Smoking is an emotive subject: health; choice; freedom; rights; collateral cost. Never more so than in the NHS, Trusts are increasingly going Smoke Free. At March’s Service User Network, the topic is ‘Leeds and York Partnerships NHS Foundation Trust’s smoking policy’ – all welcome to join in the discussion, but in the meantime:
What are your views about people smoking during an inpatient stay?
What can and should Trusts do to support people to stop smoking?
The next LYPFT York, Service User Network Meeting will be held on 30th January 2015. The network covers Easingwold, Selby and Tadcaster as well as York. I am pleased to inform you that a representative from the Charity Together: for Mental Wellbeing which is an initiative to tackle mental health issues working with vulnerable groups of people who as a result of mental distress are intensive users of council, police, ambulance and fire services is going to attend to provide an update of the project and how it operates within this area.
As ever all are most welcome.
The next LYPFT Leeds Service User Network meeting will be held on 7th January; the topic will be Spirituality. All welcome to come along; if you want to know a little more about what the meetings are like, then click here. The minutes from the December 2014 can be found here.
Jo Fryer and Emma Metcalf explain what Integrated Care Pathways are and how these are being developed at Leeds and York Partnership NHS Foundation Trust (LYPFT):
Hi there, the trust is developing pathways that set out minimum standards of what people should expect and receive during their care. We thought it would be useful to outline work done so far, and what we are doing next. Below is some information that will hopefully be useful:
What is an Integrated Care Pathway (ICP)?
An Integrated Care Pathway:
maps what should be done, when and by whom
sets a minimum standard of care
incorporates relevant guidelines, standards and protocols
Why have LYPFT developed ICP’s?
the right people
doing the right things
in the right order
at the right time
in the right place
all with the attention to the individuals journey.
They also reduce unnecessary duplication and variation and are outcome and wellbeing / recovery focussed.
The trust has developed a ‘Core’ ICP that builds upon the information gathered at the assessment. Areas of need anyone may experience regardless of ‘diagnosis’ will help develop individual care plans; other areas of need may include:
Mental health and/or Learning Difficulties
Social, Occupational & Vocational
Carers and Family interventions
Supporting and Safeguarding children
Safety & Risk
Mental Health Act
Mental Capacity Act
In addition to these, specific needs based interventions describe the specific, expert interventions recommended by NICE and other best practice guidance for people with specific needs around Cognitive Impairment / Dementia, Psychosis and Common Mental Health issues.
We are currently working on how we can make the information meaningful and accessible for all and the best way of doing this eg the Trust web site. We will also be undertaking consultations with people who use our services.
Thank you for taking the time to read this and we hope you found it a useful introduction to ICP’s.
If you have any comments or questions please feel free to post them on here or email firstname.lastname@example.org
The York Service User Network started in September 2014 and now meets monthly. The next meeting is on Friday 28th November at 1.15 and is at a new venue on Friargate. The meetings are relaxed and informal, the first half hour is devoted to welcoming people and sharing a cuppa. There is an agenda and this month there will be a discussion about Recovery, followed by a Q & A session. Some time will be put by to discuss the coming year and what the group would like to be included on the agenda. Everyone is welcome!
At Leeds and York Partnership NHS Foundation Trust we are developing guidance for staff to help ensure that people are offered choice, including choice of worker. What is your view on people being offered a choice of worker? Please complete this quick poll, responses are anonymous.
Choice is a hot topic in Mental Health at the moment. People will be able to choose where they have their first outpatient appointment under choose and book, providing equal status between physical and mental health services. This is a welcome move, but is only part of the story; Dr Sean Lennon writes about the broader picture of choice, of collaborating with service users, empowering people to make autonomous decisions about their own care and lives “Mental health service users are no different from anyone else in that they want to be able to exercise choice. They want to be treated with respect and be supported by skilled staff to receive high-quality care. Freedom of choice is absolutely fundamental to these aspirations”. You can read the full story here.
Locally, people attending the Service User Network (SUN) pulled together their views about choice and how they want to be treated within mental health services. The discussions were lively – clearly people had strong views about this and there were many stories highlighting the importance of choice and how it makes a difference to the persons experience and their progress. You can read about ‘Choice and how people want to be treated: key messages from SUN’ here. There is more information about Leeds SUN here; you can click here for details about a developing service user group in York and there is also the Independent Mental Health Service User Forum, you can read about how to contact them and what they do here.
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.