FoCUS North West Surrey Area Group Meeting Monday 8 June pm 3pm Stanwell Community Centre. Minutes of the Meeting
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1 FoCUS North West Surrey Area Group Meeting Monday 8 June pm 3pm Stanwell Community Centre Minutes of the Meeting Attendees: Rosemary Moore (NW FoCUS Representative), Paul Graham (NW FoCUS Representative) Tracey Hayes (NW FoCUS Representative), Sam Sooi, Thorsten Terweiden, Liz Spears, Rayner Ward and Anna Sartori. Tham Dewa (SABP CMHRS Woking), Owen Powell (SABP), Christine Schauerman (FoCUS Facilitator) and Nicola Borrow (NB Consultancy). Apologies: Apologies were received from Lesley Goode, Robert Moore, Thuy Duong, Paul Salt, David Keen, Gina Keen and Anthony Clark. 1. Minutes of previous meeting 13 April 2015 The minutes were approved as an accurate record of the meeting. It was questioned how many queries SABP receive from MPs. This will be raised at the next meeting when PALS will provide an update. Rosemary Moore commented that patients staying in acute hospital general wards, were not properly consulted and engaged with decisions in their care. Whilst consent was obtained throughout their care and treatment, Rosemary felt as though patients were not properly involved. 2. SystmOne - Owen Powell, Director of Major IT Projects, SABP Due to the contract for RIO, the current electronic record keeping system, finishing in October the Trust have looked at other options to replace this and decided upon SystmOne. 8 June 2015 Page 1
2 RiO is a national system and is free to use, however users are unable to make enhancements or changes to its functionality. With this in mind the Trust have undertaken an extensive process to pick SystmOne. SystmOne is already widely used within GP surgeries and other Trusts with over 30 million unique records the biggest in Europe and one of the main brands in the market place. SystmOne is more relevant, streamlined and appropriate and can be configured as desired and help to accurately capture information better and distinguish between groups of people. Clinicians will find SystmOne easier and quicker to use and the information captured will be better quality to ensure better care. Staff will be fully trained so they are confident in using it. SystmOne is an accredited secure system and only those people legitimately involved with an individual will have access to their records. The main advantage of the system is the ability to design how SABP would like it to work. SABP support a variety of people and for example, the risk for a child versus an older person is different. The system can be designed to reflect this and allow screens to be more appropriate to the person they are treating, which will quicken the process. It will also allow clinicians to track physical health, as well as mental health. Whilst switching to the new system the Trust would like to take the opportunity to revamp letters they send out so the overall look and feel of them is better quality with appropriate language. The migration of data is a key part of the project and the Trust have a team of people manually checking each individual record to ensure that the data moved across is correct. In the run up to switching to the new system there will be six, two week test periods and any issue found will be logged with the supplier and fixed. RiO and SystmOne will run side by side for one week prior to switching to SystmOne. As part of the migration, the Trust will identify who does not have a current care plans and crisis contingency plan, so the teams can follow up. The Group raised that whilst it was good the system identified people who did not have current care plans/crisis and contingency plans, but stressed the importance that once this had been established, the person was involved in revised/creating the plans. 8 June 2015 Page 2
3 SystmOne also has the ability to send text messages to an individual or nominated person as an appointment reminder or update about clinics being run. When a text message is sent it is recorded in the individual s clinical record, however an individual must provide consent in order to receive text messages. The Trust will consult on setting up guidelines and protocols to ensure the feature is used with caution. In addition to text messages SystmOne is also able to send s, however this is planned for the future and will not be part of the initial roll-out to ensure that it will be secure. SystmOne will allow individuals to set their preference so that they receive either s or hard copy letters. Owen highlighted that the Trust would like volunteers to help review the letters, care plans and text protocol and ensure they are right and will liaise with the Support Team to ensure that FoCUS can offer their feedback. Once the system has bedded in the Trust will look at record sharing in a secure way with the possibility of merging with GP surgeries so Clinicians can see both the physical health and mental health records. Currently there is no IT system that is compatible with acute hospitals. The psychiatric liaison team will have access to SABP records. The way in which clinicians record information will need to be reviewed, to ensure that the language used can be understood by other health professionals. Owen assured the group that all steps had been taken to ensure there were no security breaches. A number of other Mental Health Trusts use this system and as part of the research of this system, Owen has been in contact with them to discuss the system. In summary, as the project moves forward, the Trust will consult with people who use services, carers and FoCUS members regarding letters, text messages and Care Plans. Owen agreed to visit FoCUS again early next year to talk about information sharing, portals 3. FoCUS Committee Summary The FoCUS Committee summary and responses were circulated to the Group. Rosemary Moore will review the psychiatric liaison team response and come back with any further queries/comments. 8 June 2015 Page 3
