CG9) and will be

More information

SSNAP s Acute Organisational Audit Report 2012: Performance Summary for South London

SSNAP s Acute Organisational Audit Report 2012: Performance Summary for South London SSNAP s Acute Organisational Audit Report 2012: Performance Summary for South London The Sentinel Stroke National Audit Programme (SSNAP) s Acute Organisational Audit looks at how stroke services across

More information

Appendix 1 Business Case to Support the Relocation of Mental Health Inpatient Services in Manchester (Clinical Foreword and Executive Summary)

Appendix 1 Business Case to Support the Relocation of Mental Health Inpatient Services in Manchester (Clinical Foreword and Executive Summary) Appendix 1 Business Case to Support the Relocation of Mental Health Inpatient Services in Manchester (Clinical Foreword and Executive Summary) Together we are better Foreword by the Director of Nursing

More information

NHS LANARKSHIRE ACUTE DIVISION SUBSTANCE MISUSE NURSE LIAISON SERVICE ANNUAL REPORT 2009-2010

NHS LANARKSHIRE ACUTE DIVISION SUBSTANCE MISUSE NURSE LIAISON SERVICE ANNUAL REPORT 2009-2010 NHS LANARKSHIRE ACUTE DIVISION SUBSTANCE MISUSE NURSE LIAISON SERVICE ANNUAL REPORT 2009-2010 PI/Annual Report 2009/10 1 CONTENTS Executive summary Background Partnership Working Brief Interventions Performance

More information

SUPPORTING INFORMATION FOR APPRAISAL AND REVALIDATION: GUIDANCE FOR SURGERY

SUPPORTING INFORMATION FOR APPRAISAL AND REVALIDATION: GUIDANCE FOR SURGERY SUPPORTING INFORMATION FOR APPRAISAL AND REVALIDATION: GUIDANCE FOR SURGERY Based on the Academy of Medical Royal Colleges and Faculties Core for all doctors. FOREWORD As part of revalidation, doctors

More information

Florida Hospitals Workforce Challenges: 2012 Workforce Survey Highlights

Florida Hospitals Workforce Challenges: 2012 Workforce Survey Highlights 2012 Update DATA Brief Florida Hospitals Workforce Challenges: 2012 Workforce Survey Highlights November 2012 DATABrief 2012 FHA Workforce Survey: Nurse and Allied Health Recruitment and Retention A lthough

More information

Liaison psychiatry and the management of long-term conditions and medically unexplained symptoms

Liaison psychiatry and the management of long-term conditions and medically unexplained symptoms Liaison psychiatry and the management of long-term conditions and medically unexplained symptoms Faculty Report FR/LP/1 February 2012 Royal College of Psychiatrists Faculty of Liaison Psychiatry London

More information

Doncaster Community Health Team for Learning Disabilities. Information for health professionals. RDaSH. Learning Disability Services

Doncaster Community Health Team for Learning Disabilities. Information for health professionals. RDaSH. Learning Disability Services Doncaster Community Health Team for Learning Disabilities. Information for health professionals RDaSH Learning Disability Services Useful contact numbers General enquiries: 01302 796467 Duty nurse number:

More information

Ambulance Trust Feedback Report. Progress in improving stroke care

Ambulance Trust Feedback Report. Progress in improving stroke care Feedback Report Ambulance Trust Feedback Report Progress in improving stroke care Progress in improving stroke care Ambulance Trust Feedback Report Introduction In February 2010 we published a report on

More information

Inspection of Mental Health Division. 4 November 2013

Inspection of Mental Health Division. 4 November 2013 Inspection of Mental Health Division 4 November 2013 Introduction: The Inspectorate of Mental Health Services had long advocated for the introduction of a HSE Mental Health Directorate with Executive and

More information

Occupational therapists use of standardized outcome measures Defining occupational therapy outcomes Outcome measurement tools

Occupational therapists use of standardized outcome measures Defining occupational therapy outcomes Outcome measurement tools Occupational therapists use of standardized outcome measures The College of Occupational Therapists promotes the use of evidence-based outcome measures to demonstrate the delivery of high quality and effective

