CYPMH conference 2016 Future in Mind Vision to Implementation
Inpatient CAMHS – The Tier 4 review report 2 years on
Dr Margaret Murphy - Clinical Chair, Secure and Specialised Mental Health Programme of Care, NHS England
CAMHS Transformation in Health and Justice - workshopCYP MH
CYPMH conference 2016 Future in Mind Vision to Implementation
CAMHS Transformation in Health and Justice -
Caroline Twitchett, Emily Nicol (NHS England)
Building momentum: who’d have thought ROMS could create such a buzz? - WorkshopCYP MH
CYPMH conference 2016 Future in Mind Vision to Implementation
Building momentum: who’d have thought ROMS could create such a buzz? (Feedback and outcome measures and diversity -children and young people with learning disabilities and neurodevelopmental conditions) -
Ro Rossiter & Duncan Law with team and service users and parents/carers (Child Outcomes Research Consortium & London and South East CYP IAPT Learning Collaborative)
Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient C...NHS Improving Quality
Speaker slides from the national conference, 'Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient Care at End of Life', 17 March 2016
Commissioning Integrated models of care
Kent LTC Year of Care Commissioning Early Implementer Site
Alison Davis, Integration Programme Health and Social Care, Working on behalf of Kent County Council and South Kent Coast and Thanet CCG's
CAMHS Transformation in Health and Justice - workshopCYP MH
CYPMH conference 2016 Future in Mind Vision to Implementation
CAMHS Transformation in Health and Justice -
Caroline Twitchett, Emily Nicol (NHS England)
Building momentum: who’d have thought ROMS could create such a buzz? - WorkshopCYP MH
CYPMH conference 2016 Future in Mind Vision to Implementation
Building momentum: who’d have thought ROMS could create such a buzz? (Feedback and outcome measures and diversity -children and young people with learning disabilities and neurodevelopmental conditions) -
Ro Rossiter & Duncan Law with team and service users and parents/carers (Child Outcomes Research Consortium & London and South East CYP IAPT Learning Collaborative)
Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient C...NHS Improving Quality
Speaker slides from the national conference, 'Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient Care at End of Life', 17 March 2016
Commissioning Integrated models of care
Kent LTC Year of Care Commissioning Early Implementer Site
Alison Davis, Integration Programme Health and Social Care, Working on behalf of Kent County Council and South Kent Coast and Thanet CCG's
Improving acute care for children and young people, pop up uni, 10am, 3 septe...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
NHS England and partners have published six Quick Guides to bring clarity on how best to work with the care sector. They can be accessed at www.nhs.uk/quickguides
Want to find out how the care sector can support local systems in the run up to winter? Want to break down barriers between health and care organisations? Want to find out how Leicester has achieved a 60% reduction in care home admission costs? Want to finally break down the myths around sharing patient information and assessments? Want to use other people's ideas and resources?
Webinar outcomes:
Introduction to the care homes quick guides
Two examples of models referenced in the guides:
- Angela Dempsey, Baker Tilly on the Quest4care tool
- Dawn Moody on MDT working and a model implemented in a CCG
Guest Speakers: Nicola Spencer and Emily Carter - NHS England
Early Intervention: Improving Access to Mental Health by 2020 [Presentations]Sarah Amani
Most mental illnesses begin in adolescence or early adulthood – the vital time in life when we establish our independence. Mental illness can derail this process with long-lasting effects. We know that the earlier we can engage a young person in treatment the better their outcomes – but young people are the least likely to seek help from mental health services. This is not helped by the separation of services at age 18.
The good news is that we know that early intervention makes a difference in getting young people well and keeping them well. Early intervention teams have been established for psychosis in England for the last 12 years. Psychosis is a serious mental illness affecting 1-2% of the population, with about 500 new cases every year in the Oxford AHSN area.
Early intervention in psychosis is a specialist, community-based service providing medical, psychological and family-based treatments. It helps get young people back to work or education and keeps an eye out for any early signs of relapse so that they can be prevented. Early intervention teams are highly valued by young people and their families. They also save the health service money by keeping people well and getting them back to work.
