1. IMPs – Intermediate Mental & Physical Health Care Team
Kashif Munir
(Physiotherapy Lead)
12th November 2014

2. Background to Service Started in 2008 Influenced by:
Local audit – adults & older adults with mental health problems were staying longer in acute hospitals & difficulty in accessing rehab pathways.
NSF for Older Adults: Standards 3 & 7

3. The Role of the Team
Short term (Target 8 weeks +/- ) rehabilitation to clients.
Support people at home.
Clients whose physical health rehab is impeded by mental health problems or their physical health is impeding their mental health recovery.
Prevent unnecessary admission to an acute setting and reduce avoidable use of long-term care.
We provide a multi-faceted service encompassing; holistic assessment, community rehab, discharge support and prevention of admission where possible.

4. Acceptance Criteria Westminster residents only.
Medically stable with rehabilitation potential.
Age: Adult 18 +
Current mental health condition is affecting their physical rehabilitation.
Physical condition is affecting their mental health resulting in challenges in their rehabilitation.
Clients to engage with Mental Health and Physical Care Practitioners to enable holistic, goal specific, time limited interventions to effectively optimise recovery.
Clients cognitive impairment has deteriorated significantly or is resulting in prevention of realistic rehabilitation due to complex needs/condition.

5. Referrals Accepted from: All health and social care professionals
GP, Hospital discharge team, Reablement team, Community rehabilitation team, District nursing, Community matron, Social services, Rehabilitation unit, CMHT, WMS, Psych Liaison Service, ABT team, Inpatient mental health ward, Care navigators and Nursing/residential homes.
Referral:
Accessible via the IMPS webpage
SAP form
Basic risk assessment
For clients currently known to CNWL Trust a referral letter is acceptable

6. Diagnosis
F01- F09: Mental disorders due to known physiological conditions
F10 – F19: Mental and behavioural disorders due to psychoactive substance use
F20 – F29: Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders
F30 – F39: Mood [affective] disorders
F40 – F49: Anxiety, dissociative, stress-related, somatoform and other non psychotic mental disorders
F50 – F59: Behavioural syndromes associated with physiological disturbances and physical factors
No Mental Health Disorder

7. Average age of clients: 75 years
Patient discharged to: GP, CMHT and Social inclusion.
Average cases within the six years of IMPS:
Year 1 – 13 per month
Year 2 – 15 per month
Year 3 – 19 per month
Year 4 – 21 per month
Year 5 – 32 per month
Year 6 – 35 per month.

8. Senior Physiotherapist
IMPS Structure
Service Manager
Mental Health
Clinical Nurse Specialist
RMN
Associate
Practitioner
Physiotherapy
Physiotherapy Lead
Senior Physiotherapist
Physiotherapist
Senior Occupational
Therapist
Rehab. Assistant
Psychology
Clinical Psychologist
Administrator
Psychiatric Cover
Occupational

9. Treatment/Interventions
Providing Comprehensive Assessment.
Providing structured individual care plan that involves active therapy, treatment or opportunity for recovery.
A planned outcome of maximising independence and typically enabling people to resume or continue living at home.
Cross professional working, intense and frequent input with flexible durations to suit and meet the needs of each individual.
Physiotherapy Assessment and Treatment.
Psychological Therapies
Psychosocial Interventions
Environmental Assessment & Support
Review & Rehab of ADL’s
Medication Review
Functional Assessment
Financial Guidance and Referral
Family and Carer Support
Diagnosis
Facilitate access to community services
Social Inclusion

10. Client feedback

13. Future work “Patient discharged due to dementia” (CSP Frontline, 2014)
NHS must treat mental and physical health - stop treating patients with mental health as second class (DOH, 2013).
More AHP leadership opportunities and support especially in Mental Health Services.

14. Locality and Hours Vauxhall Bridge Road
Older People’s and Healthy Ageing Service Line
Located with CMHT, HTT, JHTT, ABT, Recovery Team.
Closely working with CMHT, Memory Service, Mental Health Inpatient Ward, Liaison Psychiatry Service.
Mon – Fri (0830 – 1630)
Assessment 3 working days assess if urgent or 10 working days for non-urgent

15. How To Contact Telephone: 02078544151 Fax: 020 79318087
Webpage:
Address: 3rd Floor
190 Vauxhall Bridge Rd
London
SW1V 1DX