More information

2. Incidence, prevalence and duration of breastfeeding

2. Incidence, prevalence and duration of breastfeeding 2. Incidence, prevalence and duration of breastfeeding Key Findings Mothers in the UK are breastfeeding their babies for longer with one in three mothers still breastfeeding at six months in 2010 compared

More information

Specialist training programme for elderly care physicians (previously: nursing home physicians) in the Netherlands

Specialist training programme for elderly care physicians (previously: nursing home physicians) in the Netherlands Specialist training programme for elderly care physicians (previously: nursing home physicians) in the Netherlands For its population of 16.5 million inhabitants, the Netherlands has approximately 350

More information

Doncaster Community Health Team for Learning Disabilities. Information for families and carers. RDaSH. Learning Disability Services

Doncaster Community Health Team for Learning Disabilities. Information for families and carers. RDaSH. Learning Disability Services Doncaster Community Health Team for Learning Disabilities. Information for families and carers RDaSH Learning Disability Services Useful contact numbers General enquiries: 01302 796467 Duty nurse number:

More information

Joint Future THE GRAMPIAN BRAIN INJURY STRATEGY.

Joint Future THE GRAMPIAN BRAIN INJURY STRATEGY. Joint Future THE GRAMPIAN BRAIN INJURY STRATEGY. 2004-2010 1 Contents. 1. Foreword : Our Vision p.3 2. Executive Summary p.4 3. Some background. p.5 4. Definitions and numbers. p.6 5. Involving users and

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Vision MH - Cornerstone House Barnet Lane, Elstree, WD6 3QU

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE 1 Guideline title Autistic spectrum conditions: diagnosis and management of autistic spectrum conditions in adults 1.1 Short title Autistic spectrum

More information

Discharge Information Information for patients This leaflet is intended to help you, your carer, relatives and friends understand and prepare for

Discharge Information Information for patients This leaflet is intended to help you, your carer, relatives and friends understand and prepare for Discharge Information Information for patients This leaflet is intended to help you, your carer, relatives and friends understand and prepare for your discharge or transfer from hospital. Healthcare professionals

More information

Irish Heart Foundation Stroke Manifesto One in five people in Ireland will have a stroke at some time in their life. Until recently, many believed

Irish Heart Foundation Stroke Manifesto One in five people in Ireland will have a stroke at some time in their life. Until recently, many believed Irish Heart Foundation Stroke Manifesto One in five people in Ireland will have a stroke at some time in their life. Until recently, many believed stroke was a disease for which little or nothing could

More information

Hip replacements: Getting it right first time

Hip replacements: Getting it right first time Report by the Comptroller and Auditor General NHS Executive Hip replacements: Getting it right first time Ordered by the House of Commons to be printed 17 April 2000 LONDON: The Stationery Office 0.00

More information

Work Matters. The College of Occupational Therapists Vocational Rehabilitation Strategy College of Occupational Therapists

Work Matters. The College of Occupational Therapists Vocational Rehabilitation Strategy College of Occupational Therapists Work Matters The College of Occupational Therapists Vocational Rehabilitation Strategy College of Occupational Therapists About the publisher The College of Occupational Therapists is a wholly owned subsidiary

More information

Top Ten Priorities for Stroke Services Research A summary of an analysis of Research for the National Stroke Strategy

Top Ten Priorities for Stroke Services Research A summary of an analysis of Research for the National Stroke Strategy The Stroke Strategy confirmed that the Department would commission a short analysis of research evidence in relation to the strategy and the top ten research areas identified in it. We said that we would

More information

CONSULTANT OCCUPATIONAL THERAPIST

CONSULTANT OCCUPATIONAL THERAPIST 21 College of COT/ BAOT Briefings CONSULTANT OCCUPATIONAL THERAPIST Publication Date: August 2007 Lead Group: Professional Practice Review Date: August 2009 Country Relevance: UK Introduction The purpose

More information

JOB DESCRIPTION. Clinical Nurse Specialist in Attention Deficit Hyperactivity Disorder (ADHD) Specialist Hospitals, Women & Child Health Directorate

