#WeLDNs - Tuesday 24th January 2017 8:30pm (GMT Standard Time) Mental Health & #pwld - New NICE guidance

If you haven't joined in a tweet chat before it's very simple.    Here's a guide





 Chat Details

 

Hosted by WeLDnurses using #WeLDNs

This chat is guest hosted by @NICEComms

New guidance from NICE says everyone with learning disabilities should have their mental health checked annually, as fears thousands may be undiagnosed.

Experts acknowledge that mental health problems may be more difficult to diagnose for people with learning disabilities. This is because it can be harder for the person to explain how they are feeling and what help they would like.

Figures show there were over a million people with a learning disabilities living in England in 2013.

In the UK, 40% of adults and 36% of children with learning disabilities are known to experience mental health problems 

NICE is recommending that everyone with learning disabilities receive an annual health check, which includes a review of their mental health.

Other recommendations featured in the new NICE standard include:

  • People with learning disabilities who need a mental health assessment should be referred to a professional with expertise in mental health problems in people with learning disabilities.

  • People with learning disabilities and a serious mental illness should have a key worker to coordinate their care.

  • People with learning disabilities and mental health problems who are receiving psychological interventions (such as talking therapies) should have them tailored to their level of understanding.

  • People with learning disabilities who are taking long-term medications (such as antipsychotic drugs) should have annual documentation on the reasons for continuing this treatment.





 Chat Contributers

 

100 Tweets
200 Tweets
20000 Impressions
20000 Impressions
20000 Impressions




 Engagement Wheel






 Chat Word Cloud

 

 Participant bio cloud





 Chat Summary

 

NICE – the National Institute for Health and Care Excellenceco-hosted a twitter chat with @WeLDNurses to discuss some new guidance for the diagnosis and management of mental health problems in people with learning disabilities.

The NICE guidance calls for everyone with learning difficulties to undergo a mental health check every year, as fears that there may be thousands of people not getting the diagnosis and support they need.

The #WeLDNs twitter chat welcomed people with an interest or expertise in the field of learning disabilities and mental health care to discuss how  to implement these checks, and share good practice for how services can  better support those in need.

Three topic experts from the NICE guideline committee joined the chat to answer questions and explain the recommendations.

They were:


The chat was divided loosely into the five quality statements in the guidance. It gave twitter users the opportunity to ask NICE and the topic experts what these recommendations were based up and how they might work in the real world.

It was a lively debate with some people asking whether an annual review of mental health was enough and who should be responsible for ensuring that psychological interventions (such as talking therapies) are tailored to the individual’s level of understanding.

Nearly 40 people shared their views with NICE and WeLDNurses. They posted more than 250 tweets, which mean their digital voices reached more than 3 million people.

NICE has involved patients, service users, carers and the public in its work, since the organisation was launched in 1999.

Now the popularity of social media platforms like twitter, Facebook and Snapchat is allowing us to extend this work in a more informal way and reach new audiences. We willc ontinue to explore the benefits of using digital communications in this way,and we look forward to working with WeCommunities again. 

@NiceComms & @dmarsden49






 Post Chat Comments

 
After the chat you may like to add a reflection, add some questions, or maybe you've made a change from something you leant on the chat...well now you can with "post chat comments" below.

You'll need to be logged into via Twitter from the main menu, then you can share your post chat comments...
@{{Comment.screenName}}
{{Comment.DateCreated | date:"dd MMMM yyyy HH:mm"}}
{{Comment.Comment}}




