Preview

Service Improvement

Best Essays
Open Document
Open Document
5348 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Service Improvement
Clinical Decision Making Skills for the Integrated Worker

This assignment will define and analyse the need for a chosen service improvement within the pathway of mental health, as well as evaluating the suggested service. Demonstrating how this service can inform and benefit integrated practice, discussing the ways in which the agency’s statutory obligations and responsibilities impact on both individual and group decision making. The chosen service improvement for this assignment is the introduction of a mental health nurse into primary care services, for example, a GP Surgery. Focusing on service users with mental health issues in the community and therefore in the care of the local Primary Care Trust (PCT).
There is an obvious need for movement towards better health and social care for individuals with mental health illnesses in primary care. No Health without Mental Health: A Guide for General Practice (Department of Health, DoH, 2012, online), sets out what General Practitioners (GPs) can do to improve mental health and enhance care and support offered to those with mental health conditions in the community. This document also states that one in four GP consultations account for mental health problems (DoH, 2012, pg8, online). Treatments for those with mental health issues cost the NHS in the United Kingdom approximately £105 Billion per year (DoH, 2012, pg8, online). Primary care plays a pivotal role in caring for those with mental health illnesses in the community and in most cases this falls into the responsibility of the local GP surgeries. Therefore GPs are ideally placed to identify signs of distress and those with risk factors for poor mental health (NHS Confederation, 2011, online). Primary care providers, more specifically GPs are usually the first point of call for an individual experiencing some form of psychological distress (DoH, 2012, pg13, online). It is essential there is early recognition and referral to any specialist mental health



References: Barbour, A. (1995); Caring for Patients: A Critique of the Medical Model. California, Sanford University Press. Estroff, J. (2010); Effective teamwork: Practical; lessons from organisational research. London: Blackwell Publishing. Hall, A. Wren, M & Kirby, S. (2010); Care planning in mental health: Promoting recovery. Blackwell Publishing. Oxford. Kettles, A. Woods, P & Collins, M. (2002); Therapeutic interventions for forensic mental health nurses. London: Jessica Kingsley Publications. Malin, N. Manthorpe, J, Race. D & Wilmot, S. (1999); Community care for nurses and the caring professions. Philadelphia: Open University Press. Nash, M Newell, R. & Gournay, K. (2009); Mental Health Nursing; An evidence based approach. Philadelphia: Churchill Livingstone Elsevier. Norman, R. & Ryrie, I. (2009); The Art and Science of Mental Health Nursing: A textbook of principles and practice. Berkshire: Oxford University Press. Trevithick, P. (2009); Social work skills: A practice handbook. (2nd Edition). England: Oxford University Press. Wilson (1997); Cited in; Handy, C Care Service Improvement Partnership (2006); Designing Primary Care Mental Health Services: Guidebook. London: DoH. Department of Health, (2012); National Service Framework: standards for mental health. London: DoH. Accessed 01/02/2013 Department of Health, (2012); No Health without Mental Health: A Guide for General Practice Department of Health, (2011); Health And Social Care Bill Factsheet. C3 London: DoH. Department of Health, (2011); No Health without Mental Health: A cross government mental health outcomes strategy for people of all ages- a call to action. London: DoH. Department of Health, (2011); The NHS Outcomes Framework 2012/13 Department of Health. (2009); Response to Consultation on the Framework for Registration of Health and Adult Social Care Providers and Consultation on Draft General Medical Council (GMC). (2009); Licensing and Revalidation. www.gmc-uk.org/about/reform/index.asp Gregory, S. (2009); General Practice in England: An overview. London: The Kings Fund. http://www.kingsfund.org.uk/sites/files/kf/General-practice-in-England-an-overview-Sarah-Gregory-The-Kings-Fund-September-2009.pdf Accessed on 28/01/2013 The Health and Social Care Act (2012) Knapp, M., MacDaid, D. & Parsonage, M. (2011); Mental Health Promotion and Mental Illness Prevention: The Economic case.London: DoH. http://eprints.lse.ac.uk/32311/1/Knapp_et_al__MHPP_The_Economic_Case.pdf Mental Health Act (2007).

You May Also Find These Documents Helpful

  • Good Essays

    Pt2520 Unit 1 Assignment

    • 901 Words
    • 4 Pages

    The assignment requires the student to identify their personal views, and in exploring the relative merits of ‘opt-in’ and ‘opt-out’ approaches to organ donation, demonstrate their personal and academic learning…

    • 901 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Week 3 PSY Case Study 127

    • 912 Words
    • 3 Pages

    Videbeck, S. L. (2001). Psychiatric Mental Health Nursing (2nd ed.). Philadelphia, PA: Lippincott Williams & Wilkins.…

    • 912 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    The purpose of this assignment is to select a particular legislation and to relate it to the role of the nurse by drawing on relevant literature as well as learning log entries. The legislation chosen for this assignment is the Mental Health Act MHA (1983) and the reason is because of the chosen field for practice. Under this Act, individuals suffering from mental illness can be admitted and detained into psychiatric hospital for treatment against their will (Dimond, 2011). This particular law has a number of sections, since this assignment is about exploring the role of the nurse, the focus of the discussion will be on section 5(4) which is about nurses holding power.…

    • 1023 Words
    • 5 Pages
    Powerful Essays
  • Best Essays

    Hardy.S et al (2001) Stuart and Sundeen’s mental health Nursing Principles and Practice. Elseveir Pg357…

