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NHS Improving Quality Improving the physical health of people with serious mental illness

The Lester 2014 tool and Broadmoor case study

THIS WEBINAR WILL BE RECORDED

NHS Improving Quality Improving the physical health of people with serious mental illness

The Lester 2014 tool and Broadmoor case study

www.nhsiq.nhs.uk

Welcome and Introduction

Hilary Walker, Programme Domain Lead, Living Longer Lives, NHSIQ

1. Welcome and Introduction - Hilary Walker, Head of Programmes, Living Longer Lives, NHS Improving Quality

2. Housekeeping

3. Dr. Salman Gauher, National Medical Director's Clinical Fellow at NHS England discussing the Lester tool 2014 and CQUIN links

4. Dr Alan Cohen, Director of Primary Care at Broadmoor discusses his service with Emma Stark, Project Delivery Manager, Living Longer Lives, NHSIQ

5. Any questions?

6. Links and Contacts details

AGENDA

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A link to the webinar recording and a PDF of slides will be sent to you shortly after the meeting.

We will now start recording this Webinar

www.england.nhs.uk

Dr. Salman Gauher

Lester 2014

Update

www.england.nhs.uk

Relevance to Severe Mental Illness

• It is recognised that people with serious mental illness are three times more likely to have physical illness than the rest of the population. Most deaths in the SMI population are attributable to five big killers which include heart disease and stroke. This is due to a higher prevalence of modifiable risk factors:

www.england.nhs.uk

2X More Likely

to Smoke

3X More Likely

to Have High BP

3-5X More Likely

to Have High

Cholesterol

3X Increased

Risk of Diabetes

www.england.nhs.uk

Clinical Input

1. Dr. Jonathan Valabhji, National Clinical Director for Diabetes – Clarification on inclusion of Random Glucose for diagnosis of Diabetes.

2. Prof Huon Gray, National Clinical Director for Cardiovascular Disease – Addition of Pulse check, modification of lipids and addition of family history.

3. Dr. Richard Fluck, National Clinical Director for Kidney Disease –addition of chronic kidney disease screening to the tool.

4. Dr. Geraldine Strathdee, National Clinical Director for Mental Health – updated smoking guidance, mention relationship to the CQUIN and other changes.

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Link to National Mental Health

CQUIN

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How it could be used

1. Assist with implementation of CQUIN

2. Display poster on wards and in community mental

health clinics as a means to provide a framework to

carrying out physical health checks

3. A tool used alongside an improvement methodology

4. A template for development of personalised health

check tools e.g. Integrate into electronic systems,

include on discharge summaries

5. Basis for teaching and training

Dr Alan Cohen Director of Primary Care

Broadmoor Hospital

What was primary care at Broadmoor like before you started your improvement project?

How did you decide on the model to use for your improved service?

What did you aim to achieve during your improvement project?

Planning…….

How did you go about implementing your plan?

Did you involve patients in the project?

How did you engage staff? Was there any resistance to the changes?

Implementation…….

Results…….

What does your primary care service look like now?

What has been the result of the change?

What are you planning for the future?

And finally …….

What would be your top tips for anyone planning to improve physical healthcare services within a mental health inpatient setting?

http://www.nhsiq.nhs.uk/improvement-programmes/living-longer-lives/cardiovascular-disease-outcomes-strategy/cvd-case-studies.aspx

THANK YOU FOR JOINING US TODAY For further information about the presentations please contact • salman.gauher@nhs.net • Alan.Cohen@wlmht.nhs.uk General information • Elaine.kemp@nhsiq.nhs.uk 07747 763930

You will be sent an email with a link to both the recording and the slides

For other presentations and information please visit the living longer lives web page

http://www.nhsiq.nhs.uk/improvement-programmes/living-longer-lives.aspx