Managed Clinical Network Managed Clinical Network for Eating Disordersfor Eating Disorders

Dr Harry Millar – Lead ClinicianDr Harry Millar – Lead ClinicianMrs Linda Keenan – Network Mrs Linda Keenan – Network

ManagerManager

North of Scotland MCN North of Scotland MCN for Eating Disordersfor Eating Disorders

Started end of 2005Started end of 2005 Lead clinician 3 sessionsLead clinician 3 sessions

Harry Millar consultant psychiatrist Harry Millar consultant psychiatrist harry.millar@nhs.netharry.millar@nhs.net

ManagerManager Linda Keenan Linda Keenan linda.keenan@nhs.netlinda.keenan@nhs.net

SecretarySecretary Rona Walker Rona Walker rona.walker@nhs.netrona.walker@nhs.net

Based at Bennachie, Royal Cornhill HospitalBased at Bennachie, Royal Cornhill Hospital 01224 55785801224 557858

North of Scotland MCN for North of Scotland MCN for Eating Disorders Steering Eating Disorders Steering

GroupGroup Lead ClinicianLead Clinician ManagerManager ManagementManagement

PlanningPlanning** OperationalOperational

Public health medicinePublic health medicine ClinicalClinical

PsychiatryPsychiatry PsychologyPsychology DieteticsDietetics GPGP

Child and adolescent Child and adolescent servicesservices

Public, patient and Public, patient and carerscarers

NursingNursing Social workSocial work GeographicalGeographical

Each Health BoardEach Health Board Each CHP?Each CHP?

*Director of Planning *Director of Planning NHS HighlandNHS Highland

- links to North of - links to North of Scotland Planning Scotland Planning GroupGroup

Aims, Objectives and Aims, Objectives and ProgressProgress To improve patient care in terms of quality, access and To improve patient care in terms of quality, access and

appropriatenessappropriateness PlanningPlanning

Support Local Health boards in NoSPG to plan services for eating Support Local Health boards in NoSPG to plan services for eating disordersdisorders

Feed into central planning for improved eating disorders services Feed into central planning for improved eating disorders services Support QIS guideline implementationSupport QIS guideline implementation

Recommendations for Management & Treatment of Eating Recommendations for Management & Treatment of Eating Disorders – published November 2006Disorders – published November 2006

Development of Care PathwaysDevelopment of Care Pathways Review Current Service ProvisionReview Current Service Provision

- propose improvements- propose improvements

Aims, Objectives and Aims, Objectives and ProgressProgress

Involve patients/carers in service developmentInvolve patients/carers in service development Develop and implement effective clinical Develop and implement effective clinical

information management systems. (Generic information management systems. (Generic Clinical System)Clinical System)

Develop a quality assurance programmeDevelop a quality assurance programme To look at the issue of Training and EducationTo look at the issue of Training and Education Support research and continuing professional Support research and continuing professional

development.development. Prepare an Option appraisal for inpatient service Prepare an Option appraisal for inpatient service

provisionprovision

We have been measuring our progress against We have been measuring our progress against the 12 Core Principles for MCN’s as laid out in the 12 Core Principles for MCN’s as laid out in NHS HDL (2002) 69 Promoting the NHS HDL (2002) 69 Promoting the development of Managed Clinical Networks in development of Managed Clinical Networks in NHS Scotland. NHS Scotland.

In the first 18 months:-In the first 18 months:- 4/12 - have been Met 4/12 - have been Met 6/12 – working towards6/12 – working towards 2/12 – not met2/12 – not met

How we are measuring Our How we are measuring Our AchievementsAchievements

Examples of our Examples of our AchievementsAchievements Planning -Planning -

NationallyNationallya.a. Involved in negotiations re IP service Involved in negotiations re IP service

provisionprovisionb.b. Regularising arrangements for IP care in Regularising arrangements for IP care in

independent sectorindependent sector At a more local levelAt a more local level

a.a. NHS Tayside – setting up a Tier 2/3 NHS Tayside – setting up a Tier 2/3 service (due to launch on 05/11/07)service (due to launch on 05/11/07)

CommunicationCommunication We produced our first Annual Report in April We produced our first Annual Report in April

20072007 We hold regular Steering Group Meetings on We hold regular Steering Group Meetings on

a 3 monthly basis and publish our a 3 monthly basis and publish our minutes/agendas on our website.minutes/agendas on our website.

