Protest against the Mental Health Bill
Monthly
Bulletin


A Few Of The Things A Psychiatrist Should Know - by a Service User

1/ that to 'suspend your disbelief' brings rewards; time spent with the same client when they are well, in addition to when they are distressed, in hospital and in the community, outside the atmosphere of the consulting room and the ward, is the only way to 'see' what 'illness' might be.

2/ all clients have difficulty explaining to themselves the strange things that have been happening to them, their thoughts and feelings - let alone finding the language to explain them to others. But, though they may be 'inarticulate' about their madness, they may not be about other areas of their lives.

3/ whatever the causes of mental distress/disorder/illness, the principal consequence is a 'misplaced fear of others', and a subsequent inability to make new and lasting personal relationships, leading to emotional isolation.

4/ despite the above, and often as the result of long experience, a client's 'fear of madness' is probably less than yours!

5/ the client's need is not for longer consultations, but to be seen by the same doctor over an extended period of time; by the same person in the hospital as in the community - how else can trust be established and the doctor acquire what he/she needs most - accurate information.

6/ what is needed is communication skills, don't waste time trying to empathise with or 'get inside the head' of the client, just try to build a rapport; whereby they can tell you what they think it is important, and you can get the information you need.

7/ clients are afraid, if they don't feel safe they will appear in worse shape than they really are, and not tell you anything.

8/ the most common complaint of clients is 'why is this person asking irrelevant questions?' Unless you can address their concerns, and demonstrate the relevance of yours, you get nowhere.

9/ the fastest way to improve someone's mental health is to re-establish a regular sleep pattern, healthy diet, daily exercise plus learning to physically relax.

10/ very subtle changes in medication make a real difference to side effects, degrees of sedation and therefore compliance!

(I know all of the above is what you already know, and is what is meant to happen - it's just that it so rarely does!) Nick Hewling


HELPLINES / WEBSITES

¨ NHS DIRECT 0845 4647, 24-hour helpline, for nurses' advice www.nhsdirect.nhs.uk/

¨ DEVON DOCTORS ON CALL ('Devon Docs') 01392 824600 - for urgent healthcare problems when GPs' surgeries are closed www.devondoctors.co.uk

¨ SAMARITANS 08457 909090, confidential support 24/7 to people in crisis

¨ DEVON SOCIAL SERVICES EMERGENCY DUTY TEAM (OUT OF HOURS) 0845 6000 388

¨ CARE DIRECT 0800 444000, for people 60+ and their carers/ relatives

¨ 'WAND' 0808 800 0312 [freefone] Devon-based; emotional support & info from trained volunteers, Friday, Saturday, Sunday, Monday, 8 p.m. till midnight

¨ SANELINE 0845 767 8000, helpline for all, every day 12 midday till 2 at night

¨ NO PANIC 0808 808 0545, for people with severe anxiety, panic attacks

¨ HEARING VOICES 0845 122 8642 helpline, 10-4 weekdays www.hearing-voices.org

¨ 'PERSONALITY DISORDER' national website www.personalitydisorder.org.uk/

¨ DEVON SEXUAL ABUSE LINE 0808 800 0188, offers listening, support and information to adults (16+), Tuesday - Thursday, 7 - 10 p.m.

¨ MIND 0845 766 0163, information line, 9.15 - 5.15 Monday to Friday

¨ 'TRIUMPH OVER PHOBIA' (TOP UK) www.triumphoverphobia.com/
TOP UK is a charity that runs a national network of self-help groups to help people with phobia or obsessive compulsive disorder (OCD) to overcome their problems

¨ CRUSE BEREAVEMENT CARE 0870 167 1677, for people affected by a death and wanting to talk about it www.crusebereavementcare.org.uk/

¨ SURVIVORS OF BEREAVEMENT BY SUICIDE [SOBS], self-help charity, offers emotional & practical support, //sobs.admin.care4free.net/ National Helpline - 9am to 9pm every day 0870 241 3337 or email sobs.support@hotmail.co.uk