 #WeLDNs transcript

 
@WeLDnurses
24 January 2017 20:30
Good evening from @WeLDNurses Towers, can you say hello, and where you are this evening? Don't forget, we do love a lurker! #weldns
@WeLDnurses
24 January 2017 20:30
Evening all! #weldns
@NICEComms
24 January 2017 20:31
The #WeLDNs chat is a go! Follow the hashtag and tweet your questions to our topic experts: @regalexa, @ianrogers1957 & @Prof_SACooper
@mynursingblog
24 January 2017 20:31
@WeLDnurses good evening :) #weLDNs
@VerityChester
24 January 2017 20:31
@WeLDnurses ????#weldns @NICEcomms
@Mermcm
24 January 2017 20:31
@WeLDnurses *waves* I'm here. Coughing & snotting :/ #WeLDNs
@samabdulla
24 January 2017 20:32
@WeLDnurses Evening all! #weldns
@chris_dlamini
24 January 2017 20:32
#weldns hello weldns. Your resident #lurker here lurking from the front row
@WeLDnurses
24 January 2017 20:32
Please welcome hosts @NICEcomms @regalexa @Prof_SACooper @ianrogers1957 @JS_tone for tonight's #weldns chat
@dmarsden49
24 January 2017 20:32
@WeLDnurses evening, Magic and I are looking forward to tonight's chat in Rochester! #weldns https://t.co/pxsulcmKza
@WeLDnurses
24 January 2017 20:33
Welcome! #weldns https://t.co/UgwnB4ne8J
@LDCcommunity
24 January 2017 20:34
RT @NICEcomms: The #WeLDNs chat is a go! Follow the hashtag and tweet your questions to our topic experts: @regalexa, @ianrogers1957 & @Pro…
@ross_6479_RNLD
24 January 2017 20:34
RT @WeLDnurses: Evening all! #weldns
@VerityChester
24 January 2017 20:34
So has everybody managed to read the new @NICEcomms guidance? What do you think? @WeLDnurses #WeLDNs
@acmicaa
24 January 2017 20:34
@WeLDnurses evening all *waves* #WeLDNs
@ross_6479_RNLD
24 January 2017 20:34
@WeLDnurses evening all, Ross here #waves #weldns
@ross_6479_RNLD
24 January 2017 20:34
RT @WeLDnurses: Please welcome hosts @NICEcomms @regalexa @Prof_SACooper @ianrogers1957 @JS_tone for tonight's #weldns chat
@dmarsden49
24 January 2017 20:34
@chris_dlamini no excuses for being quiet tonight! #WeLDNs
@AngMHenderson
24 January 2017 20:34
Hello @WeLDnurses I'm a lurker too - looking forward to watching the chat. #WeLDNs
@ross_6479_RNLD
24 January 2017 20:34
@WeLDnurses @NICEcomms @regalexa @Prof_SACooper @ianrogers1957 @JS_tone welcome guys, looking forward to chatting #weldns
@WeLDnurses
24 January 2017 20:35
Don't let us have to send the hashtag police round tonight! Use #weldns in each tweet. Any links to evidence or res… https://twitter.com/i/web/status/823992587774230530
@WeLDnurses
24 January 2017 20:35
RT @VerityChester: So has everybody managed to read the new @NICEcomms guidance? What do you think? @WeLDnurses #WeLDNs
@Rachael_Garvey
24 January 2017 20:35
Hello all from Birmingham @WeLDnurses #weldns
@ross_6479_RNLD
24 January 2017 20:35
RT @WeLDnurses: Don't let us have to send the hashtag police round tonight! Use #weldns in each tweet. Any links to evidence or research, u…
@WeLDnurses
24 January 2017 20:35
@angela_platypus Welcome to the chat! #weldns
@NICEComms
24 January 2017 20:36
Great starter question @VerityChester. The link is here in case someone needs it... #WeLDNs https://t.co/4wU96EUhYY
@Prof_SACooper
24 January 2017 20:36
@NICEcomms @regalexa @ianrogers1957 #WeLDNs do you think the quality standards will help your local service improve?
@chrishattoncedr
24 January 2017 20:36
RT @NICEcomms: The #WeLDNs chat is a go! Follow the hashtag and tweet your questions to our topic experts: @regalexa, @ianrogers1957 & @Pro…
@chrishattoncedr
24 January 2017 20:37
RT @WeLDnurses: Please welcome hosts @NICEcomms @regalexa @Prof_SACooper @ianrogers1957 @JS_tone for tonight's #weldns chat
@ross_6479_RNLD
24 January 2017 20:37
@WeLDnurses I think that this is a great idea so long as those carrying out the review think about how they review it #weldns
@samabdulla
24 January 2017 20:37
@WeLDnurses Is annually enough? Mental well being can be so fluid and change so rapidly #weldns
@samabdulla
24 January 2017 20:37
@ross_6479 @WeLDnurses Differential presentation of MH in LD is such a mine field #weldns
@dmarsden49
24 January 2017 20:37
@WeLDnurses is this going to be associated/built into the GP Annual Health Check DES? #weldns
@chrishattoncedr
24 January 2017 20:38
@WeLDnurses Late hello, distracted lurking tonight - great topic for a chat #WeLDNs
@WeLDnurses
24 January 2017 20:38
@Rachael_Garvey Welcome Rachael! #weldns
@Rachael_Garvey
24 January 2017 20:38
I think the standard is an absolute requirement but worry about the implementation @WeLDnurses #weldns
@Mermcm
24 January 2017 20:38
#weldns https://t.co/ibFI1OcTIU
@NICEComms
24 January 2017 20:39
@ross_6479 Thanks Ross! It's our first #WeLDNs chat... Looking forward to seeing what people have to tell / ask us.
@WeLDnurses
24 January 2017 20:39
RT @ross_6479: @WeLDnurses I think that this is a great idea so long as those carrying out the review think about how they review it #weldns
@WeLDnurses
24 January 2017 20:39
RT @samabdulla: @WeLDnurses Is annually enough? Mental well being can be so fluid and change so rapidly #weldns
@Mermcm
24 January 2017 20:39
RT @dmarsden49: @WeLDnurses is this going to be associated/built into the GP Annual Health Check DES? #weldns
@ross_6479_RNLD
24 January 2017 20:39
@samabdulla @WeLDnurses good point Sam, lots of room for education in this area #weldns
@mephistoduck
24 January 2017 20:39
RT @NICEcomms: Great starter question @VerityChester. The link is here in case someone needs it... #WeLDNs https://twitter.com/VerityChester/status/823992346287239168
@WeLDnurses
24 January 2017 20:40
@chrishattoncedr Thanks, Chris. Your contribution is always welcomed! #weldns
@samabdulla
24 January 2017 20:40
@Rachael_Garvey @WeLDnurses Concern it become a checkbox exercise rather than proper monitoring? #weldns
@regalexa
24 January 2017 20:40
@WeLDnurses #weldns This is to be part of the current annual health check at the GP's which currently focuses only on physical health.
@WeLDnurses
24 January 2017 20:40
