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Getting the balance right: the relationship between primary and secondary care in mental health

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Stefano Gelati

on 29 April 2010

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Transcript of Getting the balance right: the relationship between primary and secondary care in mental health

Primary Care Mental Health Services What do GPs want? What do psychiatrists want? Clear point of contact
Clear information from the outpatients' clinic
Quick assessment of urgent patients
Clarity about case management
Advice
Doctor-to-doctor communication
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Good quality referrals
Clarity about clinical responsibilities
Two ways communication Insert Audit results New Primary Care initiatives Insert proforma Standardised letters to GPs offer up-to-date information on patients' progress but also risk assessment, contingency plan and contact details of the care coordinator for the GP to use in case of emergencies. Specialist clinics (Clozapine, Depot and, in the pipeline, Lithium clinics). These will promote good communication with GPs about health checks and regular monitoring of patients on Clozapine, depots and Lithium. The clinics are nurse led but also have a senior psychiatrist for backup and advice.
"Open Hour" telephone support. Each consultant is available on the phone for one hour a week to answer non urgent queries from GPs in their catchment area (for primary and secondary care patients). Duty team backup. Every week we have a "site availability" rota so that each day the duty team can access a consultant psychiatrist for advice on emergencies. A system to cover sickness/annual leave is in place. Email availability. Consultants have specifically offered their GPs to be contacted on their email for non urgent advice. To identify a senior member of the CMHT to be "linked" to every practice
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