¨ EATING DISORDERS 0845 634 1414, www.edauk.com


¨ RECOVERY DEVON, info on many aspects of recovery, www.recoverydevon.co.uk

¨ 'UK SURVIVORS' national website http://groups.yahoo.com/group/uksurvivors For mental health users/survivors & allies/professionals, for support & networking

¨ NATIONAL SURVIVORS USER NETWORK, "Working to aid survivors and survivors' support groups … working in partnership to build capacity in the service user movement" www.nsun.org.uk


¨ THRESHOLD WOMEN'S MENTAL HEALTH INFOLINE, 0800 808 6000, National Freephone infoline for women experiencing mental health difficulties and/or emotional distress

¨ STEPS SELF-HELP www.glasgowsteps.com/self-help.jsp,free self-help booklets

¨ SIGNPOSTS FOR CARERS, Torbay 01803 666620 / textphone 01803 523981; information & advice, Mondays-Thursdays, 9 - 4.30, Fridays 9 - 1

¨ SUPPORTING CARERS BETTER network funded by Dept of Health; aims to identify and share good practice, and connect people www.scbnetwork.org

¨ NATIONAL COLLEGE OF PSYCHIATRISTS, wide range of mental health info available www.rcpsych.ac.uk

¨ Plymouth-based MEDICINE INFORMATION line, 01752 763405, 9 - 5.30

¨ NATIONAL MENTAL HEALTH DRUGS INFO www.nmhct.nhs.uk/pharmacy

¨ BENEFITS information www.jobcentreplus.gov.uk

¨ 'SUPPORTING PEOPLE' - partnership of local government, service users & support agencies, offers housing-related services for vulnerable people www.spkweb.org.uk/

'SHAPING OUR LIVES' www.solnetwork.org.uk - new networking website for people to find out what service user organisations are doing


Source: Department of Health (National), 05/07/2007

Health minster Ivan Lewis and mental health tsar Professor Louis Appleby both welcomed the final stages of the parliamentary passage of the Mental Health Bill as a vital step towards modern community services.

The Bill, which completed its passage through Parliament on 4 July, will allow psychiatrists to require patients to take treatment following discharge from hospital if they are a risk to themselves or others. It will also strengthen patients' rights by providing advocacy support for anyone who is detained, and create new roles for experienced non-medical professionals.

Health minister Ivan Lewis said:

"The Mental Health Bill makes mental health law fit for purpose in the 21st century. We will consult publicly in the autumn on the Code of Practice and on regulations to underpin the legislation, and a comprehensive implementation programme is in place. As Minister with responsibility for Mental Health, I look forward to implementing these changes within the wider framework of investing in and improving mental health services. We will look to do this in partnership with the many stakeholders in mental health services, and with service users and their representatives."

Professor Louis Appleby says:

"I am delighted the Mental Health Bill has been passed with all the main government proposals intact, and that we were able to reach agreement with the MPs and peers who expressed concerns about aspects of the Bill.

"These new measures will enable some people with serious mental health problems to be treated in the community under supervision, so that their condition can be properly monitored and steps taken to prevent relapse. This is good for the patients, their families and for the public generally. The Bill will also make it easier for patients with personality disorder to get the treatment they need."

The Bill makes several improvements to previous legislation, including:

new powers to place patients who have been detained in hospital on Community Treatment Orders, which will ensure that patients comply with their treatment. This will allow patients to be treated in the community, and will reduce the risk of their relapsing. CTOs are already used in Scotland and in other countries;

a new requirement that patients can only be detained if appropriate treatment is available for their mental disorder or to treat its symptoms and manifestations;

children and young people to receive treatment for a mental disorder in an environment that is suitable for their age and geared to meet their needs. This builds on a commitment made last November to ensure that, within two years, no child under 16 years of age is treated on an adult ward. Now all hospital managers will have a duty to ensure that all patients aged under 18 are placed in suitable settings, unless needs dictate otherwise.

statutory advocacy services will be introduced to support patients detained under the Mental Health Act and to champion their rights.

more rights for victims of violent and sexual crimes committed by mentally disordered offenders - they will now know when offenders are discharged back into the community and have the right to make representations about their discharge.

tackling two Human Rights incompatibilities, one in relation to the arrangements for Nearest Relatives under the Mental Health Act and the other in relation to safeguards for people deprived of their liberty in their best interests who do not meet the criteria for treatment and safeguards under the Mental Health Act.