The Early intervention in mental health network will make sure that this best practice is in place across the Oxford AHSN region with the highest standard of care provided everywhere. We also aim to spread this early intervention model across other conditions (such as eating disorders, personality disorder, autistic spectrum conditions) to help more young people.
World class research is being undertaken in Oxford AHSN and across England into early psychosis – both into the causes and to trial new treatments. We aim to make this research available to every patient being seen by our early intervention teams. We will also look to develop new innovations and technologies that could improve the experience of young people receiving mental healthcare.
Slides from a lunch and learn webinar hosted by NHS England's Long Term Conditions Team, on the topic of health coaching by lay professionals.
The speakers and Anya de Longh and Jim Phillips.
Update on regional performance of the South West and South East Early Intervention in Psychosis (EIP) programme including the support offered to NHS England to achieve the nationally set standards.
South Region CCG Mental Health Masterclass - EIP Preparedness ProgrammeSarah Amani
The Early Intervention in Mental Health Network's mission is to improve health and social outcomes for young people with first episode psychosis, including symptom reduction and engagement with education and employment.
This document is the beginning of a programme to help people work together in preparation of the regions task to achieve the above mission.
Learning Disabilities: Share and Learn Webinar – 27 July 2017NHS England
Topic One: Transforming care for children and young people with autism
Guest speakers: Sarah Jackson and David Gill, NHS England and Pat Smith, Autism East Midlands
This webinar looks at some of the challenges seen, such as gaps in provision for children and young people with autism, and will discuss some of the work that is taking place to address these issues.
Topic Two: “The assuring transformation data system” - how to upload data and run reports
Guest speakers: Andy Tookey, NHS England and Judith Ellison and Sarah Freeman, NHS Digital
This webinar is aimed at people who are new to reporting assuring transformation (AT) data or who are unsure how to run reports.
LTC Year of Care Commissioning Model
Lesley A Callow, Delivery Support Manager - Long Term Conditions Year of Care Commissioning Model
NHSIQ
Fionuala Bonnar, Year of Care Programme Manager
LTC Year of Care benefits:
Improved outcomes and wellbeing:
Patients receive care that is better managed, more seamless across different care services and more needs focused.
Reduction in acute admissions to hospital; and shorter lengths of stay when these are required.
Clinical professionals contribute to a more holistic service for patients by working within an integrated patient-centred care plan
Local health and Social Care economies:
Provide care that delivers value for money and is better managed by integrated teams.
Incentive to improve services for patients
Improved joint working and shared responsibility for outcomes
An overview of the work carried out by NHS England and NHS Improving Quality's Long Term Conditions Sustainable Improvement Team. It puts the case for why person-centred care has to be at the heart of healthcare.
Integrated data to support service redesign decision making 19 01 2016 finalNHS Improving Quality
Integrated data to support service redesign decision making
Leeds LTC Year of Care Commissioning Early Implementer Site
Tricia Cable, Year of Care Lead
Alison Phiri, Business Intelligence Manager
Mohini Chauhan, Year of Care Commissioning Manager
Transforming Care: Share and Learn Webinar – 31 August 2017NHS England
Helping people with a learning disability to give feedback
Guest Speakers: Ruth Hudson - Insight Specialist, Joe Penrose - Insight and Feedback Officer, Katie Matthews, Aaron Oxford and Thomas Chalk - Learning Disability Network Managers
NHS England’s Insight and Learning Disability Engagement teams recently published their bite-size guide to helping people with a learning disability to give feedback.
The webinar is aimed at staff who do not have much experience of involving people with a learning disability in giving feedback. It is of particular interest to staff working in Patient Experience and Communication and Engagement roles. Most of the services people with a learning disability use are the same services as everyone else, and so it is important they are included in feedback and engagement work. Join the teams on the webinar to find out more about increasing the representation of one of the most seldom heard groups of people.
