Parsonage, Michael, Hard, Emily and Rock, Brian (2014) Managing patients with complex needs: Evaluation of the City and Hackney Primary Care Psychotherapy Consultation Service. Discussion Paper. Centre for Mental Health, London. Full text available

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Abstract

Every day, across England, people are seeking help for distressing and painful conditions with which their family doctors are unable to help and for which no specialist service is available. Many visit their GPs, hospitals and other health services many times, yet their problems remain unresolved, at a high cost to them, to their families and to the NHS. People with medically unexplained symptoms, people with personality disorders and those with complex mental health problems frequently get‘bounced’ around the NHS, passed from one service to another, none able(or willing) to offer them the flexible, personalised and sometimes time- consuming support they require. A group of GPs in the City of London & Hackney decided to tackle this by setting up a new service for those with mental health problems they could not manage through existing primary care services who fell outside the scope of other local mental health services. The ground-breaking Primary Care Psychotherapy Consultation Service (PCPCS), implemented and run by the Tavistock and Portman NHS Foundation Trust, is the result of that innovation. It offers help for a range of needs, close to home, often in people’s own GP surgeries, rather than in remote clinics. This includes a range of psychological therapies, joint consultations with GPs, and training for primary care staff to enhance their capacity to help. As this report demonstrates, it can change people’s lives and dramatically improve their health and wellbeing.

Item Type:	Monograph (Discussion Paper)
Additional Information:	Michael Parsonage is Chief Economist at the Centre for Mental Health. Emily Hard is Assistant Psychologist at the City and Hackney Primary Care Psychotherapy Consultation Service, Tavistock and Portman NHS Foundation Trust. Brian Rock is Consultant Clinical Psychologist and Service Lead for the City and Hackney Primary Care Psychotherapy Consultation Service, Tavistock and Portman NHS Foundation Trust.
Subjects:	Health and Medical Sciences > General Practice Health and Medical Sciences > National Health Service Health and Medical Sciences > Patient Care
Department/People:	Adult and Forensic Services
URI:	https://repository.tavistockandportman.ac.uk/id/eprint/880

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