Information and Networking Exhibition

 
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Welcome to the Mental and Physical Health Interface Site

Please scroll down and click on each image for an opportunity to view video footage the 12 lectures.

 

List of Speakers

Dr. Laurie Butler, Head of School - School of Psychology and Clinical Language - The University of Reading Dr. Laurie Butler

Laurie Butler conducts multidisciplinary research into the role of nutrition on cognitive performance in children, adults and memory impaired populations. His research has received funding from both research councils and from industry and employs neuroimaging techniques as well as traditional behavioural measures of cognitive performance. As well as wider interests in cognition and the ageing process, he also conducts research exploring methods for encouraging behaviour change (e.g., healthy eating, prejudice reduction).

Lecture: Welcome to the University of Reading

Professor Suzanna Rose, Consultant Psychological Therapist and Head of Research and Development -
Berkshire Healthcare NHS Foundation Trust
Prof Suzanna Rose

Professor Suzanna Rose is currently Head of Research and Development for Berkshire Healthcare NHS Foundation Trust. She continues to work clinically and her speciality is in treating post-traumatic stress disorder. Suzanna is a Board member of the Thames Valley Comprehensive Local Research Network. Her background is in nursing and she is an Associate Professor of Nursing at the University of West London. She has published extensively and spoken at conferences in many parts of the world.  She is currently Vice President of the Berkshire Branch, British Red Cross, a Deputy Lord Lieutenant and High Sheriff of the Royal County of Berkshire.   

Lecture: Welcome and Introduction to the Mental and Physical Health Interface

Dr. Luke Solomons, Consultant in Old Age Liaison Psychiatry - Berkshire Healthcare NHS Foundation TrustDr Luke Solomons

Dr. Luke Solomons is a consultant liaison psychiatrist with Berkshire Healthcare NHS Foundation Trust, based at the Royal Berkshire Hospital, Reading. He has worked to bridge the gap between physical and mental health across primary and secondary care in Berkshire, building links between the various agencies involved. As clinical lead of the Older People’s Mental Health Liaison Team, he works closely with his acute hospital and mental health colleagues, delivering holistic care to patients with comorbid physical and mental health issues. Besides his clinical and service development roles, he is involved in research projects relating to quality in liaison psychiatry service delivery, sleep medicine and  information design in dementia.

Lecture: Liaison Psychiatry in Practice:  Older Adults Liaison at the Royal Berkshire Hospital

Provision of a liaison psychiatry services by Berkshire Healthcare NHS Foundation Trust commenced at the Royal Berkshire Hospital on 1st April 2011, in the form of The Older People’s Mental Health Liaison Team (OPMHLT).  Using examples and data from the past two years, Luke will discuss the practical and financial benefits associated with the implementation of liaison psychiatry in practice.

Professor Alison Black, Professor of User-Centred Design - The University of Reading Alison_Black

Alison Black is Professor of User Centred Design in the Department of Typography & Graphic Communication, University of Reading and leads their Centre for Information Design Research (CIDR). CIDR carries out research relating to the communication of complex information, individuals’ use of information in decision-making and information-based interactions between the public and organisations.

Alongside the range of projects in dementia care described in Alison’s presentation, CIDR is also working with meteorologists on the communication of risk and uncertainty in weather forecasting and with the Cabinet Office Behavioural Insights Team on a pilot project to improve communication with job seekers. CIDR’s work spans information design across media, including recent work for the Post Office on the clarity and accessibility of on-line contractual information and research-based guidelines for GOV.UK on the presentation of on-line content across all government departments,

Lecture: Designing Information for Patient Care

In this talk Alison Black will show examples from Centre for Information Design Research’s current collaborations with Berkshire Healthcare Foundation Trust’s Liaison Psychiatry Team. These examples demonstrate the potential of information design to contribute positively to communications that are part of everyday clinical and care interactions in old age psychiatry. In showing the power of researched design interventions Alison concludes with an example project for National Offender Management Services, where information design to improve communication has underpinned a successful pilot, currently under review for national implementation.

