‘Valuing physical and mental health equally’
Parity of Esteem Conference
Wednesday 15 October 2014
Stadium of Light
BREAKOUT SESSION BRIEF
Session 1
How can we help people make decisions about their personal health budget
Speaker(s): Alison Austin, Personalisation Lead, NHS England
Jackie Candlish, Commissioning and Planning Officer, Durham County Council
Riana Nelson, Joint Commissioning Manager – Children, NECS
Jo Cole, Head of Operations, Tees Valley, Durham and North Yorkshire Neurological Alliance
This session aims to do the following:
- Give the national perspective on personal budgets
- Update on work across the Northern England region
- Explain why personal budgets are important
- Provide practical examples of how to make personal budgets work which will cover some of the following:
- What you need to consider
- How to enable a shared decision
- What kind of information is needed for people to make an informed decision
- Considering both mental and physical health
- Provide you with local contact details
- Understand what you need from to help you
Session 2
“Deciding Right – individualising care decisions
Speakers: Dr ClaudRegnard, Consultant in Palliative Care Medicine
Lyn Gibson, Manager, Northumberland Physiotherapy Service
Dorothy Matthews, Macmillan CNS Palliative Care – Learning Disabilities
The 2013 CIPOLD report found that nearly half of deaths in people with learning disability were avoidable, largely due to poor and discriminatory decision making. The 2014 House of Lords report on the Mental Capacity Act found that compliance with the MCA was poor. The recent Court of Appeal Tracey judgement challenged the way decisions are made around cardiopulmonary resuscitation. Deciding right empowers individuals and their carers to make care decisions in the context of shared decision making, within the requirements of the 2005 Mental Capacity Act and following the guidance of the 2011 NHS guidance on advance care planning and the 2014 national guidance on CPR decisions. This workshop will explore the Deciding right initiative that is now in the North East, Cumbria, North Lancashire and the Wirral in Cheshire.
Session 3
Demystifying screening and brief advice in clinical settings for alcohol and tobacco
Speakers:Martyn Wilmore, Fresh
Dr Dorothy Newbury-Birch, Newcastle University
The breakout session will be split into information re screening and brief interventions for smoking (Martyn Willmore, Fresh) and screening and brief interventions for alcohol (Dorothy Newbury-Birch, Newcastle University). The session will give some information on risks associated with smoking and alcohol and the evidence base for screening and brief interventions and show video-clips of how these happen in practice. The purpose is to show how these things can be done easily in practice and therefore demystify them.
Session 4
“First Aid Help” for the emotional distress of people with a physical illness
Speaker (s):Dr Kathryn Mannix, Consultant in Palliative Care
CBT in a palliative care setting
CBT is an established treatment for emotional disorders including depression, anxiety disorder and OCD. CBT-based interventions have also been demonstrated to be useful in enhancing coping and improving compliance with treatment in long-term conditions like asthma and diabetes.
In palliative care, there is a place for CBT as an intervention to enable patients to manage their distress and re-build their resilience, even though they are dealing with challenging physical symptoms and realistic thoughts about disease progression, death and loss of both time with loved ones and their own future. This workshop is intended to give a brief overview of how CBT skills are being built up in the regional cancer and palliative care workforce by training ‘CBT First Aiders’, and how Cognitive Therapy can be used to deal with realistic, difficult thoughts.
Session 5
Tackling physical health inequalities in severe mental illness: how you can contribute
Speakers:Dr Sheila Hardy, Education Fellow, UCL Partners
Kate Dale, Mental/Physical Health Project Lead, NHS Bradford District Care Trust
This session will give delegates the opportunity to explore what they can do as individuals or within their organisation to improve the physical health of people with serious mental illness.
Dr Sheila Hardy will present evidence which highlights the poor physical health of people with mental health problems. She will offer some practical advice for addressing this problem and refer to some appropriate resources: a primary care guide to physical healthcare she developed for people with SMI; a tool created for mental health nurses and an appropriate training programme.
