Joan Blackwood Clinical Lead MH Service Re-design Frances Paton Business Intelligence Manager (Partnerships) Fiona McMahon Senior Practitioner, Re-admissions/Service.

Slides:



Advertisements
Similar presentations
The Journey for Amputee Rehabilitation Josephine Wong Day Rehabilitation Centre Ambulatory & Primary Health Care Directorate Central Northern Adelaide.
Advertisements

INTEGRATED DISCHARGE TEAM ehabilitation & ssessment irectorate Rehabilitation & Assessment Directorate Acute Hospitals Division.
Irish National Acute Medicine Programme Patient Flow Model O’Reilly O, Courtney G, Casey A* Problem Patients requiring urgent care experienced long delays.
Enhanced SPARRA Predictive Model & SPARRA Patient Alerts Risk prediction and service development Kathleen McGuire – Long Term Conditions Manager Ehealth.
Award Winning Crisis Resolution Service Presentation for 18 th Jan 2008.
Acute Medicine Programme A clinician-led initiative of the Royal College of Physicians of Ireland (RCPI), the Irish Association of Directors of Nursing.
Approaches to reducing alcohol harm for children and young people Young People’s Specialist Treatment London Alcohol Practitioners Forum 20 th March 2009.
Urgent Care Planning in South Tyneside David Hambleton Urgent Care Everyone’s problem.
Clear and Credible Plan Quarter 3 update Liane Langdon Director of Commissioning and Strategic Development Together we’re better.
Jonathan Lloyd Director of Strategic Delivery Birmingham and Solihull MH Foundation Trust.
Developing Alcohol Integrated Care Pathways Workshop Sean Meehan, Associate Delivery Manager, Alcohol Harm Reduction National Support Team, Department.
Norfolk Clinical Commissioning Groups and Norfolk County Council Adult Social Care The Commissioning Environment Clive Rennie, Head of Integrated Commissioning.
Development of Clinical Pathways to Streamline Care for Patients Presenting with Suspected Cardiac Chest Pain Background The National Heart Foundation.
A Delivery Framework For Adult Rehabilitation
WORKSHOP B ALCOHOL SERVICE KNOWSLEY Michele White Madeline Jones Elizabeth Gibbons.
1 Integration to avoid hospital admission: ITHAcA Sarah Purdy on behalf of the HIT.
Outside ‐ In and Inside ‐ Out: Outreach as a Copernican moment in psychiatry? Prof. Mervyn Morris Birmingham City University presentation 17 th March 2011.
A Social Marketing Approach to the ‘wicked’ problem of alcohol Newcastle upon Tyne North Tyneside Northumberland Lynda Seery Public Health Lead for Substance.
Healthy Lives, Healthy Futures Programme Update NLAG Trust Board 28 th July 2015.
National Programme for Mental Health. WHAT IS CLINICAL GOVERNANCE? Clinical governance is a framework through which healthcare teams are accountable.
The ‘wicked’ problem of alcohol Newcastle upon Tyne North Tyneside Northumberland Lynda Seery Public Health Lead for Drug and Alcohol.
M H information : improving practice - progress with electronic care cards Dr C Bruce Low Consultant Psychiatrist Lead Clinician Clinical Governance.
The Community Programme Better Together 4 th December 2013 Comprehensive Geriatric Assessment in Nottinghamshire.
Challenges Objectives CCG Led Initiatives Vision ‘How’ Outcome Aspirations Better integrated health and social care Improve the health and wellbeing of.
Guildford and Waverley CCG update 16 th July 2015 Shaping healthcare for you … and your family.
Our Journey HPHS-HPH-ENSH Inverclyde Hospital HPHS Seminar 21 st March 2007 Tommy Harrison HPH Mental Health Hub Coordinator Forensic Project Nurse Mental.
Strategic Plans. Analysis in Joint Commissioning Cycle >Analysis key part of commissioning cycle. >Analysis sets out thinking, reasoning, decisions for.
Commissioning Intentions Sarah Casemore Deputy Director of Clinical Commissioning
Devon Street Triage Pilot......Working in partnership with people in crisis to help keep them safe and find the support they need – whatever the circumstances.
