Liaison Mental Health Network 25 April 2017 Dr Katie Martin, - - PowerPoint PPT Presentation

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liaison mental health network 25 april 2017
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Liaison Mental Health Network 25 April 2017 Dr Katie Martin, - - PowerPoint PPT Presentation

Dec 31, 2022 135 likes •390 views

Yorkshire and the Humber Mental Health Network Liaison Mental Health Network 25 April 2017 Dr Katie Martin, Network Clinical Advisor & Consultant Liaison Psychiatrist, TEWV MHFT Alison Bagnall, Clinical Network Manager, Adult

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www.england.nhs.uk

  • Dr Katie Martin, Network Clinical Advisor & Consultant Liaison Psychiatrist, TEWV MHFT
  • Alison Bagnall, Clinical Network Manager, Adult Mental Health & Dementia
  • Rebecca Campbell, Quality Improvement Manager
  • Charlotte Whale, Quality Improvement Manager
  • Sarah Boul, Quality Improvement Lead
  • Twitter: @YHSCN_MHDN #yhmentalhealth
  • April 2017

Yorkshire and the Humber Mental Health Network

Liaison Mental Health Network 25 April 2017

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SLIDE 2

www.england.nhs.uk

Welcome & Introductions

Dr Katie Martin, LMH Clinical Advisor, Yorkshire and the Humber Clinical Networks and Consultant Liaison Psychiatrist, Tees, Esk and Wear Valley NHS FT

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www.england.nhs.uk

Summary of Y&H Liaison Mental Health Services

Number of Liaison Services 15 Number of Provider Mental Health Trusts 9 Number of Acute Providers 13 Number of Hospitals Covered 20

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Humber, Coast & Vale (HCV) STP Area

Acute Trust Hospital Name Liaison Provider Name of Liaison Service

  • No. of Beds in

Acute Hospital York Teaching Hospital NHS Foundation Trust Scarborough General Hospital Tees, Esk & Wear Valleys NHS FT Scarborough Acute Hospital Liaison Team 300 The York Hospital Tees, Esk & Wear Valleys NHS FT MHALT York LMHT 750 Hull And East Yorkshire Hospitals NHS Trust Hull Royal Infirmary Humber NHS FT (Department of Psychological Medicine) Department of Psychological Medicine 1400 Northern Lincolnshire And Goole NHS Foundation Trust Scunthorpe General Hospital Rotherham Doncaster and South Humber NHS Foundation Trust. N Lincolnshire Access service N Lincolnshire Acute Liaison Team 406 Diana, Princess of Wales Hospital Grimsby NAVIGO Not Known 439

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South Yorkshire & Bassetlaw (SYB) STP Area

Acute Trust Hospital Name Liaison Provider Name of Liaison Service

  • No. of Beds

in Acute Hospital Barnsley Hospital NHS Foundation Trust Barnsley Hospital South West Yorkshire Partnership Barnsley Mental Health Liaison Team 350 Doncaster And Bassetlaw Hospitals NHS Foundation Trust Bassetlaw District General Hospital Nottinghamshire Healthcare NHS Trust Bassetlaw MH Liaison 305 Doncaster Royal Infirmary Rotherham Doncaster and South Humber NHS Foundation Trust. Access Team Older People’s MH Liaison 850 Rotherham NHS Foundation Trust Rotherham Hospital Rotherham Doncaster and South Humber NHS Foundation Trust. Rotherham Hospital Mental Health Liaison Service 500 Sheffield Teaching Hospitals NHS Foundation Trust Northern General Hospital Sheffield Health & Social Care NHS FT Not Known 1100

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West Yorkshire (WY) STP Area

