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

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Mediaclip for staff training – participants wanted

Do you currently receive community services from LYPFT, or have in the last 12 months? Are you a carer of someone accessing LYPFT community services?

If so, and your care is arranged through Care Programme Approach, by sharing your story and experiences digitally you can help improve services through helping us understand what we do well, and where we can improve. Your experience would be used for staff training and for general mental health and carer awareness across the Trust and with the general public.video1-

Areas to understand include: assessment; care coordination; care planning; review; working with others including carers. Also your understanding of recovery and wellbeing.

Digital recording will be on the 17th and 20th of November, it will take no longer than two hours. If you would like to participate or would like more information then please contact Donna Kemp donna.kemp@nhs.net 07985259082

Thank you!inkwell nov


Sharing our success

Fine example of staff finding creative solutions; driven by putting people first.

Let's Talk about Dementia

Occupational therapy assessment clinic in Fife

Development of the occupational therapy clinic

Increasing rates of referrals, people waiting for treatment, travel time, staff vacancies were just a few of the triggers to lead staff in the older adult mental health occupational therapy service in Fife to say:

We are not having people waiting 4-5 months for an occupational therapy assessment

We were also acutely aware that waiting months for an assessment was resulting in people with a cognitive impairment/dementia having deteriorated over this time, increase in stress and anxiety on carers and families as well as not having accessed other services and supports that they could have been receiving. This was not a positive outcome for people living with dementia, their families or the occupational therapy staff.

We considered a number of solutions to this issue, but all of them had an adverse effect on other parts of…

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NPNR 2015 review

Useful overview of the Network for Psychiatric Nursing Research conference for folk who couldn’t make the event

Ben Hannigan's blog

About to commence: #NPNR2015 About to commence: #NPNR2015

The 21st Network for Psychiatric Nursing Research (NPNR) conference took place on Thursday and Friday, September 17th and 18th 2015, with the theme of ‘Building new relationships in mental health nursing: opportunities and challenges’. The occasion was a fine one, with just short of 200 people in attendance. For those not able to make it but wanting to know more, the programme can still be found here and the book of abstracts here.

I’ve been on the NPNR scientific and organising committee this year, courtesy of my membership of Mental Health Nurse Academics UK. This afforded me the chance to welcome delegates at the conference opening, and to draw attention to the just-breaking news of Professor Len Bowers’ planned retirement at the start of 2016. Len has been an inspirational mental health nurse researcher: more on this later.

2015-09-17 15.58.04 #NPNRselfie with Karina Lovell

Introduced by

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CCA National Event 30th October – free places for our lovely members!

As members, LYPFT have access to 3 free places – first up best dressed!

The Care Coordination Association

cca october

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You Remember the Concordat?

Mental Health Cop

You may remember the Crisis Care Concordat from early 2014? – very much led by Norman LAMB MP, who was then Minister of State for Mental Health. It led to a brief bureacracy that drove various meetings, plans and activities: including commitments by organisations to various things including a reduction in the use of police cells as a Place of Safety under the Mental Health Act 1983; a 30 minute response time by the Ambulance Service to detentions under s136 MHA (except in South East Coast Ambulance Service who would prefer to have an hour) and to much better training, data and cooperation across the piste.

The Concordat imposed deadlines which were publically monitored by which areas had to commit to delivering on the principles of the Concordat and then to the development of an Action Plan which outlines how problems, gaps and issues would be addressed. Once the public…

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Seven-day psychiatrists

The Psychiatry SHO*

Unless you’ve spent the last few months in a cave, you’ll know that David Cameron is dead-set on turning our NHS into a ‘seven-day service’.

He hasn’t given much detail on what it’ll look like, or how it’ll differ from the current set-up (in which doctors already routinely work 7 days a week), but the current arm-twisting of doctors into a contract which would force them to work more weekend days for the same pay shows that he really wants it to happen. Whatever it is.

So how might psychiatrists adapt to working routinely at the weekend, instead of just being on-call for urgent jobs and emergency assessments? Despite the mean and unthinking way that the government have gone about their proposals, I do think that psychiatrists could make substantial changes to their practice to acknowledge that mental illness doesn’t just work 9 to 5, Monday to Friday. It…

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Crossing the “too crazy” threshold

Thought provoking blog by @sarahrudston how much ‘unwell’ do we accept & tolerate before someone ‘crosses the line’?


