News, reports and resources

View the main College resources on COVID-19.

COVID-19 planning for Old Age Psychiatrists: statement from the Faculty, 20 March 2020

The role of integrated mental and community physical healthcare trusts in responding to the COVID-19 pandemic in the UK: article by Derek Tracy, Anna Forest and Benjamin R Underwood, Cambridge University Press, 1 June 2020

COVID-19 in older adults infographic: produced by NHS Greater Glasgow and Clyde, May 2020

Longer incubation periodof coronavirus disease 2019 (COVID-19) in older adults. article by Hong T-K. Aging Med. 2020;00:1–8. https://doi.org/10.1002/agm2.12114 , 22 May 2020

Memory service assessments: a new way of working: NHSE and NHSI, 27 May 2020

Guidance on remote working for memory services during COVID-19, produced by NHS London Clinical Networks, 11 May 2020

Meeting the Needs of People with Dementia Living in Care Homes during COVID-19: video produced by Ian Andrew James, Trustwide Pathway Lead for Psychological Intervention at CNTW to support care homes, 1 May 2020

COVID-19 Care home FAQs: North East & North Cumbria ICS, 3 April 2020

Dementia leaflet: How to stay well during the Coronavirus outbreak - 5 key messages for people living with dementia: Alzheimer's Society and University of Exeter

RCPsych in Northern Ireland Psychiatry of Old Age briefing on COVID for meeting at Department of Health: April 2020

Impact of COVID 19 on the older persons in Northern Ireland: Dr Joseph Kane ST6 in Psychiatry of Old Age and Dr Claire Potter ST4 in Psychiatry of Old Age, April 2020

Flowchart on prioritising and planning clinical care: Tees, Esk and Wear Valleys NHSFT, 20 March 2020

Prompt sheet for phone check-ins for older patients, carers, family members: produced by Nick Bass, Associate Professor of Psychiatry , Tower Hamlets Diagnostic Memory Clinic, March 2020

Flowchart Pharmacological Management of behavioural and psychological symptoms of dementia (BPSD): by Cornwall Partnership NHS Foundation Trust, March 2020

Delirium management advice for patients with confirmed or suspected COVID-19 in acute trust setting: produced by Dr Josie Jenkinson, Consultant Psychiatrist for older people, ASPH Psychiatric Liaison services, 28 March 2020 (PDF). Adapted for older adults from original guidance compiled by Prof Tayyeb Tahir, Dr Mehrul Hasnain, Dr Ankit Saxena, Dr Radhika Oruganti at University of Wales with reference to the Liverpool Drug Interactions Group.

COVID-19 resources from the Regional Geratric Program of Toronto: Clinical guidance, tools, and links for health providers caring for older adults during the COVID-19 Pandemic

Faculty of Old Age Psychiatry live update session: Transforming community mental health care provision for older people – 23 June 2020This video features the following speakers:

  • Dr Mani Krishnan welcomes and introduces the speakers
  • Dr Amanda Thompsell explains the background to the Community Mental Health Transformation Programme (England) in the current context
    Dr Fiona Goudie and James Sutherland from Sheffield Health and Social Care NHS FT, one of the early implementer sites, tell us how they put their proposal together and how it is on the ground.
  • Viral Kantaria, Programme Manager NHSE&I for Adult Mental Health (Community) gives a summary of his insights on what local communities  should consider in their proposals
  • Dr Josie Jenkinson hosts a Q & A session with our speakers

The slides from this event are available to download.

Faculty of Old Age Psychiatry – live update session and memory service guidance - 15 May 2020: This video features the following speakers:

  • Dr Amanda Thompsell explains the new national guidance on memory clinics, along with a faculty update
  • Dr Venkat Muthukrishnan shows how his services have set out to do memory clinic assessments in the current COVID situation
  • Dr Juliette Brown & Dr Cate Bailey host an interactive case-based discussion of a patient with a combination of functional and organic presentation - how we assess and manage in COVID social distancing situations
  • Dr Mani Krishnan and Dr Josie Jenkinson host a Q & A session with our speakers

The slides from this event are available to download.

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Old Age Faculty live update, 23 June 2020, 4.45pm: Transforming community mental health care provision for older people – what does this actually mean? – your questions answered

  1. Click join the webinar
  2. You will get the option to 'download the app' or 'watch on the web instead'.
  3. You do not need to have Microsoft Teams to watch the webinar. You can just select 'watch on the web instead' and 'join as anonymous'.
  4. You're in!

There will be a chance to hear from an early implementer site on how they put their proposal together and how it is on the ground. Dr Fiona Goudie, Clinical Director from Sheffield Health and Social Care NHS FT has agreed to share her experiences with us.

 She will be followed by Viral Kantaria, Senior Programme Manager NHSE&I for Adult Mental Health (Community), who will give you a summary of his insights on what local communities  should consider in their proposals and answer your questions (there is nothing that he does not know about this transformation programme).

 We are hoping that this webinar along with the summary of the guidance of the transformation of the community mental health provision programme that we sent out on 22 May 2020 will help you in your local discussions going forward.

 This is your chance to have your questions answered. You can send them in advance to kitti.kottasz@rcpsych.ac.uk by midday on 23 June or ask them during the session.

 

 

 

 

The epidemiology and presentation of mental illness in older people is different to younger adults, and older people with mental illness often have a unique and complex set of physical, psychological and social factors complicating their care. For these reasons older people need dedicated inpatient and community mental health teams to look after them.

There is a global history of ageism in the funding and delivery of mental health services for older people. The UK has led the way in developing age-specific services which research has shown improve care in this group. These services are now under threat in the UK by the move to "ageless services". Commissioners and trusts have various reasons to consider this including a misguided belief it may save money or misinterpretation of the Equalities Acts around the UK.

The College is clear that older people need dedicated age-specific mental health services. We have assembled a compendium of evidence to support this below.

If your services are under threat, please look at and use this evidence. Many people have already found it helpful to rebut the move to ageless services.

Please give us any feedback as to whether these resources help or not in your fight to preserve your services.

College reports

Faculty reports

Faculty documents and submissions

Survey of services results

Dementia

Other topics

Videos

We have curated a selection of videos created by other organisations for sharing and teaching purposes.

Watch our video resources

The Faculty of Old Age Psychiatry are pleased to announce the launch of “Delivering the NHS Long-Term Plan's ambition of ageing well: Old age psychiatry as a vital resource”.

Read the report (PDF)

Successfully delivering the welcome ambitions of the NHS Long Term Plan (LTP) for older people depends on the recognition that specialist OPMH services provide essential expertise. Access to these specialist services must be incorporated at every stage of planning and implementation in all areas to meet the needs of older people.

This report incorporates views from older people, service users, carers and a wide range of health and social care professionals and provides insight into:

  • the essential role played by old age psychiatrists, and the Older People’s Mental Health (OPMH) services to whom they provide leadership, in delivering high quality outcomes for the health and wellbeing of the UK’s ageing population;
  • the centrality of this to the Ageing Well agenda; and
  • how best to support decision-makers responsible for implementing the NHS LTP as it affects older people

This report summarises good practice examples of collaboration and innovations involving old age psychiatrists across different health and social care settings, and especially in care homes. 

While the LTP sets out a vision for health services in England this report is also relevant for those involved in the development and commissioning of integrated health and social care services for older people across the UK devolved nations.

Our thanks goes to Dr Mohan Bhat and colleagues for producing this document and to all of you who sent in examples to be included.

I urge you to share this report with your local Commissioners and colleagues involved in the Primary Care Networks , Integrated Care Systems and Sustainability and Transformation plans.
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