Acute Trust Hospital Name Liaison Provider Name of Liaison Service

  • No. of Beds in

Acute Hospital Airedale NHS Foundation Trust Airedale General Hospital Bradford District Care Trust Bradford A&E Liaison/ Hospital Liaison Team 395 900 Bradford Teaching Hospitals NHS Foundation Trust Bradford Royal Infirmary Calderdale And Huddersfield NHS Foundation Trust Calderdale Royal Hospital South West Yorkshire Partnership Mental Health Liaison Team 800 Huddersfield Royal Infirmary Harrogate And District NHS Foundation Trust Harrogate District Hospital Tees, Esk & Wear Valleys NHS FT Acute Hospital Liaison Team 384 Leeds Teaching Hospitals NHS Trust St James' University Hospital Leeds & York Partnership NHS FT ALPS/ LPIOS/ Old Age Liaison Team 1113 Leeds General Infirmary 590 Mid Yorkshire Hospitals NHS Trust Pontefract Hospital South West Yorkshire Partnership Psychiatric Liaison Team 1116 Dewsbury and District Hospital Pinderfields Hospital

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  • Work collaboratively across the Y&H localities to support CCGs and Providers to prepare

for the release of funding from 17/18 onwards to expand/improve/develop liaison services to meet national standards

  • Collate and share a range of good practice models in liaison including national pilots and

work with the WY (and other national) Vanguard sites, ensuring learning and models are shared across the patch

  • Develop tools and guidance as necessary to support local understanding of the

requirements, preparing for delivery, assessing baseline and gap analysis and understanding demand

  • Develop a process to undertake economic evaluations and evidence of a range of

liaison services which includes patient and public review of effectiveness

  • Unite individuals and partners across Yorkshire and the Humber in a common purpose
  • Promote common understanding, joint working and prevent duplication
  • Work collaboratively to build capacity and capability for quality improvement in services.

LMH Network: Purpose

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  • Understand the Yorkshire & Humber (Y&H) geography baseline of liaison services

meeting the Core 24 minimum standard, including concerns, risks and good practice

  • Ensure clinical expertise in liaison, both adult and child & adolescent, drives the

programme of work and adds appropriate local narrative to data

  • Using a regional (North) liaison mental assurance framework which includes

appropriate links to the Urgent and Emergency Care, Primary Care and wider Crisis Care programmes, develop this into a bespoke framework for Y&H for local STP use

  • Troubleshoot problems and provide Y&H support and feedback to the North region

via FAQs

  • Provide an expert liaison mental health clinical and advisory voice to the Y&H area,

the three STP Programme Offices, the Y&H Mental Health & Dementia Programme Group and any associated sub-groups / task and finish groups which may be established.

LMH Network: Aims

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SLIDE 9
  • Information exchange
  • Networking
  • Sharing good practice
  • Coaching for service development
  • Sharing resources e.g. job descriptions, operational policies etc.
  • Identifying common problems and seeking solutions
  • Areas with strengths and/or expertise will offer support to areas

with developmental needs

  • Education
  • Dissemination of information and communication from the National

Team.

LMH: Watermarks of a Membership Model of Working

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SLIDE 10

(Minutes available on tables.)

  • Clinical Network Overview
  • Aims & Objectives
  • Yorkshire and the Humber Baseline Position – Survey

undertaken in May 2016

  • National Update – Discussion regarding

Transformation funding; FAQs produced.

  • Workshop: Developing the Local Vision for Liaison

Service

Y&H LMH Network First meeting – 9th December

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SLIDE 11

Workshop: Developing the Local Vision for Liaison Service – Tensions & Concerns:

  • Lack of appropriate accommodation in hospitals
  • Process driven targets potentially compromising clinical

standards

  • Workforce, Staffing Resources and Skill mix across LMH teams
  • Lack of vision in the national direction i.e. emphasis only placed
  • n A&E, performance management, diverting resources from
  • ther parts of the systems
  • Difficulties in engaging with the acute trust
  • Funding and education in the acute trusts.
  • Concerns about maintaining specialisms i.e. older adult and

adult and ensuring core 24 is meaningful based on local need.

Y&H LMH Network First meeting – 9th December

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SLIDE 12

Workshop: Developing the Local Vision for Liaison Service – Creative Solutions:

  • Going beyond the crisis and considering prevention, care home

liaison etc

  • Community solutions paired with an A&E service
  • Provision of training & education to the acute trust
  • Considered how assistive technology could better link systems to

identify frequent flyers and share information, greater access to IAPT

  • Individualised suites of rooms in the trust
  • General information sharing.
  • Appointing champions for Perinatal Mental Health, Learning

Disabilities and CAMHS and working collaboratively, but not fully integrated, so as to not lose specialisms.

