Welcome!
We will start shortly, but are waiting for people to join,
don’t worry if you can’t hear anything yet.
Before we ...
NHS Improving Quality
Improving the physical health of people with serious mental illness
The Lester 2014 tool and Broadmo...
1. Welcome and Introduction - Hilary Walker, Head of Programmes,
Living Longer Lives, NHS Improving Quality
2. Housekeepin...
• During the E-Seminar we will mute all delegate’s lines throughout
the presentation.
• If at other times you are in a noi...
www.england.nhs.uk
Dr. Salman Gauher
Lester 2014
Update
www.england.nhs.uk
Relevance to Severe Mental Illness
• It is recognised that people with serious
mental illness are three...
www.england.nhs.uk
2X More Likely
to Smoke
3X More Likely
to Have High BP
3-5X More Likely
to Have High
Cholesterol
3X Inc...
www.england.nhs.uk
Clinical Input
1. Dr. Jonathan Valabhji, National Clinical Director for Diabetes –
Clarification on inc...
www.england.nhs.uk
www.england.nhs.uk
`
www.england.nhs.uk
www.england.nhs.uk
Link to National Mental Health
CQUIN
www.england.nhs.uk
`
www.england.nhs.uk
How it could be used
1. Assist with implementation of CQUIN
2. Display poster on wards and in community...
Dr Alan Cohen
Director of Primary Care
Broadmoor Hospital
What was primary care at
Broadmoor like before you
started your improvement
project?
How did you decide on
the model to us...
How did you go about
implementing your
plan?
Did you involve patients
in the project?
How did you engage staff?
Was there ...
Results…….
What does your primary
care service look like
now?
What has been the
result of the change?
What are you plannin...
And finally …….
What would be your top tips for anyone
planning to improve physical healthcare
services within a mental he...
http://www.nhsiq.nhs.uk/improvement-programmes/living-longer-
lives/cardiovascular-disease-outcomes-strategy/cvd-case-stud...
THANK YOU FOR JOINING US TODAY
For further information about the
presentations please contact
• salman.gauher@nhs.net
• Al...
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Webinar mental health cvd and lester overview

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An interactive webinar with clinical leaders sharing their work to support the improvement of physical health of people with serious mental illness: the Lester 2014 tool and Broadmoor case study, followed by discussion, feedback and top tips.

Webinar link: https://n3-nhsengland.webex.com/n3-nhsengland/lsr.php?RCID=15b49ebc960883ed3cbd968f58c78abb

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Webinar mental health cvd and lester overview

  1. 1. Welcome! We will start shortly, but are waiting for people to join, don’t worry if you can’t hear anything yet. Before we start we will be going through some E-Seminar housekeeping items, so that everyone can participate fully in the online meeting If you are having difficulties joining the meeting please call Lesley Manning on : 0116 295 0057 NHS Improving Quality Improving the physical health of people with serious mental illness The Lester 2014 tool and Broadmoor case study THIS WEBINAR WILL BE RECORDED
  2. 2. NHS Improving Quality Improving the physical health of people with serious mental illness The Lester 2014 tool and Broadmoor case study www.nhsiq.nhs.uk Welcome and Introduction Hilary Walker, Programme Domain Lead, Living Longer Lives, NHSIQ
  3. 3. 1. Welcome and Introduction - Hilary Walker, Head of Programmes, Living Longer Lives, NHS Improving Quality 2. Housekeeping 3. Dr. Salman Gauher, National Medical Director's Clinical Fellow at NHS England discussing the Lester tool 2014 and CQUIN links 4. Dr Alan Cohen, Director of Primary Care at Broadmoor discusses his service with Emma Stark, Project Delivery Manager, Living Longer Lives, NHSIQ 5. Any questions? 6. Links and Contacts details AGENDA
  4. 4. • During the E-Seminar we will mute all delegate’s lines throughout the presentation. • If at other times you are in a noisy environment please mute your line by pressing the mute button on your screen (this can be found on the right hand side of the screen) • If you would like to ask a question please use the raise hand button (this can be found on the right hand side of the screen) • This is an interactive session, please add your comments, and thoughts into the chat box as we go through the presentation. • At the Q&A session, type your question into the chat, or raise your hand, we will un-mute all lines during the Q&A. • If you are having any technical problems, send a message to the Host via the chat panel or call 0116 295 0057 A link to the webinar recording and a PDF of slides will be sent to you shortly after the meeting. We will now start recording this Webinar
  5. 5. www.england.nhs.uk Dr. Salman Gauher Lester 2014 Update
  6. 6. www.england.nhs.uk Relevance to Severe Mental Illness • It is recognised that people with serious mental illness are three times more likely to have physical illness than the rest of the population. Most deaths in the SMI population are attributable to five big killers which include heart disease and stroke. This is due to a higher prevalence of modifiable risk factors:
  7. 7. www.england.nhs.uk 2X More Likely to Smoke 3X More Likely to Have High BP 3-5X More Likely to Have High Cholesterol 3X Increased Risk of Diabetes
  8. 8. www.england.nhs.uk Clinical Input 1. Dr. Jonathan Valabhji, National Clinical Director for Diabetes – Clarification on inclusion of Random Glucose for diagnosis of Diabetes. 2. Prof Huon Gray, National Clinical Director for Cardiovascular Disease – Addition of Pulse check, modification of lipids and addition of family history. 3. Dr. Richard Fluck, National Clinical Director for Kidney Disease –addition of chronic kidney disease screening to the tool. 4. Dr. Geraldine Strathdee, National Clinical Director for Mental Health – updated smoking guidance, mention relationship to the CQUIN and other changes.
  9. 9. www.england.nhs.uk
  10. 10. www.england.nhs.uk `
  11. 11. www.england.nhs.uk
  12. 12. www.england.nhs.uk Link to National Mental Health CQUIN
  13. 13. www.england.nhs.uk `
  14. 14. www.england.nhs.uk How it could be used 1. Assist with implementation of CQUIN 2. Display poster on wards and in community mental health clinics as a means to provide a framework to carrying out physical health checks 3. A tool used alongside an improvement methodology 4. A template for development of personalised health check tools e.g. Integrate into electronic systems, include on discharge summaries 5. Basis for teaching and training
  15. 15. Dr Alan Cohen Director of Primary Care Broadmoor Hospital
  16. 16. What was primary care at Broadmoor like before you started your improvement project? How did you decide on the model to use for your improved service? What did you aim to achieve during your improvement project? Planning…….
  17. 17. How did you go about implementing your plan? Did you involve patients in the project? How did you engage staff? Was there any resistance to the changes? Implementation…….
  18. 18. Results……. What does your primary care service look like now? What has been the result of the change? What are you planning for the future?
  19. 19. And finally ……. What would be your top tips for anyone planning to improve physical healthcare services within a mental health inpatient setting?
  20. 20. http://www.nhsiq.nhs.uk/improvement-programmes/living-longer- lives/cardiovascular-disease-outcomes-strategy/cvd-case-studies.aspx
  21. 21. THANK YOU FOR JOINING US TODAY For further information about the presentations please contact • salman.gauher@nhs.net • Alan.Cohen@wlmht.nhs.uk General information • Elaine.kemp@nhsiq.nhs.uk 07747 763930 You will be sent an email with a link to both the recording and the slides For other presentations and information please visit the living longer lives web page http://www.nhsiq.nhs.uk/improvement-programmes/living-longer-lives.aspx
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