Practical mental health commissioning explains the changing commissioning environment and how commissioners can make the most of available resources to improve the quality and outcomes of mental health and social care services in their area.
Guidance for commissioners of primary mental health servicesJCP MH
This guide describes what good quality, modern, primary mental health care services look like. It has been written by a group of primary mental health care experts, in consultation with patients and carers. The content is primarily evidence-based but ideas deemed to be best practice by expert consensus have also been included.
Improving acute care for children and young people, pop up uni, 10am, 3 septe...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
NHS England and partners have published six Quick Guides to bring clarity on how best to work with the care sector. They can be accessed at www.nhs.uk/quickguides
Want to find out how the care sector can support local systems in the run up to winter? Want to break down barriers between health and care organisations? Want to find out how Leicester has achieved a 60% reduction in care home admission costs? Want to finally break down the myths around sharing patient information and assessments? Want to use other people's ideas and resources?
Webinar outcomes:
Introduction to the care homes quick guides
Two examples of models referenced in the guides:
- Angela Dempsey, Baker Tilly on the Quest4care tool
- Dawn Moody on MDT working and a model implemented in a CCG
Guest Speakers: Nicola Spencer and Emily Carter - NHS England
Early Intervention: Improving Access to Mental Health by 2020 [Presentations]Sarah Amani
Most mental illnesses begin in adolescence or early adulthood – the vital time in life when we establish our independence. Mental illness can derail this process with long-lasting effects. We know that the earlier we can engage a young person in treatment the better their outcomes – but young people are the least likely to seek help from mental health services. This is not helped by the separation of services at age 18.
The good news is that we know that early intervention makes a difference in getting young people well and keeping them well. Early intervention teams have been established for psychosis in England for the last 12 years. Psychosis is a serious mental illness affecting 1-2% of the population, with about 500 new cases every year in the Oxford AHSN area.
Early intervention in psychosis is a specialist, community-based service providing medical, psychological and family-based treatments. It helps get young people back to work or education and keeps an eye out for any early signs of relapse so that they can be prevented. Early intervention teams are highly valued by young people and their families. They also save the health service money by keeping people well and getting them back to work.
The Early intervention in mental health network will make sure that this best practice is in place across the Oxford AHSN region with the highest standard of care provided everywhere. We also aim to spread this early intervention model across other conditions (such as eating disorders, personality disorder, autistic spectrum conditions) to help more young people.
World class research is being undertaken in Oxford AHSN and across England into early psychosis – both into the causes and to trial new treatments. We aim to make this research available to every patient being seen by our early intervention teams. We will also look to develop new innovations and technologies that could improve the experience of young people receiving mental healthcare.
Slides from a lunch and learn webinar hosted by NHS England's Long Term Conditions Team, on the topic of health coaching by lay professionals.
The speakers and Anya de Longh and Jim Phillips.
Update on regional performance of the South West and South East Early Intervention in Psychosis (EIP) programme including the support offered to NHS England to achieve the nationally set standards.
South Region CCG Mental Health Masterclass - EIP Preparedness ProgrammeSarah Amani
The Early Intervention in Mental Health Network's mission is to improve health and social outcomes for young people with first episode psychosis, including symptom reduction and engagement with education and employment.
This document is the beginning of a programme to help people work together in preparation of the regions task to achieve the above mission.
Learning Disabilities: Share and Learn Webinar – 27 July 2017NHS England
Topic One: Transforming care for children and young people with autism
Guest speakers: Sarah Jackson and David Gill, NHS England and Pat Smith, Autism East Midlands
This webinar looks at some of the challenges seen, such as gaps in provision for children and young people with autism, and will discuss some of the work that is taking place to address these issues.
Topic Two: “The assuring transformation data system” - how to upload data and run reports
Guest speakers: Andy Tookey, NHS England and Judith Ellison and Sarah Freeman, NHS Digital
This webinar is aimed at people who are new to reporting assuring transformation (AT) data or who are unsure how to run reports.
