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maandag 21 augustus 2017

RCGP: Important for GPs to be aware of up to date clinical guidelines around physical activity, says RCGP

Important for GPs to be aware of up to date clinical guidelines around physical activity, says RCGP
She said: "GPs want our patients to live long and healthy lives, but without regular physical activity patients are putting themselves at risk of life-threatening diseases, including diabetes, cardiovascular disease, and cancer – all of which will have a considerable negative impact on a patient's quality of life, and cost the NHS billions every year.

"GPs will always consider a patient's lifestyle - along with other physical, psychological and social factors that might be affecting their health - when making a diagnosis and developing a treatment plan, and this often will include conversations about their weight and lifestyle choices.

"It's really important that GPs and our teams are aware of up to date clinical guidelines around physical activity - and the tools available to us to best implement them in the best interests of our patients - so it is clear from this research that more needs to be done by Public Health England and others to ensure these resources are readily available to GPs.

"What is also clear is that when GPs are aware of these tools - as the majority are - use of them is being stifled because of a lack of time and resources to do so effectively, particularly within the constraints of the standard 10-minute consultation, which is increasingly unfit for purpose, especially for patients with complex health needs.

"The Royal College of General Practitioners is certainly playing our part in supporting GPs and our teams to encourage patients to live healthier lives – we have made Physical Activity and Lifestyle a clinical priority, and are producing a toolkit of educational resources for this purpose. 

"We are also developing an 'active practice' model, to encourage GPs to talk more with patients about exercise, and work closely with local physical activity providers in the community. 

"Ultimately, we need the pledges in NHS England's GP Forward View, including £2.4bn a year for general practice and an extra 5,000 full-time equivalent GPs by 2020, to be delivered in full and as a matter of urgency so that GPs can spend longer with our patients and inspire them to make improvements to their lifestyle, in the best interests of their long-term health and wellbeing."
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Prospect of losing new GPs so early in their careers could be disastrous the for NHS says RCGP
She said: "This research is confirming findings that have emerged elsewhere and is incredibly concerning – for the future of general practice, the wider NHS, and the care we're able to deliver to our patients.

"We really do need all the family doctors we can get - thousands more than we currently have, and of all 'types' be they partners, salaried or locum GPs - so the prospect of losing new GPs so early in their careers could be disastrous for the NHS.

"Unfortunately, these findings are a clear indication that trainees are being put off from a career in general practice because they are seeing first-hand the intense resource and workload pressures GPs and our teams are facing across the country.

"Workload in general practice has risen 16% over the last seven years, but resources for our profession has declined, and our workforce has not risen at pace.

"It's a massive shame because if properly resourced - with adequate investment and workforce - being a GP can be the best job in the world, with lots of variety and numerous career opportunities. 

"We urgently need to turn general practice around and make it the attractive career option that it once was – not just as a profession that trainees want to enter, but as a profession that they want to work in for years to come.

"The GP Forward View launched by NHS England could be the lifeline that general practice needs - but our annual assessment of its progress shows that things are not moving as quickly as they could in certain areas.

"We need the pledges made in the GP Forward View, including £2.4bn extra a year for general practice, 5,000 more full-time equivalent GPs, and 5,000 more members of the wider practice team, to be delivered in full and as a matter of urgency, so that we can deliver the care our patients need and deserve, now and in the future."
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Colleges join forces to make young people's mental health a priority

The three Colleges say that as well as the commissioning of specialist treatment, an effective CYP mental health system requires:

  • Acknowledgment that CYP mental health is everybody's business, and should be supported by a shared vision for CYP mental health across all government departments, particularly health, education and justice. 
  • A preventative, multi-agency approach to mental health across all ages, incorporating attention to education for young people and families, social determinants, and health promotion. This should focus on public mental health and early intervention in CYP, including minimising the need for admission and effective crisis services to maintain CYP in their homes.  
  • A system of national and local accountability for population-level CYP mental health and well-being, delivered via integrated local area systems. 
  • Training and education for the whole children's workforce in their role and responsibilities for CYP mental health. 
  • More support, both from specialist services and other sectors, for professionals dealing with CYP who do not meet referral threshold to a Child and Adolescent Mental Health Service (CAMHS). 

Following the development of the joint principles, the three Colleges have committed to a number of ongoing actions. These include ensuring the highest quality training and standards in CYP mental health; supporting the development of evidence based models of care that are focused on integration of care; and calling for greater investment and resources to be focused on developing services in CYP friendly settings that promote early intervention and resilience.

Dr Faraz Mughal, Clinical Fellow for Mental Health for the RCGP, said: "An estimated 850,000 children and young people have mental health problems in the UK, yet only a quarter receive specialist intervention they need. We desperately need more, and more varied, mental health services in the community, where they can be of most benefit for our patients – and GPs need to have better and quicker access to these services for our patients.

"NHS England's GP Forward View pledged for every GP practice to have access to one of 3,000 new mental health therapists. We need this, and its other promises - including £2.4bn extra a year for general practice and 5,000 more GPs - to be delivered as a matter of urgency, so that we can continue to provide the best possible mental health care to our young patients."

Dr Max Davie, Mental Health Lead at the RCPCH, said: "We are failing children and young people and condemning them to a potential lifetime of mental ill health if we don't acknowledge that mental health is everybody's business and requires a coordinated approach across many agencies. It is shocking that 75% of children and young people with mental health problems aren't receiving the specialist interventions they need – and it's a problem that's only set to get worse. 

"Getting it right for young people's mental health means putting resources into early intervention and prevention; building resilience amongst young people, ensuring the children's workforce as a whole is trained to spot the signs of mental ill health and refer to appropriate services, and crucially making sure local areas have robust plans and adequate resource to provide appropriate local support."

Dr Bernadka Dubicka, Chair of the Child and Adolescent Faculty at RCPsych, said: "Too many children and young people are falling through the gaps. Our NHS is so overstretched, they are unable to access care. Patients either aren't getting the help they need, when they need it, or they are being sent hundreds of miles from home and family for treatment – a practice we know hinders their recovery. 

"We know that money isn't reaching the frontline for CAMHS – our analysis of NHS England Mental Health Dashboards found that 10 CCGs were planning to spend less than £10 a head on children's mental health. This is simply unacceptable. 

"To meet the increasing demand for child and adolescent mental health services in our country, we need a greater workforce. The RCPsych is calling for 350 more child psychiatrists, and welcomes the government's forthcoming green paper as a further opportunity to invest in CAMHS."


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