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News feature No improvement seen in community mental health care CQC’s annual survey reveals a lack of progress in community care in England in 2015 A survey of over 13,000 people who were treated and cared for proportion of people reported a poorer experience compared to last ‘Community mental health services play a vital role in • Coventry and Warwickshire Partnership NHS Trust (inspected by in the community for their mental health problems has shown ‘no notable improvement’ in the last year – 28% rated it as five or lower, compared to 25% in 2014. Also, a slightly higher proportion supporting people with their mental health problems without needing to stay in hospital. CQC in January 2014 – not rated). • Leicestershire Partnership NHS Trust (inspected by CQC in year and in some questions, a of people than last year reported ‘It is imperative that the NHS gets March 2015 and rated ‘Requires slightly higher proportion of people have reported a poor experience. The annual survey, which was that they did not feel listened to by staff (7%, up from 5% in 2014), did not feel they were given enough this right. We urge all NHS trusts and in particular those that have performed poorly to reflect on what Improvement’). • Lincolnshire Partnership NHS Foundation Trust (to be inspected carried out by the Care Quality Commission (CQC) and published at the end of October, assessed time to discuss their needs and treatments (11% up from 9% in 2014), and did not feel they were the survey tells them about what their patients think of their services and act on the findings. by CQC in November 2015). • North Essex Partnership University NHS Foundation Trust people’s experiences of the care treated with dignity and respect ‘We will consider the results (inspected by CQC in August 2015 and support they receive from community mental health services run by NHS trusts in England, such (7%, up from 6% in 2014). While the survey did not show improvement from last year’s of this survey in our inspections so that we can be confident that people receive the safe, high-quality – awaiting rating). • The Isle of Wight NHS Trust (inspected by CQC in June 2014 as in clinics and in their own homes results, there were many questions and compassionate care they and rated ‘Requires Improvement’). for conditions ranging from mild that people responded to positively deserve.’ The variation is also depression to psychosis. about their care and treatment. For demonstrated by NHS trusts The community mental health survey represents the experiences of over 13,000 people who example: • 96% of people reported that they knew how to contact the person in Trust performance The survey also showed some variation in performance between whose survey results are ‘better than expected’. Those that scored ‘better than expected’ for 10% or received specialist care or treatment for a mental health condition in 55 NHS trusts in England between September and November 2014. The survey did not cover care given by general practices. The charity Mind has estimated that at least 1.6 million people across the UK accessed community mental health services in the last year. charge of organising their care and services, if they have a concern about their care. • 70% reported they ‘definitely’ felt listened to by the person or people they saw (2014: 73%). • 78% of people on long-term medication reported they had had this reviewed (the same as in 2014). • 73% reported that they were ‘always’ treated with respect and dignity (2014: 75%). NHS trusts, with a small group performing poorly across many of the questions. Those that scored ‘worse than expected’ for 10% or more of all of the questions were: more of all of the questions are: • Bradford District Care NHS Foundation Trust (inspected by CQC in June 2014 and rated ‘Good’). • Cheshire and Wirral Partnership NHS Foundation Trust (inspected in June 2015 – awaiting rating). • Mersey Care NHS Trust (inspected by CQC in June 2015 and rated ‘Good’). • NAVIGO Health and Social Care CIC (to be inspected by CQC in The CQC survey asked people for views on aspects of their care, such as whether they felt they were Dr Paul Lelliott, the CQC deputy chief inspector of hospitals (lead for mental health), said: ‘Overall it is January 2016). • Tees, Esk and Wear Valleys NHS Foundation Trust (inspected by CQC treated with dignity and respect disappointing that there has been in January 2015 and rated ‘Good’). and on whether they felt involved in no notable improvement from last For further information about decisions about their care. year’s survey. the community mental health When people were asked to rate ‘In particular, the fact that over a survey, including results for all their overall experience of their quarter of people reported a poor 55 NHS trusts and the summary 08 community mental health care on a scale of 0 to 10, a higher experience of their care is worrying and must be acted on. report, visit: www.cqc.org.uk/ cmhsurvey. MHN
