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

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

3. 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,

4. 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.

5. ‘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.

6. The role of liaison
Complex cases
Joint clinics

7. MUPS service

8. 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.

9. QUESTIONS ?