LTC Year of Care Commissioning Model
Lesley A Callow, Delivery Support Manager - Long Term Conditions Year of Care Commissioning Model
NHSIQ
Fionuala Bonnar, Year of Care Programme Manager
LTC Year of Care benefits:
Improved outcomes and wellbeing:
Patients receive care that is better managed, more seamless across different care services and more needs focused.
Reduction in acute admissions to hospital; and shorter lengths of stay when these are required.
Clinical professionals contribute to a more holistic service for patients by working within an integrated patient-centred care plan
Local health and Social Care economies:
Provide care that delivers value for money and is better managed by integrated teams.
Incentive to improve services for patients
Improved joint working and shared responsibility for outcomes
An overview of the work carried out by NHS England and NHS Improving Quality's Long Term Conditions Sustainable Improvement Team. It puts the case for why person-centred care has to be at the heart of healthcare.
Integrated data to support service redesign decision making 19 01 2016 finalNHS Improving Quality
Integrated data to support service redesign decision making
Leeds LTC Year of Care Commissioning Early Implementer Site
Tricia Cable, Year of Care Lead
Alison Phiri, Business Intelligence Manager
Mohini Chauhan, Year of Care Commissioning Manager
Transforming Care: Share and Learn Webinar – 31 August 2017NHS England
Helping people with a learning disability to give feedback
Guest Speakers: Ruth Hudson - Insight Specialist, Joe Penrose - Insight and Feedback Officer, Katie Matthews, Aaron Oxford and Thomas Chalk - Learning Disability Network Managers
NHS England’s Insight and Learning Disability Engagement teams recently published their bite-size guide to helping people with a learning disability to give feedback.
The webinar is aimed at staff who do not have much experience of involving people with a learning disability in giving feedback. It is of particular interest to staff working in Patient Experience and Communication and Engagement roles. Most of the services people with a learning disability use are the same services as everyone else, and so it is important they are included in feedback and engagement work. Join the teams on the webinar to find out more about increasing the representation of one of the most seldom heard groups of people.
Practical mental health commissioning explains the changing commissioning environment and how commissioners can make the most of available resources to improve the quality and outcomes of mental health and social care services in their area.
Guidance for commissioners of primary mental health servicesJCP MH
This guide describes what good quality, modern, primary mental health care services look like. It has been written by a group of primary mental health care experts, in consultation with patients and carers. The content is primarily evidence-based but ideas deemed to be best practice by expert consensus have also been included.
The Top Skills That Can Get You Hired in 2017LinkedIn
We analyzed all the recruiting activity on LinkedIn this year and identified the Top Skills employers seek. Starting Oct 24, learn these skills and much more for free during the Week of Learning.
#AlwaysBeLearning https://learning.linkedin.com/week-of-learning
LTC year of care commissioning early implementer sites workshop held on 1 December 2014. Featuring Dr Martin McShane, Rob Meaker and Renata Drinkwater.
Elizabeth Stephenson and Carol Ewing: child health policy updateNuffield Trust
Elizabeth Stephenson, Children and Young People Policy Lead at NHS England, and Dr Carol Ewing, Vice President of the Royal College of Paediatrics and Child Health, give an overview of the national policy making landscape for child health.
Fenin en colaboración con el departamento comercial UK Trade and Investment, de la Embajada británica en Madrid, han organizado un foro empresarial dirigido al sector de tecnología sanitaria, con el objetivo de evaluar los sistemas de compras de los sistemas sanitarios de España y Reino Unido (NHS), y conocer las oportunidades de negocio que el NHS representa para empresas españolas de tecnología sanitaria.
Enabling self-management: more than smart phones and digital widgetsNHS Improving Quality
Guest speakers: Ian Briggs, Associate Director Business Development and Jeannie Hardy - County Durham and Darlington NHS Foundation Trust
Hosted by: Beverly Matthews, Long Term Conditions Programme Lead, NHS England
Learning Outcomes:
• Introduction to self-management - driven by lifestyle choice and access - underpinned by digital capability / enablers
• Health call Case studies - INR and/or nutrition
• Importance of lifestyle training and clinical empowerment of patient
Commissioning specialised mental health and Winterbourne review quality assur...Think Local Act Personal
NHS England sets out its values, ways of working and commitment to the Winterbourne View Concordat to see more people move out of in-patient care and live in community settings.
