October 2008

1.   IPCC report concerning the use of police custody as a “place of safety” under the Mental Health Act welcomed

2.   Lectures by Dr Pat Bracken and Professor Sir Michael Rutter at 15 Belgrave Square

3.   Choice and Mental Health: a new workstream within the College and a first event

4.   Friends of the College Archive (FOCA)

5.   NICE is recruiting new members to independent advisory committees on the use of health technologies

6.   Provision of Foundation Training in Postgraduate Medical Deaneries

7.   Commissioners join the Care Quality Commission

8.   Health Quality Improvement Partnership (HQIP)

9.   Prisons charity joins jails contracts bid

10. Mental Health Today Magazine: Exclusive offer: 25% discount for members of the College

11. What’s new?

 

 

1. IPCC report concerning the use of police custody as a “place of safety” under the Mental Health Act welcomed

The College welcomed the Independent Police Complaints Commission’s (IPCC) report, published 9th September, which examines the role of the police in relation to the use of Section 136 of the Mental Health Act 1983.

 

This report highlights the number of individuals who are taken to a police station as a place of safety. The College agrees that such an environment is poorly suited to managing vulnerable people who have medical problems or are at risk of harming themselves, and may also have the effect of criminalising them.

 

The College established a multi-agency group to develop a new set of standards on the use of Section 136 which included all relevant professional organisations and monitoring agencies, including the IPCC.

 

Photograph of the Faculty ChairDr Michele Hampson, chair of the group, said: “This research highlights the need to improve practice in relation to Section 136. We do not currently have reliable data on the number of people who are detained in this way. We also want to see a single, nationally-agreed standard form introduced. Only then can we begin to improve standards of care for this vulnerable group of individuals”.

 

Dr Hampson highlighted the urgent need for better staffing of Section 136 facilities. “Although the Department of Health released £130 million for the development of Section 136 assessment facilities in mental health units in 2006, no funding was allocated for staff. Anecdotally, we have heard of new units which are unable to open for lack of staff, and others that expect the police to remain until the assessment has been completed.”

 

Many of the IPCC’s recommendations relate to recommendations made in the new standards which are to be published by the College on 29 September 2008. Further details of the new College report will be included in the next enewsletter.

 

2. Lectures by Dr Pat Bracken and Professor Sir Michael Rutter at 15 Belgrave Square

Tuesday, 28th October 2008: “Mental Health Revolution” by Dr Pat Bracken

 

Dr Bracken is consultant psychiatrist and Clinical Director of Mental Health Services in West Cork.

 

“Psychiatry, with its focus on mental illness, is essentially a medicine of the mind. But, unlike livers, kidneys and brains, the mind is not something we can see or feel. It is less tangible and even resists easy definition. As a result, a medicine of the mind needs to be qualitatively different to a medicine focused on bodily tissues.

 

I will argue in favour of a revolution in how we understand mental illness. I will suggest that we foreground the so-called non-specific, non-technical aspects of our work and make these our primary concern. This is not an anti-science or even anti-technology argument, but rather an attempt to think about what a genuine medicine of the mind might start to look like. “

 

Dr Bracken believes that this represents a positive challenge to the discipline, one that will help us to clarify what aspects of what we do are similar to the rest of medicine and what aspects are very different. He will seek to map out some of the implications of this revolution in terms of how we see ourselves as a profession. He will suggest that it has particular implications for our relationship with the emerging ‘user-movement’.

 

Tuesday, 4th November 2008: Professionalism and Psychiatry: Challenges and Concerns by Professor Sir Michael Rutter

 

Professor Sir Michael Rutter is Professor of Developmental Psychopathology at the Institute of Psychiatry, Kings College, London. He has been a consultant psychiatrist at the Maudsley Hospital since 1966, and was Professor of Child Psychiatry at the Institute of Psychiatry from 1973 to 1998.

 

Sir Michael set up the Medical Research Council Child Psychiatry Research Unit in 1984 and the Social, Genetic and Developmental Psychiatry Research Centre 10 years later, being honorary director of both until October 1998. His research has included the genetics of autism, antisocial behaviour, and study of both school and family influences on children’s behaviour; he also has a special interest in the interplay between genetic and psychosocial risk factors. He led a major study into the effect of early severe deprivation on Romanian orphans adopted into Britain.

