The January edition of British Journal of Psychiatry is now available. This issue includes articles on treatment-resistant depression and peripheral C-reactive protein, treatment-resistant and multi-therapy-resistant criteria for bipolar depression, and repeated oral ketamine for out-patient treatment of resistant depression.
Click here to view the table of contents. Login with your LCFT OpenAthens account to view the full text articles.
BJPsych Advances – January 2019
The January edition of BJPsych Advances has been published. This issue includes articles on Vortioxetine for depression in adults, hoarding, and an update on tardive dyskinesia syndrome.
Click here to view the table of contents. Login with your LCFT OpenAthens account to view the full text articles.
Mental Capacity (Amendment) Bill: (Briefing Paper Number CBP8466)
House of Commons Library, December 2018
House of Commons Library briefing that provides an overview of the Mental Capacity (Amendment) Bill, and the debates and amendments made during the Bills Lords stages, ahead of its Second Reading in the Commons on 18 December 2018. The intention of the Bill is to reform the process ( Deprivation of Liberty Safeguards (DoLS))for authorising arrangements which enable people who lack capacity to consent to be deprived of their liberty (for the purpose of providing them with care or treatment).
Click here to view the briefing.
Equality analysis: liberty protection safeguards – Mental Capacity (Amendment) Bill
Department of Health Social Care, December 2018
Examines the potential impact on protected groups of the Mental Capacity (Amendment) Bill, which seeks to replace current legislation with Liberty Protection Safeguards. It looks at the positive, neutral and negative effects that this legislation could have on people with protected characteristics and other groups, such as carers.
Click here to view the full report.
Our data-driven future in healthcare: People and partnerships at the heart of health related technologies
Academy of Medical Sciences, December 2018
New data-driven technologies, powered by novel ways of linking and analysing patient data, are set to transform the way that health and social care is delivered as well as the ways in which we manage our own health. Technologies such as wearable devices, mobile apps and intelligent monitoring devices that use machine learning, provide an opportunity for the NHS to harness the breadth and depth of patient data that it holds to support a healthier future for patients and the public. This report outlines a set of principles based on dialogues with patients, the public and healthcare professionals, for the development, evaluation and deployment of data-driven technologies in healthcare. Embedding these principles will be essential if we are to realise the anticipated benefits of these innovative technologies whilst maintaining trust in their use in health and social care sectors. Central to this are meaningful partnerships with patients and the public and their health and care professionals.
Click here to view the full report.
Filling the chasm: Reimagining primary mental health care
Centre for Mental Health, December 2018
Report from the Centre for Mental Health exploring a number of local initiatives which are bridging the gap between primary care and secondary care services, supporting people who fall into this ‘grey area’ due to having more complex needs, not meeting secondary care thresholds, or presenting with multiple or medically unexplained symptoms. It looks at
- Identifying the opportunities for prevention and promotion of mental health
- Maximising social interventions for mental health
- Culture change – embracing the holistic approach
- Empowering the person – moving ‘from patient to person’
- Bridging the gap between primary and secondary care
Click here to view the full report.
Modernising the Mental Health Act: Increasing choice, reducing compulsion: Final report of the Independent Review of the Mental Health Act 1983
Department of Health and Social Care, December 2018
The final report sets out recommendations covering 4 principles that the review believes should underpin the reformed Act:
- choice and autonomy – ensuring service users’ views and choices are respected
- least restriction – ensuring the Act’s powers are used in the least restrictive way
- therapeutic benefit – ensuring patients are supported to get better, so they can be discharged from the Act
- people as individuals – ensuring patients are viewed and treated as rounded individuals
The review looked at:
- rising rates of detention under the Act
- the disproportionate number of people from black and minority ethnic groups detained under the Act
- processes that are out of step with a modern mental health care system
Click here to view the report.
Promoting independence through intermediate care: A quick guide for staff delivering intermediate care services
Social Care Institute for Excellence, December 2018
Intermediate care involves working closely with people to agree what intensive support they need to improve their independence. This quick guide from the Social Care Institute for Excellence outlines how intermediate care functions.
Click here to view the guide.
Inspire, Attract And Recruit: An Interactive Toolkit To Support Your Workforce Supply
NHS Employers, December 2018
NHS Employers toolkit offering guidance, good practice, checklists, top tips, questions and leading examples from across the NHS, to help employers take stock of what may need to be done to sustain a workforce pipeline. It aims to provide practical information on understanding audiences, how to attract the right people and ensuring employees have the best on-boarding experience.
Click here to view the toolkit.
Fair care: A workforce strategy for social care
Institute for Public Policy Research, December 2018
Adult social care is an essential public service and a growing part of our economy. However, the social care system in England faces a workforce crisis which is set to grow in the coming years; by 2028, we estimate there will be a shortage of over 400,000 workers in social care.
The challenges of recruiting and retaining workers in the sector is inextricably linked to low pay and poor working conditions. This is itself related to the under-funding of social care and a commissioning and delivery model based on cost not quality. Providers have competed by driving down pay and conditions, and they have faced little resistance given the limited bargaining power of the workforce and the limited enforcement of employment rights. These factors are combining to create a social care workforce crisis.
The solution is a sustainable long-term funding settlement for social care and a transformation of the social care workforce model. This should be based on the establishment of decent pay and terms and conditions through sectoral collective bargaining, and a professionalisation of the social care workforce. These measures would help ensure high-quality work for care workers, and high-quality care for those who need it.
Click here to view the full report.