About this event

  • Date and time Wed 29 Nov 2023 from 9:00am to 5:10pm
  • Location Royal Society of Medicine
  • Organised by Palliative Care

Join us for our fifth annual interactive study day bringing together mental health and palliative care professionals. Hear from experts in the fields as they explore the best new ways to work with and support those who have been diagnosed with a serious mental illness or potentially life-limiting, progressive illnesses which require palliative care. 

This meeting aims to cross boundaries between psychiatry and mental health to promote multiprofessional and multidisciplinary learning through lectures, workshops and case-based discussions. The Palliative Care and Mental Health: Annual abstract prize will also be presented and awarded at this meeting.  

This meeting will be available as an on-demand recording. To register to watch the on-demand recording, please click here.

Benefits of attending: 

  • Gain an overview of new innovations for meeting the palliative needs of people with mental illness 
  • Understand approaches to managing mental and physical multimorbidity
  • Learn from best practice examples in psychiatry and palliative care 
  • Engage in interactive workshops and case based discussions exploring mental and physical multimorbidity  

 

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Key speakers

Dr Jon Martin

Consultant, Palliative Medicine, Central and North West London NHS Foundation Trust, National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust

Speaker's biography

Dr Jon Martin is a palliative care consultant who mostly works at the National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust and is chair of the Association for Palliative Medicine neurology special interest forum.

 

His clinical interests include advance care planning in neurology and the application of philosophy, ethics and law to neuropalliative care, particularly as these relate to decision making in critical care.

 

He has a Master of Laws degree in healthcare ethics and law and was on the Ministry of Justice working party that wrote the re-drafted Code of Practice for the Mental Capacity Act. He recently co-wrote chapters on complex decision making and on palliative care for the third edition of the Queen Square Textbook of Neurology and is a member of the Central and North West London NHS Foundation Trust clinical ethics committee.

Dr Chloe Beale

Consultant Liaison Psychiatrist, Homerton Psychological Medicine, Homerton University Hospital and Honorary Clinical Senior Lecturer, Wolfson Institute, Queen Mary University of London

Speaker's biography

Dr Chloe Beale is consultant liaison psychiatrist and clinical lead for liaison psychiatry at Homerton Hospital, as well as Honorary Senior Clinical Lecturer at Queen Mary University of London. She was previously suicide prevention lead for East London NHS Foundation Trust.

 

She has a master's degree in medical law and a particular interest in mental capacity and mental health law in acute settings and law and ethics surrounding suicide. She has published papers and speaks widely on these subjects at regional and national academic events.

 

She is an elected member of the Royal College of Psychiatrists liaison faculty executive committee and is involved in policy work related to her field of expertise. She was invited to give evidence in Parliament on proposed changes to the Mental Health Act and has presented to the government advisory group on suicide prevention.

Professor Jonathan Koffman

Professor, Palliative Care, Associate Director, the Wolfson Palliative Care Research Centre

Speaker's biography

Professor Jonathan Koffman, professor of palliative care and associate director of the Wolfson Palliative Care Research Centre, is a health services researcher who conducts research focusing on the interface between inequity and palliative and end-of-life care, clinical uncertainty and decision making and the development and evaluation of complex palliative care interventions.

 

He has a particular interest in researching the interface between ethnicity, culture and palliative care and also clinical uncertainty and how it manifests itself in end-of-life care.

Dr Rachel Gibbons

Consultant Psychiatrist and Consultant Medical Psychotherapist, National Director, Therapies for the Priory Group, Co-Chair, Patient Safety Group, Chair, Working Group on the Effect of Suicide and Homicide on Psychiatrists and Vice-Chair, Psychotherapy Faculty, Royal College of Psychiatrists

Speaker's biography

Dr Rachel Gibbons has worked in the NHS over the past 20 years in various psychiatric settings as a consultant psychiatrist and consultant medical psychotherapist. She has recently been working as the National Director of Therapies for the Priory Group.

 

She is a psychoanalyst and group analyst and current Co-Chair of the Patient Safety Group, Chair of the Working Group on the Effect of Suicide and Homicide on Psychiatrists and Vice-Chair of the Psychotherapy Faculty, at the Royal College of Psychiatrists.