@Rachael_Garvey What are your concerns, Rachael? #weldns
@VerityChester
24 January 2017 20:41
RT @regalexa: @WeLDnurses #weldns This is to be part of the current annual health check at the GP's which currently focuses only on physica…
@WeLDnurses
24 January 2017 20:41
@Mermcm Like to say more? #weldns
@WeLDnurses
24 January 2017 20:41
RT @ross_6479: @samabdulla @WeLDnurses good point Sam, lots of room for education in this area #weldns
@samabdulla
24 January 2017 20:41
@regalexa @WeLDnurses What is uptake of physical health ax? Will we see similar with mental health ax? #weldns
@VerityChester
24 January 2017 20:42
@regalexa @WeLDnurses #weldns the guidance also discusses difficulties diagnosing MH in LD. Are GPs going to be trained / supported w this
@Rachael_Garvey
24 January 2017 20:42
Learning disabilities: identifying and managing mental health problems | Guidance and guidelines | NICE #weldns https://www.nice.org.uk/guidance/qs142
@WeLDnurses
24 January 2017 20:42
@samabdulla @Rachael_Garvey If you had £1m to have this implemented, what would you do? #weldns
@becky1198
24 January 2017 20:42
Mental Health & #pwld - New NICE guidance with @NICEcomms via #WeLDNs 24/01/2017 http://wecommunities.org/tweet-chats/chat-details/2925?utm_campaign=crowdfire&utm_content=crowdfire&utm_medium=social&utm_source=twitter via @WeLDnurses
@WeLDnurses
24 January 2017 20:42
RT @regalexa: @WeLDnurses #weldns This is to be part of the current annual health check at the GP's which currently focuses only on physica…
@NICEComms
24 January 2017 20:43
RT @ross_6479: @WeLDnurses I think that this is a great idea so long as those carrying out the review think about how they review it #weldns
@PUNC14
24 January 2017 20:43
RT @Rachael_Garvey: Learning disabilities: identifying and managing mental health problems | Guidance and guidelines | NICE #weldns https:/…
@chris_dlamini
24 January 2017 20:43
#weldns my worry is that assessment and treatment will be postponed until the next annual checks. There shd be no limit to MH checks #weldns
@ross_6479_RNLD
24 January 2017 20:43
RT @WeLDnurses: @samabdulla @Rachael_Garvey If you had £1m to have this implemented, what would you do? #weldns
@Mermcm
24 January 2017 20:43
@NICEcomms @WeLDnurses Q standard 2 negates what's been done to ensure PwLD access mainstream services w reas adjustment surely? #weldns
@regalexa
24 January 2017 20:44
@samabdulla @WeLDnurses #weldns https://t.co/vHwXH8ar0v Some suggestion that only 52% of eligible people are covered. must do better.
@CommunityLd
24 January 2017 20:44
@WeLDnurses principle is sound but who will lead the review? Need skills in MH assess in LD as 'screening tools' not effective #WeLDNs
@dmarsden49
24 January 2017 20:44
@regalexa @WeLDnurses useful context, thank you. Is their a standard DES health check now that this would slot into? #WeLDNs
@Mayaustin
24 January 2017 20:44
#WeLDNs I'm @SCIE_socialcare lead on @NICEcomms guideline - care & support of older people with learning disabiliti… https://t.co/uBBpjC33r8
@WeLDnurses
24 January 2017 20:44
RT @VerityChester: @regalexa @WeLDnurses #weldns the guidance also discusses difficulties diagnosing MH in LD. Are GPs going to be trained…
@Mermcm
24 January 2017 20:45
@NICEcomms @WeLDnurses puts onus on 'specialist' services = further segregation #weldns Specialist ax/support shld be for most 'complex'
@WeLDnurses
24 January 2017 20:45
Q2 Who do you think has the relevant expertise to conduct this mental health assessment? #weldns https://t.co/muI7IK0Mah
@WeLDnurses
24 January 2017 20:45
Thanks Rachael this is definitely #weldns #ebp ! https://twitter.com/Rachael_Garvey/status/823994331086327808
@WeLDnurses
24 January 2017 20:45
RT @chris_dlamini: #weldns my worry is that assessment and treatment will be postponed until the next annual checks. There shd be no limit…
@SiobhanO23
24 January 2017 20:45
RT @WeLDnurses: Thanks Rachael this is definitely #weldns #ebp ! https://twitter.com/Rachael_Garvey/status/823994331086327808
@ross_6479_RNLD
24 January 2017 20:45
RT @WeLDnurses: Q2 Who do you think has the relevant expertise to conduct this mental health assessment? #weldns https://t.co/muI7IK0Mah
@chrishattoncedr
24 January 2017 20:45
.@regalexa @samabdulla @WeLDnurses @GPonlinenews Yes, agree 2014/15 data in detail here https://www.improvinghealthandlives.org.uk/publications/313923/The_Uptake_of_Learning_Disabilities_Health_Checks,_2014_to_2015 #WeLDNs
@samabdulla
24 January 2017 20:46
@CommunityLd @WeLDnurses will existing support frames for MH be inclusive, will WRAP be reviewed at this point also? #weldns
@Mayaustin
24 January 2017 20:46
#WeLDNs What do you think are barriers to implanting for older people and what can help? https://twitter.com/mayaustin/status/823994848357318656
@Mermcm
24 January 2017 20:46
@VerityChester @regalexa @WeLDnurses this is where specialist services *should* come in #WeLDNs
@Rachael_Garvey
24 January 2017 20:46
It's the annual mental health check -can be so difficult to correctly identify health needs, reqs time & expertise @WeLDnurses #weldns
@WeLDnurses
24 January 2017 20:46
Thanks for this #weldns #ebp @regalexa https://twitter.com/regalexa/status/823994800403845120
@WeLDnurses
24 January 2017 20:46
RT @dmarsden49: @regalexa @WeLDnurses useful context, thank you. Is their a standard DES health check now that this would slot into? #WeLDNs
@NICEComms
24 January 2017 20:46
RT @ross_6479: @WeLDnurses I think that this is a great idea so long as those carrying out the review think about how they review it #weldns
@VerityChester
24 January 2017 20:47
@Mermcm @regalexa @WeLDnurses #weldns such a good point yet there has been mass resistance to specialism in favour of mainstream lately
@CommunityLd
24 January 2017 20:47
@samabdulla @WeLDnurses WRAP not consistently used across regions. We use MSP which doesn't routinely incorporate WRAP #weldns
@NICEComms
24 January 2017 20:47
RT @samabdulla: @WeLDnurses Is annually enough? Mental well being can be so fluid and change so rapidly #weldns