We use Videoconferencing Equipment to We use Videoconferencing Equipment to facilitate meetings where appropriate.facilitate meetings where appropriate.

We keep in contact with our patient/carer We keep in contact with our patient/carer volunteers by emailvolunteers by email..

Information SystemsInformation Systemsa.a.Generic Clinical System – NHSG Eating Generic Clinical System – NHSG Eating

Disorder Service is an early adopter siteDisorder Service is an early adopter siteb.b. Information on cost/length of stay in private Information on cost/length of stay in private

sector beds is collated on a 3 monthly basissector beds is collated on a 3 monthly basisc.c. Information on IP usage in NHS Psychiatric Information on IP usage in NHS Psychiatric

Hospitals is collated monthlyHospitals is collated monthlyd.d.A website with information for A website with information for

patients/carers/health professionals was patients/carers/health professionals was launched in August 2007. launched in August 2007. (www.eatingdisorder.nhsgrampian.org(www.eatingdisorder.nhsgrampian.org))

Patients/CarersPatients/Carers A database of volunteers is heldA database of volunteers is held Patient/Public Involvement Pack has been developedPatient/Public Involvement Pack has been developed Wherever necessary patients/carers/families are Wherever necessary patients/carers/families are

included and their opinions soughtincluded and their opinions sought

Education & TrainingEducation & Training National Eating Disorders Education and Training National Eating Disorders Education and Training

group (NEET). group (NEET). A conference on Severe and Enduring Eating A conference on Severe and Enduring Eating

Disorders for Specialists is taking place on 8Disorders for Specialists is taking place on 8thth/9/9thth November 2007 at Aberdeen Exhibition and November 2007 at Aberdeen Exhibition and Conference Centre. This is a follow up to the Conference Centre. This is a follow up to the successful Conference held in Aberdeen for Non-successful Conference held in Aberdeen for Non-Specialists in 2006.Specialists in 2006.

Option Appraisal for Inpatient ProvisionOption Appraisal for Inpatient Provision Completed in 2006Completed in 2006 Service Development Proposal produced – Apr Service Development Proposal produced – Apr

20072007 NoSPG agreement in principle reached April NoSPG agreement in principle reached April

20072007 Design Team appointed and warrants sought – Design Team appointed and warrants sought –

July 2007July 2007 Ongoing planning …………..Ongoing planning …………..

Our current workplan is addressing the Our current workplan is addressing the following areas:following areas:

PlanningPlanning QIS GuidelinesQIS Guidelines Information ManagementInformation Management Patient & Carer InvolvementPatient & Carer Involvement Education & TrainingEducation & Training Team WorkingTeam Working CommunicationCommunication Measuring our achievements against the core principles for Measuring our achievements against the core principles for

MCN’s and the Strengthening the role of Managed Clinical MCN’s and the Strengthening the role of Managed Clinical Networks HDL (2007) 21.Networks HDL (2007) 21.

Current WorkplanCurrent Workplan

MCN – 12 Core Principles & Strengthening

The Roles for MCN’s

Project Plan

Managed ClinicalNetwork

Education &Training

InformationManagement

Patient & CarerInvolvement

Evidence basedPractice

Clinical Governance

Strategic Planning/Workforce Planning

Communication/Team Working

The Aims, Objectives and Workplan of the Network and how Clinical Governance is Central to its function.

And Now back to Dr Millar And Now back to Dr Millar ………………………………