Professor Carol Rivas

Professor of Health and Social Care, Social Research Institute, University College London Institute of Education

Speaker's biography

Carol is Professor of Health and Social Care at University College London. Her work explores the interactions of the various stakeholders in organisational encounters, primarily health and social care systems, with a focus on marginalised groups and intersectionalities. Within this, she draws on sensitivities developed from her own lived experience. Carol is a mixed methodologist, leading or co-leading work on, and with expertise, in approaches ranging from machine learning and big data analysis to multi-modal ethnography. As such, she specialises in innovative transdisciplinary, participatory and arts-based methods, knowledge exchange and transformative outputs.  Her focus is always on the practical application of her research to improve services.

She sits on or works with various national and international funding and research priority setting panels and has won awards for her innovative practice-focused work.  Her outputs using participatory methods, inclusivity and intersectionality and critical realism provide examples of work that has influenced policy and practice nationally and internationally. This includes new interventions that have been rolled out in the UK, others that have been adopted outside the UK, and approaches that have been cited as best practice examples and templates for organisations such as the National Institute for Health and Care Research and Cochrane. Carol has written various book chapters on applied methodology, is currently leading on the development of the publisher SAGE’s methods modules on inclusive research and underserved groups for their online training platform and is co-editor of the successful textbook ‘ Researching Society and Culture’. Her toolkit on involving people with disabilities or from minoritised ethnic groups has been adopted by the National Institute for Health and Care Research for their new research calls. She has contributed to a recent UK government POSTnote on disabilities, employment and education.

Agenda

View the programme

Registration, tea and coffee
Welcome and introduction

The Mental Capacity Act (MCA): Pitfalls, pratfalls and shortfalls

This session will review several areas of the assessment of capacity, with a focus on gaining a deeper understanding of the practical application of the MCA including areas where clinical practice often falls short of what is expected of us. These will include, among others, how to approach concerns regarding executive dysfunction, fluctuating capacity and lack of engagement. Participants are encouraged to bring case examples for discussion immediately following the talk.

Dr Chloe Beale, Consultant Liaison Psychiatrist, Homerton Psychological Medicine, Homerton University Hospital, Honorary Clinical Senior Lecturer, Wolfson Institute, Queen Mary University London and Dr Jon Martin, Consultant, Palliative Medicine, Central and North West London NHS Foundation Trust, National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust

Case based discussion
Lessons from the Coronavirus Chronic Conditions and Disabilities Awareness (CICADA) Study

In this session, Carol will focus on her recently completed large study exploring the everyday pandemic experiences and coping strategies of people living with chronic conditions and disabilities and from minoritised ethnic groups. Carol will explore the study’s mental health and palliative сare findings and their implications for policy and practice. In particular she will consider the value of participatory assets- and strengths-based approaches in the development of small interventions that can be easily applied and are acceptable to both patients and practitioners. The audience is invited to bring questions, case examples from their own experiences, and suggestions for good local practice for marginalised groups, to discuss at the end of the session.

Professor Carol Rivas, Professor of Health and Social Care, Social Research Institute, University College London Institute of Education

Discussion: Implications of Coronavirus Chronic Conditions and Disabilities Awareness (CICADA) findings in mental health and palliative care
Tea and coffee break
Palliating pain for those living with severe mental illness: What do we know and what is needed?

In this session, Jonathan will discuss the findings of his recent systematic review of the assessment and management of pain associated with life-threatening illness among those living with severe mental illness. Drawing on his expertise in this area alongside his long-standing research interests in the interfaces between culture and palliative care and specifically pain control he will set out a vision for future research, policy and practice to improve supportive and palliative care for people living with severe mental illness who are diagnosed with life-threatening illnesses. The audience is invited to bring questions and case examples from their own experiences to discuss at the end of the session.

Professor Jonathan Koffman, Professor, Palliative Care, Associate Director, Wolfson Palliative Care Research Centre and Dr Gilli Erez, Consultant in Palliative Medicine, Royal Brompton and Harefield hospitals

Case based discussion
Lunch

Workshops

These workshops are interactive and we encourage all attendees to take part. Please select a workshop to secure your spot.

Autism: What does reasonable adjustment mean in practice?

The session will outline why all health professionals need to be aware of the needs of autistic people, and how this can be considered in terms of making services more accessible, and in understanding how an autistic person may communicate their needs, and how they might perceive the care being offered to them. We will provide an overview of the known morbidity and mortality data, and through the benefit of lived experience will provide an insight into some of the difficulties an autistic person might experience and how staff might understand and support with them.