News feature Disparity shown in emergency hospital admissions data Research of acute episodes finds that people with mental illness suffer disproportionately People with mental ill health had almost five times more emergency hospital admissions mental health needs. • People with mental ill health had 3.6 times more potentially last year relative to people without, preventable emergency admissions according to a study. than those without but slightly fewer The vast majority of these emergency admissions were not explicitly to support mental health planned inpatient admissions. • For some common physical health procedures, people with needs, and a proportion of them mental ill health were more likely were potentially preventable. to have an emergency rather than People with mental ill health planned admission, stay longer in experienced 4.9 times more hospital or be admitted overnight. emergency hospital admissions. For example, for people with The findings, published by mental ill health who had a hip the Nuffield Trust and the Health replacement, 40% experienced an Foundation, suggest that people emergency rather than planned approaches are not widespread. health and hospital use, authored with mental ill health are not admission; whereas for people ‘The challenge for national by Holly Dorning, Alisha Davies having their physical health without mental ill health, just 8% policymakers and local leaders and Ian Blunt is the tenth ‘Focus adequately managed, despite of these admissions were an is to find the will and resource to on’ report from the Nuffield Trust being known to the NHS for their emergency. support this innovation and improve and the Health Foundation’s mental health needs. Holly Dorning, research analyst care at scale and pace.’ QualityWatch programme, a joint Drawing on analysis of over 100 at the Nuffield Trust, said: ‘It is The Nuffield Trust and Heath programme tracking the quality of million hospital records per year, striking that people with mental Foundation study was published as care in health and social care over the research compared hospital ill health use so much more part of its five-year QualityWatch five years. use between two patient groups – emergency care than people programme. This offers a way to This research examined 100 people who have previously been to without, and that so much of this measure progress towards parity million hospital episodes in hospital for their mental health, and isn’t directly related to their mental of esteem between mental and England per year for five years, people whose previous hospital use health needs. physical health. looking at two groups: a physical does not relate to mental health. ‘This raises serious questions Focus On: People with mental ill health cohort of 13.1 million The analysis looked at patterns about how well their other health people, and a mental health cohort of emergency and planned hospital concerns are being managed. It of 536,000 people. use between 2009/10 and is clear that if we continue to treat Nigel Edwards, Chief Executive 2013/14. It found that: • People with mental ill health experienced 4.9 times more mental health in isolation, we will miss essential care needs for these patients.’ at the Nuffield Trust said: ‘The higher rates of unplanned and preventable emergency admissions emergency hospital admissions and Felicity Dormon, senior policy experienced by people with mental 3.2 times more A&E attendances fellow at the Health Foundation ill health are of national concern. than people without mental ill health said: ‘It is deeply unfair that the ‘But with austerity affecting in 2013/14. • Despite previous experience of mental ill health, only a fifth of the physical health needs of people with mental health problems continue to be poorly met. both local authority and NHS mental health services, achieving parity of esteem between mental emergency hospital admissions ‘Some areas are trialling and physical health may remain this group experienced in 2013/14 were explicitly for innovative approaches to tackling this pressing issue, but these an aspiration rather than a reality.’ MHN 09
Page 1 and 2: A day in the life of mental health
Page 3 and 4: Editorial Contents Mandy Bancroft F
Page 5 and 6: News Data shows ‘negligible’ pu
Page 7: MHNA Update ever wish to take strik
Page 11 and 12: transfer paperwork. This led to his
Page 13 and 14: myself for the day ahead. conflict
Page 15 and 16: item, this then requires physical i
Page 17 and 18: and frailty, my role also includes
Page 19 and 20: work together for sessions and liai
Page 21 and 22: 24 hours in mental health nursing W
Page 23 and 24: Membership Join Unite/MHNA! As a tr

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