1. 1 Shaping a new mental health liaison service for older people Colin Hughes Consultant Nurse - Older People (Mental Health)

2. 2 Chesterfield Royal Hospital NHS Foundation Trust: 549 acute beds Walton Hospital Derbyshire County PCT: 94 rehabilitation and acute admission avoidance beds

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5. 5 Do the Do the ‘Who Cares Wins’ calculation: ‘Who Cares Wins’ calculation: 120 will have depression 120 will have depression 84 will have delirium 130 will have dementia 84 will have delirium 130 will have dementia

6. 6 No. ward referrals per year

7. 7 The set up CN works in partnership as a team with the medical psychiatric staff (Dr Sykes, Dr Whittingham and Dr George) of Derbyshire Mental Health Services NHS Trust CN works in partnership as a team with the medical psychiatric staff (Dr Sykes, Dr Whittingham and Dr George) of Derbyshire Mental Health Services NHS Trust single point of entry for liaison referrals to an enhanced service (the psychiatrists’ office) single point of entry for liaison referrals to an enhanced service (the psychiatrists’ office) CN leads change: CN leads change: consultation to liaison consultation to liaison

8. 8 No. ward referrals to old and new service

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10. 10 No. of referrals seen by the CN between 20 June 2005 and 30 June 2006 380 referred to mental health service from CRHFT and Walton 380 referred to mental health service from CRHFT and Walton 190 assigned to the CN (50% of CRHFT and Walton referrals) 190 assigned to the CN (50% of CRHFT and Walton referrals) 167 assessed by the CN 167 assessed by the CN 66 follow up contacts 66 follow up contacts 23 Not seen for various reasons 23 Not seen for various reasons

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12. 12 Mean average = 2.8 working days 66% of the routine referrals were seen within 3 working days 84% within 4 working days.

13. 13 Placement outcomes by diagnosis Outcome of 97 patients with dementia: Home52(52.6%) Transferred19(19.6%) Residential/nursing home 10 Home 6 Died 3 Died12(12.4%) Residential/nursing home14(14.4%) Outcome of 70 patients, not dementia: Home40(57.1%) Transferred15(21.4%) Still inpatient at 30/9/06 1 Residential/nursing home 4 Home 6 Died 4 Died7(10.0%) Residential/nursing home8(11.4%)

14. 14 Attitude of Consultant Physicians

15. 15 Attitude of Consultant Physicians

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