 

Sir Michael was Deputy Chairman of the Wellcome Trust from 1999 to 2004 and was elected a Fellow of the Royal Society in 1987. He was a Founding Fellow of the Academia Europaea and the Academy of Medical Sciences, of which he is now clinical vice president.

 

Places are strictly limited, so to reserve your seat at these lectures, please email Nicola Boyce at nboyce@rcpsych.ac.uk as soon as possible.

 

3. Choice and Mental Health: a new workstream within the College and a first event

Earlier this year the Central Executive Committee approved a workstream to examine issues around, and formulate a College position on choice in mental health with a working group chaired by Professor George Ikkos, College Treasurer.  The working Group is holding a conference will be held in Liverpool on 22nd January 2009 entitled "Supporting Choice in Mental Health - Dilemmas and Possibilities".
 
The conference will examine the dilemmas and possibilities in extending choice in mental health services and the opportunities and risks for psychiatrists working to extend choice.  This is a key event for psychiatrists who wish to have a say in influencing policy on choice and for psychiatrists who wish to be better informed on the issues.  Speakers come from within and outside the College, and service users and carers will participate throughout the day.
 
Please click here to access the programme and booking form.

 

4. Friends of the College Archive (FOCA)

The archivist (Mwatsera Maunze) and the honorary archivist (Dr Fiona Subotsky) are proposing to form a group -"The Friends of the College Archive".

 

Aims

  • To support the College in the preservation, promotion and use of its archival heritage.
  • To promote interest in the History of the College, and of British and Irish Psychiatry.

Membership

  • Open to College members and other interested persons with a College member's support on payment of the current subscription.
  • Donors to the Adopt a Book scheme to be offered free inaugural (first year) membership.

Proposed Activities

  • At least one meeting per year at the College, usually in connection with a display or presentation.
  • A history session at the annual meeting.
  • Annual visit/outing to a site of historical interest such as an old asylum.
  • Encouragement of history projects relating to psychiatry.
  • Three times a year Newsletter by post.

 

Expression of Interest

If you would like to be kept informed, please write to FOCA, The Honorary Archivist, Royal College of Psychiatrists, 17 Belgrave Square, London SW1X 8PG, or email fmaunze@rcpysch.ac.uk with your name, address and email.

 

5. NICE is recruiting new members to independent advisory committees on the use of health technologies

The National Institute for Health and Clinical Excellence (NICE) is recruiting new members to join its three independent advisory Appraisal Committees. The Appraisal Committees consider and interpret evidence on the clinical and cost effectiveness of health technologies and formulates recommendations on their use.

Members of all Committees are drawn from the NHS, healthcare professionals, patients and carers, and the academic world.

 

Committee members are not appointed to act as representatives of a particular organisation. They will be expected to apply the experience and judgement from their individual backgrounds to the topics considered by the Committee, and in doing so actively contribute to improving the quality and consistency of care provided by the NHS. They will be helping the Institute take some of the most difficult decisions in public life.

 

NICE currently has vacancies for:

  • Consultant Physician
  • Clinical Pharmacologist
  • Health Economist
  • NHS Management
  • Consultant Surgeon
  • Psychiatrist
  • Professions Allied to Medicine
  • Nurse

 

Time commitment and conditions: Committee members attend eleven day-long committee meetings per year as well as an annual Away day. Appraisal Committee meetings are held at the NICE offices either in central London or Manchester, and dates are fixed and made available to Committee members up to a year in advance. Committee membership is unpaid although expenses, including overnight accommodation, are reimbursed. The period of Committee membership is for three years in the first instance.

 

To access the information and application pack click here. Completed applications should be returned by Wednesday 8 October 2008 to kim.turner@nice.org.uk or by post to: Kim Turner, Project Manager, Centre for Health Technology Evaluation, NICE, Mid-City Place, 71 High Holborn, London WC1V 6NA

 

6. Provision of Foundation Training in Postgraduate Medical Deaneries

The GMC and PMETB are looking for visitors to assess the provision of Foundation Training in postgraduate medical deaneries.