I can’t remember how we got talking about the ways in which people participate in anti-stigma campaigns, but it ended up with my friend scornfully remarking, “People are all for anti-stigma and anti-discrimination initiatives until they are personally inconvenienced in some way.”

Is this true? Do we all have a hard limit when it comes to acceptance and tolerance?

I thought about a different conversation I’d been part of recently, concerning someone with complex mental health issues. The woman speaking was very quick to assure me that, no, she didn’t have anything against people with mental health issues, but this particular person was “absolutely off her head”.

Then I started thinking about all the other times people had backed up their gossip with qualifying statements in a bid to convince me that they honestly weren’t saying what I thought they were saying, it was just that this particular person…

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Help is out there.

Sadly of late I’ve heard a lot of negativity around services. With the many cuts, closures and changes its effected everyone on some level from the doctors to volunteers and from facilitator to service users. Not only have I heard complaints about such things but also and even more importantly I’ve heard a lot of judgments about services in general.
This I guess is nothing new but it doesn’t make it ok.
I understand where some of the frustrations come from being a service user myself I have often felt annoyed and let down by certain services in particular. The problem is the more we become negative about services the less people are helped and understood.

I found myself recently talking to a carer, a father who was losing all hope in his daughters recovery. With the many cuts to services his fear was she wouldn’t receive the help and support she so desperately needed. I felt concerned myself as all their hopes seemingly were in one basket and I didn’t want to be the one to cause anymore distress or disappointment.
I did feel compelled though to be honest and if nothing else I can speak from experience after being in and out of various services for a number of years myself.

Carefully I explained to him that although the service he hoped for was exceptional, highly skilled and specialised and of no doubt would be of some help to his daughter that actually it may not be their saving grace.
As much as I understand and appreciate it takes more than one person to make a service/team work I also believe it can take just one individual to really make the difference. One service may no longer be available but all was never lost. It may take a little more work or perseverance and it may take a little more time but his daughter would find someone to help, understand, support and care. Across all services there are many individuals who are more than capable to offer such things and help in his daughters recovery. The answers don’t necessarily lie within a service as a whole but more in two people making a connection, sharing a trust, an openness, an understanding and most importantly a willingness to try.

What I walked away thinking is how much I truly believe in this and that professionals and service users alike need to try work on difficulties in relationships, have a willingness and patience in one another. I also think it’s important to except that sometimes personalities clash and if they do it’s no fault of anyone’s but all parties need to work together to make it work for the service user because unfortunately if not it’s a waste of everyone’s time, effort and sadly can make recovery even harder.

The reason I’m sharing this with you is because it truly saddens me when I hear such negativity around services, such frustration and a sense of all being lost and I believe if we all could show a little more openness, acceptance and appreciation recovery will be more likely and a little easier for all. I hate the thought people who are struggling are feeling alone and that life’s hopeless because they’ve had one negative experience within a service and I want to say in a long-winded way it’s most certainly not and they need to persevere because their will be someone who can and will help.

I am really interested to hear about anyone’s personal experiences with mental health workers/services and or opinions.

Do you think in your experience it’s the skills and knowledge within a team or the individual relationship you have with a worker that has helped more?

July 2015 Update

Jonny Lovell blog

Since I last updated these pages in January, much progress has been made on the Sharing Lived Experience research project. Survey analysis has been underway in earnest, we’ve run service user and practitioner focus groups in Leeds and York, we’re collaborating with Australian partners to undertake comparative activities in Melbourne, and the findings will be presented at the Beyond ‘Them and Us’ conference in Leeds in November.

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Right Here, Right Now

Mental Health Cop

The CQC have given a name to the review of crisis care that has been pending for a few weeks now.  There is therefore no other way to start this post than with a choon! —

The review that was published at midnight arises from the Crisis Care Concordat that was published in February 2014 and which has led to each area of England developing its own action plan to remove the barriers each area has.

