An interactive webinar with clinical leaders sharing their work to support the improvement of physical health of people with serious mental illness: the Lester 2014 tool and Broadmoor case study, followed by discussion, feedback and top tips.
Webinar link: https://n3-nhsengland.webex.com/n3-nhsengland/lsr.php?RCID=15b49ebc960883ed3cbd968f58c78abb
Leading big change: what does it take to deliver at large scale?
Webinar mental health cvd and lester overview
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NHS Improving Quality
Improving the physical health of people with serious mental illness
The Lester 2014 tool and Broadmoor case study
THIS WEBINAR WILL BE RECORDED
2. NHS Improving Quality
Improving the physical health of people with serious mental illness
The Lester 2014 tool and Broadmoor case study
www.nhsiq.nhs.uk
Welcome and Introduction
Hilary Walker, Programme Domain Lead, Living Longer Lives, NHSIQ
3. 1. Welcome and Introduction - Hilary Walker, Head of Programmes,
Living Longer Lives, NHS Improving Quality
2. Housekeeping
3. Dr. Salman Gauher, National Medical Director's Clinical Fellow at
NHS England discussing the Lester tool 2014 and CQUIN links
4. Dr Alan Cohen, Director of Primary Care at Broadmoor discusses
his service with Emma Stark, Project Delivery Manager, Living
Longer Lives, NHSIQ
5. Any questions?
6. Links and Contacts details
AGENDA
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the presentation.
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• This is an interactive session, please add your comments, and
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Host via the chat panel or call 0116 295 0057
A link to the webinar recording and a PDF of slides will be sent to you
shortly after the meeting.
We will now start recording this Webinar
6. www.england.nhs.uk
Relevance to Severe Mental Illness
• It is recognised that people with serious
mental illness are three times more
likely to have physical illness than the
rest of the population. Most deaths in
the SMI population are attributable to
five big killers which include heart
disease and stroke. This is due to a
higher prevalence of modifiable risk
factors:
7. www.england.nhs.uk
2X More Likely
to Smoke
3X More Likely
to Have High BP
3-5X More Likely
to Have High
Cholesterol
3X Increased
Risk of Diabetes
8. www.england.nhs.uk
Clinical Input
1. Dr. Jonathan Valabhji, National Clinical Director for Diabetes –
Clarification on inclusion of Random Glucose for diagnosis of
Diabetes.
2. Prof Huon Gray, National Clinical Director for Cardiovascular
Disease – Addition of Pulse check, modification of lipids and
addition of family history.
3. Dr. Richard Fluck, National Clinical Director for Kidney Disease
–addition of chronic kidney disease screening to the tool.
4. Dr. Geraldine Strathdee, National Clinical Director for Mental
Health – updated smoking guidance, mention relationship to
the CQUIN and other changes.
14. www.england.nhs.uk
How it could be used
1. Assist with implementation of CQUIN
2. Display poster on wards and in community mental
health clinics as a means to provide a framework to
carrying out physical health checks
3. A tool used alongside an improvement methodology
4. A template for development of personalised health
check tools e.g. Integrate into electronic systems,
include on discharge summaries
5. Basis for teaching and training
16. What was primary care at
Broadmoor like before you
started your improvement
project?
How did you decide on
the model to use for
your improved service?
What did you aim to achieve
during your improvement
project?
Planning…….
17. How did you go about
implementing your
plan?
Did you involve patients
in the project?
How did you engage staff?
Was there any resistance to
the changes?
Implementation…….
18. Results…….
What does your primary
care service look like
now?
What has been the
result of the change?
What are you planning
for the future?
19. And finally …….
What would be your top tips for anyone
planning to improve physical healthcare
services within a mental health inpatient
setting?
21. THANK YOU FOR JOINING US TODAY
For further information about the
presentations please contact
• salman.gauher@nhs.net
• Alan.Cohen@wlmht.nhs.uk
General information
• Elaine.kemp@nhsiq.nhs.uk
07747 763930
You will be sent an email with a link to both the recording and the slides
For other presentations and information please visit the living longer lives web page
http://www.nhsiq.nhs.uk/improvement-programmes/living-longer-lives.aspx