Notes to Editors:

1. The Mental Health Bill has passed for Royal Assent by the House of Commons.

2. For more than 150 years, it has been recognised that there are occasions when it is necessary to detain someone with a mental health problem, and treat them without their consent, in order to protect them and the public. The Mental Health Act, which dictated when this can happen, had not been updated since 1983 and was in urgent need of modernisation.

3. The previous Mental Health Act, which the new Bill updates, had two major flaws. Firstly, it led to some people with personality disorders being denied treatment with the risk that such patients might harm themselves or others. Secondly, the legislation covered treatment in hospital under direct medical supervision, but it does not cover care in the community - the place where someone is most likely to recover and rebuild their lives. Modern mental health services tend to be community-based, and delivered by multi-disciplinary professional teams. The new Bill reflects the modern pattern of services.

 

T.W.I.G.S. SUMMER FESTIVAL
SUNDAY 24 JUNE 2007
11 AM TO 4 PM
FREE ADMISSION AND PARKING

· To be opened by the Mayor at 11 am
· Themed gardens and organically grown plants
· Contemporary craft collection
· Organic allotment site
· Recycled timber products
· Free children's craft activities
· Live music and home-made refreshments
· Swindon beekeepers
· The haven wildflower area.
· Guest attractions include:
Alpaca
Home Composting Advisor
Swindon Climate Action Network
Swindon Lets Scheme
Drumming in the Roundhouse
Various walks and stalls by Wiltshire Wildlife Trust
Rodbourne Green Residence Association Photo Workshop

Visit us in the grounds of Manor Garden Centre, Cheney Manor, Swindon
Tel. 523294 or visit wwww.richmondfellowship.org.uk/twigs for more information (leaflets/maps available)

In conjunction with Swindon and District Beekeepers Association
and F.A.B. (Flowers and Butterflies)

`

A 'Solution Focused National Seminar' on Chinese and Vietnamese Mental
Health will be held at the King's Fund Conference Centre, 11-13 Cavendish
Square, London on Monday 18 June 2007

The Home Affairs Committee report in 1985 plainly states: "In any one area
their (the Chinese/Vietnamese community) numbers are tiny in relation to the
total population. They and their problems are therefore nobody's priority:
indeed their very existence may scarcely be noticed… Even where the Chinese
(and Vietnamese) are concentrated in cities, they are in none of them the
largest minority." Since this report has been published, little has been
done to improve the mental health situation for the Chinese & Vietnamese
(C&V) communities.

Commissioners play a key role in changing this. However, change can only
take place if the commissioning framework takes into account the unique
characteristics of the C&V communities.

The purpose of this seminar is therefore:

To analyse the determinants of mental health specific to the C&V community
over and above the rest of the population
To focus on partnerships working across health and social care or health and
the wider local authority agenda that would address these determinants
To share our working experiences and good practice
To jointly develop solutions to put the C&V at the centre of commissioning
and address their cultural issues when commissioning
To better engage the two communities in planning services
To develop more appropriate and responsive services for positive outcomes
This seminar is the first of its kind and is funded by the Delivering Race
Equality (DRE) to bring the voluntary and statutory sector together to
formulate solutions. For more information or to registrar, please contact
Lisa Cheung or Sandy Yeung at Chinese Mental Health Association on telephone
0845 122 8660 or info@cmha.org.uk.

