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ED Liaison Psychiatry What you as a GP need to know! Dr Chris Schofield Lead consultant DPM & CRHT

Dr. Chris Schofield, lead consultant in DPM & CRHT, outlines the role of ED in physical and combined mental/physical health emergencies. Learn what ED is not for and the numbers and conditions it deals with. Understand the future of liaison psychiatry in ED and ask questions.

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ED Liaison Psychiatry What you as a GP need to know! Dr Chris Schofield Lead consultant DPM & CRHT

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  1. ED Liaison PsychiatryWhat you as a GP need to know! • Dr Chris Schofield • Lead consultant • DPM & CRHT

  2. What is ED for? • Physical health emergency • Or • Combined Mental health and physical health emergency

  3. What ED is not for • Pure mental health emergency • Please send to CRHT not ED

  4. Numbers • DPM seeing average of 246 patients a month in ED this financial year. • Average 85% 1 hour response time. • Working age team sees on average 400 patients per month. • Also older adult, SMLS teams as well.

  5. What do we see? • 2/3rds self harm – approx 2900 last year • 20% psychosis – 1st presentation and legal highs most common (delirium is excluded from this)

  6. What else do we do? • All NUH wards and clinics • (not perinatal) • Note older adult liaison team and SMLS teams • Also LD liaison and CAMHS liaison • Complex mixed medical psychiatric conditions • Eg short bowel syndrome and depression, Cystic Fibrosis and mixed anxiety and depression…… • Medically unexplained Symptoms • Normally multiple organ systems

  7. The future • UEC Vanguard • 111MH, all age ED liaison, NUH wards, all age CRHT, Community teams, Wards (discharges) • Rushcliffe vanguard • GP liaison psychiatry model – if successful roll out to whole area

  8. Questions?

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