Improving Patient Care

How PCNs are working in partnership to support mental health


Source: NHS Confederation; 2021.

This briefing was developed jointly by the NHS Confederation’s Mental Health Network and PCN Network and provides examples of three models of partnership working that are currently underway in primary care to support mental health at place level.

Key points include:

  • A seamless referral system between primary and secondary care is important for patients who have mental health needs.
  • Early interventions for young people can be very cost effective and improve access and outcomes in mental health, wellbeing, and physical health.
  • Working in partnership across the community, and pooling knowledge, resources and assets is important for improving access to services, providing cost effective interventions, and improving outcomes.
  • Joining up primary care and mental health services is essential. Primary care can help people who have milder mental health issues access support and reduce referral to secondary mental health services.

Covid 19

Current Awareness Updates

Coronavirus (COVID-19) vaccination statistics, plans and documentation.
Department of Health and Social Care (DHSC); 2021.

(This page brings together COVID-19 vaccination programme-related documents published by DHSC, and vaccination statistics published by other bodies within the UK.)

Second quarterly report on progress to address Covid-19 health inequalities Race Disparity Unit, Cabinet Office; February 2021

(The first report on progress to address Covid-19 health inequalities was published in October 2020. It concluded that a range of socio-economic and geographical factors coupled with pre-existing health conditions were contributing to the higher infection and mortality rates for ethnic minority groups. This second report now looks at those causes in more detail and sets out some of the work being undertaken to fill the gaps in our understanding and to mitigate the risks of Covid-19 infection. It sets out the progress made under the terms of reference and in implementing the recommendations from the first report.)

The other pandemic: the impact of Covid-19 on Britain’s mental health Public First

(In February 2021 Public First polled 4,000 people and held 12 in-depth focus groups with people from across Britain. The findings, published in this report, show that coronavirus has taken a toll on mental health in all parts of society – but especially women, the less well-off and young people.)

New WHO expert group to identify gaps and solutions to the mental health impacts of COVID-19.
World Health Organization (WHO); 2021.

(The group, tasked with reviewing evidence, identifying gaps and exploring solutions, will inform and support countries’ efforts in addressing mental health needs within and beyond the COVID-19 pandemic.)

COVID-19: ventilation of indoor spaces to stop the spread of coronavirus.
Public Health England (PHE); 2021.

(Guidance, advice and information on how ventilation of indoor spaces can help to stop the spread of coronavirus (COVID-19), including how to increase ventilation at home and in other settings.)

Earthquakes and COVID-19
Orlu FN. British Journal of Psychiatry 2021;218(3):172.

(Mental health services at all levels, including psychological services in primary care, bereavement services and secondary mental health services need to start preparing for post-lockdown demand for care by making arrangements for how they will manage increased demands for services. Mental health promotion should be launched now and after the COVID-19 pandemic to prevent an overloading of the National Health Service via the mental health services’ route.)

COVID-19 and Obesity: The 2021 Atlas. The cost of not addressing the global obesity crisis.
World Obesity; 2021.

(Through detailed analyses of the latest peer-reviewed data, we demonstrate how overweight is a highly significant predictor of developing complications from COVID-19, including the need for hospitalisation, for intensive care and for mechanical ventilation. Overweight is also a predictor of death from COVID-19.)

Remote engagement: removing barriers to inclusion in the context of COVID-19.
Centre for Ageing Better; 2021.

(This short paper outlines approaches and techniques to carrying out user engagement and coproduction activities where traditional face to face methods aren’t possible. It includes case studies of good practice from initiatives including Trailblazer projects Business Health Matters and Blackwood Neighbourhoods for Independent Living. )

Partnership for Responsive Policy Analysis and Research (PREPARE)

Understanding clinical decision-making at the interface of the Mental Health Act (1983) and the Mental Capacity Act (2005)

Source: The King’s Fund Health Management and Policy Alert

The Mental Health Act (1983) (MHA) and the Mental Capacity Act (2005) (MCA) both provide a legal means by which people can be deprived of their liberty and admitted to hospital on a formal basis when they lack capacity to consent to their admission and treatment. A key interface of the MHA and the MCA arises where an individual lacks the capacity to decide whether to be admitted to hospital to receive care and treatment, and are not objecting to admission or treatment, then the decision of which Act to use for these purposes is that of professionals involved. This report looks at that decision-making process.

Lunch and Learn

Launching 18th March

We are pleased to announce that our Lunch and Learn sessions will begin on Thursday 18th March; 12pm -1pm, with our first guest speaker- Sam Tyrer. Sam specialises in mental health and has a wealth of knowledge and expertise in this area. Come and listen to what Sam has to say on this topic.

All Library users should have received a Team’s invite for the session. Please email katie.roper@lscft.nhs.uk if you would like to be added to the list. Simply bring your lunch, log on and learn something new.

Looking forward to seeing you then.