The conference flier can be found at
http://www.networks.nhs.uk/uploads/07/05/cv_national_seminar3.doc





MHRA, 24/05/2007

Subject: Medicines Alert and Recall of Zyprexa Contact: Press Office 020 7084 3535 / 3564 press.office@mhra.gsi.gov.uk Out of hours 07770 446 189

Recall of Counterfeit Zyprexa batches

The MHRA has been alerted to three counterfeit batches of Zyprexa (Olanzapine) 10 mg tablets. This drug is used in the treatment for patients with schizophrenia, bipolar disorder and similar conditions.

The MHRA has issued a drug alert to recall this product from the market, to minimise the risk to patients. To date, it is believed that two of the batches have reached patient level. We take this very seriously and a criminal investigation is being carried out.

Patients should contact their pharmacist as soon as possible, if they are taking medication from the following; Zyprexa (Olanzapine) 10mg tablets with the batch numbers A229505, A200127, A216454 (or one of these numbers with a prefix or suffix). They should take their medication with them so their pharmacist can return it to Eli Lilly (the manufacturer) for examination. At present there is no evidence of patients having any adverse reactions specifically related to the counterfeit batches. Patients should consult their GP if they have any treatment or health concerns.

Patients with concerns can contact Eli Lilly on 0800 032 0741.

Note to Editors 1. Zyprexa contains the active ingredient called Olanzapine. Zyprexa belongs to a group of medicines called antipsychotics. It is indicated in the treatment for schizophrenia and bipolar disorder. Zyprexa is centrally licensed by the European Medicines Agency (EMEA) and we are working in conjunction with them. Eli Lilly is the licence holder. Zyprexa (Olanzapine) is licensed by the EMEA and was licensed on 27 September 1996. 2. The MHRA was informed by Eli Lilly. Eli Lilly was informed by a company who prints labelling for their products, after a repackager had contacted them after becoming suspicious. 3. One person has been arrested and is on bail. They have not yet been charged. MHRA investigatory enquiries are continuing. 4. The initial laboratory tests on the seized counterfeits show that the samples contain approximately 60% of the labelled active ingredient. A counterfeit may also contain harmful ingredients. Work is ongoing to obtain more information about any additional ingredients in these counterfeit tablets, but in the interim we have issued a recall to minimise patient risk. 5. Counterfeits are notoriously difficult to detect with the untrained eye and even experts sometimes require full forensic laboratory tests to determine whether a suspect product is indeed a counterfeit. Although there are some visual differences between genuine and counterfeit stock in this case, they are not all clear. We do not feel that patients should be responsible for physically examining their packs if they bear the suspect batch numbers, therefore we strongly recommend taking the product back to their GP or pharmacist who can contact Eli Lilly and arrange for the product to be returned for analysis. Lilly are the best people to carry out these tests to differentiate the genuine article from the fake.



 

 

 

This letter sets out the new resources being made available for the health sector for the year 2007-8 for the implementation of the Mental Capacity Act 2005.

To download letter and appendix (PDF, 245K) please see
http://snipurl.com/1m6zh

The Bournewood safeguards: Draft illustrative code of practice

The Bournewood Safeguards draft illustrative guidance is intended to be used by people exercising functions under the Bournewood provisions. The intention is that the guidance will eventually form part of the Mental Capacity Act 2005 Code of Practice (due to be issued in Spring 2007). Covering note invites comments on the draft guidance before June 2007.

The following documents can be downloaded at http://snipurl.com/1m6zl

Bournewood safeguards draft illustrative code of practice (PDF, 244K)

Bournewood safeguards draft illustrative code of practice covering note (PDF, 14K)

Mental Health Bill and related documents


CLOSURE OF THRESHOLD WOMEN'S MENTAL HEALTH INFOLINE

OVER 1,000 WOMEN A YEAR LEFT WITHOUT VITAL MENTAL HEALTH SUPPORT DUE TO CLOSURE OF THRESHOLD WOMEN'S MENTAL HEALTH INFOLINE

Threshold Women's Mental Health Infoline faces closure at the end of June 2007 due to lack of funding. This much needed National Women's Mental Health Helpline will no longer be able to provide vital emotional support and information to women with mental health difficulties, their carers and workers.

