Transcript Workshop E - Quality Improvement Hub
Delivering Tele-mental Health Services in Scotland
Dr Stella Anne Clark Clinical Lead for Mental Health Services Tony McLaren, National Co-ordinator NHS 24
“Success is a science; if you have the conditions you get the result”
Oscar Wilde
• • • Background Present services Where we aim to be in 2015
NHS 24
• Access to unscheduled care • Improving Health • Improving access to services
Phone Internet
the person
Mobile TV Telecare Webcam Video SMS
TELECARE Mental Health National Learning
11 th October 2012
Doreen Watson Joint Improvement Team Action Group - Telecare
Almost 44,000 people received a telecare service as a result of TDP, over 4,000 people with dementia diagnosis
Evaluation identified that TDP:
Supported 2500 hospital discharges
Avoided 8700 unplanned admissions
Avoided 3800 care home admissions
Estimated 162,000 people with telecare / community alarm service at March 2011
Telecare
Telecare Training – NHS Lanarkshire
North Lanarkshire Dementia Demonstrator Site One of 3 Demonstrator Sites funded by Scottish Government Improving partnership working and testing opportunities for single system working Partnership working with NHS Lanarkshire, North and South Lanarkshire Councils, Tynetec, Supra UK and the Joint Improvement Team Kitting out the OT Department with assistive technology and Telecare equipment Developing a one day training session with Dementia Champions (equipment, pathways and response to Telecare) Planning on-going buzz sessions to raise awareness in clinical teams Support clinical decision making and discharge planning
Telecare Training – NHS Education
• • •
Post Diagnostic Support in Dementia Pilot Programme designed and delivered by Alzheimer Scotland in Feb/March 2012 on behalf of NHS Education for Scotland and SSSC.
The programme was designed on the basis of recommendations from the Scottish Government funded ‘Facing Dementia Together Project’ in East Renfrewshire and Renfrewshire (2009-11), specifically the ‘5 pillar’ model of post diagnostic support –
Understanding the illness and managing symptoms Supporting community connections Peer support Planning for future care Planning for future decision-making
Contact Details
Doreen Watson Joint Improvement Team Action Group - Telecare [email protected]
Breathing Space Unscheduled care
Unscheduled care
• • • • • mental health calls (1-2%) Suicide thoughts Anxiety /depression Dementia?
LD?
Unscheduled Care
• • • Training for staff Information for service users Mental health staff
Breathing Space
• Free, anonymous, national • Available 6pm-2am Mon – Thurs 6pm Fri until 6am Mon • Funded by Scottish Gov & NHS 24 • Listen, advise, support and signpost • Non-intervention but empowering • Calls average 20 mins • 7000 calls per month
Men’s 10k June 2009
Partnerships
• BSL Deaf Service • Formal Partnerships -Scottish Huntington's -Princess Royal Trust for Carers -MacMillan Cancer Support -Veterans 1st point -Glasgow’s Helping Heroes -Motherwell FC -RNIB
Breathing Space Website
•Launched October 3rd 2005 •600,000 hits Oct 05 to April 2012 •Circa 9,000 a month •Alternative first stop service •Available 24/7 •BSL contact via website
Improving Access to services
• Telephone Guided Self help (tGSH) • Telephone CBT (tCBT) • Video conference clinics
• Nationally funded
Guided Self Help
• Self referral accepted, GP notified • Trained coaches • Defined model • External and internal supervision • 2-4 sessions per individual
CBT service
• provided by telephone • Prof Williams’ materials • Currently available to -7 Health Boards • • GP and self referrals External Evaluation in 2010
Improving access to services
• Video conference clinics -Dementia -General Psychiatry -Neuropsychology -Addictions -Psychotherapy for Eating Disorders -Forensic psychiatry clinics in prison
NHS 24 Mental Health Program
Improving Access to Information • Web based information • Digital TV
On line and digital TV
• NHS Inform website • Digital TV Virgin media-most common provider • Alcohol brief Interventions on line and digital TV
Conditions for success
• Political Support • Vision of Clinical Leaders and academics • Opportunity • Telehealth Organisation established • Accessing EU funds • Expected benefits embedded into national strategies and delivery plans
2015?
“Success is a science; if you have the conditions you get the result”