Evaluating risks

2000 ◽  
Vol 6 (6) ◽  
pp. 399-406 ◽  
Author(s):  
Navneet Kapur
Keyword(s):  
Service Provision ◽  
Psychiatric Patients ◽  
Home Office ◽  
Care Programme ◽  
Department Of Health ◽  
Secretary Of State ◽  
National Service Framework ◽  
The Government ◽  
Risky Business ◽  
Service Framework

Mistakes are inevitable in any branch of medicine, but psychiatry is a particularly risky business (Holloway, 1997). When psychiatrists get it wrong there may serious consequences for their patients, the clinical team and the wider public. The Government introduced a series of initiatives in the 1990s: the Care Programme Approach (1990), the supervision register (Department of Health & Home Office, 1994) and supervised discharge (Secretary of State for Health, 1997). One of the main purposes of this legislation was to minimise the risk psychiatric patients pose to the community. Future service provision will be shaped by clinical governance and the National Service Framework for Mental Health (Secretary of State for Health, 1997), and evaluation and management of risk will become increasingly important.

scholarly journals Government policy and the National Service Framework for Mental Health: modelling and costing services in England

2009 ◽  
Vol 15 (3) ◽  
pp. 230-240 ◽  
Author(s):  
Jed Boardman ◽  
Michael Parsonage
Keyword(s):  
Mental Health ◽  
Mental Healthcare ◽  
National Service ◽  
Department Of Health ◽  
National Service Framework ◽  
Working Age ◽  
Policy Objectives ◽  
Detailed Assessment ◽  
The Government ◽  
Service Framework

SummaryThe National Service Framework for Mental Health (NSF–MH), published by the Department of Health in 1999, set an ambitious 10-year agenda for improving mental healthcare for working-age adults in England, based on seven quality standards covering all major services. The NSF–MH was supported by a series of other policy documents published by the government. This article illustrates a means of modelling the government's policy for adult mental health services to produce figures for the necessary services, staffing and financial resources required to meet the policy objectives. The findings of a report recently published by the Sainsbury Centre for Mental Health, which undertook a detailed assessment of what needs to be done to deliver these standards in terms of service provision, staffing and funding, is summarised and its implications examined.

Alternatives to acute hospital care

2001 ◽  
Vol 11 (4) ◽  
pp. 373-378 ◽  
Author(s):  
H Gentles ◽  
J Potter
Keyword(s):  
Older People ◽  
Acute Hospital ◽  
Intermediate Care ◽  
National Service ◽  
Acute Hospital Care ◽  
Department Of Health ◽  
Health Authorities ◽  
National Service Framework ◽  
Hospital Beds ◽  
Service Framework

The National Bed Inquiry indicated that up to 20% of older people might be inappropriately occupying acute hospital beds and could be discharged if alternative services were available. The report proposed the concept of ‘Intermediate Care’ as a scenario that might contribute to resolving issues around the use of acute hospital beds. The Department of Health (DoH) Circular to Health Authorities and Local Councils with regard to Intermediate Care and the publication of the National Service Framework for Older People have brought intermediate care into mainstream health policy.

scholarly journals National Service Framework for Mental Health

2000 ◽  
Vol 24 (6) ◽  
pp. 203-206 ◽  
Author(s):  
Graham Thornicroft
Keyword(s):  
Mental Health ◽  
National Service ◽  
Department Of Health ◽  
National Service Framework ◽  
Local Flexibility ◽  
Working Age ◽  
And Performance ◽  
The Given ◽  
Clear Statement ◽  
Service Framework

The National Service Framework for Mental Health (NSF–MH) is a strategic blueprint for services for adults of working age for the next 10 years. It is both mandatory, in being a clear statement of what services must seek to achieve in relation to the given standards and performance indicators, and permissive, in that it allows considerable local flexibility to customise the services which need to be provided to fit the framework. This paper summarises the process by which the NSF was created, and its content, which became clear when it was published on 30 September 1999 (Department of Health, 1999).