Threshold Women's Mental Health Infoline is the ONLY FREEPHONE Helpline for women throughout the UK. This much respected and highly depended upon service has been in existence for 9 years since 1998. During this time we have provided emotional support and information to over 7,500 callers and sent out over 90,000 of our mental health factsheets.

... As our patron Jo Brand says:

"These kind of independent, women-only services are crucial as many women feel more comfortable coming to a service which is specifically tailored to their needs."

Here are some of the things the women we help have to say about us:

''It is great that the Infoline is run by women, I feel comfortable talking to a woman''

''It's a lifeline when you are floundering and looking for information''

''Thanks to organisations like yours, people like me remain alive and eventually get the help to improve the quality of life, without the suffering''

What happens to the women who depend on a service of this nature when it is gone? Unfortunately Threshold is not alone in its funding crisis. According to the Women's Resource Centre, 41% of women's organisations had to close a project or a service in the last year due to lack of funds. This is in the current climate of government endorsement for the recent public sector gender equality duty. This duty promotes equal opportunity and aims to eliminate discrimination by amongst other things ensuring that women have access to women only services as recognition of their specific needs.

If there is any way in which you can help or know of ways in which we can address this current financial crisis, Threshold would welcome any support or assistance that you may be able to offer. Please call Lisa Dando (Infoline Manager) on 01273 298937 as soon as possible.


Source: Department for Constitutional Affairs (National), 23/04/2007

The Code of Practice for people making decisions on behalf of individuals who lack mental capacity was published by the Government today.

Constitutional Affairs Minister Cathy Ashton said the Code was an important milestone in the implementation of the Mental Capacity Act.

The Code, which sets out best practice for professionals, family carers and other groups, will be an essential guide to help people make decisions that are in the best interests of some of the most vulnerable people in society. The Code, part of the Mental Capacity Act 2005, covers an extensive range of different decisions that might need to be taken. Professionals and other paid carers are expected to have regard to the Code when working with someone who lacks capacity.

Cathy Ashton said:

"Today marks an important step in ensuring that people who lack capacity to make decisions get the best deal when it comes to their care. "All too easily, these vulnerable people are at risk of having decisions made for them that are inappropriate or do not properly take into account their needs or wishes.

"The Code lays out what anyone providing care or working in this area should take into account when making decisions on behalf of others. It has been written to meet the needs of a wide and varied audience for clear and accurate guidance.

"It is important to remember that some people may lack the capacity to make more complex decisions, but can still make other decisions about, for example, what to eat or wear or if they want to go out for the day. That they must be allowed to do so is also laid down in the Code."

The Code follows extensive consultation to make sure it represents the best interests of vulnerable people.

The Mental Capacity Act 2005 provides a statutory framework for people who lack the mental capacity to make their own decisions. It sets out who can take decisions, in which situations, and how they should go about this. It also enables people to make provision for a time in the future when they may lack capacity to make some decisions.

Notes to Editors:

1. The Code and the Mental Capacity Act are available at http://www.dca.gov.uk/capacity/index.htm.

2. The Code applies immediately to those aspects of the Mental Capacity Act relating to Independent Mental Capacity Advocates and the new criminal offence of ill-treatment or neglect and for all other provisions from 1 October once they come into force.

3. The Mental Capacity Act received Royal Assent on 7 April 2005. Some parts of the Act came into affect in April 2007 with the rest commencing in October 2007.

4. Parts of the Act that came in to effect in April 2007 include the new criminal offence of ill-treatment or willful neglect of people lacking mental capacity and the Independent Mental Capacity Advocate Service in England (IMCAs).

5. Other parts of the Act including the Court of Protection, the Office of the Public Guardian,Lasting Powers of Attorney and the IMCA service for Wales will come into effect in October 2007.

http://www.dca.gov.uk

 

Final Version HRA Changing Lives http://www.bihr.org/

From : Jo Morgans e-mail: jmorgans@bihr.org.uk

Please find attached, above, a copy of our new report 'The Human Rights Act - Changing Lives'. The report brings together 15 case studies that demonstrate how the Human Rights Act is being used beyond the courtroom to make a difference to everyday life in the UK. It directly challenges the misperception that the Act is only for lawyers, or 'chancers' seeking to frustrate our criminal justice system.

