A digital place for people who access services, carers, staff and partner agencies, to share ideas around care co-ordination & care planning in mental health

What are the challenges to improving physical health care? Request for staff and service-user feedback

 Improving physical health care for all service-users is both a national and a local priority. A physical health task and finish group has been set-up and is attended by staff with an interest in improving this aspect of care across the trust. Andria Hanbury (Associate for Evidence-Based Improvement) is pulling together a summary of the challenges to improving physical health care, as well as current trust activities aimed at improving physical health care. This information will be used to develop an evidence-based action plan aimed at improving physical health care across the trust.

 The challenges to improvement include those relating to health professionals and the system in which they work (for example, need for refresher training on physical health care), as well as those relating to service-users (for example, reluctance to attend appointments in primary care).To ensure we identify all of the main issues, so that we can start to address them in a systematic way, we are seeking your feedback.

 Please look at the diagram and let us know whether you feel we have captured the main challenges, and if not, what additional ones there are. There are no right or wrong answers: we are just interested in your feedback/opinions. Please leave a comment or send your feedback to Andria.hanbury@nhs.net by no later than 5th May. Thank you to those who have already fedback on barriers from a service-user perspective’’

a h

Comments on: "What are the challenges to improving physical health care?" (4)

  1. Hi, slightly off topic as I think this is aimed at community patients. However from the perspective of inpatients I have noticed several issues in my time as an inpatient nurse.

    Accessing wound care for patients discharged from the general hospital’s is always difficult. The district nursing teams associated with home GP will not come out to visit patients on wards. Often this is left to ward staff and medics which is difficult especially when they are very complex dressings for example packed dressings.
    Also more specialised services such as speech and language therapist for inpatients with say swallowing difficulties have been very difficult to access.


    • Andria Hanbury said:

      Hello, Thanks for this feedback. I am aiming to cover inpatient and community care, so its all very relevant. I will add these issues into my summary, as have not had comments made RE topics such as wound care and specialist services before. Thanks again


  2. I find psychiatric services are not tied in with GP..psychiatrist knows effects of anti psychotics but ignores them…risk of diabetes, weight gain, food cravings poor sleep cognitive dulling…GP is not tuned into psychiatric medicines.
    Also in GP attitudes are very poor towards MH problems..there is still terrible amount of stigma.


    • Andria Hanbury said:

      Hello. Thanks for this feedback, its really helpful and ties in with the sorts of issues I came across when reading around the subject. I shall make sure that theses issues are covered in my summary of the main barriers/challenges so that we can start to think through how to tackle them. Thanks again


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Dr. Sally Pezaro

Personal Academic Blog: This is the research blog of Dr. Sally Pezaro. Sally is an academic midwife working to secure excellence in maternity services. Specialist interests include psychological wellbeing in midwifery populations, the use of social media in research, teaching and professional regulation.



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