Dr. Liza Keating, Consultant in Intensive Care and Emergency Medicine - The Royal Berkshire Hospital Liza_Keating

Liza Keating is a consultant with dual accreditation in Emergency and Intensive Care Medicine. She has worked at the Royal Berkshire NHS Foundation Trust since 2009. She is the College Tutor for Intensive Care Medicine. She is the Comprehensive Local Research Network Deputy Lead for the Injuries and Emergencies Speciality Group and the research lead for the Emergency Department at the Royal Berkshire NHS Foundation Trust. The ED research team is currently recruiting to time and target on a number of portfolio studies; both observational and interventional. She has an MSc in Evidence Based Healthcare.

Lecture: Non Cardiac Chest Pain in the Emergency Department: Is there a place for CBT?

Chest pain is a very common symptom. In the UK approximately 5% of visits to the emergency department are due to chest pain. For the majority of these patients a physical cause is excluded. The experience of chest pain, even if not related to cardiac pathology, is often alarming and frightening, and if inadequately managed, tends to reinforce rather than resolve the problems. Previous studies have reported that cognitive behavioural therapy has only been of moderate effect for patients presenting with chest pain of a non-physical cause. This talk will consider the reasons for this, and then go onto give the background the COPIC study. This is an RCT recruiting in three UK centres which seeks to answer two questions: (a) whether behaviour therapy for non-cardiac chest pain leads to reduced anxiety over health over one year? (b) does this adapted form of cognitive behaviour therapy reduce health service costs over a period of one year?

Dr. Cathy Creswell, Principal Research Fellow, School of Psychology and Clinical Language Sciences - The University of Reading

Cathy_Creswell

Cathy Creswell completed her DClinPsy and subsequently her PhD at UCL and has since worked at the University of Reading, where she has recently held a MRC Clinician Scientist Fellow based in the School of Psychology and Clinical Language Sciences. She is also an Honorary Consultant Clinical Psychologist in the CAMHS Anxiety and Depression Pathway, Berkshire Healthcare NHS Foundation Trust. Cathy has particular research and clinical interests in the development and treatment of psychopathology in children and specifically the development and treatment of child anxiety disorders. In addition to academic publications, she has co-written two CBT self-help books for parents of children who are having difficulties with anxiety. In 2010 Cathy was awarded the BPS May Davidson Award for outstanding contribution to the development of clinical psychology within the first 10 years as a qualified clinical psychologist.

Lecture: Treatment of Childhood Anxiety Disorders: University of Reading / NHS Collaborations

Anxiety disorders in children are common and present a risk for serious difficulties in adulthood. Evidence-based treatments of childhood anxiety disorders exist however they are difficult to access and a significant proportion of children do not benefit. This talk will give an overview of research conducted in collaboration between the University of Reading School of Psychology and Clinical Language Sciences and local NHS Foundation Trusts in Berkshire and Oxfordshire. The focus will be on a line of work that has led to the development of an efficient, effective first-line treatment approach that has significantly increased the number of children with anxiety disorders that can access treatment within local child and adolescent mental health services. 

Dr. Abrar Hussain, Consultant Liaison Psychiatrist - Berkshire Healthcare NHS Foundation Trust Abrar_Hussain

Dr. Abrar Hussain is a Consultant in Liaison Psychiatry. He joined Berkshire Healthcare NHS Foundation Trust in April 2012 and has been involved in setting up services for patients with long term conditions and medically unexplained symptoms in the community.
In addition to providing specialist assessments for patients with physical and psychological comorbidities in the Berkshire Common Point of Entry (assessment service), he has set up specialist clinics in collaboration with acute hospitals. He has initiated and runs joint clinics for medically unexplained symptoms with neurologists at the Royal Berkshire Hospital and cardiology nurse specialists at Wexham Park Hospital. In addition, he runs a liaison psychiatry clinic with respiratory physicians at King Edward VII hospital. Working collaboratively with GPs, IAPT and Health Psychology, he was part of team that established an innovative stepped care model for medically unexplained symptoms for Berkshire as part of the national IAPT pathfinder programme, currently in its second year.
He has a keen interest in teaching and completed his Post Graduate qualification in University Learning and Teaching from Imperial College, London.  He has designed and delivered training on medically unexplained symptoms to GPs, nurse specialists and mental health teams. He was a gold medallist in surgery during his undergraduate medical training in India.