Dr Lesley Kilshaw, Clinical Lead, Transforming Care for Autism and Intellectual Disabilities across the Midlands, Jo Minchin and Marilyn Jones

Provision of care in end stages of dementia

A brief introduction to provide an overview of past and current trends in managing end stages of dementia, illustrated with real life examples

Dr Azad Cadinouche, Consultant Old Age Psychiatrist, Barnet Older People's Community Mental Health Team (CMHT) and Dr Meredith Gurwith, Speciality Trainee in Old Age Psychiatry, Islington Services for Ageing and Mental Health, Community Mental Health Team and Islington Memory Service

Inclusive care for all: Lessons learnt from a decade of research with and for the LGBTQ+ communities

The session will begin with an overview of the evidence regarding the specific needs and experiences of LGBTQ+ people facing serious or advanced illness, or bereavement. We will discuss how the legacy of discrimination impacts on engagement with care services, and consider the steps we can all take to make our practice and our institutions inclusive to all. We will draw on data from LGBTQ+ people, their significant others, and health and social care professionals to focus specifically on improving communication about sexual orientation and gender identity. The session will include opportunities for case discussion and to share your own experiences, in a safe supportive environment.

Dr Katherine Bristowe, Herbert Dunhill Senior Lecturer, King's College London and Hannah Scott

Open papers

Chair: Dr Daniel Hughes, Consultant Psychiatrist, Camden and Islington NHS Foundation Trust

2:00pm - Living and dying with lewy body dementia: stories of everyday experiences, Dr Allison Bentley, Research Associate in Palliative Care, University of Cambridge

2:15pm - Neuromodulation for anxiety in breathlessness: a new feasibility study in palliative care, Dr Lucy Bleazard, Academic Clinical Fellow in Palliative Medicine, LOROS Hospice

2:30pm - Communication problems in palliative care for mentally challenged individuals: a scoping review, Dr Nashit Irfan Aziz, Teaching Fellow, Liaquat National Hospital and Medical College

2:45pm - Normalising hospice wellbeing services and improving transitioning into inpatient care through the development of a online, wellbeing hub, Mr James Norris, Founder of MyWishes, Mount Vernon Hospital

3:00pm - Developing emotional support pre and post bereavement for neuro divergent people in a hospice setting, Mr Andy Schwab, Palliative Care Social Worker, St Richard’s Hospice 

3:15pm - Panel discussion

 

Tea and coffee break

How to work with patients in suicidal distress, and the impact of suicide on clinicians

This lecture will be based on Rachel Gibbon’s work on suicide over the last 14 years. She has recently had 3 papers published on the effect of suicide on clinicians, she is co-editor of the Royal College of Psychiatrists book ‘Seminars in the psychotherapies’. (Gibbons, R. and O'Reilly, J. eds., 2021. Seminars in the Psychotherapies. Cambridge University Press.) and has her most recent paper on the nature of mental illness published in Advances in Psychiatric Treatment in March 23 (https://www.cambridge.org/core/journals/bjpsych-advances/article/mourning-process-and-its-importance-in-mental-illness-a-psychoanalytic-understanding-of-psychiatric-diagnosis-and-classification/AADC76B72F52556A897A41B131A25D37)

Dr Rachel Gibbons, Consultant Psychiatrist and Consultant Medical Psychotherapist, National Director, Therapies for the Priory Group, Co-Chair of the Patient Safety Group, Chair of the Working Group on the Effect of Suicide and Homicide on Psychiatrists and Vice-Chair of the Psychotherapy Faculty, Royal College of Psychiatrists

Case based discussion
Closing remarks
Close of meeting

Location

Royal Society of Medicine, 1 Wimpole St, Marylebone, London, W1G 0AE, United Kingdom

 

Registration for this event will close at 1:00am on Tuesday 28 November 2023. Late registrations will not be accepted.

The agenda is subject to change at any time

If the event is recorded, we are only able to share presentations that we have received permission to share. There is no guarantee that all sessions will be available after the event, this is at the presenter’s and RSM’s discretion.

All views expressed at this event are of the speakers themselves and not of the Royal Society of Medicine, nor the speaker's organisations.

This event will be recorded and stored by the Royal Society of Medicine and may be distributed in future on various internet channels.

 

 

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