 

If you have experience of delivering the Foundation Programme in your deanery (for example, as an Educational Supervisor for a Foundation doctor), some experience of quality assurance and/or quality management systems, and have a background in general practice, psychiatry or public health, we would like to from you.

 

For further information on the role and the application process, please contact Kate Gregory at kgregory@gmc-uk.org 02071895109 or Jennifer Barron at jbarron@gmc-uk.org 02071895397.

www.gmc-uk.org

 

7. Commissioners join the Care Quality Commission

The first three Commissioners have been appointed to the Shadow Care Quality Commission, with effect from 1st September.

 

The new Commissioners are:

  • Professor Deirdre Kelly, Professor of Paediatric Hepatology, Birmingham Children's Hospital.
  • Lord Patel of Bradford OBE (Kamlesh Patel), Chairman, Mental Health Act Commission.
  • Dame Jo Williams, Chief Executive, Royal Mencap Society.

 

Barbara Young, Shadow Chair of the Care Quality Commission, welcomed the appointments.

"I am very pleased to be joined by Commissioners who bring a depth and breadth of experience across the new Commission's roles. I welcomed the commitment in our founding Act, the Health and Social Care Act 2008, to ensure that health, social care and mental health backgrounds were well represented at Commissioner level.

 

We are now aiming to recruit a further three Commissioners who will bring user interests to the heart of the Care Quality Commission as well as strengthening our financial and risk governance and providing clinical outcome or health or regulatory policy strength at Commission level."

 

8. Health Quality Improvement Partnership (HQIP)

The 2007 White Paper “Trust, Assurance and Safety” called for clinical audit to be revitalised. In response, in April 2008 the Department of Health appointed the Healthcare Quality Improvement Partnership (HQIP) to manage the National Clinical Audit and Patient Outcomes Programme and support local clinical audit activity.

 

HQIP is led by a consortium of the Academy of Medical Royal Colleges, the Royal College of Nursing and the Long-Term Conditions Alliance and its purpose is to promote better healthcare by providing support and advice to those responsible for managing quality improvement work.

 

HQIP has three immediate priorities, initially focussed around clinical audit but, over time, extending to other areas of quality improvement:

  • to manage and develop the National Clinical Audit and Patient Outcomes Programme (NCAPOP)
  • to support and enable clinical audit staff on a local level
  • to promote clinical audit as the engine that drives quality improvement.

www.hqip.org.uk/

 

9. Prisons charity joins jails contracts bid

A penal reform pressure group has launched a surprise bid to run two new prisons. Nacro, a charity which attempts to cut crime by finding practical work for offenders, has formed a consortium to win Government contracts for jails in Merseyside and London.

It joined forces with private security firm G4S, a drugs charity and a construction company in its bid to run 600-bed Maghull and Belmarsh West prisons. Nacro has previously been sceptical of some private sector involvement in prison management.

 

But the charity's chief executive, Paul Cavadino, said: "The best way of ensuring that they are being run properly is to be involved in planning this from the start. If you are involved in the planning of the regime, it makes it much more likely that a prison will be providing high-quality resettlement and rehabilitation.

 

Nacro had previously claimed the plans for “Titan” jails would damage efforts to take criminals away from a life of crime and exacerbate mental health problems in jails.

Mr Straw said that he understood fears that "Titan" jails could be nothing more than warehouses for inmates. He said he would consider the plans "very carefully" as the Government's consultation period drew to a close. "There was never ever a plan for there to be a single large jail with a single regime within its walls," he told the BBC Radio 4 Today programme. "The plan was and is for there to be a number of units within a large campus."

 

Applications to run the prisons will close in October 2008, and the Government will announce who has won the contracts next year.

 

10. Mental Health Today Magazine: Exclusive offer: 25% discount for members of the College

 

Mental Health TodayMental Health Today magazine is the monthly, multidisciplinary magazine for all those working in or with statutory, voluntary and independent mental health services. Published ten times a year, it promotes diversity of best practice across the health and social care sectors and keeps readers up-to-date in policy and practice.

 

You can subscribe by calling Pavilion on 0870 890 1080 and quote ‘MHTMAG25%OFF’.

 

 

 

11. What’s new?

 

© 2010 Royal College of Psychiatrists