Download - Persuading the Commissioners - Dr Steve Reid, Consultant Liaison Psychiatrist, St Mary’s Hospital
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Fog of War:8 lessons
from the life of a liaison psychiatrist
(with apologies to Errol Morris)
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How to get more of what you want and keep hold of the little you have…
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Lesson 1.
Get with the
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National Service Framework for Mental Health
Standard 3: any individual with a common mental health problem should be able to make contact around the clock with local services...
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Lesson 2.
Find out who the real commissioners are …where’s the money?
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North West London Strategic Health Authority
Westminster PCTBrent PCT
CNWL Mental Health NHS TrustSt Mary’s NHS Trust
Harrow PCT
Liaison Psychiatry at St Mary’s
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Lesson 3.
It pays to
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Lesson 4.
Get your patients on side...
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Lesson 5.
Have all of those reports on the tip of your tongue...
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• The Psychological Care of Medical Patients: Recognition of Need and Service Provision (1995) Royal College of Physicians & Royal College of Psychiatrists, London.
• The Psychological Care of Medical Patients: a practical guide (2003) Royal College of Physicians & Royal College of Psychiatrists, London.
• Report of the Working Party on the Psychological Care of Surgical Patients (1997) Royal College of Surgeons, London
• The General Hospital Management of Adult Deliberate Self-harm: A consensus statement on standards of service provision (1994). Royal College of Psychiatrists, London
• Self-harm: The short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care. NICE guideline
• Improving the management of patients with mental ill health in emergency care settings (2004) DoH checklist
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Health services research
Cost-effectiveness studies
...are they worthwhile?
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Lesson 6.
a little bit of teachingcan do you a lot of good...
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Lesson 7.
Go forth and multiply…….
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Lesson 8.
By any means necessary….
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Serious
Untoward
Incident