scholarly journals Creating the infrastructure for mental health research

2002 ◽  
Vol 26 (11) ◽  
pp. 403-406 ◽  
Author(s):  
Graham Thornicroft ◽  
Jonathan Bindman ◽  
David Goldberg ◽  
Kevin Gournay ◽  
Peter Huxley
Keyword(s):  
Mental Health ◽  
Health Research ◽  
Research Agenda ◽  
Mental Health Research ◽  
National Service ◽  
Department Of Health ◽  
National Service Framework ◽  
Service Framework

The purpose of this paper is to identify the important gaps in research coverage, particularly in areas key to the National Service Framework for Mental Health (NSF-MH) (Department of Health, 1999) and the NHS Plan (Department of Health, 2000), and to translate these gaps into researchable questions, with a view to developing a potential research agenda for consideration by research funders.

Developing mental health services in response to research evidence

2008 ◽  
Vol 17 (1) ◽  
pp. 47-56 ◽  
Author(s):  
Helen Killaspy ◽  
Sonia Johnson ◽  
Michael King ◽  
Paul Bebbington
Keyword(s):  
Mental Health ◽  
Community Treatment ◽  
Local Context ◽  
Department Of Health ◽  
Home Based ◽  
Crisis Resolution Teams ◽  
National Service Framework ◽  
The Us ◽  
Satisfaction With Services ◽  
Service Framework

AbstractOver the last thirty to forty years, psychiatric care in England has relocated from hospital-based settings to community mental health teams (CMHTs) and supported accommodation. Since the 1980s, two forms of intensive home based treatment have evolved in addition to CMHTS, assertive community treatment (ACT) and crisis resolution teams (CRTs). On the basis of evidence for their efficacy in the US and other countries, they have been implemented across England through the Government's National Service Framework for Mental Health. This paper describes this evidence and the first UK studies that were carried out to evaluate these newly implemented services.Methods– Descriptions of the evaluations of ACT and CRTs in the inner London boroughs of Camden and Islington.Results– The implementation of CRTs in North London were associated with reduced use of inpatient services, but the ACT teams were not. Both types of team were associated with greater patient satisfaction with services and the ACTs were better able to engage patients than CMHTs.Conclusions– The authors comment on the implications of the findings for service planners in terms of the difficulties in implementing innovative approaches based on the best available evidence when it originates outside the local context.Declaration of Interest:These studies were funded by Camden and Islington Health Authority, the King's Fund and the Department of Health.

scholarly journals Physical Activity, Nutritional Habits, and Sleep Behavior Among Health Profession Students and Employees of a Swiss University During and After COVID-19 Confinement: Protocol for a Longitudinal Observational Study (Preprint)

2020 ◽  
Author(s):  
Slavko Rogan ◽  
Eefje Luijckx ◽  
Jan Taeymans ◽  
Karin Haas ◽  
Heiner Baur
Keyword(s):  
Applied Sciences ◽  
Physical Activity ◽  
Home Office ◽  
Sleep Behavior ◽  
Nutritional Habits ◽  
Department Of Health ◽  
University Of Applied Sciences ◽  
The Government ◽  
Novel Coronavirus ◽  
The Impact

BACKGROUND SARS-CoV-2, a novel coronavirus strain, has resulted in the COVID-19 pandemic since early 2020. To contain the transmission of this virus, the Swiss Federal Council ordered a nationwide lockdown of all nonessential businesses. Accordingly, students and employees of institutions for higher education were informed to continue their academic programs through home-office settings and online lectures. OBJECTIVE This longitudinal survey aims to evaluate various lifestyle habits such as physical activity, nutritional habits, and sleep behavior among students and employees of a Swiss University of Applied Sciences during a 2-month period of confinement and social distancing due to the COVID-19 pandemic and 1 year thereafter. METHODS This paper describes a protocol for a retrospective and prospective observational cohort study. Students and employees of Bern University of Applied Sciences, Department of Health Professions, were invited to anonymously complete a web-based survey during the COVID-19 confinement period. This will be followed by a second survey, scheduled 1 year after the lockdown. Information on various lifestyle aspects, including physical activity, nutritional habits, and sleep behavior, will be collected using adaptations of existing validated questionnaires. RESULTS This longitudinal study started during the government-ordered confinement period in Switzerland in mid-April 2020 and will end in mid-2021. CONCLUSIONS The findings of this survey will provide information about the impact of confinement during the COVID-19 crisis on the physical activity, nutritional habits, and sleep behavior of students and employees of a Swiss institute. CLINICALTRIAL ClinicalTrials.gov NCT04502108; https://www.clinicaltrials.gov/ct2/show/NCT04502108 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/25051

