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CHAW PCN SERVICES

MENTAL HEALTH and WELLBEING SERVICE

 Mental Health Practitioners

Our MH Practitioners have 20+ years’ experience in secondary mental health care and help bridge the gap between primary and secondary care.

They see people with a range of complex issues such as:

  • Anxiety and depression
  • Self-harm
  • Drug and alcohol concerns.
  • Experiencing signs of relapse
  • Recent attendance at A&E or crisis café
  • Frequent GP appointment users for mental health conditions
  • Early mental health presentations with need for full assessment and management plan developing.
  • Health anxieties with multiple presentations but have no underlying cause.
  • Initiation and/or review – monitoring of medication
  • Deterioration in mental health and monitoring required.
  • Pre psychological therapies referral to consider appropriate pathway and psychological needs and onward referral to be completed.
  • Non-medical prescribing also available.

Older Adult Mental Health Practitioner

Our Older Adult MH Practitioner has many years of experience in secondary mental health care and helps bridge the gap between primary and secondary care.

She will see people over the age of 65 with a range of complex issues such as:

  • Patients with memory issues who do not meet CWP criteria.
  • Patients with vascular dementia who have been discharged by CWP.
  • Anxiety and depression
  • Self-harm
  • Drug and alcohol concerns.
  • Signs of relapse
  • Recent attendance at A&E or crisis café
  • Frequent GP appointment users for mental health conditions
  • Health anxieties
  • Initiation and/or review – monitoring of medication.
  • Pre psychological therapies – opportunity to explore and clarify.

Social Prescribers

  • Social prescribing support patients with social needs and links them with community groups and organisations best placed to support their health and wellbeing.
  • As social prescribers we give patients time to focus on what matters to them and create a support/action plan.
  • Social prescribers help patients with mild to moderate anxiety, depression, low self-esteem and stress.

 

Bereavement/Loss

Emotional Wellbeing

Employment

Money, debts, and benefits

Volunteering

Carer’s support

Accessing community services

 

Loneliness/ Social Isolation

Healthy lifestyle support

Education and Training

Housing issues

Support with long term health

conditions.

Family issues

Loss of confidence and purpose

 

Care co-ordination

 

  • Bring together all of the patient’s identified care and support needs and what matters to them; explore the options to address these in a single personalised care and support plan.
  • Assist people to access self-management.
  • Provide coordination and navigation for individuals and their carers across health and care services, helping patients to make the right connections with the right teams at the right time.

 

Access to self-management support

Frailty management

Falls Prevention

Access to community therapies

Access to dementia services

 

Recent diagnosis of chronic disease

– help to coordinate support.

Support following recent hospital

discharge

Carer breakdown

Access to Community services

 

PHARMACY TEAM

 

Clinical Pharmacists are experts in medicines and can help people stay as well as possible. They can support those with long-term conditions like asthma, diabetes and high blood pressure, or anyone taking multiple medicines, to make sure their medication.

is working. Many Clinical Pharmacists can also prescribe medicines.

They can help by:

  • Reviewing medication
  • Agreeing and making changes to prescriptions
  • Advising about medicines and possible side effects.

Pharmacy Technicians play an important role within general practice by supporting the work of Clinical Pharmacists. They can update medication records and offer people advice on how to get the most out of their medicines.

 

They can help by:

  • Showing you how to use your medicines
  • Supporting Clinical Pharmacists to review your existing medications
  • Advising you on your lifestyle choices.

 

Work Categories

Requests and queries we will take:

  • Out of stock prescription items from pharmacy with suggested alternative.
  • Change in strength of medication.
  • Medication queries from patients e.g. side effects/suitability/more information about their medicine required etc.
  • Medication follow-ups
  • New meds requested by HCP / Consultant.
  • Care home queries e.g. requesting new meds for patient.
  • As a general guide any clinical query relating to medication that would otherwise be directed to the GP should be appropriate.

 

 

First Contact Practitioner (FCP) Service

Referral Criteria

  • Registered at one of the CHAW practices.
  • Over 16 years of age

 

What is a First Contact Practitioner (FCP) Service?

The FCP service allows patients contacting their GP surgeries with musculoskeletal pain to be seen quickly by a specialist musculoskeletal physiotherapist. They will be able to quickly assess, diagnose and provide information on appropriate individualised rehabilitation and management.

Musculoskeletal FCPs form part of NHS England’s long-term plan to:

  • Reduce the burden on GPs for patients with MSK complaints.
  • Streamline the MSK pathway.
  • ‘Right person, right place, first time’.
  • Make it easier for patients to access specialist MSK knowledge and skills.

 

A Vital Role in Primary Care

Musculoskeletal (MSK) conditions make up to a third of a GP’s caseload, and this number increases as patients get older. 85% of these patients do not need to see a GP and can be effectively managed by an experienced MSK clinician.

  • FCPs reduce pressure on primary care networks (PCNs) and frontline staff.
  • Patients have immediate access to expert MSK clinicians with full clinical governance.
  • Enhanced expertise, education, and resources on MSK issues accessible for all PCN staff.

 

They can help by:

  • diagnosing and treating muscular and joint conditions
  • advising on how to manage condition
  • referring on to specialist services.

Date published: 15th July, 2024
Date last updated: 15th July, 2024