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AI-generated response summary• NHS England committed to increasing the number of people with serious mental illness whose physical health needs are met by 280,000 by 2020/21.
• NHS England, in conjunction with the Local Government Association, established the Local Health and Care Record initiative with five exemplar sites.
• NHS Improvement issued an Estates and Facilities Alert on the assessment of ligature points to service providers.
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From Jackie Doyle-Price MP Parliamentary Under Secretary of State for Mental Health; Department RECEIED end Suicide Prevention of Health & 0 6 DEC 2018 39 Victoria Street Social Care London SW1H OEU 020 7210 4850 Your Ref: 9930 Our Ref: PFD-1145655 Christopher John Woolley HM Assistant Coroner; South Wales Central Coroner's Office The Old Courthouse Courthouse Street Pontypridd CF37 IJW December 2018 9ea , Wv Thank you for your correspondence of 10 August to the former Health Secretary, Jeremy Hunt; about the death of Ms Deidre Harvey. I am replying as Minister with portfolio responsibility for mental health and I am grateful for the additional time in which to do so. Your report directs two matters of concern to the Secretary of State for Health which I will address in turn giving the policy position in England. You will appreciate that responsibility for the NHS in Wales is a devolved matter: Firstly, on the management of physical health care within mental health settings, my officials have made enquiries with NHS England: Improving the physical healthcare of people with serious mental illness in both inpatient and community settings is a priority for NHS England as set out in the Five Year Forward View for Mental Health- As part of this programme, NHS England wants to ensure that individuals cared for on inpatient wards have access to the same quality of physical healthcare as would in community settings. NHS England has committed to leading work to ensure that by 2020/21,280,000 more people with serious mental illness have their physical health needs met by increasing early detection and expanding access to evidence based physical health https: WWW england nhs ukywp-contentluploads 2016/02 Mental-Health-Taskforce-EYEV-finalpdf Abouuy key - they living
care assessment and intervention each This is to be delivered across primary and secondary care settings To date, NHS England has overseen significant progress to improve physical healthcare for people with serious mental illness Within inpatient and community mental health providers this has been driven by the national Improving physical healthcare to reduce premature mortality in with severe mental illness? CQUIN (commissioning for quality and innovation) and implementation support. Also highlighted in the Five Forward View for Mental Health is the lack of appropriate data sharing to enable organisations to identify co-morbidities, anticipate problems and plan care in a holistic fashion People with poor mental health may require primary care; secondary physical care and social care; as well as mental health services, but we acknowledge that the lack of linked datasets hinders effective provision. The Summary Care Record (SCR) is an attempt to address this by including primary care information about an individual such as medication; allergies and adverse reactions However; it does not routinely include care plan information or allow access to mental health care records (or physical care records) which is a significant missed opportunity. The Five Forward View for Mental Health acknowledged that more work is needed to ensure data can be linked across public agencies; to promote integration of care To assist with the safe and secure sharing of data, a number of professionally endorsed interoperability standards have been defined: This includes being able to share mental health discharge summaries from acute to other care settings. NHS England, in conjunction with the Local Government Association, has also established the Local Health and Care Record' initiative that has commenced with five exemplar sites covering around 40 per cent of the population These exemplars will look to establish a longitudinal record of care for access and contribution by care professionals and patients Its use will be demonstrated through a number of priority care pathways such as Frailty, Delirium; Cancer and Long Term Conditions. https: WWW englandhs uklmental-health/resourceslsmi https: WWW england nhs uklwp-content/uploads 2018/0S local-health-and-carc-record-exemplars-summarypdf year: people- Year key Year
Turning to your second matter of concern; 0n the removal of ligature points in mental health settings, it is for mental health providers in England to ensure have policies in place to effectively assess and manage environmental risk in line with available guidance*5. NHS organisations in England are expected to have ligature risk assessment policies in place that allow them to assess the risk, mitigate the risk and prioritise removal of the risk once a ligature has been identified in any facility. The principles of ligature management should consider multiple environmental, clinical and operational health and safety factors such as height, access, room usage, patient population risks including infection control, dementia and self-harm, plus staff resource and the ability to adequately observe patients. This will include ligature point removal, or adequate controls with a record of the agreed mitigations put in place. You will be interested to note that NHS Improvement issued an Estates and Facilities Alert on 19 September 2018 on the Assessment of ligature points' The alert has not been made available in the public domain for patient safety reasons as it was deemed that it may give ideas to people with intention to self-harm However; it has been placed on the central alert system operated by the Medicines and Healthcare products Regulatory Agency (MHRA) (https: ILwww cas mhra gov uk Home aspx= and so is available to providers of services, including in Wales. Finally, I am aware that the MHRA and NHS Improvement are responding separately to your matter of concern on the monitoring of patients who are prescribed Hydroxychloroquine. [ hope that response is helpful. Thank you for bringing your concerns to our attention: bul JACKIE DOYLE-PRICE https: WWwgov uklgovemmenupublications environmental-design-guide-adult-medium-secure-services https: WW gov uklgovemmenupublicationsbbest-praclice-design-and-plnning-adult-acute mental-health-units they point point