Questions to Ask of Secondary Care Services in Relation to Links With Primary Care
| DOI | https://doi.org/10.1108/13619322199600026 |
| Pages | 17-17 |
| Published date | 01 September 1996 |
| Date | 01 September 1996 |
| Subject Matter | Health & social care |
The Mental Health Review 1:3 ©Pavilion Publishing (Brighton) 1996 17
Questions to Ask of Secondary Care
Services in Relation to Links With
Primary Care
Purchasers
●To what extent have health and local authorities
agreed a strategic framework for mental health
services which incorporates GPs’ demands and
criteria for access to specialist care — and how
arethe identified gaps being addressed?
●Do GPs know about local CPA/care management
procedures and arethey flexible enough to allow
for a variety of levels of GP involvement?
●Is there a comprehensive service which meets
GPs’ needs for treatment and support of people
with less severe problems and stops them
referring — possibly inappropriately — to
CMHTs?
●How are localities defined (practice versus social
services boundaries) and are GPs involved in the
decisions about definition?
●How does the Health Authority balance the
requirements for tight financial controls and
explicit descriptions of activity and responsibility
from primary and secondary care services with
supportfor new and untested (and possibly
expensive) approaches to care across the
secondary/primary care interface?
Providers
●Are there operational definitions of allocation
of specialist staff time and caseload size for
people with serious and long-term mental health
problems which are shared with primary care
workers in a joint effortto supportpeople with
less severe problems?
●Do CMHTswork jointly with GPs to monitor
expected and identified mental health morbidity
within the local population and how do GPs
identify people with mental health problems
on their list (therapeutic registers set up with
support of secondary services, access to secondary
care case registers)?
●Does the Trust seek to involve GPs through a
variety of models, such as shared protocols of
care, joint audits, range of educational activities,
shared registers, different forms of secondary
care input/working links?
●Is therespecialist supportfor practice nurses
who give depot injections?
●Do secondaryservices actually know what their
GPs want from the local mental health service?
THEME
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