Nottingham West CCG Practice Perspective & Local Solutions Overview

This content delves into the practice perspective of Dr. James Read, a GP at The Manor Surgery in Beeston, focusing on early patient identification, staff education, and support to prevent crises. It also highlights the CCG perspective on mental health, emphasizing diagnosis impact, cultural change, and education efforts. Additionally, it discusses local solutions like the IAPT pilot for patients with long-term conditions and dementia, aiming to reduce hospital admissions and improve mental health within households. The role of GPs in considering holistic patient care, communication of intervention impacts, and post-diagnostic support is also explored.

• Nottingham West CCG
• Practice Perspective
• Mental Health
• Local Solutions
• GP Role

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1. Nottingham West CCG - A Practice Perspective Dr James Read GP The Manor Surgery, Beeston Mental Health Clinical Lead

2. Practice Perspective As a GP practice: Identify patients earlier Staff education and understanding Timely conversations with patients, giving people the time to plan and discuss options Awareness of available support Help avoid crisis and loss of independence where possible

3. Vignettes Patient Carer Carer

4. CCG Perspective As a Mental Health Clinical Lead at the CCG Understanding the impact of diagnosis Cultural change Education, creating bespoke training Tools to support diagnosis and referral The significant changes that have taken place across primary care

5. Local Solutions In 2014/15 - Improving Access to Psychological Therapies (IAPT) enhanced service pilot for patients with Long Term Conditions. Help patients and carers prevent avoidable hospital admissions. In 2015/16 - Expanded to include people with dementia working to reduce anxiety, low mood and stress within the household. Across 2014/15 - 6% of all referrals to the IAPT pilot were for people with dementia. By month 5 in 2015/16 - 16% of all referrals were for patients with dementia

6. Role of the GP To consider the whole person, including other chronic and long term conditions and the potential impact of medication To weigh up the pros and cons that an intervention may have on a patient- communicate these Recognise carer stress- physical and mental Encourage patients and family to accept help Refer and signpost to post diagnostic support

7. Any Questions? Dr James Read Nottingham West CCG 0115 883 5100 nottingham.west@nottinghamwestccg.nh s.uk