Lecture: Liaison Psychiatry in Practice: Medically Unexplained Symptoms and Long Term conditions
Medically Unexplained Symptoms (MUS) and Long Term Conditions (LTC) need effective management using innovative strategies, collaborative working and a multi-disciplinary approach. While MUS costs the NHS £3 billion annually, there is an exponential increase in annual costs as the number of LTCs increases per patient.
Liaison Psychiatry in general hospitals can effectively save £5 million a year. Its extension into the community is much needed to fill the current gap for patients with complex presentations with comorbid physical and psychological problems.

In Berkshire, several community liaison psychiatry initiatives have been set up over the last year. These include specialist liaison psychiatry input as part of the Common Point of Entry assessment service, an innovative stepped care project for MUS and collaborative working in the form of joint clinics with hospital clinicians (neurology, cardiology and respiratory medicine).

Dr. Geraldine Strathdee, National Clinical Director for Mental Health - Department of Health Geraldine_Strathdee

Dr. Geraldine Strathdee is the National Clinical Director for Mental Health, NHS England, a consultant psychiatrist in Oxleas NHS FT and Visiting Professor, Integrated mental health education programme at UCL Partners.  For over 20 years she has held senior roles in mental health policy, Regulation and medical management, at national and London regional levels, and advises internationally on mental health service design. Her particular commitment is to the translation of policy and best practice evidence into front line routine clinical practice, empowering service users to reach their potential, and staff to maximise their time to care.  She is passionate about the development of leadership competencies and using information to make informed decisions.  As London SHA associate medical director, with responsibility for mental health, she led large-scale transformation change through the development of clinical networks for dementia and primary care mental health CCG leaders, ground breaking commissioning support care pathway profiling informatics tools, and high impact educational programmes.


Lecture: Mental and Physical Health Interface: National Developments

Dr. Angela Jones, Consultant Chest Physician - Heatherwood & Wexham Park Hospitals

Angela_Jones

Dr. Angela Jones is a Consultant Chest Physician based at Wexham Park and King Edward VII Hospitals.  Working in both inpatient and outpatient care, Angela specialises in respiratory Medicine.  Her key interest is in asthma and occupational lung disease.  Angela is passionate about developing services that cater to both the physical and psychological aspects of respiratory disorders.  With degrees in Biochemistry and a Masters in Pathology and Toxicology. Angela was a desk editor for 2 years before changing direction and studying Medicine. She trained at Leeds Medical School and her specialist training was in Cambridge / Eastern deanery. Angela spent 3 years in the department of occupational and environmental medicine, NHLI, Royal Brompton Hospital in research. Her area of interest was looking at pre-employment issues relating to persons with asthma. Angela has been a consultant in chest medicine at Wexham Park Hospital for 2 ½ years and lead the acute asthma service at King Edward VII. Dr. Jones holds a weekly difficult to control asthma clinic, which is ‘supported’ by Dr A Hussain. She is married to a Greek Australian Consultant cardiologist and has a 4 ½ year old daughter, called Sophia, who keeps her busy!

Lecture: Doc, my inhalers don’t work!  The role of a Psychiatrist in an Asthma Clinic

Dr. Arek Hassy, General Practitioner - Theale Medical Centre Arek_Hassy

Dr. Arek Hassy is a general practitioner working in West Berkshire. He graduated from King’s College London with a medical degree and intercalated BSc in biomedical sciences with psychology in 2003. In addition, Arek accepted an extension to complete a post to develop organisation and leadership knowledge and skills within the primary psychological services in Berkshire. After completing this post, he was appointed as associate GP lead, specialising in common psychological disorders. In his recent work, Arek has developed psychological services for patients living with type 2 diabetes and completed a randomised trial which suggests that incorporating living with a long-term condition in depression / anxiety management is superior to CBT alone. This work, recognised by the Department of Health and the National IAPT board has achieved further funding for development and roll-out across Berkshire. 

