Shaping a new mental health liaison service for older people

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Shaping a new mental health liaison service for
older people

• Colin Hughes
• Consultant Nurse - Older People (Mental Health)

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Walton Hospital Derbyshire County PCT 94
rehabilitation and acute admission avoidance beds
Chesterfield Royal Hospital NHS Foundation
Trust 549 acute beds
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• Do the
• Who Cares Wins
  
  calculation
• 120 will have depression
• 84 will have delirium 130 will have
  dementia

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No. ward referrals per year
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The set up

• CN works in partnership as a team with the
  medical psychiatric staff (Dr Sykes, Dr
  Whittingham and Dr George) of Derbyshire Mental
  Health Services NHS Trust
• single point of entry for liaison referrals to an
  enhanced service (the psychiatrists office)
• CN leads change
• consultation to
  liaison

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No. ward referrals to old and new service
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No. of referrals seen by the CN between 20 June
2005 and 30 June 2006

• 380 referred to mental health service from CRHFT
  and Walton
• 190 assigned to the CN (50 of CRHFT and Walton
  referrals)
• 167 assessed by the CN
• 66 follow up contacts
• 23 Not seen for various reasons

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Mean average 2.8 working days 66 of the
routine referrals were seen within 3 working
days 84 within 4 working days.
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Placement outcomes by diagnosis

• Outcome of 97 patients with dementia
• Home 52 (52.6)
• Transferred 19 (19.6)
• Residential/nursing home 10
• Home 6
• Died 3
• Died 12 (12.4)
• Residential/nursing home 14 (14.4)
• Outcome of 70 patients, not dementia
• Home 40 (57.1)
• Transferred 15 (21.4)
• Still inpatient at 30/9/06 1
• Residential/nursing home 4
• Home 6
• Died 4
• Died 7 (10.0)
• Residential/nursing home 8 (11.4)

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Attitude of Consultant Physicians
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Attitude of Consultant Physicians
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