Kate Dale will then describe a collaboration between specialist mental health and primary care in Bradford and Airedale to develop a template for physical healthcare which integrates with primary care systems and has since been spread into secondary care services enabling continuity of physical healthcare for patients.
Then it will be over to you to consider how you can improve the physical health of the people with mental health problems that you are responsible for. You can ask questions and use Sheila and Kate’s expertise to help you!
Session 6
Making Every Contact Count – the role of the workforce in empowering healthier lifestyles
Speaker(s):Dr Paul Goldsmith, Consultant Neurologist
Amanda Healey,
Maureen Bell
Annie Wallace
The Making Every Contact Council model has been implemented in South Tyneside with great success. This initiative aims to support staff in having healthy conversations with service users and clients. It is based on behaviour change methodologies and supports people in making choices about their wellbeing and health.Every member of the workforce has an opportunity to act as a role model to the people they come into contact with every day, and influence a cultural shift towards healthier lifestyles by using this approach. This session will allow delegates to hear stories and practical experiences from South Tyneside, and will point participants to examples across other organisations. The workshop will explore barriers, challenges and opportunities to implementing this approach within participant organisation’s and community; including how this approach could be delivered systematically and sustainably.
Session 7
Redefining support for young people with mental health issues: Examples from the North
East
Speakers: Yvonne Collins, Young Minds
Jo Davison, Youth Focus: North East
Hannah Shaw, Youth Focus: North East
The session will provide delegates with knowledge ofmental health problems that affect young people and an insight into issues with current child and adolescent mental health services that support them. Delegates will gain an understanding of key features needed within accessible and effective mental healthcare models for young people, including examples from within the North East.
Session 8
Tackling physical health inequalities in severe mental illness: how you can contribute
Speakers:Dr Sheila Hardy, Education Fellow, UCL Partners
Kate Dale, Mental/Physical Health Project Lead, NHS Bradford District Care Trust
This session will give delegates the opportunity to explore what they can do as individuals or within their organisation to improve the physical health of people with serious mental illness.
Dr Sheila Hardy will present evidence which highlights the poor physical health of people with mental health problems. She will offer some practical advice for addressing this problem and refer to some appropriate resources: a primary care guide to physical healthcare she developed for people with SMI; a tool created for mental health nurses and an appropriate training programme.
Kate Dale will then describe a collaboration between specialist mental health and primary care in Bradford and Airedale to develop a template for physical healthcare which integrates with primary care systems and has since been spread into secondary care services enabling continuity of physical healthcare for patients.
Then it will be over to you to consider how you can improve the physical health of the people with mental health problems that you are responsible for. You can ask questions and use Sheila and Kate’s expertise to help you!
Session 9
Value-Based Action: Getting past buzzwords to actually do good things well
Speaker:Alisdair Cameron, LAUNCHPAD
The session will look at questions around co-production, peer support and parity of esteem, considering issues such as whether a medical model helps or hinders such activities in mental health, and how institutional structures (such as those in the NHS) may (or may not) accommodate empowered and pro-active mental health service users.
Session 10
Assessing Psychological Wellbeing in Physical Health
Speaker(s):Mary Douthwaite, Chartered Clinical Psychologist, South Tyneside Specialist Palliative Care Team
Dr Clare Davies, Consultant Clinical Psychologist, James Cook University Hospital
Kate Kendall, Consultant Clinical Psychologist, Northern Centre for Cancer Care
Based on national guidance, for Adults with Cancer, this session introduces a four level model for Psychological Support. Implementation of Holistic Assessment and Psychological Screening, including Risk Assessment, are outlined. Challenges of assessing psychological distress within a physically ill population are explored. Practice developed within the Cancer Network over the last 4 years, applicable to many other patient groups, is shared and discussed. Delegates have the opportunity to practice using one or more screening tools.
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