@Mayaustin
24 January 2017 20:47
#WeLDNs Sorry - that should say implementing! https://t.co/rG73bm7dwx
@samabdulla
24 January 2017 20:47
Always count on @chrishattoncedr to bring us some stats #weldns #ebp https://t.co/5vhZaPwpJB
@chris_dlamini
24 January 2017 20:47
#weldns research has shown tt some GPs dont know their patients with ld How can an annual check identify MH What do pwld say abt it #WeLDNs
@WeLDnurses
24 January 2017 20:47
@Mayaustin Welcome Carolyn! #weldns
@regalexa
24 January 2017 20:47
@VerityChester @WeLDnurses #weldns Screening for mental health problems is part of the training of any good clinici… https://t.co/iWwbtLuwsH
@ross_6479_RNLD
24 January 2017 20:47
RT @WeLDnurses: Thanks for this #weldns #ebp @regalexa https://t.co/XoehK4UJNj
@NICEComms
24 January 2017 20:47
RT @regalexa: @WeLDnurses #weldns This is to be part of the current annual health check at the GP's which currently focuses only on physica…
@samabdulla
24 January 2017 20:48
@CommunityLd @WeLDnurses That in itself causes issues, particularly for people/staff moving through boards #weldns
@NICEComms
24 January 2017 20:48
RT @samabdulla: @regalexa @WeLDnurses What is uptake of physical health ax? Will we see similar with mental health ax? #weldns
@ross_6479_RNLD
24 January 2017 20:48
RT @regalexa: @VerityChester @WeLDnurses #weldns Screening for mental health problems is part of the training of any good clinician. NG54 g…
@Mermcm
24 January 2017 20:48
@VerityChester @WeLDnurses spec MH/LD services shld be there to provide consultancy/advice + treatment for those mainstream can't #WeLDNs
@Mermcm
24 January 2017 20:48
RT @VerityChester: @Mermcm @regalexa @WeLDnurses #weldns such a good point yet there has been mass resistance to specialism in favour of ma…
@Mayaustin
24 January 2017 20:48
RT @chris_dlamini: #weldns research has shown tt some GPs dont know their patients with ld How can an annual check identify MH What do pwld…
@samabdulla
24 January 2017 20:48
Isn't this the crux of our role? To support non-LD services to be able to do this? #weldns https://t.co/pVUMrhmszU
@chrishattoncedr
24 January 2017 20:48
RT @WeLDnurses: Q2 Who do you think has the relevant expertise to conduct this mental health assessment? #weldns https://t.co/muI7IK0Mah
@WeLDnurses
24 January 2017 20:49
@CommunityLd @samabdulla Have you got links for the acronyms, please? This would be great #weldns #ebp !
@NICEComms
24 January 2017 20:49
RT @regalexa: @samabdulla @WeLDnurses #weldns http://www.gponline.com/gp-checks-patients-learning-disabilities-cut-health-inequalities/learning-disabilities/article/1327845 Some suggestion that only 52% of eligible people are covered. must do…
@Mermcm
24 January 2017 20:49
RT @regalexa: @VerityChester @WeLDnurses #weldns Screening for mental health problems is part of the training of any good clinician. NG54 g…
@Rachael_Garvey
24 January 2017 20:49
I think it's about developing liaison and facilitation with LD practitioners and primary care @WeLDnurses @samabdulla #weldns
@NICEComms
24 January 2017 20:49
RT @chrishattoncedr: .@regalexa @samabdulla @WeLDnurses @GPonlinenews Yes, agree 2014/15 data in detail here https://t.co/bmBrnUN8dG #WeLDNs
@samabdulla
24 January 2017 20:49
@Mayaustin I still think biggest issue for older adults with LD is we don't know enough about what ageing means and looks like yet #weldns
@AngMHenderson
24 January 2017 20:49
RT @samabdulla: Isn't this the crux of our role? To support non-LD services to be able to do this? #weldns https://t.co/pVUMrhmszU
@CommunityLd
24 January 2017 20:49
@WeLDnurses @samabdulla MSP = my shared pathway WRAP = wellness recover action plan #weldns
@Mermcm
24 January 2017 20:50
Yes! #WeLDNs https://twitter.com/samabdulla/status/823995989539307522
@FreshHealthRev
24 January 2017 20:50
RT @chrishattoncedr: .@regalexa @samabdulla @WeLDnurses @GPonlinenews Yes, agree 2014/15 data in detail here https://www.improvinghealthandlives.org.uk/publications/313923/The_Uptake_of_Learning_Disabilities_Health_Checks,_2014_to_2015 #WeLDNs
@WeLDnurses
24 January 2017 20:50
@chris_dlamini Have you got a reference, Chris? #weldns
@ross_6479_RNLD
24 January 2017 20:50
@WeLDnurses should everyone have role in this initially all through year as part of every contact counts & then work w specialists? #WeLDNs
@NICEComms
24 January 2017 20:50
RT @WeLDnurses: Q2 Who do you think has the relevant expertise to conduct this mental health assessment? #weldns https://t.co/muI7IK0Mah
@CommunityLd
24 January 2017 20:50
@samabdulla @WeLDnurses exactly inconsistency... how can we then expect people to fit into MH dservices under greenlight scheme #weldns
@chris_dlamini
24 January 2017 20:51
#weldns given the difficulties of addressing MH issues in mainstream society eg CAMHS, surely annual checks are far fetched. #rethinkthis
@VerityChester
24 January 2017 20:51
@Prof_SACooper @samabdulla @WeLDnurses definitely, get it on the agenda, improving consciousness and awareness #WeLDNs
@WeLDnurses
24 January 2017 20:51
Excellent #weldns #ebp @regalexa Thank you! https://twitter.com/regalexa/status/823995688199585792
@AngMHenderson
24 January 2017 20:51
@samabdulla @WeLDnurses agreed role of the community #ld team vital in supporting #health checks #WeLDNs
@samabdulla
24 January 2017 20:51
@WeLDnurses @CommunityLd https://t.co/8GkyownZPN #ebp #weldns
@samabdulla
24 January 2017 20:51
@Prof_SACooper @WeLDNs Agree a start is better than nothing. #weldns
@Mermcm
24 January 2017 20:52
@ross_6479 @WeLDnurses not just HC staff but support workers too - need training in supporting +ve MH & how/when to seek help #weldns
@dmarsden49
24 January 2017 20:52
RT @WeLDnurses: Q2 Who do you think has the relevant expertise to conduct this mental health assessment? #weldns https://t.co/muI7IK0Mah
@NICEComms
24 January 2017 20:52
RT @VerityChester: @Prof_SACooper @samabdulla @WeLDnurses definitely, get it on the agenda, improving consciousness and awareness #WeLDNs