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Dr Eileen Pepler, Academic, Researcher and Consultant in the Canadian Healthcare will discuss how NHS England work in chronic disease is being translated into a Canadian context.
Welcome and the National Patient Safety Plan - Dr Mike Durkin (Chair), Director for Patient Safety, NHS England
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
Dan Venables_LTC Consensus Meeting 10-Nov-2015angewatkins
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
Multi-agency working for Looked After Children in Sheffield - WorkshopCYP MH
CYPMH conference 2016 Future in Mind Vision to Implementation
Multi-agency working for Looked After Children in Sheffield -
Alex Espejo (Sheffield Children’s NHS Foundation Trust)
Delivering a digitally enhanced service - WorkshopCYP MH
CYPMH conference 2016 Future in Mind Vision to Implementation
Delivering a digitally enhanced service to support a transformation in integrated Children’s Health Services in Berkshire - Berkshire CAMHS with young service users
Developing a Successful Crisis Response Team for Young People - WorkshopCYP MH
CYPMH conference 2016 Future in Mind Vision to Implementation
Developing a Successful Crisis Response Team for Young People -
Clare Anderson and team (Tees, Esk and Wear Valleys NHS Foundation Trust)
Benefits realisation: a tool to help evidence the benefits and importance of ...CYP MH
CYPMH conference 2016 Future in Mind Vision to Implementation
Benefits realisation: a tool to help evidence the benefits and importance of children and young people’s participation - The GIFT Team with Young Sessional Workers
Mental Health Services and Schools Link Pilot - WorkshopCYP MH
CYPMH conference 2016 Future in Mind Vision to Implementation
Mental Health Services and Schools Link Pilot - where CYP specialist mental health services and schools are testing new ways of joint working to improve outcomes for children and young people with mental health and well being needs
Michelle Place (NHS England), Jaime Smith (Anna Freud Centre), Sarah Brown (Camden CCG) and Lorna Ponambalum (Haverstock School)
2015
GIFT's young sessional workers mystery shop CAMHS websites, testing them against a range of items including how accessible are they to how young person friendly is the information
Using Feedback and Clinical Outcome Tools to Improve Collaborative Practice a...CYP MH
CYP IAPT 2014 National Conference
This workshop will explore how the use of feedback forms and clinical outcome measures can be used to improve collaborative practice and shared decision making in CAMHS, and how the information can be used to enhance clinical supervision. The workshop will set out some of the uses and evidence base for the use of feedback and outcome forms, explore the uses of the information in clinical practice and in supervision, and draw on delegates’ own experiences and ideas of using feedback and outcome forms to improve clinical practice
Practical Participation–practical hints and tips to help you to involve child...CYP MH
CYP IAPT 2014 National Conference
Run by young people, this will be a practical workshop with tools that delegates can take away and use in their own area, with a focus on the participation priorities.
Practical Participation–practical hints and tips to help you to involve child...CYP MH
CYP IAPT 2014 National Conference
Run by young people, this will be a practical workshop with tools that delegates can take away and use in their own area, with a focus on the participation priorities.
YoungMinds Parents Say: Understanding the tension between confidentiality and...CYP MH
CYP IAPT 2014 National Conference
This workshop will build on the learning of Young Minds Parents Say’s work around Parent Participation in CAMHS, exploring, through practical and live examples, some of the key issues emerging in relation to the tension between confidentiality and information sharing with parents.
Speaking the Language of IT - Tony Ryan & Helen PeggsCYP MH
CYP IAPT 2014 National Conference
The aim of this workshop is to explore IT and clinical systems working together in a process that works! It will look at understanding difference so each area has the opportunity for learning the language that is being spoken, and explore the step by step approach required to help move a system into a working process which will aid clinical practice by bringing a reliable and multi-functioning approach to the use of technology. In addition the group will discuss the importance of continuing support from services, identified leads, champions and executive level understanding of aims.