North West Health Self Assessment Process 2011 North West Health Self Assessment Process 2011 Sue Smith Project Manager for the Health Equality Group and.
Care in Crisis - the challenge Carol Herity – Head of Partnerships.
IMPROVING THE INDIVIDUAL EXPERIENCE. Who are we? Acute and Community Hospital Mental Health Liaison Teams Started as 2 year project Acute – 3.
Assertive Outreach Service Health, Wellbeing and Social Care Scrutiny 27th October 2010.
Canadian Coalition for Seniors’ Mental Health The Southwestern Ontario Geriatric Assessment Network Catherine Glover Dr. Lisa VanBussel September 24-25,
Alzheimer Scotland Dementia Post Diagnostic Support Service Edinburgh January 2014.
West Lothian Community Health and Care Partnership Frail Elderly Programme Introduction – Marion Christie, Head of Health Data Label : Internal.
The ‘wicked’ problem of alcohol - insights from the data Newcastle upon Tyne North Tyneside Northumberland Lynda Seery Public Health Specialist.
Improving the hospital experience for people with learning disabilities at City Hospitals. Ashley Murphy Liaison Nurse/ Health Facilitator Learning Disability.
A joint Australian, State and Territory Government Initiative Experiences and lessons from benchmarking Older Persons Mental Health Services Dr Rod McKay.
CHILDREN AND YOUNG PEOPLE’S HEALTH SUPPORT GROUP Unscheduled Care Helen Maitland National Lead.
Integration of Health and Social Care Keith Darragh – Assistant Director Safeguarding, Quality and Business Strategy.
Inequalities, Health and the Accident and Emergency Response Sue Laughlin & Alastair Low, Corporate Inequalities Team, NHSGGC.
Dr Andy Wiener Consultant Child and Adolescent Psychiatrist Associate Clinical Director Tavistock and Portman NHS Foundation Trust.
Post Diagnostic Support HEAT Measurement Workshop Workforce Planning and Costings 6 th February 2013 Welcome Mental Health Division QuEST Quality and Efficiency.
Enhanced Primary Care Mental Health Service. External Drivers MH identified as a priority in the strategic commissioning plans for the 3 Worcestershire.
Child and Adolescent Mental Health Services – Tier 3 Service Specification Lisa Wells Commissioning and Redesign Lead – Women and Children’s Services Shropshire.
Liaison Psychiatry Service Models ‘Core 24’ and more
Elderly Frailty Project in Teesside
Nick Morris Director of Strategy, Performance and Governance Bradford District Care Trust Airedale, Wharfedale and Craven Health Partnership 21 st February.
Better health for Sunderland Liaison Psychiatry Event Jan 27, 2016 Commissioning for sustainable liaison services.
18 Week Pathway Discussion about potential IM&T issues.
Review of the Peninsula Health Hospital Admission Risk Program (HARP) Presenter: Belinda Berry PENINSULA HEALTH COMMUNITY HEALTH.
NHS West Kent Clinical Commissioning Group West Kent Urgent Care DRAFT Strategy Delivering a safe and sustainable urgent care system by
London’s Mental Health Crisis Care Summit Workshop B: in the Emergency Department 25 th February 2016 Kia, Oval Dr Sean Cross and Dr Alex Thomson.
Herefordshire CCG Putting the patient at the heart of everything we do1 More information can be found at
End of Life Care Pathways – an emergent picture Michael Muirhead NSS ISD.
Overview and Scrutiny Review of Dual Diagnosis. Context ‘Dual Diagnosis’ – “mental health and substance misuse.” Linked with problems with housing difficulties,
Older People’s Services South Tyneside Annual Update
Local Mental Health services and the National Service Framework.
A focus on improving outcomes for people with mental health issues in the city Leeds has higher than national average, prevalence for common mental health.
Birch Foundation, South West London & St
Enabling the use of information locally
Mind Your Head Out There
Dr Chris Schofield Clinical Lead Liaison and CRHT
Birch Foundation, South West London & St
NHS GG&C Police Custody Healthcare
MENTAL HEALTH and SUBSTANCE MISUSE
Sectorised mental health services in England
Good Mental Health for ALL in Moray – The Big Picture
Presentation transcript:

Joan Blackwood Clinical Lead MH Service Re-design Frances Paton Business Intelligence Manager (Partnerships) Fiona McMahon Senior Practitioner, Re-admissions/Service Improvement

The A&E and Mental Health Pathway “Improving Care Delivery and the Patient Experience”

Background 2010/2011 GG&C Performance and Development Plan – Contribution to Acute Services Framework (HEAT 10) GG&C A&E Attendances Steering Group GG&C MH and A&E Acute Interface Working Group (Lead - Calum MacLeod Head of Mental Health South Glasgow)

MH and A&E Acute Interface Working Group Multi disciplinary and management representation from A&E, Mental Health, Addictions, A&E Attendances Group, Homelessness, Liaison, Information Services etc.  4 hour breaches + reasons  Repeat attendances  Clinical Pathways  Clinical Sub Group

Wait for 1st Assessment Wait for Specialist Assessment Wait for Psychiatric Bed Wait for Transport Areas that need to be explored - those with common causes for delay Information

Greater Glasgow & Clyde – Phase 1 Identify patients who are A&E Breachers Identify all A&E attendances who have a MH diagnosis and are known to our services. Extracted all Mental Health A&E presentations. (North & South A&E – not Clyde) Extracted all MH data recorded on PIMS (Inpatient, CMHT, Crisis etc). Resulted in ‘draft’ suite of information reports linking in with Service use. To do this we - Merged into one database to identify patients. (Patient Linkage)

Snapshot of Information Reports (Period: 01/10/2009 – 31/03/2010) Better use of information to help inform decision making. Last known MH Service prior to A&E presentation Diagnosis categoryCount% Alcohol1,88042% Drug1,24027% Psychiatric / Other1,08624% Self harm (no drug / alcohol)3137% Total:4,519 Presentations where A&E Diagnosis is Categorised Known to Mental Health ServicesKnown to Adult CMHT Presentations%Patients%Presentations%Patients% 3, ,64442%107141% 7,057 MH presentations, CHI present in 6,296 (4,864 patients) so Reports are based on these 6,296 records Last Known Service Prior to A&E PresentationPresentations % of Total Known Prior to A&E Presentation Inpatient57536% CAT Team40225% Adult CMHT33321% Addictions Team1228% Crisis Team644% Liaison Team493% Esteem231% PCMHT201% Homeless111% Other70% Elderly CMHT40% Total Known to Service Prior to A&E Presentation %

Snapshot of Information Reports Better use of information to help inform decision making. Associated CMHT’s for Patient Unique% of Total Number of Patients with this amount of Presentations Linked CMHTPatients Presentations Arran - Known1315%1965% Arran – Not Known27811%45012% Arran Total40916%64617% Riverside - Known1606%2316% Riverside - Not Known1476%2125% Riverside Total30712%44311% Springpark - Known984%1785% Springpark - Not Known1777%2526% Springpark Total27511%43011% Anvil - Known934%1454% Anvil - Not Known1456%1855% Anvil Total2389%3309% Shawpark - Known934%1574% Shawpark - Not Known1385%2296% Shawpark Total2319%38610%

CLINICAL PORTAL What is Clinical Portal? Mental Health data on Clinical Portal Mental Health Sparra on Clinical Portal  A web-based system that presents all electronic information for a patient in a single location  The Portal uses technology to provide a clinician-friendly view of information from multiple information sources.  Data items to be published in the Mental Health clinical Portal are: o Alerts o Open Referrals o Diagnoses o Last Contact o Last Clinic Attendance  Predictive algorithm, developed by ISD. It identifies patients aged 15 years and over at risk of re-admission to a psychiatric hospital or unit.

CLINICAL PORTAL – Mental Health PIMS

CLINICAL PORTAL – Mental Health SPARRA

Next Steps ‘Work in Progress’ Consolidate and agree information requirements between services The initial information analysis has prompted questions about Clinical Pathways between A&E and Mental Health including Addictions

Mental Health, A&E & Addictions Patient Pathway As a result of the data collection exercise reports can now be made available to highlight : Patients who are known to both A&E and Mental Health Services Are regular attendees at A&E Regularly breach the 4 hour target

But We needed to gain a better understanding of the patient journey. To identify gaps, blocks, delays, demand and capacity issues across services. Most importantly we wanted to know what was happening to patients.

Sub-Group established included clinical staff from : A&E, Adult Community Mental Health, Crisis (day & night OOH) Liaison Psychiatry, Inpatients and Addictions Remit of Group:  To carry out a process mapping exercise to accurately inform routes into and out of A&E  To test clinical scenarios across the process map and identify current systems  To support effective interface across all services Mental Health, A&E & Addictions Patient Pathway

Process Three meetings – task and finish approach Plan – scope and range of the work Process map – involving all stake holders Follow up issues identified and action plan developed

Next Steps Feedback Progress – MH and A&E Acute Interface Working Group, GG&C Attendances Group Four dimensions to the action plan – –Clinical Practice –Information –Service Response –Patient Experience Extend membership of Clinical Group to reflect the further work required on pathways

Information – Using information to help inform and improve clinical practice. Clinical Portal – A&E Staff will have access to Mental Health Service Data. Clinical Response – What is the expected response by A&E and Mental Health Staff. Develop Clinical Practice Guidelines – to access management/crisis plans, develop case review mechanisms. Service response – further work to be done with other parts of the Mental Health Service i.e. Addictions Action Plan – “A Taster”