Nottingham West CCG - A Practice Perspective

Dr James Read GP – The Manor Surgery,

BeestonMental Health Clinical Lead

Practice Perspective

As a GP practice:

Identify patients earlier Staff education and understanding Timely conversations with patients, giving

people the time to plan and discuss options Awareness of available support Help avoid crisis and loss of independence

where possible

Vignettes

Patient

Carer

Carer

CCG Perspective

As a Mental Health Clinical Lead at the CCG

Understanding the impact of diagnosis Cultural change Education, creating bespoke training Tools to support diagnosis and referral The significant changes that have taken place

across primary care

Local Solutions In 2014/15 - Improving Access to Psychological

Therapies (IAPT) enhanced service pilot for patients with Long Term Conditions.

Help patients and carers prevent avoidable hospital admissions.

In 2015/16 - Expanded to include people with dementia – working to reduce anxiety, low mood and stress within the household.

Across 2014/15 - 6% of all referrals to the IAPT pilot were for people with dementia. By month 5 in 2015/16 - 16% of all referrals were for patients with dementia

Role of the GP

To consider the whole person, including other chronic and long term conditions and the potential impact of medication

To weigh up the pros and cons that an intervention may have on a patient- communicate these

Recognise carer stress- physical and mental Encourage patients and family to accept help Refer and signpost to post diagnostic support

Any Questions?

Dr James Read Nottingham West CCG0115 883 5100nottingham.west@nottinghamwestccg.nhs.uk