  • Working across services via STPs and Networks.

Y&H LMH Network First meeting – 9th December

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SLIDE 13

www.england.nhs.uk

Plan for the Afternoon & Reflections on the Morning

Dr Katie Martin, LMH Clinical Advisor, Yorkshire and the Humber Clinical Networks and Consultant Liaison Psychiatrist, Tees, Esk and Wear Valley NHS FT

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www.england.nhs.uk

  • National Plans & Progress
  • Commissioner Perspective
  • Sustainability modelling for liaison services
  • Liaison psychiatry outcome measures
  • Developing Skills & competency in liaison
  • Workshops:

1) How to develop a strong liaison transformation bid – learning from Wave 1 2) What’s next for successful Wave 1 sites – implementation support 3) Understanding the characteristics of smaller liaison services without the demand for Core 24 – discussion group supporting development of national guidance

This Morning…

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www.england.nhs.uk

  • Overview of Bids
  • What next? - Discussion
  • Any other business
  • Future meetings

This Afternoon…

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www.england.nhs.uk

Overview of the Bids - Summary of the Region

Dr Katie Martin, LMH Clinical Advisor, Yorkshire and the Humber Clinical Networks and Consultant Liaison Psychiatrist, Tees, Esk and Wear Valley NHS FT

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www.england.nhs.uk

Acceptance of the one-year transformation pump prime funding constitutes a local commitment to the following:

  • recurrent funding of the newly-expanded service in future

years beyond the year of receipt of the transformation funding;

  • provision of a 24/7, on-site, distinct service to an acute

hospital with a 24/7 Emergency Department within one year of receipt of the transformation funding;

  • provision of a 1 hour response to emergency referrals and

24 hour response to urgent ward referrals within one year

  • f receipt of the transformation funding;
  • staffing of the liaison service at or close to the

recommended levels for core 24 as per bid.

Acute Hospital Urgent & Emergency Mental Health Liaison Services (Adults and Older Adults) Transformation Fund - 2017/18 & 2018/19

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www.england.nhs.uk

CCG/TRUST/MH TRUST YEAR ALLOCATED Mid Yorkshire Hospitals Trust (SWYFT) 17/18 Sheffield (NG) 17/18 York (TEWV) 17/18 Leeds (LYPFT) 18/19 Rotherham (RDaSH) 18/19 C&H (SWYFT) 18/19 Hull (Humber MHFT) 18/19

Outcome of Wave 1 Bids

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  • Clear, unambiguous CCG sign up to recurrent funding
  • Consultation/ direct input from liaison clinicians
  • Explicit statements about aims/ plans for additional funding
  • Data evidencing current/ projected savings from LMH
  • Commitment to collect EB outcome measures
  • Robust timelines and plans for next 24 months
  • Reasonable balance between current investment &

requested £

  • Rationale for any differences explained clearly
  • e.g. developing advance practitioner/ nurse consultant

roles

  • Highlighting strengths of current model
  • e.g. incorporating existing D&A services/ expanding

links with primary care/ integration with IAPT for MUS

Summary of key elements of successful bids

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www.england.nhs.uk

Discussion: What next?

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www.england.nhs.uk

  • Sustainability & Transformation Programmes
  • Wave 1 sites – 2017/18
  • Wave 1 sites – 2018/19
  • Planning for Wave 2 sites
  • Developing & Supporting those services not

applying/successful for Wave 1 & 2

What Next?

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Closing Remarks & Any Other Business

  • Links with Urgent & Emergency Mental Health Care
  • Northern Region LMH Nurses Forum
  • Next Steps
  • Future Meetings

Dr Katie Martin, LMH Clinical Advisor, Yorkshire and the Humber Clinical Networks and Consultant Liaison Psychiatrist, Tees, Esk and Wear Valley NHS Foundation Trust

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www.england.nhs.uk

Yorkshire and the Humber Liaison Mental Health Network

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