Instead this report reveals how the Human Rights Act is being used in practical ways by people to challenge poor treatment in public services, precisely as the Government envisaged when it passed the Act in 1998.

The Human Rights Act is important and this report shows why. For one disabled woman from Yorkshire, the Human Rights Act made a 'phenomenal difference'. Refused the special double bed she needed in order to carry on sleeping next to her husband - even though she offered to pay the extra cost - she successfully used the Act to challenge her local council, using arguments about her right to respect for family life. Other examples include the parents who were banned from visiting their son in residential care or the single mother threatened with eviction when she gave birth in hospital for whom human rights were a crucial practical tool to challenge discrimination and disadvantage.

Please forward this report to anyone who might be interested in it.

For further information, or to discuss the report with BIHR, please contact us on 020 7848 1818 or at info@bihr.org.uk.

Jo Morgans

Marketing and Events Officer
British Institute of Human Rights
Direct: 020 7848 1924
Visit our new website at www.bihr.org.uk

Source: Disability Rights Commission, 25/04/2007

A Private Members Bill aimed at tackling the growing social care gap and to ensure greater choice and support to disabled people and carers, completed its legislative passage through the House of Lords today.

Lord Ashley of Stoke’s Disabled Persons (Independent Living) Bill, which gained support from carers and women’s equality groups including Carers UK and the Equal Opportunities Commission (EOC) as well as cross party endorsement, will now proceed to the House of Commons. Earlier this year over 150 MP’s signed an early day motion in support of its provisions.

Lord Ashley’s Bill was introduced in the House of Lords in November 2006 against a backdrop of increasing scarcity of social care support to millions of families. Last year 7 out of 10 local authorities admitted to only offering support to people whose needs were judged to be ‘critical’ or ‘substantial’, with 8 in 10 of the same authorities anticipating further tightening this year.

If enacted, Lord Ashley’s Bill would provide a right for disabled people not to be placed in residential care against their will. The Bill would also safeguard the health and well being of carers and reduce dependency on social care provision by placing duties on local authorities and the NHS to increase opportunities for independence. Crucially the Bill would eliminate the post code lottery in the quality of social care and require agencies to pool funds to ensure better co-ordination of resources and cutting back on red tape.

Commenting on the passage of the Bill through the House of Lords, Lord Ashley said:

“This Bill represents a fundamental recasting of the relationship between disabled people, carers and the social care system. By placing new duties on public authorities and conferring new rights on disabled people, it provides a blueprint for a future where disabled people are truly independent. Every single organisation connected with disability who has commented on the Bill has offered warm support.”

Sir Bert Massie, Chairman of the Disability Rights Commission, said;

“This is a historic moment. Disabled people’s, women’s and carers' ambitions for an alternative future based on independence, choice and dignity have received legislative backing. A historic opportunity to reform our threadbare social care system and to liberate millions of families into active, participating and contributing citizens, now exists and should not be missed.”


Source: Department of Health, 11/04/2007

National suicide rate at an all time low but suicides by mental health patients could be prevented by Supervised Community Treatment

A progress report published by the National Institute for Mental Health in England today shows that good progress is being made towards meeting the Government target to reduce suicide by 20 per cent by 2010, but more can be done to bring down the suicide rate further. The report sets out the achievements of the last 12 months and shows:

the lowest overall rate of suicide amongst the general population on record;

a fall in suicide rates amongst young men - continuing the downward trend since the problem of suicides in this group first escalated some 30 years ago;

a fall in the rate of self-inflicted deaths in prisons to 70 in 2005/6, a 17 per cent reduction compared with last year; and

a fall in the number of suicides amongst mental health in-patients from 217 in 1997 to 154 in 2004.

