COVID update NSFT Board of Directors 24 September 2020 NSFT COVID - - PowerPoint PPT Presentation

COVID update NSFT Board of Directors

24 September 2020

NSFT COVID response strategic priorities

• Minimise all causes of mortality amongst patients under the care of NSFT’s teams and

services

• Continue to provide high quality mental health care to people with severe mental disorders

under CPA in Norfolk & Suffolk

• Support the general mental wellbeing of the populations in Norfolk & Suffolk
• Prevent transmission of COVID by NSFT’s employees
• Maintain the health and wellbeing of NSFT’s staff
• Support the mental health and wellbeing of all staff working in the NHS and care sectors in

Norfolk & Suffolk

• Use COVID 19 resources wisely to prioritise the care of people most in need of support
• Minimise the long-term impact of COVID-19 on mental health care for people in Norfolk &

Suffolk

National Overview

• As of 21st September 2020, the UK is

reporting 394,257 cases and 41,866 COVID-19 deaths in hospital

• Between 1 March and 31 July 51,831

deaths in England & Wales involved COVID (20% of total)

• 1,209 people with a mental health

condition (4% of total) and 523 with LD or Autism have died from COVID-19

• Impact almost 2x higher in the most

deprived populations

• Latest ONS data from w/e 4/9/20

suggests below-average total mortality for the first time since the incident began

2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000

All cause mortality in England and Wales

Deaths not involving COVID All deaths - Five-year average COVID-19

East of England

• Excess deaths during COVID incident

comparable to national pattern

• Impact in all levels of deprivation
• Norfolk reported 572 excess deaths in

total (86% due to COVID)

• Suffolk reported 702 excess deaths in

total (80% due to COVID)

• Commonest other cause of excess

death was Dementia (634 cases)

• Prevalence in EoE remains low

despite local variation

Activity and Demand in NSFT

• Rate of new referrals now

comparable to pre-COVID

• Number of contacts remains above

pre-COVID level

• Face to face contacts have

increased to around 30% of total

• Telemedicine accounts for around

5% of contacts

• Largest proportion remain telephone

contacts (around 63%)

• First Response demand increasing

in line with national trend, particularly at weekends.

200 400 600 800 1000 1200 2019-09-09 2019-09-23 2019-10-07 2019-10-21 2019-11-04 2019-11-18 2019-12-02 2019-12-16 2019-12-30 2020-01-13 2020-01-27 2020-02-10 2020-02-24 2020-03-09 2020-03-23 2020-04-06 2020-04-20 2020-05-04 2020-05-18 2020-06-01 2020-06-15 2020-06-29 2020-07-13 2020-07-27 2020-08-10 2020-08-24

New External Referrals received per Week

Total 2000 4000 6000 8000 10000 12000 14000 2019-01-14 2019-02-11 2019-03-11 2019-04-08 2019-05-06 2019-06-03 2019-07-01 2019-07-29 2019-08-26 2019-09-23 2019-10-21 2019-11-18 2019-12-16 2020-01-13 2020-02-10 2020-03-09 2020-04-06 2020-05-04 2020-06-01 2020-06-29 2020-07-27 2020-08-24

Contacts by Type per week

Telephone Telemedicine Talk Type SMS Not Recorded Face-to-Face Email

NSFT COVID-19 Care Snapshot Survey: Key Outcomes

Between June-August 2020, 256 Trust service users took part in an online or paper-based survey about their recent NSFT mental health care experience..

68% 16%

• f respondents rated their recent MH Care experience

as ‘Very Poor’.

67%

• f respondents stated that their care during COVID-19 had remained the

same or had improved, compared to usual care. 43% would like the 24/7 Psychological Helpline to continue. 56% would like continued telephone support. 30% would like continued video/online support.

• f respondents rated their recent MH Care experience as ‘Very Good’ or

‘Good’.

Staffing

• 93% of staff now have a COVID-19 Risk

assessment (92% of BAME staff, 98% of the known ‘at risk’ group)

• On 21/9/20 there were 21 staff absent due

to COVID-like symptoms and 7 due to COVID risk factors; this is a reduction from 325 staff in the ‘shielded’ category.

• PPE will be centrally distributed; NSFT

reserve of at least 2 months’ in store

• Testing for staff now centrally coordinated

to prioritise areas of highest impact

• Flu vaccinations will commence on 25/9/20

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Central and North Norfolk Great Yarmouth and Waveney Wellbeing Norfolk CFYP Secure Services Suffolk CFYP Suffolk East Suffolk West West and South Norfolk

Staff Risk Assessment completion by Care Group

Restrictive Practice

• There remain indications of

higher rates of restraint in general.

• Seclusion generally within

bounds but with exceptional measurements due to local factors

• Contributory factors

include higher acuity, loss

• f access to activity, delays

in discharge, T4CAMHS bed shortages,

• RRI collaborative ongoing

4 8 12 16 20 24 28 32 2015 08 2015 10 2015 12 2016 02 2016 04 2016 06 2016 08 2016 10 2016 12 2017 02 2017 04 2017 06 2017 08 2017 10 2017 12 2018 02 2018 04 2018 06 2018 08 2018 10 2018 12 2019 02 2019 04 2019 06 2019 08 2019 10 2019 12 2020 02 2020 04 2020 06

Total Trust Restraints per 1000 occupied bed days

Baseline Inspection Unit = 1000

2 4 6 8 10 2015 08 2015 10 2015 12 2016 02 2016 04 2016 06 2016 08 2016 10 2016 12 2017 02 2017 04 2017 06 2017 08 2017 10 2017 12 2018 02 2018 04 2018 06 2018 08 2018 10 2018 12 2019 02 2019 04 2019 06 2019 08 2019 10 2019 12 2020 02 2020 04 2020 06

Total Trust Seclusions per 1000 occupied bed days

Baseline

Preparation for Wave 2

• IMT sitting daily under Tactical Command
• Business continuity plans are under

review for all services

• Caseload prioritization using new RAG

tool to commence

• ‘Pod’ models of local cohorting for safe

admissions under local review aligned to pathway risk assessment

• Patient tracker dashboard in development

to ensure testing and tracing

• Focus remains on preventing admissions

and proactive community care

Questions?