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ED Liaison Psychiatry What you as a GP need to know! Dr Chris Schofield Lead consultant DPM & CRHT

ED Liaison Psychiatry What you as a GP need to know! Dr Chris Schofield Lead consultant DPM & CRHT. What is ED for?. Physical health emergency Or Combined Mental health and physical health emergency. What ED is not for. Pure mental health emergency Please send to CRHT not ED. Numbers.

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ED Liaison Psychiatry What you as a GP need to know! Dr Chris Schofield Lead consultant DPM & CRHT

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  1. ED Liaison PsychiatryWhat you as a GP need to know! • Dr Chris Schofield • Lead consultant • DPM & CRHT

  2. What is ED for? • Physical health emergency • Or • Combined Mental health and physical health emergency

  3. What ED is not for • Pure mental health emergency • Please send to CRHT not ED

  4. Numbers • DPM seeing average of 246 patients a month in ED this financial year. • Average 85% 1 hour response time. • Working age team sees on average 400 patients per month. • Also older adult, SMLS teams as well.

  5. What do we see? • 2/3rds self harm – approx 2900 last year • 20% psychosis – 1st presentation and legal highs most common (delirium is excluded from this)

  6. What else do we do? • All NUH wards and clinics • (not perinatal) • Note older adult liaison team and SMLS teams • Also LD liaison and CAMHS liaison • Complex mixed medical psychiatric conditions • Eg short bowel syndrome and depression, Cystic Fibrosis and mixed anxiety and depression…… • Medically unexplained Symptoms • Normally multiple organ systems

  7. The future • UEC Vanguard • 111MH, all age ED liaison, NUH wards, all age CRHT, Community teams, Wards (discharges) • Rushcliffe vanguard • GP liaison psychiatry model – if successful roll out to whole area

  8. Questions?

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