@runehhtrabuch
24 January 2017 20:53
RT @WeLDnurses: Q2 Who do you think has the relevant expertise to conduct this mental health assessment? #weldns https://t.co/muI7IK0Mah
@chrishattoncedr
24 January 2017 20:53
RT @samabdulla: Isn't this the crux of our role? To support non-LD services to be able to do this? #weldns https://twitter.com/WeLDnurses/status/823995053433651202
@samabdulla
24 January 2017 20:53
@Mermcm @ross_6479 @WeLDnurses Good relapse identification key. Something similar to BSP in @NICEcomms CB guidance? V easy to read #weldns
@junebrown116
24 January 2017 20:53
RT @samabdulla: Isn't this the crux of our role? To support non-LD services to be able to do this? #weldns https://t.co/pVUMrhmszU
@dmarsden49
24 January 2017 20:53
@samabdulla I'd say so, but thats not the case everywhere. Has anyone got any good examples of Green Light projects? #weldns
@Mermcm
24 January 2017 20:53
@samabdulla @ross_6479 @WeLDnurses @NICEcomms yes. But also not just thinking mental 'illness' but mental wellbeing #weldns
@WeLDnurses
24 January 2017 20:54
Are these evidence based? #WeLDNs https://twitter.com/CommunityLd/status/823996267911061506
@CommunityLd
24 January 2017 20:55
@WeLDnurses @samabdulla MSP is a forensic secure inpatient process some reviews but nothing gold standard tbh #weldns
@Mermcm
24 January 2017 20:55
@WeLDnurses @CommunityLd @samabdulla my understanding is WRAP has some research, others not sure (but don't quote me) #weldns #ebp
@Mermcm
24 January 2017 20:55
RT @CommunityLd: @WeLDnurses @samabdulla MSP is a forensic secure inpatient process some reviews but nothing gold standard tbh #weldns
@WeLDnurses
24 January 2017 20:56
Perfect! Thanks, Sam #weldns https://twitter.com/samabdulla/status/823996627325190144
@WeLDnurses
24 January 2017 20:56
Green Light? #weldns https://t.co/e7LM14dyNS
@samabdulla
24 January 2017 20:56
@junebrown116 @WeLDnurses anecdotally suggest that as soon as LD is known, services refer to us #weldns
@WeLDnurses
24 January 2017 20:57
RT @CommunityLd: @WeLDnurses @samabdulla MSP is a forensic secure inpatient process some reviews but nothing gold standard tbh #weldns
@Mayaustin
24 January 2017 20:58
#WeLDNs Shame we can't share more on what older people on our @NICEcomms committee @SCIE_socialcare have to say yet… https://twitter.com/i/web/status/823998331651289090
@Mermcm
24 January 2017 20:58
Depends on need. For some, GP OK. Most 'complex' (can we think better word) need CPA #weldns https://twitter.com/weldnurses/status/823997568187269120
@CommunityLd
24 January 2017 20:58
@WeLDnurses @NICEcomms again regional variation... some teams integrated zone not... does a social worker have necessary skills #weldns
@dmarsden49
24 January 2017 20:58
@WeLDnurses this one! http://www.ndti.org.uk/major-projects/current/green-light-toolkit-2013/ #weldns #ebp
@samabdulla
24 January 2017 20:58
@Mayaustin @NICEcomms @SCIE_socialcare look forward to being able to hear #weldns
@Mermcm
24 January 2017 20:59
Anecdatally concur #weldns https://t.co/emzx8GoTKm
@samabdulla
24 January 2017 20:59
@Mermcm Can we also say allegedly to be really politically safe :P #weldns
@WeLDnurses
24 January 2017 20:59
Can we? #weldns https://t.co/eTVqBE9A45
@NICEComms
24 January 2017 20:59
The #WeLDNs chatter is flying! Follow the hashtag and tweet our topic experts @regalexa @Prof_SACooper @ianrogers1957 to join in.
@chris_dlamini
24 January 2017 20:59
#weldns once we start looking at it as MH assessment, then we have a big problem on our hands.
@WeLDnurses
24 January 2017 20:59
RT @dmarsden49: @WeLDnurses this one! https://t.co/q35ZNQkmiY #weldns #ebp
@regalexa
24 January 2017 20:59
@chris_dlamini @WeLDnurses #weldns annual health check is a minimum guarantee. It does not replace normal good clinical practice.
@samabdulla
24 January 2017 21:00
@junebrown116 @WeLDnurses completely agree,liaison and partnership should be the remit of team. Direct work with most complex #weldns
@Mermcm
24 January 2017 21:00
@samabdulla allegedly anecdatally some MH profs think ppl with LD don't 'belong' to them #weldns
@WeLDnurses
24 January 2017 21:00
@Mermcm Sounds like a service evaluation / research project? #weldns
@Bethnogs
24 January 2017 21:01
RT @regalexa: @samabdulla @WeLDnurses #weldns http://www.gponline.com/gp-checks-patients-learning-disabilities-cut-health-inequalities/learning-disabilities/article/1327845 Some suggestion that only 52% of eligible people are covered. must do…
@VerityChester
24 January 2017 21:01
Huge problem #WeLDNs https://twitter.com/mermcm/status/823999014781779969
@s9tmt
24 January 2017 21:01
RT @NICEcomms: Great starter question @VerityChester. The link is here in case someone needs it... #WeLDNs https://twitter.com/VerityChester/status/823992346287239168
@WeLDnurses
24 January 2017 21:01
@samabdulla @Mermcm Very wise #weldns
@CommunityLd
24 January 2017 21:02
@JackSkinner81 Don't disagree but do they know what's needed for mental health assessment? In my area they says it's a health issue #weldns
@paulhussey6
24 January 2017 21:02
RT @NICEcomms: The #WeLDNs chatter is flying! Follow the hashtag and tweet our topic experts @regalexa @Prof_SACooper @ianrogers1957 to joi…
@WeLDnurses
24 January 2017 21:02
RT @chris_dlamini: #weldns once we start looking at it as MH assessment, then we have a big problem on our hands.
@WeLDnurses
24 January 2017 21:02
RT @regalexa: @chris_dlamini @WeLDnurses #weldns annual health check is a minimum guarantee. It does not replace normal good clinical pract…
@Mermcm
24 January 2017 21:02
@WeLDnurses certainly (again anecdatally) in my previous service central ref team saw LD & didn't look at need beyond that #weldns
@livinginhope
24 January 2017 21:02
RT @WeLDnurses: Excellent #weldns #ebp @regalexa Thank you! https://twitter.com/regalexa/status/823995688199585792
@samabdulla
24 January 2017 21:02
@CommunityLd @JackSkinner81 IMO should have skills to identify concern but full ax? #weldns
