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Dr Vishelle Kamath Consultant Psychiatrist SEPT

Providing an Accessible Mental Health Liaison Service to a General Hospital : Challenges and Solutions. Dr Vishelle Kamath Consultant Psychiatrist SEPT. Background. The L & D – a large district general hospital A wide and diverse population from 3 different counties

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Dr Vishelle Kamath Consultant Psychiatrist SEPT

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  1. Providing an Accessible Mental Health Liaison Service to a General Hospital: Challenges and Solutions Dr Vishelle Kamath Consultant Psychiatrist SEPT

  2. Background The L & D – a large district general hospital A wide and diverse population from 3 different counties £3.6 million - The total cost to the commissioning body, NHS Luton, for admissions to the L&D for psychiatric presentations including dementia, self-harm and substance misuse was approximately (2011 -2012)

  3. Background continued... A high proportion of patients in general hospitals have co–morbid mental health problems, leading to poorer health outcomes and increased healthcare costs. [Joint Commissioning panel for mental health] Mental health service users2 have double the rate of hospital attendances compared to the general population3 – across A&E, inpatients and outpatient services [ The Health and Social Care Information Centre (HSCIC)]

  4. The Problem The current level of psychiatric input into the L&D cannot meet demand.

  5. Objective • To develop a psychiatry service that : • Will meet the demand • Is accessible to all patients • Will measurably improve outcomes with regards to health, finances, patient and carer experience • Be implemented by December 2013

  6. National Drivers Root cause Analysis Media/ Expectation L&D

  7. Root cause Analysis • The current model of mental health service provision to the L &D is one of ad hoc psychiatric consultations with separate services for adults and older adults (those aged 65 and over). • The growing demand for psychiatric assessments and input cannot be met at the current levels of resource allocation • The result of this inequality between supply and demand is placing immense pressure on the hospital - increased lengths of stay - hospital acquired infections, poorer patient experience and poorer health outcomes.

  8. Strategic Options

  9. Comparison of Strategies

  10. Key Milestones

  11. Implementation Steps

  12. Evaluation Plan

  13. Measurable Outcomes *Economic Evaluation of Liaison Psychiatric Service Centre for Mental 2011

  14. Agreed KPI’s

  15. Agreed KPI’s cont….

  16. Lessons Learnt • So a new service..... Why all the fuss? The right proposal by The right provider The right time • Transformational Leadership • Influence and relationships • Achieving consensus – unfiying objectives

  17. Lessons Learnt ..... • Stakeholder management • SEPT • Stellar reputation as a provider of excellent services • Track record of successful service transformation • The spending paradox

  18. Lessons for me Maintaining momentum...

  19. Lessons for me Time distortion!

  20. Lessons for me Sequential problem solving

  21. Lessons for me More than just numbers....

  22. Thank you!

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