Cross-Sector Working: The challenges of ‘difference’ between health organisat...CYP MH
CYP IAPT 2014 National Conference
Navigating through service developments and improvement can at times be difficult. This difficulty can be even more challenging when working across organisations/ sectors. What is a challenge for one sector is a way of life for another. The language we use and our ideas of social philosophy can provide a rich platform to develop or a rocky shore of pitfalls. Throw into the mix the requirements of CYP IAPT and service transform and you could have a perfect storm! In this workshop we hope to show that these choppy waters can lead to calm seas and the value we can gain from each other far outweighs any difficulties. The value of understanding each other positions, learning from each other and ultimately delivering a better service is at the end of the day what we all want.
Involving Young People in Commissioning – Young People’s Involvement in the C...CYP MH
CYP IAPT 2014 National Conference
This workshop focuses on the Sheffield model of involving young people in commissioning Mental Health Services, incorporating examples of existing good practice in young people’s participation in decision making in the commissioning process. Discussions will explore key implementation factors, such as what this means for commissioners, the challenges and opportunities involved, how individual services can make this work for them and what kind of support may be necessary.
Paperless Outcome Measures - The Journey So Far...Lessons learnt! - Claire Pe...CYP MH
CYP IAPT 2014 National Conference
This workshop will involve a short presentation regarding how the Sheffield CYP IAPT partnership has worked towards direct patient input of outcome measures, using IPads, and how the data is inputted directly into the patient recording system. This workshop will be useful for any partnership who would like to move towards paperless outcome measures for CYP IAPT
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
The Importance of Community Nursing Care.pdfAD Healthcare
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2. www.england.nhs.uk
Commissioning Tier 4 CAMHS Services
• Following passage of HSC Act responsibility for
commissioning tier 4 CAMHS inpatient services and
some highly specialised ASD services transferred to NHS
England from April 2013 (so-called prescribed services)
• Some Tier 4 CAMHS previously nationally commissioned
( medium secure services) – bid for Tier 4 CAMHS
children’s units to be nationally commissioned
• Pre April 2013 – variable arrangements for much of Tier
4 – from ‘spot purchasing’ in some areas to areas where
groups of PCTs/SCG collaborated to commission the care
pathway including inpatient-crisis –home treatment
3. www.england.nhs.uk
The Tier 4 Review
• Commissioned by the NHS E specialised
commissioning oversight group (SCOG) in late
2013 to provide more accurate picture of the
current usage of Tier 4 and issues for inpatient
services
• Focus on Tier 4 CAMHS for practical reasons
although with an understanding that Tier 3 and
social care issues impact
• Aim was to describe the current situation and
analyse data from providers and commissioners
to inform any further work
4. www.england.nhs.uk
Reasons for the Review
• Concerns re quality/safety in some
providers
• Concerns re access (i.e. capacity,
availability, timeliness, distance from home
for some children and young people)
• Need to understand nature of problems in
order to find solutions – evidence that it
was more than simply a change of
commissioner
5. www.england.nhs.uk
The method
• Independent steering group
• Data collection and analysis was led by the
CCQI
• A survey was sent out to all inpatient CAMHS
providers in England – where possible
compared 2012-13 and 2013-14 data
• Ten area team leads who look after specialised
commissioning also completed 10 case studies
following patient journeys (100 in total)
6. www.england.nhs.uk
How many beds were there in England?
• In 2014 - 1264 beds identified in the report commissioned by NHS
England
• These were:
618 General CAMHS
232 Eating disorders
141 Low secure
92 Learning disability
92 PICU
47 HDU
42 Medium secure
• An additional 65 un-commissioned beds nationally (mostly over 13s
general CAMHS and ED)
7. www.england.nhs.uk
Who was admitted?
