National Mental Health Programme

Dr Stella Clark Clinical Lead for Mental Health NHS 24

Cathy Dorrian Service Development Manager

Scottish Centre for Telehealth & Telecare

Overview

• History of SCT, NHS 24 and SCTT

• NHS 24 current Mental Health Services

• Dementia workstream

SCTT

• SCT formed in 2006 by SGHD £1M recurring funding

• SCT merged with NHS24 1st April 2010• National Telecare Development Programme (TDP

part of JIT) was transferred into NHS 24 and merged with SCT from 1st April 2011

• Now known as the Scottish Centre for Telehealth & Telecare

SCTT

4 National key programmes of work:• Stroke & CVD• LTCs with a focus on COPD • Mental Health• Paediatrics – funded separately via NDP

SCTT

Supported by• National infrastructure plan• Training & Education • Convergence between health & social

care - Telehealth & Telecare - SCTT

Mental Health Strategic Framework

• Based on NHS 24’s workstreams

-Providing unscheduled care

-Improving Health

-Improving access

Shetland Dementia Service• 1 WTE specialist nurse/Dementia Services Development

Manager• 1 session Consultant Old Age Psychiatrist• ‘Dementia-only’ service• Initial assessment, diagnosis, advice on management & follow-

up• Use of technology in providing supervision, direct clinical care

and education• Future expansion to include other conditions that fall under the

remit of Old Age Psychiatry• Assisted NHS Shetland to meet HEAT Target for Dementia

Shetland Dementia Service

• No clear pathway for diagnosis and management• Managed by GPs, hospital doctors and social

workers with little specialist input • If specialist input was necessary, patients would

have to be transferred to Aberdeen

Diagnosis of 64 referrals, February 2010- January 2011

Diagnosis NumbersAlzheimer’s Disease 13

Vascular Dementia 7

Mixed Dementia 6

Lewy Body Dementia 3

Parkinson’s Dementia 1

Mild Cognitive Impairment 3

Alcohol Related Dementia 1

Personality Disorder 1

Depression 2

No Diagnosis 27

Work with Alzheimer Scotland

• People with dementia and their carers• Focus groups across Scotland• Understand how NHS 24

-Provides a better OOHs service to this group-What technologies would help maintain

independent living

Dementia Services

• Feasibility Study – proof of concept• Aim - To provide specialist assessment and

treatment for care home residents with mental health problems and to offer advice, support and education to care home staff utilising video conferencing facilities.

Care Home

Dementia Services - Aims

• To improve management of behavioural and psychiatric symptoms of dementia (BPSD).

• Improve recognition and treatment of functional disorders in the care home population.

• Improve end of life care/palliative for elderly patients with mental health problems.

Dementia Services – Future Developments

• Cognitive stimulation therapy via VC• Falls prevention work • Ongoing CPD for staff• Links with Iris Murdoch Centre

Some successes using VC Model of Care

• Teleneurology & Teleneuropsychology• Use of video conferencing to support mental

health services to Orkney, Shetland• Psychotherapy for Eating Disorders in

Grampian and Highland• Head & Neck Cancer Clinics & Surgical review

Clinics

And some challenges

• Infrastructure• IT staff • New NHS builds/premises• Winning hearts and minds• Getting Telehealth & Telecare into service redesign• BUT – just because it can be difficult…….doesn’t

mean we shouldn’t do it…..!

Thank you!

cathy.dorrian@nhs.net

Telecare & Telehealth

Doreen WatsonJoint Improvement Team – Action Group

29th September 2011

National AgendaAims and Objectives of Telecare

• “To support as many people as possible to live at home for as long as they want to, in comfort and safety, with the best possible health and quality of life.” (“The Vision” JIT Action Plan 2012)

• To provide flexible and responsive 24 hr care and support• To reduce risks through the application of telecare• To improve the quality of life of the service users and their carers• To have health, housing and social care services working in partnership.• To engage partnerships in the on going training and development of

services

Telecare and Telehealth• Dementia – Door Contacts• Smoke and Heat Detector• Natural Gas Detector• Falls and Mobility• Medication – Pill Dispenser• Flood Detector• Just Checking• Global Positioning System (GPS)

Contact Details

Doreen Watson dkawatson@hotmail.co.uk tele – 0141 639 5618 mobile - 07518598319

Questions