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Access to Mental Health Services – Parkinson’s (1718020)

I am writing on behalf of Parkinson’s UK to request information about how people with Parkinson’s access mental health services from your Clinical Commissioning Group (CCG).  Please could you answer the following questions about your CCG’s approach?

 1.  What assessment, if any, has your CCG made on the number of people with Parkinson’s accessing mental health services in your CCG area?

NHS Calderdale CCG has not made an assessment as described.

2.  In your CCG area please state whether people with Parkinson’s can access mental health services through each of the following pathways:

a. By referring themselves directly

For Improving Access to Psychological Therapies (IAPT) or to the Single Point of Access (SPA) where an assessment of their needs will be carried out in relation to their mental health and wellbeing.

b. By visiting their GP  

Yes.

c. Their Parkinson’s specialist (for example a consultant neurologist, consultant in the care of the elderly or Parkinson’s Nurse) referring directly into mental health services

Yes.

d. Mental health professional forming part of a multidisciplinary team for Parkinson’s

Yes.

e. Other – please specify

Any healthcare professional can refer into IAPT or SPA.

3.  Do you currently commission any psychological support or other mental health services specifically for people with neurological conditions? If yes, please state which neurological conditions and the type of mental health support that is commissioned.

The CCG does not commission any psychological support or other mental health services specifically for people with neurological conditions. The IAPT service for Calderdale is currently participating in a National Pilot to provide psychological therapies to people with long term conditions (see response to question 5 below). Whilst this is not specifically in regards to neurological conditions, there will be some people receiving these therapies who do have these conditions.

4.  Does your Parkinson’s service have access to any of the following mental health professionals? If yes please outline the pathway for accessing the mental health professional.

a. Clinical psychologist

Yes, via SPA.

b. Psychiatrist

Yes, via SPA.

c. Neuropsychologist

Secondary Mental Health services have a psychologist who is trained in neuro assessments.  This service would be accessed via the SPA.

d. Neuropsychiatrist

No

e. Other mental health specialist, such as community psychiatric nurse. Please specify which professional.

Community psychiatric nurse, occupational therapist, social worker can all be accessed via SPA.

5.  Does your CCG currently integrate evidence-based psychological therapies for adults with anxiety and depression with a focus on people living with long-term physical conditions or are there future plans to? If yes, please outline which long-term physical conditions can benefit from the therapies.

The CCG is currently taking part as an early implementer in the Improving Access to Psychological Therapies for People with Long Term Conditions initiative. Pilots are being undertaken with the following:

  • people with chronic pain
  • people with musculoskeletal problems
  • people with respiratory problems
  • people with medically unexplained symptoms
  • people with one or more long term conditions being discharged from hospital

6.  Has your CCG ever taken any action to promote integration across physical and mental health services for people with Parkinson’s or do you have future plans to do so? If yes, please provide details of what action has/or will be taken.

The CCG has not taken any such action relating to this specific group of people, and does not have any plans at present; however, the CCG and its partners do have an ambition of increasing integration of physical and mental health services across the board over the coming years.

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