4 4. Local Issues from FoCUS members: Good news and compliments. Other comments and suggestions. It was reported that Action for Carers are coordinating support for carers of people with mental health problems, following the end of the Rethink contract in March It was asked if Recovery Colleges were going to be offered to people other than those with a personality disorder. It was confirmed that Recovery Colleges were been looked at as part of the Recovery Project. A member raised their concern on the inadequate perinatal mental health services in Surrey, which resulted in mothers having to be treated out of area. This issue was raised previously by FoCUS. Nicola Borrow will provide details on previous FoCUS discussions for the group to discuss further at the July NW FoCUS meeting. 5. Crisis and Contingency Project A report was provided on the Crisis and Contingency Project (attached with agenda). The Group questioned where the figures were obtained for this report, as they were surprised by the low figures of Ashford and St Peter s Hospital. In people s experiences they were aware of more than 10 people who had used A&E with mental health problems. It was believed the figures were used for those who were seen by the psychiatric liaison team. The Group commented that this would not reflect a true picture of people with mental health in A&E, for example, those who were under the influence of alcohol or drugs may have mental health problems, which were not being addressed. The Group raised how important it is for everyone to have a crisis contingency plan. Tham Dewa reported that with the implementation of SystmOne, people without a crisis contingency plan will be identified and the team will follow up. 8 June 2015 Page 4
5 6. Community Hubs project An update on the Community Hubs project was circulated with the agenda. A survey asked for people s view will be circulated shortly to input into the project. The locations of the Hubs have not been confirmed. 7. Update from CMHRS. Tham Dewa reported that the Woking CMHRS staff are being trained on SystmOne. Rama Shrestha is now managing Spelthorne CMHRS. Spelthorne CMHRS does have a staff shortage, which will affect service delivery. Recruitment adverts have been placed and appointments will be made as quickly as possible. Emmanuel Gbetwua is now Epsom CMHRS Manager and Karen Duckenfield will now be the Runnymede CMHRS Manager. Currently Karen is covering Waverley and Runnymede, until her Waverley role can be filled. Jane Cooper continues to be the Elmbridge CMHRS Manager. Tham commented that Woking CMHRS is working with CornerHouse on the Safe Haven project (crisis cafes). The Margaret Richardson Centre in Woking is being considered as a potential venue. The crisis café will have a SABP member of staff (CPN) and peer group leads. The safe havens are being funded by the CCGs. 8. Date of next meeting: Date of next meeting: Monday 13 th July, 1-3pm, Addlestone Community Centre, Garfield Rd, Addlestone, KT15 2NJ Confirmed issues to be taken to the FoCUS Reps/ Committee Meeting: The Crisis and Contingency Project showed a low repeat incidences of people presenting to A&E with a primary presenting of mental health crisis. How many people are referred to psychiatric liaison team and how many are actually seen? 8 June 2015 Page 5
6 Actions - General 1 Nicola Borrow will provide details on the perinatal issues previously raised and the response given by the Trust, for the group to discuss at the July NW FoCUS meeting. Nicola Borrow Attached Contact details for your Support Team For Member support please contact: Carol Pearson at the Surrey Coalition of Disabled People Tel: Text: carol.pearson@surreycoalition.org.uk Address: Astolat, Coniers Way, Burpham, Guildford, Surrey, GU4 7HL For Meeting support please contact NB Consultancy: Nicola Borrow Tel/SMS: nicola@nb-consultancy.co.uk Glossary of Abbreviations: ACU Abraham Cowley Unit AMP Approved Medical Practioner AOT Assertive Outreach Team CBT Cognitive Behavioural Therapist CCG Clinical Commissioning Group CMHRS Community Mental Health Recovery Service CMHT Community Mental Health Team CPA Care Planning & Assessment CPN Community Psychiatric Nurse CQC Care Quality Commission CTO Community Treatment Order CYP MH Children and Young People s Mental Health EPP Expert Patient Programme ESA Employment & Support Allowance HTT Home Treatment Team IAPT Improving Access to Psychological Therapies IMCA Independent Mental Capacity Advocate IMHA Independent Mental Health Advocate NICE National Institute for Clinical Excellence OT Occupational Therapist PALS Patient Advice and Liaison Service 8 June 2015 Page 6
7 PICU PPG s PRG PVR QUIPP SABP SCC SDS Psychiatric Intensive Care Unit Patient Participation Group Patient Reference Group Public Value Review Quality, Innovation, Productivity, Prevention Surrey and Borders Partnership Surrey County Council Self Directed Support 8 June 2015 Page 7
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