Community Mental Health Nursing Service for Older People Contents Service Description CPN Intervention How to Refer Referral Form Sector Teams’ Alignment Contents User friendly (brief and in plain English) description of the Community Mental Health Nursing Service for the Older Person. Brief description of types of interventions which the Community Mental Health Nurses provide. How GP's can access the service. Letters/faxes preferred other methods – telephone or fax Primary Healthcare Team Meetings. Service Description The Community Mental Health Nursing Service for Older People provides high quality nursing care for elderly people in their own homes. The Community Mental Health Nursing Service is centrally based at Bensham Hospital but is in sectors in line with the Consultants in Old Age Psychiatry. East Central West/ Far West Prof. A. Thomas Dr. R. Harrison Dr. A. Panikkar Dr. A. Ntanda Dr. A. Howard This means that every GP surgery will have a named Community Mental Health Nurse for this client group. Any person over the age of 65 who has a mental health problem can be referred to the CMHN Service. Although dementia sufferers are one of our largest client group we also see elderly people with other or multiple needs including depression, anxiety, loss and those elderly people with severe and enduring mental health problems (e.g. schizophrenia). As a service we take referrals from both GP’s in the sector and from consultants linked to the practices. We support individuals whose needs are under primary care. Following CMHN assessment, we will refer those requiring more indepth assessment to the consultant liaising with the GP. In these instances we will request an updated medical history and medication list. Please Note: Access to an interpreter is available. Typical CPN Intervention Psychiatric Nursing Assessment Monitoring of Mental and Physical State Hospital Discharge Follow – Up Monitoring of Medication Regimes for Compliance Effectiveness and Side Effects Administration of Depot Injections Co – ordination of Services Care Programme Approach Responsibilities Counselling Information Source Carer Support Anxiety Management / De-sensitisation Use of Psychological Therapies / Brief Interventions Bereavement and Loss Counselling Following an assessment by the Community Mental Health Nursing Service, we will forward a written report of this to the referring GP. This will include a summarised nursing care plan and recommendations if appropriate. The Community Mental Health Nursing Service will continue to visit according to this plan and communicate as required with the referrer. Discharge from the Community Mental Health Service will also be in written form. Referral Route This is the contact person for the Community Mental Health Nursing Service for this surgery. Should you have concerns regarding a person receiving support from the service, please contact the CMHN. Details for your surgery (name of GP surgery inserted here) Name of Nurse…………………………………………….. Tel. Number………………………………………………... Referral can be made preferably in written form, using the standard patient Referral Form (PRL1) or on our own proforma overleaf and sent to the address below. Alternatively referrals will be taken by telephone (number below) with the provision of a follow–up written referral. Faxed referrals are also acceptable (number below). Patients with memory problems under the age of 65, should be referred to the Consultant for the relevant sector. INFORMATION REQUIRED FROM REFERRER: Name Address Date of Birth Telephone Number Contact details if necessary, for example via relative or am / pm availability etc. Reasons for referral Relevant brief medical and psychiatric history Any other relevant information, for example social circumstances and main carer Name of referrer A list of current medication Following assessment if Consultant involvement is required, a direct referral can be made by the CMHN with the GPO’s agreement, and additional