nottingham west ccg - a practice perspective dr james read gp – the manor surgery, beeston mental...
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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