@regalexa
24 January 2017 21:03
@ianrogers1957 do you want to comment on this? #WeLDNs
@AngMHenderson
24 January 2017 21:03
@regalexa @chris_dlamini @WeLDnurses but isn't the point to promote access to healthcare & ultimately to better clinical practice? #WeLDNs
@Mermcm
24 January 2017 21:04
@samabdulla @CommunityLd @JackSkinner81 don't think SW can do full ax but no reason they can't coordinate care after for some ppl #weldns
@dmarsden49
24 January 2017 21:04
#weldns interesting that while 'no health without mental health' appears to be quite dependant on local service configuration?
@Rachael_Garvey
24 January 2017 21:05
@Mermcm @samabdulla don't 'belong' to anyone, horrible 2 think people, Hcp's even, speak this way about other people!!! Makes me sad #weldns
@chris_dlamini
24 January 2017 21:05
@regalexa @WeLDnurses there shd not be a basic minimum requirement. PWLD shd feel free to access GP just like all of us #WeLDNs
@Mermcm
24 January 2017 21:05
@Rachael_Garvey @samabdulla I've heard it more than once...'we've got one of yours' #weldns
@samabdulla
24 January 2017 21:06
@chris_dlamini @regalexa @WeLDnurses playing devils advocate, we know that doesn't happen. #weldns
@ross_6479_RNLD
24 January 2017 21:06
@Prof_SACooper @WeLDnurses definitely, the more ppl skilled up to support the better chance we have at successful delivery #Weldns
@WeLDnurses
24 January 2017 21:07
RT @Mermcm: @Rachael_Garvey @samabdulla I've heard it more than once...'we've got one of yours' #weldns
@chris_dlamini
24 January 2017 21:07
@angela_platypus @regalexa @WeLDnurses if access is to be promoted this way, then annual is not the way to do it #weldns
@WeLDnurses
24 January 2017 21:07
@Mermcm @Rachael_Garvey @samabdulla How do you manage that sort of conversation Marina? #weldns
@ross_6479_RNLD
24 January 2017 21:07
@Mermcm @WeLDnurses totally agree, a team approach to this would be really useful if approached right #WeLDNs
@VerityChester
24 January 2017 21:08
#weldns https://twitter.com/ianrogers1957/status/824000603651248128
@Mermcm
24 January 2017 21:08
@JackSkinner81 @samabdulla @CommunityLd AMHP etc gives you social persp (absolutely necessary) but not clinical skills #weldns
@CommunityLd
24 January 2017 21:08
@JackSkinner81 @Mermcm @samabdulla extensive training into psychiatric conditions and impact upon LD... behavioural presentiona #weldns 1/2
@ross_6479_RNLD
24 January 2017 21:08
@samabdulla @Mermcm @WeLDnurses @NICEcomms absolutely, with a firm review process and whole team approach to development #WeLDNs
@regalexa
24 January 2017 21:08
@angela_platypus @chris_dlamini @WeLDnurses #WeLDNs good practice = treatment of problems at any time + annual health check/ screening
@livinginhope
24 January 2017 21:09
@CommunityLd @WeLDnurses @JackSkinner81 I would like to think think that people can work across LD & MH #WeLDNs
@ross_6479_RNLD
24 January 2017 21:09
@Mermcm @samabdulla @WeLDnurses @NICEcomms definitely important element in this #WeLDNs
@CommunityLd
24 January 2017 21:09
@JackSkinner81 @Mermcm @samabdulla training in specific interventions such as bio/psycho/social, knowledge of medications #weldns
@acmicaa
24 January 2017 21:09
@Mayaustin @dNICEcomms @SCIE_socialcare look forward to hearing them. #weldns
@NICEComms
24 January 2017 21:10
RT @samabdulla: @CommunityLd @JackSkinner81 IMO should have skills to identify concern but full ax? #weldns
@samabdulla
24 January 2017 21:10
@JackSkinner81 @Mermcm @CommunityLd as do nursing, but with a specific health focus. Proper ax should always be intra agency #weldns
@Mermcm
24 January 2017 21:10
@CommunityLd @JackSkinner81 @samabdulla knowledge of differential diagnoses, impact of physical health... #weldns
@NICEComms
24 January 2017 21:10
RT @livinginhope: @CommunityLd @WeLDnurses @JackSkinner81 I would like to think think that people can work across LD & MH #WeLDNs
@WeLDnurses
24 January 2017 21:11
RT @Mermcm: @CommunityLd @JackSkinner81 @samabdulla knowledge of differential diagnoses, impact of physical health... #weldns
@Mermcm
24 January 2017 21:11
Yes, SW ideally placed to coordinate for some, following necessary mdt ax (mainstream or 'specialist') #weldns https://t.co/ACJJ7i5LV7
@ross_6479_RNLD
24 January 2017 21:12
@WeLDnurses I had a placement on a team set up to do just this #WeLDNs
@JenKenward
24 January 2017 21:12
RT @livinginhope: @CommunityLd @WeLDnurses @JackSkinner81 I would like to think think that people can work across LD & MH #WeLDNs
@Mermcm
24 January 2017 21:13
@WeLDnurses Guided Self Help for ppl with ID https://www.pavpub.com/guided-self-help/ #weldns #ebp
@regalexa
24 January 2017 21:13
@VerityChester @chris_dlamini #WeLDNs Annual health checks screen and detect those who suffer silently. It does not replace normal care.
@NICEComms
24 January 2017 21:13
RT @Mermcm: @WeLDnurses Guided Self Help for ppl with ID https://t.co/sNWhybyl8V #weldns #ebp
@samabdulla
24 January 2017 21:14
#weldns https://t.co/do4JZukHnk
@samabdulla
24 January 2017 21:14
RT @regalexa: @VerityChester @chris_dlamini #WeLDNs Annual health checks screen and detect those who suffer silently. It does not replace n…
@VerityChester
24 January 2017 21:14
@regalexa @chris_dlamini #weldns this ????
@dmarsden49
24 January 2017 21:15
@samabdulla heard a great presentation last weeks from the @HPFT_NHS #OBIS team on their adaptation of the EQUIP programme. #weldns
@NICEComms
24 January 2017 21:15
Sounds great @ross_6479! Can you tell us more about how they worked? #WeLDNs https://twitter.com/ross_6479/status/824001870503022592
@WeLDnurses
24 January 2017 21:15
RT @Mermcm: @WeLDnurses Guided Self Help for ppl with ID https://t.co/sNWhybyl8V #weldns #ebp
@CommunityLd
24 January 2017 21:15
@WeLDnurses as long as models such as IAPT are adapted then can work #weldns
@WeLDnurses
24 January 2017 21:16
RT @regalexa: @VerityChester @chris_dlamini #WeLDNs Annual health checks screen and detect those who suffer silently. It does not replace n…
