In summary, we know that mental health is crucial to patient care and that mental health services are a vital organ of any hospital. E.g. Guidance for hostel or day centre providers of services for people experiencing rough sleeping: Members of staff need to consider contingency plans for situations such as: Responses should include ensuring that sufficient treatment capacity is available if people look for withdrawal support or substitute prescribing as an alternative to using illicit drugs, ie opioid substitution therapy. maintain home care safely if they are advised to isolate at home, guidance on clinical management of drug misuse and dependence, Responding to suspected/confirmed cases of COVID-19, Establishment of 24/7 urgent NHS mental health support, written to all mental health trust chief executives, a list of messages for supporting healthcare staff during the epidemic, guidance for psychological professionals during the outbreak, secondary and specialist mental health settings, COVID-19: Working in community mental health settings. With that in mind, a few quick tips have helped me to navigate the hospital landscape over the past 5 years. General interventions may include increased cleaning activity to reduce risk of virus retention on hard surfaces and keeping property properly ventilated by opening windows whenever safe and appropriate. Work with local authorities to identify those who fund their own care and help to determine informal support available. Women who are pregnant with significant heart disease, congenital or acquired. people with existing respiratory disease e.g. Consider the impact of medication: patients on high risk medications, including: high dose antipsychotic therapies (HDAT). Ensure: trust's website and literature no longer direct people to A&E, 999 or NHS111 as the default (unless it is part of a properly resourced and planned urgent mental health pathway within or via NHS111); information is provided online about when A&E/999 is appropriate; In areas where these services are established, consideration has been made to any additional capacity that might be required and redeployed not only for the telephone service but also to services that can provide all-ages follow-up care. This section of the guidance is in line with the interim national guidance already available for primary care services, which offers four main principles: If COVID-19 is considered possible when an IAPT session or outpatient consultation is already in progress, withdraw from the room, close the door and wash your hands thoroughly with soap and water. There should be no restrictions on who can refer and mental health crisis should be self-defined. The patient should be asked to call NHS 111 from the room. Care Pulse) to support system resilience. identify potential cases as soon as possible, prevent potential transmission of infection to other patients and staff, avoid direct physical contact, including physical examination, and exposures to respiratory secretions, isolate the patient, obtain specialist advice and determine if the patient is at risk of COVID-19. Clinicians will need to support this work. Medication for mental health and COVID-19, COVID-19: Looking after your mental health – for young people and their parents and carers, Disclaimer about our mental health information, MindEd: web tools for those working with young people, Guidance on shielding and protecting people defined on medical grounds as extremely vulnerable from COVID-19. Help us keep our guidance comprehensive by submitting a question. Is something you want to know not covered here? Other guidance for care homes on keeping people safe includes: Use tools to report capacity for bed vacancies (such as Capacity Tracker or Check out the Time to Change website, which has a section dedicated to employers. Frequent and preferably face to face contact [even if via window], or telephone/ online consultation if units are refusing visits. situations. So, in terms of pay, within the NHS New Pay Deal structure, that means a nursing salary of between £24,907 right up to £62,000 is available. Read our full guidance on managing individuals with alcohol problems during the COVID-19 pandemic. People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell). Public Health England has published ‘COVID19: guidance for home care provision’. Plans should be made to ensure medication treatment continues, which will require monitoring of mental and physical health, depot scheduling and supervised administration or oral medication. If a clinical history still needs to be obtained or completed, do this by telephone. SC038369 (Scotland). On the opposite end of the spectrum are many physicians who not only welcome us as mental health service providers, but use our thoughts and evaluations to guide many of the medical choices they make for their patients.

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