    • 3165 Words
    • 13 Pages
    Best Essays
  • Powerful Essays

    The National Service Framework for mental health was launched in 1999 and sets out how mental health services will be planned, delivered and monitored. The NSF lists seven standards that set targets for the mental health care of adults aged up to 65. These standards span five areas: health promotion and stigma, primary care and access to specialist services, needs of those with severe and enduring mental illness, carers ' needs, and suicide reduction are also considered. Mental health care is delivered according to these standards with assessments and needs of the individual being assessed through a collaborative approach of Effective Care Co-ordination. (ECC). ECC assesses individuals needs through the biopsychosocial philosophy ie: medical assessment, social needs and or psychological interventions.All mental health service users have a range of needs which no one treatment service or agency can meet alone, this system of ECC allows a service user access to the most relevant response. Hopefully providing the individual the necessary tenets of care they…

    • 3319 Words
    • 14 Pages
    Powerful Essays
  • Powerful Essays

    The following assignment will discuss a proposed service improvement. It will detail what the proposed improvement will be, why this is a significant improvement to current services. How the plan would be managed and implemented. The student has chosen to plan an improvement to physical health needs assessments for mental health service user’s in the care of community teams.…

    • 1369 Words
    • 6 Pages
    Powerful Essays
  • Satisfactory Essays

    Public mental health in primary care.Full Text Available (includes abstract); Currid, Thomas J; Horgan, Marie; Journal of Community Nursing, 2012 Jul-Aug; 26 (4): 20-3 (journal article) ISSN: 0263-4465…

    • 533 Words
    • 3 Pages
    Satisfactory Essays
  • Powerful Essays

    Scheid, Teresa and Allan Horwitz. "Mental Health Systems and Policy." Handbook for the Study of Mental Health. New York: Cambridge University Press. 1999.…

    • 2151 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    Giutf

    • 601 Words
    • 3 Pages

    The importance of efficient resources is critical especially when you consider that majority of people who develop a mental health problem will have only one episode and if they have access to the right and efficient care are likely to recover completely. However, lack of treatment and early intervention can lead to chronic mental health problems which are much more difficult to recover from. Both the legal and non-legal responses to this issue have provided good resource material for people, however, there remains a lack of health care services to adequately and proactively address the needs of the community.…

    • 601 Words
    • 3 Pages
    Good Essays
  • Better Essays

    This is a 28 year-old Caucasian female who was admitted to Doctors Hospital Psychiatric Unit 4 South due to an overdose on multiple medications. The patient was found by the police on January 13th picking through garbage near the hospital. Patient overdosed on approximately 30 Alprazolam, Venlafaxine, Trazadone, Benadryl, and Nyquil. She stated she remembered taking the all of the drugs, but does not remember anything after that. Patient believes that the stressors in her life are what caused to overdose on medication. Patient also states that the main reason she overdosed was because she was raped three days prior.…

    • 2625 Words
    • 11 Pages
    Better Essays
  • Better Essays

    Policy Process Part I

    • 1203 Words
    • 4 Pages

    The Vision of mental health policy is to help not only current patients with but future patients by helping to diagnose, manage, and prevent the mental health and neurological diseases. According to "Mental Health Policy, Planning & Service Development" (2014), “mental health policies can coordinate essential services and activities to ensure that treatment and care is delivered to those in need while at the same time preventing fragmentation and inefficiencies in the health system.” ("Mental Health Policy, Planning & Service Development", 2014).…

    • 1203 Words
    • 4 Pages
    Better Essays
  • Better Essays

    As we enter the last year of the second term of the Rudd-Gillard Governments, mental health remains very much ‘unfinished policy business’. This is despite Prime Minister Julia Gillard’s bold commitment in the election campaign in 2010 to make…

    • 4705 Words
    • 19 Pages
    Better Essays
  • Powerful Essays

    The ten essential shared capabilities or ESC’s were originally developed in England by the Sainsbury centre for mental health (2004) and the department of health (DOH). They were created to aid health care professionals to gain better understanding of the struggles that people living with mental health conditions may have in their day to day lives. They also increase service users’ awareness about what to care and treatment to expect from mental health services. The newly developed ESC’s were then taken by the NHS Education for Scotland (NES) and in collaboration with service users, voluntary and statutory mental health representatives and carers, developed into a specific version to coincide with Scottish law. The original version of the Scottish ESC’s where then released by NES in 2007 which had a positive effect throughout the mental health sector. The materials were then revisited and evolved in 2011. The main theme still focuses on supporting cultural changes in services and promoting recovery based practice (DOH, 2004).…

    • 2611 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    Mental disorders include variety of obstacles, the severity of which is not the same. The impact on the mental illness of individuals and families can be very serious and the impact on the whole society is far-reaching. according to the 2007 National Survey of Mental Health welfare survey About 7.3 million or 45 percent of Australians aged 16 to 85 have encountered some common mental health-related illnesses, such as material use disorder, as depression and anxiety.People with mental illness encounter major shortcomings in obtaining appropriate services, and if there are no protective measures to protect their rights, they are vulnerable to exploitation and neglect. In recent decades, service reform has been aimed at correcting this unfairness…

    • 931 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Speech Mental Health

    • 793 Words
    • 2 Pages

    Mental health is subject we all, whoever we are, still instinctively avoid. At home, in the workplace and in our communities, it tends to be brushed under the carpet. Teachers and our parents are unlikely to talk to us about mental illness when we are young. And we all fear the unknown. Today in 2014, far too many people in this country still feel as if they have to pretend they have something else wrong with them when they are struggling with depression. People can be scared to tell their friends, colleagues and GP. As they are intimidated by the culture that still surrounds mental illness, forcing them to be scared into silence.…

    • 793 Words
    • 2 Pages
    Good Essays