NHS Confederation Mental Health Network

Working together to improve patient care: how PCNs are working in partnership to support people’s mental health

Source: The King’s Fund; Health Management and Policy Alert

Mental health disorders are one of the common causes of morbidity in England and primary care plays a key role in supporting patients’ mental health and wellbeing, so it has become a priority for many primary care networks (PCNs). This briefing provides examples of three models of partnership working that are currently under way in primary care to support mental health at place level.

Public Health

Current Awareness Updates

Syphilis: Public Health England action plan.
Public Health England (PHE); 2021.

(Addressing the increase in syphilis in England.)

The obesity paradigm and the role of health services in obesity prevention: a grounded theory approach.[Abstract]
Pearce C. BMC Health Services Research 2021;21(1):111.

(The aim of this research was to examine whether and how hospital and community-based health services incorporate adult obesity prevention into policy and practice. An alternative systems-level approach is needed to align health service responses with contemporary approaches that address obesity prevention as a complex problem.)

The impact of household energy poverty on the mental health of parents of young children.
Journal of Public Health; 2021.

(Energy poverty increases the likelihood of depression in parents. These findings merit policy attention since a mental health burden is in itself important, and more widely, parental well-being can influence child development and outcomes.)

Raising awareness of funding for vulnerable two-year-old children.
Social Care Institute for Excellence (SCIE); 2021.

(SCIE is helping the Professional Association for Childcare and Early Years (PACEY) to raise awareness about the 15 hours funded early years provision, particularly to more families who are vulnerable. This programme improves the health, learning and development of disadvantaged two-year-old children as well as being beneficial for the parent.)

‘Do No Harm’: Lived Experiences and Impacts of FGM Safeguarding Policies and Procedures, Bristol study.
FORWARD UK; 2021.

(The research reveals worrying evidence that FGM safeguarding policies are inadvertently causing a great deal of harm to families, communities and young girls, both in Bristol and potentially across the UK. Their targeted and heavy-handed approach have increased scrutiny, suspicion and stigmatisation of families in many areas of their lives, from schools, to healthcare, to overseas travel.)

Still not safe: the public health response to youth violence.
The Children’s Commissioner; 2021.

(This report assesses how effectively existing infrastructure within local authorities is being used to deliver a public health approach to preventing gang involvement and youth violence. The Children’s Commissioner concludes that two years on from her last report into this issue and a year after the Prime Minister promised to ‘cut the head off the snake’ of county lines, thousands of children are still not being kept safe.)

Dementia profile: February 2021 update.
Public Health England (PHE); 2021.

(Updated statistics on dementia prevalence, hospital admissions, care and mortality, at the national and subnational geographical areas in England. The dementia profile is designed to improve the availability and accessibility of information on dementia. The data is presented in an interactive tool that allows users to view and analyse it in a user-friendly format.)

Health and Care of People with Learning Disabilities 2019-20.
NHS Digital; 2021.

(The most recent release of the 2019-20 Health and Care of Learning Disability Publication. These are aggregated data on key health issues for people who are recorded by their GP as having a learning disability, and comparative data about a control group who are not recorded by their GP as having a learning disability.)

Statistics on Drug Misuse, England 2020.
NHS Digital; 2021.

[This report presents newly published information on hospital admissions attributable to drug-related mental health and behavioural disorders and on hospital admissions attributable to poisoning by illicit drugs.

The report also provides links to information on drug misuse among both adults and children from a variety of sources, including the National Drug Treatment Monitoring System and the Crime Survey for England and Wales (date range:01 Apr 2019 to 31 Mar 2020)]


Supporting the mental health of NHS staff

The role of NHS leaders in reducing mental health stigma and creating mentally healthy cultures

Source: The King’s Fund; Health Management and Policy Alert

This guide, funded by the British Medical Association and posted on the Mental Health at Work website, aims to provide practical advice, hints and tips to help NHS leaders and line managers to create mentally healthy cultures and support better mental health. It includes information about mental health stigmas, and how to break them down. It is the first of a series of resources aimed at NHS leaders, managers and champions.

For more resources to support mental health at work visit Mentalhealthatwork.org.uk

Psychiatric Nursing

Current Awareness Bulletin

The February bulletin on psychiatric nursing, produced by Greater Manchester Mental Health Trust, is now available to view and download.

For any issues accessing journal articles or Open Athens accounts please email: academic.library@lscft.nhs.uk

Time to Talk Day

February 4th is Time to Talk Day, a campaign to change the way people think and act about mental health problems

A small conversation about mental health has the power to make a big difference. We know that the more conversations we have, the more myths we can bust and barriers we can break down, helping to end the isolation, shame and worthlessness that too many of us with mental health problems are made to feel.

Time to Talk Day is the day that we get the nation talking about mental health. This year’s event might look a little different, but at times like this open conversations about mental health are more important than ever. Your help is needed to start the conversation this Time to Talk Day – together we can end mental health stigma.

Click here for more information and to sign up for free resources to get people talking.