scholarly journals Invited commentary on The mental health of prisoners

2003 ◽  
Vol 9 (3) ◽  
pp. 200-201
Author(s):  
Tony Maden
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
National Health Service ◽  
Health Service ◽  
Task Force ◽  
Mentally Disordered Offenders ◽  
Home Office ◽  
Mentally Disordered ◽  
Department Of Health ◽  
The Government

Psychiatrists have always been concerned about the mental health of prisoners. If they did not devote much energy to their treatment, it was only because they had more-pressing problems, including how to squeeze ten patients into nine beds. In any case, it was someone else's job to look after prisoners. Luke Birmingham's article (Birmingham, 2003, this issue) could not be more timely, as this situation has now changed. With the publication of The Future Organisation of Prison Healthcare (Prison Service & NHS Executive Working Group, 1999), and the creation of a joint Department of Health and Home Office task force, the Government has made it clear that the problem of mentally disordered offenders belongs to the National Health Service (NHS). There is a plan, there is a partnership and there are targets. Can those of us who have been worrying about prisoners with mental illness sit back and relax, as the solution unfolds?

scholarly journals Working for psychiatric patients?

1989 ◽  
Vol 13 (8) ◽  
pp. 407-408 ◽  
Author(s):  
Edward Peck
Keyword(s):  
Health Care ◽  
Community Care ◽  
Psychiatric Patients ◽  
White Paper ◽  
Psychiatric Services ◽  
Fundamental Change ◽  
Government Response ◽  
Department Of Health ◽  
The Government ◽  
Surgical Conditions

Working for Patients and the subsequent Working Papers mention psychiatric services explicitly only twice. The proposals have been formulated for patients requiring tests and treatment for elective surgical conditions. They are the conditions which are believed to be predictable and therefore the most receptive to contractual specification and pricing. The health care contract is to be central to the new NHS. It is the device by which the Department of Health hopes to produce a fundamental change in attitude by both doctors and managers. Kenneth Clarke seems much more concerned with this attitudinal shift than with the detail of what the NHS might resemble a decade from now. This omission of overt consideration of psychiatric services does not allow us to ignore the White Paper. I intend to focus on the potential implications of the proposed themes for psychiatric services, particularly in the context of what they might indicate about the Government response to Community Care: Agenda for Action.

scholarly journals Training implications of community-oriented psychiatry

2001 ◽  
Vol 7 (3) ◽  
pp. 208-215 ◽  
Author(s):  
K. Linsley ◽  
R. Slinn ◽  
R. Nathan ◽  
L. Guest ◽  
H. Griffiths
Keyword(s):  
Mental Health ◽  
Community Psychiatry ◽  
Health Department ◽  
Mental Health Needs ◽  
Community Based ◽  
Department Of Health ◽  
National Service Framework ◽  
Mental Health Department ◽  
Separate Discipline ◽  
Service Framework

Over the past 20–30 years psychiatry has gradually moved from predominantly hospital-based care to care in the community. Community psychiatry embraces a variety of definitions: it may describe the practice setting, the population served or the philosophy of illness and treatment (Johnston et al, 1995). In discussing the training implications of this shift towards community models of psychiatric care, we will not consider a separate discipline of ‘adult community psychiatry’. We believe that nearly all psychiatric specialities now involve substantial elements of work outside the hospital, and we therefore contend that the new skills, knowledge and attitudes required to meet the challenge of providing both hospital- and community-based care are pertinent to all trainees. Furthermore, the development of these are essential if the consultant of the future is to provide the safe, effective and sustainable service to those with complex mental health needs detailed in the recent National Service Framework (NSF) for Mental Health (Department of Health, 1999). We will also not attempt specifically to assess the merits of the move to community psychiatry, which may be subject to a separate debate.

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