@VerityChester
24 January 2017 21:16
You can take this one @LVereenooghe #WeLDNs https://twitter.com/weldnurses/status/824001341311909888
@Mermcm
24 January 2017 21:16
@WeLDnurses developed by @Palaceedd and currently being implemented by specialist nurses in MH/LD team #weldns
@Mermcm
24 January 2017 21:16
RT @CommunityLd: @WeLDnurses as long as models such as IAPT are adapted then can work #weldns
@sallymorganslt
24 January 2017 21:16
@WeLDnurses I worked with the CAMHS-LD and Adult Psychiatry on transition team to support communication in sessions SLT #slpeeps #weLDNs
@WeLDnurses
24 January 2017 21:16
RT @NICEcomms: Sounds great @ross_6479! Can you tell us more about how they worked? #WeLDNs https://twitter.com/ross_6479/status/824001870503022592
@VerityChester
24 January 2017 21:16
@WeLDnurses #weldns @NICEcomms would this guidance have helped you @ianrogers1957 if we could turn the clock back?
@CommunityLd
24 January 2017 21:18
@asifamhp @Mermcm @JackSkinner81 @samabdulla that's not the issue.point is about clinical assessment, formulation and intervention #weldns
@dmarsden49
24 January 2017 21:18
@CommunityLd @WeLDnurses @dominicslowie was talking about some mindfullness pilots last year. Are there any articles on this? #weldns
@Mermcm
24 January 2017 21:18
@asifamhp @JackSkinner81 @samabdulla @CommunityLd one part of team that does MHAA - not denigrating but you know not whole story! #WeLDNs
@CommunityLd
24 January 2017 21:19
@dmarsden49 @WeLDnurses @dominicslowie emerging evidence but more focussed on mindfulness as part of DBT #weldns
@junebrown116
24 January 2017 21:19
#weldns - is pbs being seen as a psychological therapy?
@WeLDnurses
24 January 2017 21:20
Q5 In practice who might conduct these annual medication reviews, and in which services might this occur? #weldns https://t.co/S9RFGnOUww
@samabdulla
24 January 2017 21:20
@junebrown116 it sits in the matrix... #weldns
@chrishattoncedr
24 January 2017 21:21
@dmarsden49 @CommunityLd @WeLDnurses @dominicslowie This worth looking at? https://www.researchgate.net/publication/257795390_The_Use_of_Mindfulness_with_People_with_Intellectual_Disabilities_A_Systematic_Review_and_Narrative_Analysis #WeLDNs #ebp
@WeLDnurses
24 January 2017 21:21
Don't forget the #weldns hashtage otherwise, other participants cannot hear what you are saying! #weldns
@Rachael_Garvey
24 January 2017 21:21
@WeLDnurses @Mermcm @samabdulla it is our duty to challenge such attitudes... its not ok. #weldns
@WeLDnurses
24 January 2017 21:21
RT @CommunityLd: @dmarsden49 @WeLDnurses @dominicslowie emerging evidence but more focussed on mindfulness as part of DBT #weldns
@samabdulla
24 January 2017 21:21
@WeLDnurses again should be managed in liaison where required. #weldns
@Mermcm
24 January 2017 21:21
@WeLDnurses @Rachael_Garvey @samabdulla education & guidance (which is why I think Quality Standards may be unhelpful as written) #weldns
@WeLDnurses
24 January 2017 21:21
RT @junebrown116: #weldns - is pbs being seen as a psychological therapy?
@WeLDnurses
24 January 2017 21:21
RT @WeLDnurses: Q5 In practice who might conduct these annual medication reviews, and in which services might this occur? #weldns https://t…
@NICEComms
24 January 2017 21:21
RT @WeLDnurses: Q5 In practice who might conduct these annual medication reviews, and in which services might this occur? #weldns https://t…
@CommunityLd
24 January 2017 21:21
@asifamhp @Mermcm @JackSkinner81 @samabdulla transforming care might just make that happen #weldns
@chrishattoncedr
24 January 2017 21:22
RT @WeLDnurses: Q5 In practice who might conduct these annual medication reviews, and in which services might this occur? #weldns https://t…
@regalexa
24 January 2017 21:22
@WeLDnurses #WeLDNs It starts with the prescriber, but in complex situations in primary care may need advice/ input from secondary care
@WeLDnurses
24 January 2017 21:22
Thanks, Chris! #weldns https://twitter.com/chrishattoncedr/status/824004107606310916
@VerityChester
24 January 2017 21:22
RT @Rachael_Garvey: @WeLDnurses @Mermcm @samabdulla it is our duty to challenge such attitudes... its not ok. #weldns
@chris_dlamini
24 January 2017 21:22
@regalexa @VerityChester Annual health checks screen those who suffer silently all year long. Not fair. Why wait for annual checks #weldns
@WeLDnurses
24 January 2017 21:22
RT @CommunityLd: @asifamhp @Mermcm @JackSkinner81 @samabdulla transforming care might just make that happen #weldns
@junebrown116
24 January 2017 21:23
@WeLDnurses #weldns Role of the GP as would be for anyone else. May seek specialist support
@WeMHNurses
24 January 2017 21:23
#WeLDNs chat https://twitter.com/weldnurses/status/824001341311909888
@WeLDnurses
24 January 2017 21:23
RT @regalexa: @WeLDnurses #WeLDNs It starts with the prescriber, but in complex situations in primary care may need advice/ input from seco…
@VerityChester
24 January 2017 21:23
@WeLDnurses keep forgetting ???????#weldns
@NICEComms
24 January 2017 21:23
RT @regalexa: @WeLDnurses #WeLDNs It starts with the prescriber, but in complex situations in primary care may need advice/ input from seco…
@Mermcm
24 January 2017 21:23
@asifamhp @JackSkinner81 @samabdulla @CommunityLd & that is systems issue, often we're battling against - need to work together #WeLDNs
@Jones23Emma
24 January 2017 21:23
RT @WeLDnurses: It's #weldns chat day! @Prof_SACooper & @NICEComms on learning disabilities and mental health. For more info https://t.co/q…
@WeMHNurses
24 January 2017 21:23
RT @WeLDnurses: It's #weldns chat day! @Prof_SACooper & @NICEComms on learning disabilities and mental health. For more info https://t.co/q…
@Jones23Emma
24 January 2017 21:23
RT @WeLDnurses: It's #weldns chat day! @Prof_SACooper & @NICEComms on learning disabilities and mental health. For more info https://t.co/q…
@RebeccaCrossle2
24 January 2017 21:23
@WeLDnurses hello #WeLDNs Rebecca here in yoxford late and lurking
@sallymorganslt
24 January 2017 21:24