up-date of medication and medical history. CONTACT DETAILS: Community Mental Health Nursing Service (Older Persons) Bensham Hospital, Saltwell Road, Gateshead, NE8 4YL Tel. 0191 445 6691 Fax: 0191 445 6693 Supplementary information available from: Judith Gibson, Clinical Nurse Leader/Matron, Elderly Mental Health Services Tel: 0191 445 3854 Elderly Mental Health Services Referral Form Name: Address: Date of Birth: Telephone No. Reason for Referral: Relevant medical and psychiatric history: Any other relevant information e.g. special contact arrangements, social situation etc. Medication: Referring GP: Practice: Date of Referral: Name: Signature: Community Mental Health Nursing Service (Older Persons), Bensham Hospital Tel: 0191 445 6691 Fax: 0191 445 6693 Services the Community Mental Health Nurse Team can refer to / liaise with ` Drug and Alcohol Consultant Psychiatrist Crisis Team Housing Associations Voluntary Sector Social Services CROP Team CMHNT Elderly Macmillan Nurses Home Loans Occupational Therapy Practice Nurses District Nurses Psychology Prof. A. Thomas Dr .A. Ntanda EAST Longrigg Medical Centre Leam Lane Estate Gateshead NE10 8PH Tel: 0191 469 2173 Birtley Medical Group Durham Road Birtley DH3 2QT Tel: 08444 773833 Beacon View Medical Centre Beacon Lough Road Beacon Lough Gateshead NE9 6YS Tel: 0191 482 4000 Crowhall Medical Practice Felling Health Centre Stephenson Terrace Felling NE10 9QG Tel: 0191 469 2311 Wrekenton Medical Centre Springwell Road Wrekenton Gateshead NE9 7BJ Tel: 0191 487 6129 St Alban’s Medical Group Felling Health Centre Stephenson Terrace Felling NE10 9QC Tel: 0191 469 2337 Pelaw & Bede Medical Practice 7- 8 Croxdale Terrace Pelaw NE10 0RR Tel: 0191 469 2337 Metro Interchange Surgery Unit 5B, New Century House Jackson Street, Gateshead NE8 1HR Tel: 0191 477 2033 Dr. A. Panikkar Dr. A. Howard Dr. R. Harrison CENTRAL WEST/FAR WEST Fell Cottage Surgery 123 Kells Lane Low Fell Gateshead NE9 5XY Tel: 0191 487 2656 The Medical Centre 1 Rawling Road Gateshead NE8 4QS Tel: 0191 477 2180 Bewick Road Surgery 10 Bewick Road Gateshead NE8 4DP Tel: 0191 477 2296 Oldwell Medical Practice 10 Front Street Winlaton NE21 4RD Tel: 0191 414 2339 Oxford Terrace Medical Group 1 Oxford Terrace Gateshead NE8 1RQ Tel: 0191 477 2169 Chainbridge Medical Partnership Chainbridge House The Precinct Blaydon NE21 5BR Tel: 0191 414 2856 Glenpark Medical centre 61 Ravensworth Road Dunston NE11 9AD Tel: 0191 460 4300 Gateshead Health Centre Prince Consort Road Gateshead NE8 1NB Tel: 0191 477 2243 Rawling Road Surgery 108 Rawling Road Bensham Gateshead NE8 4RD Tel: 0191 420 3255 The Surgery Johnson Street Teams Gateshead NE8 2JP Tel: 0191 460 4239 Second Street Surgery Second Street Bensham Gateshead NE8 4UH Tel: 0191 477 2430 Bensham Family Practice Sydney Grove Bensham Gateshead NE8 2XB Tel: 0191 477 6955 Fell Tower Medical Group 575 Durham Road Low Fell Gateshead NE9 5EY Tel: 0191 491 3322 Bridges Medical Practice Trinity Square Health Centre 24 West Street, Gateshead, NE8 1AD Tel: 0191 477 3736 The Millennium Family Practice Trinity Health Centre, 24 West Street Gateshead, NE8 1AD Tel: 0191 478 3678 Holyhurst Medical Centre 8 Front Street Winlaton NE21 2RD Tel: 0191 499 0966 Ryton Surgery 7 Elvaston Road Ryton NE40 3NT Tel: 0191 413 3459 Whickham Cottage Medical Practice Rectory Lane Whickham NE16 4PD Tel: 0191 488 5555 Sunniside Medical Group 8 Dewhurst Terrace Sunniside NE16 5ZP Tel: 0191 496 0477 Crawcrook Surgery Back Chamberlain Crawcrook NE40 4TZ Tel: 0191 413 2243 Riverside Surgery 51 Woodcroft Road Wylam NE41 8DH Tel: 01661 853 920 Oakfield House Surgery Low Westwood Hamsterly Colliery Newcastle NE17 7PT Tel: 01207 560206 Primary Health Care Centre South Road Chopwell NE17 7BU Tel: 01207 561 736 Medical Centre The Grove Rowlands Gill NE39 1PW Tel: 01207 542 136 Grange Road Medical Practice Grange Road Ryton NE40 3LT Tel 0191 413 1399 Young Persons’ Community Mental Health Nurse Memory Clinic NOTES