The report also says that more needs to be done to reduce the number of people in contact with mental health services who take their own lives. The Avoidable Deaths report published last year estimated that 56 mental health patients discharged from hospital die every year following non-compliance with medication or loss of contact with services. Supervised Community Treatment (SCT), a measure to improve clinical risk management that the Government is introducing in its Mental Health Bill, has the potential to help prevent those deaths.

Having a severe mental illness is a known risk factor of suicide and a significant number of suicides occur during in-patient care or shortly after discharge. Avoidable Deaths showed around 200 suicides a year - or 14 per cent of all suicides - follow non-compliance with treatment. Better compliance with treatment and closer supervision were highlighted by clinicians as the main ways of reducing suicide risk.

National Clinical Director for Mental Health Professor Louis Appleby said:

"The overall rate of suicide amongst the general population is continuing to fall and is the lowest on record. We are seeing encouraging progress towards the target to reduce suicide by 20 per cent by 2010 but is important that we maintain the momentum.

"I am very encouraged to see a further fall in the suicide rate for young men. There is now clear evidence of a sustained fall in suicide amongst this group.

"We are also seeing a reduction in the number of suicides amongst mental health in-patients. However, areas of clinical practice need to be strengthened if suicides in metal health care are to be prevented. Two important areas are the management of risk in patients discharged from hospital, and in patients who are non-compliant with their treatment.

"Good clinical care needs to be backed by legal powers, and this is why the Government is introducing Supervised Community Treatment in the Mental Health Bill currently being debated in Parliament. SCT will ensure that patients in the community who are at risk of suicide will receive the treatment they need."

The report includes a number of regional examples of the National Institute for Mental Health in England, part of the Care Services Improvement Partnership (CSIP), working with partner agencies to deliver on the extensive work outlined in the National Suicide Prevention Strategy for England. They include:

Durham and Darlington's Multi-Agency Suicide Prevention Task Force's research into the frequency and nature of contact with a number of agencies, including the criminal justice system, to develop information sharing protocols and pathways;

Barnsley PCT working with the Highways Agency on a study of bridge related suicides following a number of incidents around a junction of the M1. In partnership with the local council, and the Samaritans, signage has been erected on six local motorway bridges and one reservoir;

In the West Midlands, work with small non-statutory organisations in the promotion of health has been identified as an important factor in suicide prevention in rural communities; and

In London, the heightened risk of suicide amongst young men and those from ethnic minority groups is being addressed by the development of new outreach services targeted on specific ethnic groups. Local community groups are being engaged in order to increase local understanding of where people can access help.

NOTES TO EDITORS

The first was launched in September 2002 to support the target set in the White Paper Saving Lives: Our Healthier Nation to reduce the death rate from suicide and undetermined injury by at least 20 per cent by 2010. This is the fourth annual report outlining progress made in implementing the strategy.

Suicide rates, whilst fluctuating year on year, show a downward trend since the early 1980s. The target detailed above is to reduce the death rate from suicide and injury (and poisoning) of undetermined intent by at least a fifth by 2010 from a baseline rate of 9.2 deaths per 100,000 population in 1995/6/7 to 7.3 deaths per 100,000 in 2009/10/11.

The latest available data for the three years 2003/4/5 show a rate of 8.5 deaths per 1000,000 population - a reduction of 7.4 per cent from the 1995/6/7 baseline.

CSIP, with its eight regional development centres, works at a local and regional level to help implement the objectives of the strategy.

The National Suicide Prevention Strategy for England Annual report on progress 2006 is available to view online at www.nimhe.csip.org.uk

Avoidable Deaths: Five year report of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, published in December 2006, is available online at http://kc.csip.org.uk/viewresource.php?

More information on the Mental Health Bill is at www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/Mentalhealth/DH _073490


Source: Nice, 03/04/2007

Programme and the National Collaborating Centre for Mental Health are
looking for applications from service users and/or carers to sit on the group developing a clinical guideline for the care of people with
schizophrenia. This guideline will update the recommendations published in December 2002.