.@WeLDnurses In children's services might be @WeSchoolNurses or #Paediatrician Need to think about transition to #weLDNs or GP
@WeLDnurses
24 January 2017 21:24
@WeMHNurses Welcome guys! #weldns
@NICEComms
24 January 2017 21:24
RT @junebrown116: @WeLDnurses #weldns Role of the GP as would be for anyone else. May seek specialist support
@Mermcm
24 January 2017 21:24
RT @junebrown116: @WeLDnurses #weldns Role of the GP as would be for anyone else. May seek specialist support
@chris_dlamini
24 January 2017 21:24
@regalexa @VerityChester pwld are not cars goung for MOT. They shd be free to visit GP like you and l. Ae many times ad they can #WeLDNs
@livinginhope
24 January 2017 21:24
RT @WeLDnurses: @WeMHNurses Welcome guys! #weldns
@livinginhope
24 January 2017 21:24
RT @WeLDnurses: It's #weldns chat day! @Prof_SACooper & @NICEComms on learning disabilities and mental health. For more info https://t.co/q…
@WeLDnurses
24 January 2017 21:24
@RebeccaCrossle2 Welcome Rebecca! #weldns
@HealthUKTD
24 January 2017 21:24
RT @livinginhope: @CommunityLd @WeLDnurses @JackSkinner81 I would like to think think that people can work across LD & MH #WeLDNs
@livinginhope
24 January 2017 21:25
RT @regalexa: @WeLDnurses #WeLDNs It starts with the prescriber, but in complex situations in primary care may need advice/ input from seco…
@Mayaustin
24 January 2017 21:25
#weldns Some interesting initiatives out there and examples of coproduction with people using services. For example… https://twitter.com/i/web/status/824005106697965569
@WeLDnurses
24 January 2017 21:25
Q6 With just 5 mins left, how can Learning Disability Nurses contribute/lead in this area of work? #weldns
@NICEComms
24 January 2017 21:25
RT @samabdulla: @WeLDnurses again should be managed in liaison where required. #weldns
@livinginhope
24 January 2017 21:25
RT @WeLDnurses: Don't forget the #weldns hashtage otherwise, other participants cannot hear what you are saying! #weldns
@samabdulla
24 January 2017 21:25
@WeLDnurses we should be point of support and liaison, we can provide direct clinical input in most complex #weldns
@samabdulla
24 January 2017 21:25
RT @WeLDnurses: Q6 With just 5 mins left, how can Learning Disability Nurses contribute/lead in this area of work? #weldns
@Mermcm
24 January 2017 21:26
Would be interested to see what rest of yr attendance is for practices with high take up of AHC #weldns Does it enc… https://twitter.com/i/web/status/824005474559332352
@junebrown116
24 January 2017 21:26
RT @samabdulla: @WeLDnurses we should be point of support and liaison, we can provide direct clinical input in most complex #weldns
@WeLDnurses
24 January 2017 21:26
@Mayaustin Great #weldns #ebp Thanks Carolyn!
@ross_6479_RNLD
24 January 2017 21:26
RT @WeLDnurses: Don't forget the #weldns hashtage otherwise, other participants cannot hear what you are saying! #weldns
@WeLDnurses
24 January 2017 21:26
RT @samabdulla: @WeLDnurses we should be point of support and liaison, we can provide direct clinical input in most complex #weldns
@ross_6479_RNLD
24 January 2017 21:26
RT @WeLDnurses: Q6 With just 5 mins left, how can Learning Disability Nurses contribute/lead in this area of work? #weldns
@RebeccaCrossle2
24 January 2017 21:27
RT @samabdulla: @WeLDnurses we should be point of support and liaison, we can provide direct clinical input in most complex #weldns
@EdinburghWatch
24 January 2017 21:27
RT @samabdulla: @WeLDnurses we should be point of support and liaison, we can provide direct clinical input in most complex #weldns
@CommunityLd
24 January 2017 21:27
@asifamhp @Mermcm @JackSkinner81 @samabdulla and that statement in itself illustrates my point #weldns
@ross_6479_RNLD
24 January 2017 21:27
@NICEcomms @WeLDnurses yes, there were 2 nurses and 3 psychologists and they worked on an ind basis #WeLDNs
@regalexa
24 January 2017 21:28
@samabdulla @WeLDnurses #WeLDNs totally agree
@rt_sen
24 January 2017 21:28
RT @WeLDnurses: Q6 With just 5 mins left, how can Learning Disability Nurses contribute/lead in this area of work? #weldns
@Jones23Emma
24 January 2017 21:28
RT @WeLDnurses: Q5 In practice who might conduct these annual medication reviews, and in which services might this occur? #weldns https://t…
@ross_6479_RNLD
24 January 2017 21:28
@NICEcomms @WeLDnurses all therapies were dependent on ind need and tailored to their requirements, they also ran groups #weldns
@Mermcm
24 January 2017 21:28
@asifamhp @CommunityLd @JackSkinner81 @samabdulla complete HR based reform of MHA a whole other chat! @WeMHNurses @WeLDnurses #weldns
@RebeccaCrossle2
24 January 2017 21:29
RT @chrishattoncedr: @dmarsden49 @CommunityLd @WeLDnurses @dominicslowie This worth looking at? https://t.co/ngWL82b4A6 #WeLDNs #ebp
@NICEComms
24 January 2017 21:29
RT @WeLDnurses: Q6 With just 5 mins left, how can Learning Disability Nurses contribute/lead in this area of work? #weldns
@chris_dlamini
24 January 2017 21:29
@VerityChester @regalexa AHC were introduced in 2009 to address mainly physical health. MH has just been added. Long overdue #pwld #weldns
@NICEComms
24 January 2017 21:29
RT @samabdulla: @WeLDnurses we should be point of support and liaison, we can provide direct clinical input in most complex #weldns
@WeMHNurses
24 January 2017 21:29
RT @WeLDnurses: Q5 In practice who might conduct these annual medication reviews, and in which services might this occur? #weldns https://t…
@NICEComms
24 January 2017 21:29
RT @regalexa: @samabdulla @WeLDnurses #WeLDNs totally agree
@junebrown116
24 January 2017 21:29
@WeLDnurses #weldns Support coproduction with pwld to enhance health knowledge and self management
@WeLDnurses
24 January 2017 21:29
RT @Mermcm: If I was 'law' I'd def remove LD clauses from MHA 1st. If p need detaining then shld meet criteria for mental illness #weldns h…
@ross_6479_RNLD
24 January 2017 21:29
@samabdulla @WeLDnurses I totally agree with this #WeLDNs




 Stats

 
 Total contributers: 37
 Total tweets: 281
 Total reach: 7,495,703

  • Follow us