| In brief |
Oxleas NHS Foundation Trust provides community health services in Bexley and Greenwich, and mental health and learning disability services in Bexley, Bromley and Greenwich. We also provide forensic psychiatry and challenging behaviour services for the boroughs of Bexley, Bromley, Greenwich and Lewisham, and deliver services to nine prisons in Kent.

GP section on Oxleas' website
GPs now have easy access to comprehensive referral and contact information on all Oxleas' services. This includes:
- contact numbers for GPs to use
- service opening times
- referral criteria
- up to date referral forms
Please check out the new section: www.oxleas.nhs.uk/gps/
We welcome your feedback and would also like to know if you have any ideas for improving this.
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Give us your feedback |
If you have any feedback, comments, suggestions or questions regarding Fusion or any Oxleas services, please email GPfeedback@oxleas.nhs.uk and we will either respond by email or arrange to visit your practice if you have a specific need.
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Bromley edition issue 1
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August 2012
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Greetings!
 | | Stephen Firn |
Welcome to the first edition of Fusion - which aims to keep Bromley GPs, up to date with what's happening in local health services provided by Oxleas NHS Foundation Trust.
Oxleas' Chief Executive, Stephen Firn, said: "I hope Bromley GPs find Fusion a useful way of finding out what we are doing to improve our services and a helpful communications tool."
If you have any ideas or specific information you want included in future issues, please let us know. Feedback on the services Oxleas provide is always welcome.
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Survey of GPs' views of Oxleas services
A few years ago, Oxleas carried out a survey of 150 local GPs to gather your views on how our services should develop. We found this information extremely useful and made several changes as a result including:
- Providing patient lists to practices
- Establishing a programme of masterclasses
- Working to improve communication between our clinicians and GPs
We have decided to repeat this survey to ensure our services develop in the ways you think will be best for patients and also easiest for you to use.
We have commissioned an independent research company, Capita, to carry out a survey to learn more about your priorities for improvements to the mental health, learning disability and community health services we provide.
An interviewer from Capita may contact you any time between now and 20 August (you may have already been contacted) to conduct an interview. If the time is unsuitable, they will set up a convenient date and time to call you back. Everything you tell Capita will, of course, be treated in complete confidence. No information that could identify you will be passed on to Oxleas or anyone else.
Read more
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Pathway for urgent psychiatric referrals
Dr James Heathcote has flagged up that there may be some confusion amongst GP colleagues about the correct pathway for patients needing to be seen urgently. The following guide may help:
During normal working hours (9am to 5pm)
1. If you have a concern about a patient who is already receiving a
service from an Oxleas community team, then contact should be
made with that person's care coordinator/allocated professional. GPs would normally already have correspondence with the relevant contact details. 2. If you are unsure who the person's care coordinator is or you have a concern about a patient who is not currently receiving a service from Oxleas and is between the ages of 18-65, then you should contact the Liaison and Intake Team (LIT) based at Stepping Stones. Click here for details.
If the person is over the age of 65, then you should contact the
Bromley Community Assessment and Treatment Team (BCATT)
based at Bridgeways. Click here for details.
Outside normal working hours
The person would need to be sent to A&E where they will be triaged and then assessed by staff based at Green Parks House, Oxleas' inpatient mental health unit at Princess Royal University Hospital.
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Sharing responsibility for Alzheimer's care with GPs
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A shared care agreement has been developed by NHS South East London, Bromley, Bexley and Greenwich Business Support Units and Oxleas.
The agreement suggests ways in which the responsibilities for managing the prescribing of Donepezil, Galantamine, Rivastigmine and Memantine for the treatment of Alzheimer's disease can be shared between the specialist and GP.
GPs are invited to participate. If GPs are not confident to undertake this role, they are under no obligation to do so. In such an event, the clinical responsibility for the patient for the diagnosed condition remains with the specialist. If a specialist asks a GP to prescribe this drug, the GP should reply to this request as soon as practicable.
This agreement formalises the structure that enables GPs to work with Oxleas services to provide the most effective way of treating people with dementia, with medicines that preserve abilities and skills for as long as possible. It is important that GPs share prescribing with Oxleas services as almost all trust patients are on several medicines and it is essential that both services always have a complete list of all medicines being given. It will also allow some increase in the capacity of the Memory Service to see more new referrals for assessment and diagnosis of memory problems.
To read the new Alzheimer's disease shared care agreement, please click here.
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Connecting with patients and carers
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 | | Service Manager Angus Gartshore |
Care, Compassion and Engagement is a new initiative within Acute Adult Services.
Led by Service Manager, Angus Gartshore, this aims to improve the services that patients receive by ensuring that the staff who deliver them are fully responsive to their needs.
A number of initiatives are already underway. One of these is Experience Based Co-design, an innovative approach using film that allows patients and staff to work together to design services and/or care pathways. Bromley based ResearchNet, a patient and carer research group, will make a film of patients talking about their experience of the services they receive which will be piloted on Betts Ward, Green Parks House, this summer.