JOB DESCRIPTION. Clinical Nurse Specialist in Attention Deficit Hyperactivity Disorder (ADHD) Specialist Hospitals, Women & Child Health Directorate JOB DESCRIPTION Title of Post: Grade/ Band: Directorate: Reports to: Accountable to: Location: Hours: Clinical Nurse Specialist in Attention Deficit Hyperactivity Disorder (ADHD) Band 8A Specialist Hospitals,

More information

Lambeth and Southwark Action on Malnutrition Project (LAMP) Dr Liz Weekes Project Lead Guy s & St Thomas NHS Foundation Trust

Lambeth and Southwark Action on Malnutrition Project (LAMP) Dr Liz Weekes Project Lead Guy s & St Thomas NHS Foundation Trust Lambeth and Southwark Action on Malnutrition Project (LAMP) Dr Liz Weekes Project Lead Guy s & St Thomas NHS Foundation Trust Page 0 What is the problem? Page 1 3 million (5 % population) at risk of malnutrition

More information

THE RAID MODEL OF LIAISON PSYCHIATRY

THE RAID MODEL OF LIAISON PSYCHIATRY THE RAID MODEL OF LIAISON PSYCHIATRY Report on the evaluation of four pilot services in east London March 2016 Lauren Becker, Rob Saunders, Robert Hardy and Professor Stephen Pilling Executive Summary

More information

1.2 To take responsibility for all the functions of the post within the boundaries of delegated responsibility.

1.2 To take responsibility for all the functions of the post within the boundaries of delegated responsibility. Job Description Date June 2012 Post Title Post No. Community Occupational Therapist SSAC0116 Grade SCP 30-36/38 Section Service Area Responsible To Adults Community Care and Adults Team Manager Job Purpose

More information

Clinical outcomes in mental health rehabilitation services

Clinical outcomes in mental health rehabilitation services Clinical outcomes in mental health rehabilitation services Dr Helen Killaspy Reader in Rehabilitation Psychiatry, UCL Chair, Faculty of Rehabilitation and Social Psychiatry, RCPsych Outcomes, process and

More information

Research Summary. Towards Earlier Discharge, Better Outcomes, Lower Cost: Stroke Rehabilitation in Ireland. September 2014

Research Summary. Towards Earlier Discharge, Better Outcomes, Lower Cost: Stroke Rehabilitation in Ireland. September 2014 Towards Earlier Discharge, Better Outcomes, Lower Cost: Stroke Rehabilitation in Ireland September 2014 Research Summary Report prepared for the Irish Heart Foundation by the Economic and Social Research

More information

Pharmacists improving care in care homes

Pharmacists improving care in care homes The Royal Pharmaceutical Society believes that better utilisation of pharmacists skills in care homes will bring significant benefits to care home residents, care homes providers and the NHS. Introduction

More information

Regulatory Impact Assessment (RIA) Date: /08/15 Type of measure: Subordinate Legislation Lead department or agency: Department for Social Development

Regulatory Impact Assessment (RIA) Date: /08/15 Type of measure: Subordinate Legislation Lead department or agency: Department for Social Development Title: Charities accounts: independent examination and audit thresholds Regulatory Impact Assessment (RIA) Date: /08/15 Type of measure: Subordinate Legislation Lead department or agency: Department for

More information

MENTAL HEALTH AND LEARNING DISABILITY ANNOUNCED INSPECTION. Downe Acute Inpatient Unit. South Eastern Health and Social Care Trust

MENTAL HEALTH AND LEARNING DISABILITY ANNOUNCED INSPECTION. Downe Acute Inpatient Unit. South Eastern Health and Social Care Trust MENTAL HEALTH AND LEARNING DISABILITY ANNOUNCED INSPECTION Downe Acute Inpatient Unit South Eastern Health and Social Care Trust 9 and 10 May 2012 1 Table of Contents 1.0 Introduction... 3 2.0 Ward Profile...

More information

Proposal to co-locate current two-site model to a hub and spoke model based at Woking Community Hospital

Proposal to co-locate current two-site model to a hub and spoke model based at Woking Community Hospital ANNEX 1 ITEM 7a Specialist Community Neurological Rehabilitation. Proposal to co-locate current two-site model to a hub and spoke model based at Woking Community Hospital Specialist (level 2) Neurological

More information