Case history information – number of cases Yes No Don’t know
Young Person had had a previous Tier 4 admission 38 60 2
Young Person was known to social services 47 53 3
Looked After Child 13 87
18. www.england.nhs.uk
Key challenges from the T4 reportT
The report(1) was published by NHS England in July 2014 and highlights challenges for commissioners and
providers including:
• Decommissioning of Tier 3 or Local Authority children’s services. Inadequate Tier 3 resources/ provisions
was cited by commissioners as the most common reason for inappropriate referrals and factor impacting
on the care pathway experienced by a young person;
• Children and young people having to travel long distances to access a bed due to an uneven distribution
of beds around the country, resulting in some patients being admitted to a service a long way from home;
• Difficulty in recruiting experienced or specialist staff leading to capacity problems.
For England as a whole, the report says, “it is impossible to conclude definitively whether the current level
of bed provision is sufficient to meet the need.” The number of NHS-funded T4 beds increased from 844 in
1999 to 1128 in 2006, rising further to 1264 in January 2014. (As of July 2015 this is 1442)
(1) (http://www.england.nhs.uk/wp-content/uploads/2014/07/camhs-tier-4-rep.pdf
19. www.england.nhs.uk
Key Actions – Progress
• National access and assessment protocols have been
implemented to ensure consistency in referral thresholds
and access arrangements.
• CAMHS case managers appointed
• Tier 4 CYP IAPT
• 56 additional beds have been commissioned:
20. www.england.nhs.uk
Other
• Weekly survey of available beds, delayed
transfers/discharges, difficult-to-place patients, patients
inappropriately placed, out-of-area, over 18s in CAMHS
units
• Investment in community eating disorders teams ( reduce
reliance on inpatient care / improve outcomes and release
capacity within Tier 4 CAMHS)
• Future in Mind
• Transforming Care
21. www.england.nhs.uk
Working with CCGs across the
system
In 2015/16, NHS England invited CCGs to collaboratively commission with each other and with NHS
England for the majority of specialised services. The aim of this approach was to formally build upon
some local working arrangements between CCGs and NHS England already in place. This is intended to
drawn upon the benefits seen of national standards and oversight, with local ownership across the totality
of the pathway. Each of the 10 Specialised Commissioning Teams across the country have CAMHs as a
priority area and will be using the benefit of the recently developed transformation plans to support taking
this work further
This work is aimed at greater integration across the Tiers 2, 4 & 4 pathway to ensure the benefits of a
wider system approach and oversight can be seen by the patients and their families. The impact being
more joined up responsive care targeted at individual needs.
Alongside the development of the transformation plans, NHS England is running the procurement
process with one of its identified objectives to ensure appropriate distribution of beds across the country.
This process will be undertaken alongside CCGs to ensure opportunities of collaborative procurements
and service integration can be capitalised on.
Work also being undertaken to look at the use of place-based budgets for CCGs from 17/18, the aim of
this being to ensure the funding is in the right place to appropriately support the care pathways.
23. www.england.nhs.uk
Travel Impact of Additional Capacity
• To date this has had a noticeable impact on the average travel distances for patients from
the South West as seen in the table below. National trends for average and greatest
distance from home are
Team of
Patient
Origin
Average
Distance from
Home (Miles)
September 15
Average Distance
from Home
(Miles)
DECEMBER 14
East
Midlands
30.9 35.0
East of
England
24.6 34.0
London 45.7 18.5
North East 28.4 42.1
North West 18.3 21.3
South
Central
55.0 46.0
South East
Coast
39.5 30.2
South West 39.8 114.4
West
Midlands
33.1 24.9
Yorkshire
and Humber
36.7 29.6
25. www.england.nhs.uk
Weekly sit rep – number of patients
by location
OA (out of Area) = number
patients who are outside
their normal catchment area
for capacity reasons only
Inappropriately placed =
number of patients that are
awaiting a T4 bed and are
being held in a setting
awaiting transfer
Over 18s = number of
patients in a T4 service
awaiting either discharge or
transfer to an adult service
Delayed Discharge = those
patients who are clinically fit
to be discharged but can not
due to factors outside the T4
units control