Read more
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New Psychiatric Liaison Service
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In February 2012, a joint bid for a Psychiatric Liaison Service was successfully submitted to Bromley Commissioning Group by Oxleas'
Bromley Adult and Older Adult management teams. The trust has been allocated £495,000 to start up the service which will support adult and older adult service users. The unit will consist of a team manager, an associate specialist doctor, nurses, a part-time occupational therapist, psychologist and administrator.
It will provide liaison psychiatry cover to the A&E department and general wards at Princess Royal University Hospital. The aim is to treat more people at home, preventing a hospital admission where possible. It will also heavily focus on enabling those on general medical wards to be discharged quicker.
Recruitment has already started and it is anticipated that the service will be fully up and running by Autumn.
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Patients enjoy Big Summer Dance
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 | | Patients and staff enjoy Big Summer Dance at Green Parks House |
The Oxleas Big Summer Dance took place recently - kicking off with a dance workshop for patients and staff at Green Parks House, Bromley's mental health inpatient unit.
A symbolic 'torch' represented the symbol of the forthcoming Olympics. The 'torch' was used as a container to gather comments from workshop participants on what they enjoyed about the experience.
Big Summer Dance provided a safe space for the participants facilitated by occupational therapy staff and service user volunteers from each of the acute units, working alongside professional dance artists.
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Mental health stigma - the next generation
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A quarter of young people (26%) have said that the stigma attached to their mental illness has made them want to give up on life, according to new statistics released by the mental health anti-stigma programme Time to Change, which is run by the charities Mind and Rethink Mental Illness.
And 27% of young people with mental health problems under the age of 25 say that the discrimination they face as a result has also made them give up on their life's ambitions. The survey was commissioned by Time to Change as it launches a new anti-stigma campaign aimed at encouraging young people to help tackle the taboo surrounding mental health problems.
One in 10 children and young people will experience a mental health problem. The new research also highlights that much of the stigma that young people face comes from those who you would expect to turn to first at a time of need, including friends (70%), siblings (35%) and
Read more
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Oxleas has developed a programme to work with care homes to enable them to develop a care pathway for people with dementia who are showing signs of distress.
The psychology led team have so far worked with four care homes, providing an initial set of six workshops, followed by 10 sessions where staff can bring case studies for discussion and care planning. The key message being that when people exhibit behaviours that indicate distress, they are trying to communicate how they are feeling. Staff can then work through the care pathway and identify how to reduce distress.
The aim is to improve the quality of life of people with dementia in care homes, and also to reduce the need for antipsychotics.
The plan is to work with a further eight care homes this year, and the team will be contacting GPs who work with the next cohort of homes so that we work jointly with colleagues in primary care.
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Bromley Older Adults Liaison Access initiative
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Oxleas recently helped to set up a temporary Liaison Team with the A&E Department at the Princess Royal University Hospital, to provide psychiatric assessment to those patients where there were concerns about memory.
The service also provided support into Orpington Hospital's intermediate care team. The team consisted of a consultant, community psychiatric nurses, a part-time occupational therapist, administrator and a manager.
The service ran for three and a half months and in that time, just over 1,500 patients were screened, nearly 200 assessments carried out, the service assisted in 150 discharges, helped reduce four hour breaches and liaised with external and internal services.
The success of the above service has led to funding for a permanent 24 hour Liaison Team for working age and older adults.
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Forensic and prison services
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Oxleas is now providing integrated healthcare services to West Kent prisons and forensic units in Maidstone and Dartford.
The trust is working in partnership with the Medical Centre, Maidstone to provide these services in Her Majesty's Prisons at Maidstone, Blantyre House and East Sutton Park, and in addition, the service also supports specialist psychiatric units in Maidstone and Dartford.
In 2010, Oxleas began providing mental health services in eight Kent prisons and the Dover Detention Centre.
This new contract supports the trust's commitment to providing the best healthcare, whether it be physical or mental health, to service users in prisons and forensic units. A full range of physical healthcare services in addition to the mental health services already provided by Oxleas are available.
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Learning disability services
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 | | PRUH A and E Assessment team with the cakes presented to them by Oxleas Bromley Learning Disability nurses |
To celebrate Learning Disability (LD) Week (18 - 22 June) and raise awareness amongst hospital staff Bromley's Community Learning Disability Nurses have been busy in their kitchens.
The LD team presented the staff team on each adult ward at the Princess Royal University Hospital (PRUH) with a boxed selection of fairy cakes.
To flag up some of the issues faced by people with a learning disability each beautifully decorated cake included key information about LD - on a carefully inserted flag. This included facts such as: people with LD accounted for three emergency admissions per month at the PRUH; 32% of admissions were for longer than 14 days; 26% of people with LD are admitted to hospital each year; and 46% - 52% of people with LD die of respiratory diseases.
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Accessible health information
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Easy-to-read and accessible information about health conditions and procedures, including accessible guides to cervical screening, hospital stays and ultrasound scans can be accessed and printed from Oxleas' website. They can be found here.
There is also guidance on health checks for GPs available, as well as accessible appointment letters and easy read health check information here.
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If you have any feedback, comments, suggestions or questions regarding Fusion or any Oxleas services, please contact us.
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