Half of A&Es to have specialist mental health teams by 2019

NHS England reveals plans to implement 24-hour specialist mental health teams in almost half of A&Es across the country by March 2019 | National Health Executive

News to implement 24-hour specialist mental health teams in almost half of A&Es across the country by March 2019 was announced in NHS England’s update to the Five Year Forward View, which outlined a number of new aims and initiatives to tackle chronic problems within mental health care nationally.

 

NHS England will look to improve the number of ‘talking’ therapies offered by the NHS, as 60,000 more people will receive these services by the end of 2017-18, rising to 200,000 more people getting care by the end of 2018-19.

New frameworks to facilitate faster access to digital therapies are also to be developed by NHS England alongside NICE.

Read more at National Health Executive

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Resiliency and quality of life trajectories after injury

Zarzaur, B. et al. Journal of Trauma and Acute Care Surgery. Published online: 23 February 2017

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Background: Injury can greatly impact patients’ long-term quality of life. Resilience refers to an individual’s ability to positively adapt after facing stress or trauma. The objective of this study was to examine the relationship between pre-injury resiliency scores and quality of life after injury.

Conclusion: Patient resiliency predicts quality of life after injury in regards to mental health with over 25% of patients suffering poor mental health outcome trajectories. Efforts to teach resiliency skills to injured patients could improve long-term mental health for injured patients. Trauma centers are well positioned to carry out such interventions.

Read the full abstract here

Trauma and psychiatric disorders, a systematic review

Clous, E.A. et al. Journal of Trauma and Acute Care Surgery. Published online: 26 January 2017

Background: Suicide is currently a topic of high priority for policy-makers, researchers and clinicians. The World Health Organization estimated 804.000 suicide deaths worldwide in 2012. Some studies that focused on patients with self-inflicted injury revealed that mortality in this group is higher than for patients who sustain unintentional injury. However little is known about the impact of psychiatric disorders on health care resources including length of hospital stay.

Conclusion: Patients who have a psychiatric disorder or who have attempted suicide are at higher risk of increased in-hospital mortality and prolonged length of stay after sustaining injuries. These patients also tend to be at higher risk of complications after severe trauma, however future research is needed to confirm these potentially important implications.

Read the full abstract here

Steep rise in A&E psychiatric patients

There has been a steep rise in the number of people arriving at A&E departments in England with mental health problems, figures show.

Experts say a lack of early support means patients are reaching crisis. Data compiled for the BBC by NHS Digital showed that between 2011-12 and 2015-16 the number of patients attending A&E units with psychiatric problems rose by nearly 50% to 165,000. For the under 18s alone the numbers almost doubled to nearly 22,000.

These figures represent a small minority of overall A&E attendances – just over 1% in total.

But the Royal College of Emergency Medicine said that was likely to be the “tip of the iceberg” as these figures just included cases where the primary diagnosis was a psychiatric condition.

Read more at BBC News

Details of new waiting targets for trusts

New guidance, seen by HSJ, sets out what is expected of mental health and acute trusts to meet the new emergency access and waiting time targets.

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  • All emergency and urgent mental health patients in A&E and hospital wards should be seen within one hour by liaison psychiatry staff
  • Emergency patients should be treated within four hours and urgent patients within 24 hours
  • Trusts to submit how quickly they respond to emergency mental health crises at hospitals from April
  • New guidance tells trusts to report if they are hitting emergency and urgent mental health liaison target

Read the full news story here

NHS England sets out steps to improve mental health care and help those attending A&E in crisis

NHS England | Published online: 26 November 2016

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NHS England is for the first time inviting regional A&E Delivery Boards, which oversee urgent and emergency care locally and include partners from hospitals, councils and other local bodies, to bid for £30m funding for expert psychiatrists and mental health nurses to provide better care for people with urgent and emergency mental health needs attending A&E and being treated on general hospital wards.

People with mental ill health are three times more likely to end up in A&E than the general population and five times more likely to be admitted to general hospital wards in an emergency.

Read the full news story here