Service user/carer members of this group will play a key role in making sure that service users’ views, experiences and interests (and those of their carers) inform the guideline's development and its recommendations to the NHS.

All members of Guideline Development Groups have equal status, which
reflects the relevance and importance of their different expertise and experience. They include health professionals and researchers as well as service user and carer members. All Group members need to attend regular meetings and undertake background reading.

We would welcome an application from you if you have:

experience or knowledge of schizophrenia, for example, as someone - who has (or has had) schizophrenia themselves or - who is the relative or carer of someone who has (or has had) schizophrenia or - who is a policy officer from a relevant service user organisation an understanding of, and a willingness to reflect, the experiences and needs of a wider network of relevant service users (perhaps as a member of a support group or service user organisation) time to commit to the work of the group: attending meetings, background
reading, commenting on draft products etc. good communication and team working skills

Health professionals will be well represented on the group so we are looking for someone without a health professional background. Health professionals will be recruited via a separate process.

Service user members of Guideline Development Groups are paid an attendance fee and travel expenses are also reimbursed. The Patient and Public Involvement Programme will provide service user/carer members with dedicated nd ongoing support throughout their time on the Group.

For further information about what the role involves and other relevant information please use the links below:

Schizophrenia Clinical Guideline – service user/carer members “job
description” (Form A) Schizophrenia Clinical Guideline – application form & ersonal statement (Form B) Information sheet on Declaration of Interests

If you would like to discuss this further, please contact Victoria Thomas, rogramme Manager: Patient and Public Involvement Programme, NICE, Patient nd Public Involvement Programme, MidCity Place, London, WC1V 6NA.

victoria.thomas@nice.org.uk

Decisions about whom to recruit to the Guideline Development Group will rest ith the National Collaborating Centre for Mental Health. Please note that ubmitting an application does not automatically guarantee a place on the roup.

TO APPLY

The application form is downloadable by using the link above; if you would ike to receive hard copies of the information, please contact Victoria homas as above. Please return form B (either in hard copy or in electronic ormat) to Victoria Thomas as above.

Please return your completed forms by the end of 30th April 2007.

Further information about the Schizophrenia guideline project Further
information about the Patient and Public Involvement Programme Further nformation about the National Collaborating Centre for Mental Health

Schizophrenia Clinical Guideline - service user/carer members “job
description” (Form A)
http://snipurl.com/1fx8z

03/04/2007
Schizophrenia Clinical Guideline - application form & personal statement Form B)
http://snipurl.com/1fx90

03/04/2007
Information sheet on Declaration of Interests http://snipurl.com/1fx93

EXPLORE CORNWALL AT;

TREVANION HOUSE
HOLIDAYS FOR ADULTS WITH LEARNING DISABILITYS
FEATURES;
1. COMPLETE PACKAGE OF SUPPORTED ACTIVITIES
2. QUALITY HOTEL ACCOMADATION WITH ENSUITE FACILITIES
3. VARIETY OF DAY TRIPS AND EVENING ACTIVITIES, SUGGESTED AND CHOSEN BY GUESTS
4. HOLIDAY DIARY WITH PHOTOS TO TAKE HOME
5. PROMOTES INDEPENDENCE, PERSONAL CHOICE AND SELF ADVOCAY
6. REGISTERED WITH COMMISSION FOR SOCIAL CARE
7. FUN-WITH LEARNING EXPERIENCES
8. GUESTS MET FROM TRAIN OR AIRPORT
9. MOST GUESTS VISIT INDEPENDENTLY

EARLY BOOKINGS ADVISED.
SPECIAL ACTIVITY WEEKS- ASK FOR DETAILS.
OPEN ALL YEAR , SUBJECT TO AVAILABILITY
.
CALL NOW; ON 01208 814903;

www.trevanion.co.uk

OR WRITE TO;
TREVANION HOUSE, TREVANION ROAD, WADEBRIDGE, CORNWALL. PL27 7PA

or e. mail; enquiry@trevanion.co.uk



   
   



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