Here are the crisis care review resources –

The CQC report is sobering reading in many respects and a considerable piece of work.  One hundred and ten pages in total so I’d encourage the sixteen page summary report for most who are tempted.  There are various highlights to the report which have been covered in a BBC news article and I’m…

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CCA National Good Practice Awards 2015

LYPFT are CCA members; this is a great opportunity to celebrate and share good practice!

The Care Coordination Association

CCA National Good Practice Awards 2015

The past year has seen the whole of the NHS under unprecedented pressure. However, despite these unrelenting demands, many teams continue to strive to support service users, focus on best practice and continually improve patient experience.  The CCA has a long history of recognising these individuals and teams through the annual CCA awards.  Since they were introduced in 2006, 197 teams and individuals have been recognized for the innovative and excellent work that they do. We would encourage all member organisations to take this opportunity to submit nominations in the categories for 2015 listed below. The categories for this year are broad to encourage the submission of innovative work and the examples are just to give a flavour.

Categories and criteria:

Promoting Service User Involvement in Delivering Effective Care Processes (could be on an individual basis or team/ ward basis or across the organization e.g…

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Smoking in psychiatric hospitals

Some interesting insights on smoking in hsopital…….

The Psychiatry SHO*

Last week the Mental Elf reviewed a research paper on the effects of smoke-free policies in psychiatric hospitals. It looks like some smokers manage to stay clear of cigarettes after being admitted to a hospital with a ban.

The debate about whether such bans are fair is complex and often heated, but can usually be boiled down to an argument between freedom (to smoke) and health (of the smoker and others). Contrary to my usual mindset, which is very freedom-orientated, I actually support smoking bans in psychiatric hospitals. I’d like to discuss why, not because I’m particularly ardent in my stance (in fact I used to be against them) but because it’s a tricky area in which I value both points of view. And before you ask, yes, I’ve been a smoker.

Firstly, let’s not forget – smoking is really, really dangerous. It wrecks the human body like nothing else, with smokers dying at least ten years before non-smokers on average. Furthermore,

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CCA members identify MH issues that need addressing nationally

Interesting mix of views here; top 3 reflect current concern of impact of recording…..

The Care Coordination Association

Key MH Issues/Opportunities Identified by Care Coordination Association Members 

cca loudspeakDuring Geraldine Strathdee’s keynote address at last weeks CCA event, CCA members were challenged to identify their top 3 issues in mental health that require addressing nationally.  This was in the context of mobilising mental health professionals to take action and have their voices heard. Very motivating. Well, it did the trick as the CCA members produced not only a top 3, but also identified other areas that should be considered:

Top Three

  1. Better integration between physical health/ mental health services/ voluntary sector including training
  2. Impact of reporting requirements/paperwork on staff clinical time
  3. Better use of IT/single IT system/ e.g. SystmOne & better use of technology e.g. digital dictation


  • Increase staff & look at payscales – adequately staffed community services where community & IAPT seem to take the brunt of CIPS
  • Use of specialist professional skills, rather than generic roles
  • Reduce numbers of non-clinical…

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Personality Disorder – topic at May Leeds SUN

Everyone is welcome to join Leeds Service User Network; topic of discussion will be Personality Disorder with Tom Mullen. You are welcome to post your questions or have your say on here if you are unable to attend.

SUn may 2015

Service User Network 1st April, Leeds

April’s SUN on 1st April will see Alison Kenyon, Associate Director for Leeds Mental Health Care Group, talking about the trust plans for this year; we will also have Jeanette Lawson, Community Operations Manager, discussing the new Crisis Assessment Unit. Anthony Deery, Director of Nursing and Quality, will also be there to discuss his role and hear your ideas on ways to make improvements to our services.

This is a great opportunity to have your say as well as share your thoughts  on ways to make improvements. Please try to attend and spread the word.

SUN leeds april 2015

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Open Minded Online

sharing ideas and resources about holistic approaches to emotional and social wellbeing

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This is the research blog of Dr Sally Pezaro. Sally is 'The Academic Midwife' working to secure excellence in teaching and maternity services. Specialist interests include maternity services, workforce and midwifery research.

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Academic Irregularities

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Nursing, Nursing politics, Leadership, anything.

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Graeme Cumming

Author, Speaker, Blogger

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A Caring Mind

A blog for carers of mental health

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