Medically unexplained physical symptoms and liaison psychiatry Dr Philippa Bolton Medically unexplained physical symptoms and liaison psychiatry

Why is it important £ The money 3bn to NHS 12 bn to wider impact

Exercise 1 What is a typical patient journey like for someone with MUPS? More importantly patient and doctor experience. 8 years CPP and NEAD, Drs stress etc, iatrogenic harm, poor patient experience,

Moderate intensity work Building Blocks High intensity work Specialist psychotherapy, liaison, acute trust clinics Moderate intensity work Physiotherapy, OT, IAPT Liaison psychiatry Low intensity work: Social prescribing, Patient groups, guided self help, IAPT Primary care management: GP and patient education and resources.

‘IAPT and/or psychology CAN NOT do this alone and SHOULD NOT be commissioned as such.’ Discuss. Results of the pathfinders project, silos of responsibility, lack of integration into everyday practice, lack of education. Lack of MDT glen nielson paper.

The role of liaison Complex cases Joint clinics

MUPS service

MUPS clinic outcomes Less depression, anxiety, dissociation, symptoms, better health, better patient perception of their illness. Falling drop out rates over time. Limitations Outcome measure collection Lack of MDT Poor SOMS return rates No economic data Problems with community physio and OT.

QUESTIONS ?