1. Welcome Improving Physical Healthcare in a Recovery Setting.
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Improving Physical Healthcare in a Recovery Setting.
Welcome

2. Why…
Mortality rate three times as high among mental health service users than in general population usually due to:
individual lifestyle choices
side effects of psychotropic treatment
accessing health care

3. Welcome What can we do? Picking a focus point.
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Situation
Welcome
What can we do?
Picking a focus point.
Service user involvement.
Involving other agencies.
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Background
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Documents we use to monitor physical health in an inpatient recovery setting:
NHS England – practical tool kit
Lester tool
Parity of Esteem
Lunsers
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Benefits to patient and staff
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Improve mortality rate including decreasing heart disease and diabetes
Improve quality of life
Work towards parity of esteem
Decrease time in hospital
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6. Our Driver Diagram Main title for slide set Optional sub title or name
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Our Driver
Diagram
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7. Welcome Measurement Main title for slide set
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Measurement
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8. Measurement kg

9. Welcome Engagement continues to fluctuate for a number of reasons:
Update
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Welcome
Engagement continues to fluctuate for a number of reasons:
Medication changes
Changes in mental state
Difficulty to engage staff
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10. Update
What's gone well:
Some weight loss
Reduction in waist circumferences
Increased confidence and motivation
Increased engagement in wellbeing sessions, ‘fakeaway’, suppers, reduction in takeaway

11. Update
What’s not gone so well:
Collection of data has been tricky – not accurate due to times of day being weight and method of measuring waist.
Staff training requirements
Consistency with groups and motivation

12. Welcome PDSA Testing Ramps Main title for slide set
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PDSA Testing Ramps A P S D
DATA FEEDBACK TO FRONTLINE STAFF
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1E: Collate information review PDSA
Cycle 1D: Weekly waist measurements to be taken at the same time
Cycle 1C: Staff training given on reliable waist measurement
Cycle 1B: Unreliable results collated
Cycle 1A: Weekly MUST (Malnutrition Universal Screening Tool) to include waist measurements following guidelines from National Audit of Schizophrenia

13. Welcome Recommendations
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Recommendations
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Increased staff engagement from physical health orientated training sessions
A consistent approach from all staff
Encourage healthy snacks when patients ‘socially’ eat together
Role modelling “I‘m fed up of being told to lose weight by a load of fat nurses”
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14. Welcome Any questions? Main title for slide set
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Any questions?
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