Lecture: IAPT working with Diabetes: Can we help people, improve blood markers and save costs?

The Berkshire Diabetes Pathfinder project was backed by the Department of Health as part of an evaluation of 15 projects nationally. The team consisted of a Clinical Health Psychologist, Psychological Wellbeing Practitioners and a General Practitioner.  Their remit was to take a cost-effective vehicle from the IAPT National Programme and develop it so that it was more useful to patients living with diabetes. The project had ethical clearance to test the effect of the new model, which incorporated living with diabetes, into established cognitive behavioural strategies dealing with mild to moderate depression and/or anxiety. 153 patients were recruited. The project seemed to appeal to older patients and patients from a black minority ethnic background (also aspects on the national agenda in improving access to psychological treatments).  Standard and intervention participants both improved on mood disorder scales.  However, the intervention group also showed improvements on diabetes specific psychological scales and in their overall diabetes control, based on blood markers. This translated to a reduction in usage of hospital services 6 months after completing therapy, of £12,000 over 64 patients. A net saving of £131 per person treated (after deduction of therapy services). 

Professor Michael Sharpe, Professor of Psychological Medicine - University Department of Psychiatry and Honorary Consultant in Liaison Psychiatry to the Oxford Health and Oxford University Hospitals NHS Trust

Mike_Sharpe

After initially studying experimental psychology in Oxford he trained in medicine and psychiatry in London, Cambridge and Oxford. He has worked an academic liaison psychiatrist in Oxford and Edinburgh.

His research has been mainly into the development and evaluation of psychological and psychiatric treatments for patients with chronic medical illnesses. His publications include influential trials of treatments for depression in cancer patients, for medically unexplained symptoms and for chronic fatigue syndrome.

He is a Fellow and Council Member a of the American Academy of Psychosomatic Medicine. He was a member of the APA DSM5 Working Group, designing new criteria for somatoform disorders.

He currently advises Oxford University Hospitals NHS Trust, Oxford Health NHS Foundation Trust and Oxfordshire CCG on Psychological Medicine services.

Lecture: “What Psychological Medicine can do for the NHS”

Modern medical care must address the triple challenge of delivering patient-centred care, improving patient outcomes and reducing medical costs, and to do this for patients with increasing rates of medical-psychiatric comorbidity.  Psychological Medicine is a developing multidisciplinary speciality that can help both commissioners and clinicians achieve these aims by integrating psychiatric staff and expertise into medical services. I shall give an overview of the components of liaison psychiatry services and where they may add value. The current ‘must haves’ and ‘best buys’ will be identified. I shall conclude by speculating on the future of Psychological Medicine services and research.

Dr. Justin Wilson, Medical Director - Berkshire Healthcare NHS Foundation Trust

Justin_Wilson

Dr. Justin Wilson was appointed Medical Director of Berkshire Healthcare NHS Foundation Trust in July 2009. Prior to joining the Trust he was the Head of Psychiatry for an independent organisation providing secure hospital care.  He has previously worked for the NHS, voluntary and independent organisations, with people with learning disabilities and working aged adults in community and hospital settings, including forensic units. He also has experience in palliative medicine and a particular interest in liaison psychiatry and cancer services.  He continues to work clinically with adults and adolescents with learning disabilities and autism.

Lecture:  Concluding remarks and the future of the AHSN

Dr. Wilson will make concluding remarks in relation to the day’s presentations and consider the current opportunities to enhance services with respect to the physical / mental health interface.  These opportunities include the clinical network development within the Oxford Academic Health Science Network (AHSN).  There are also potential developments with respect to the Strategic Clinical Networks (SCN) and the Collaboration for Leadership in Applied Health Research and Care (CLAHRC).