The Clinical Leadership Fellowships aim to support the transformation of leadership in the NHS by offering clinical professionals the opportunity to develop leadership skills through a structured learning and experiential programme.
This two-day event saw 59 of our 2011 graduating Fellows share reflections and successes of their hard work over the past year. We heard some truly remarkable examples of how the programme enabled clinical professionals to improve and even transform services for patients.
We also welcomed 80 new Fellows for the 2012 intake. Joining in the welcome celebrations were Jan Sobieraj, Managing Director of the NHS Leadership Academy, Sir David Nicholson, NHS Chief Executive and Chief Executive of the NHS Commissioning Board Authority, and Anna Soubry MP, new health minister.
The Clinical Leadership Fellowships aim to support the transformation of leadership in the NHS by offering clinical professionals the opportunity to develop leadership skills through a structured learning and experiential programme.
This two-day event saw 59 of our 2011 graduating Fellows share reflections and successes of their hard work over the past year. We heard some truly remarkable examples of how the programme enabled clinical professionals to improve and even transform services for patients.
We also welcomed 80 new Fellows for the 2012 intake. Joining in the welcome celebrations were Jan Sobieraj, Managing Director of the NHS Leadership Academy, Sir David Nicholson, NHS Chief Executive and Chief Executive of the NHS Commissioning Board Authority, and Anna Soubry MP, new health minister.
The Clinical Leadership Fellowships aim to support the transformation of leadership in the NHS by offering clinical professionals the opportunity to develop leadership skills through a structured learning and experiential programme.
This two-day event saw 59 of our 2011 graduating Fellows share reflections and successes of their hard work over the past year. We heard some truly remarkable examples of how the programme enabled clinical professionals to improve and even transform services for patients.
We also welcomed 80 new Fellows for the 2012 intake. Joining in the welcome celebrations were Jan Sobieraj, Managing Director of the NHS Leadership Academy, Sir David Nicholson, NHS Chief Executive and Chief Executive of the NHS Commissioning Board Authority, and Anna Soubry MP, new health minister.
Improving physical health on older-adult in-patient psychiatric wards
Improving physical health Departments> Pharmacy and medicines management> Formulary and prescribing guidelines > 11 Monitoring guidelines > 11.1 Psychotropic monitoring guidelines Charlotte.allan@oxfordhealth.nhs.uk Anti-psychotic medication monitoring: Baseline, 3 monthly and annually. Graph 1: Percentage of patients on antipsychotics for less than 3 months receiving baseline monitoring tests Jan 2012 blue (n=9); May 2012 red (n=10)
Graph 2: ercentage of ant|-psychot|c mon|tor|ng tests done per pat|ent |mproved at a|| three t|me po|nts
Overview of the Project
Antipsychotic drugs can lead to early death, particularly due to stroke. Older-adults, especially those with dementia, are most vulnerable. When starting antipsychotic medication, physical health checks are performed at baseline, 3-months, 6-months and 12- months. This allows any adverse effects to be detected (and ideally prevented) at an early stage. Doing this requires multi-disciplinary co-ordination from doctors, nurses and pharmacists. Poor physical health is common in patients with mental illness and has an adverse effect on behaviour and recovery. Excellent physical health care is therefore needed on in-patient psychiatric wards and is particularly important for older-adults. Leadership Challenges I wanted to communicate my vision of improved physical health. I focussed on raising awareness of the importance of antipsychotic medication monitoring, to provide a rationale for change which would motivate clinicians to improve their practice. I worked closely with a project team so that information could be readily cascaded across three sites. Engaging this multi-disciplinary group of clinicians was essential, to ensure the success of the project. Results Information was communicated to wards and individuals through: guideline sheets, posters, emails and face-to-face discussions. This raised awareness of why and what monitoring was needed. Simple changes e.g. pre-printed sticky labels for blood cards, helped to improve blood monitoring levels and promote safer practice. A monitoring proforma provided clarity about the physical health checks needed, and enabled clear documentation of outcomes. This led to improvement in nearly every measure (graph 1). Overall, the percentage of tests done per patient improved at all three key time points (graph 2). This success was communicated to all clinicians (with guidance about room for further improvement!). Contact Information Dr Charlotte Allan Specialty Trainee in Old Age Psychiatry Charlotte.allan@psych.ox.ac.uk 01865 223786 I led simple changes to existing systems to make it easier for clinicians to undertake and record antipsychotic medication monitoring. This aimed to empower clinicians to change their behaviour, and to build a sustainable system.
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