Northumberland Tyne & Wear NHS Foundation Trust

Project team: Dr D Patil, Consultant Psychiatrist, Dr D Conway, Consultant Clinical Psychologist, C Thomas, Lead Pharmacist, K Bell, Nurse Behaviour Therapist, Dr G Boynton, Speciality Doctor, Gail Kay, Directorate Manager, Tim Docking, Group Director, Tony Quinn, Service Manager

• One of the largest Learning Disability and Mental Health Trusts in the country

• Has a number of locality community LD teams

• Multi-disciplinary• Co-located teams• Good stakeholder engagement with

neighbouring Trusts, CCGs, Social care and Voluntary Sector

• Good service user and carer engagement • Good research links

What are the issues? High rates of prescribing psychotropic medication for people with LD and behaviours that challenge No standardised pathway for prescribing

anti-psychotics, mood stabilisers, anti-depressants andbenzodiazepines for LD and behaviours that challenge No standardised guidance for the integration of pharmacological and non pharmacological approaches Mixed views and experience of medication use by service users and carers

At least it feels like somebody is doing something

Can you not just give him something?

I got my son back

What we want to do To gather baseline data on number of adults with CB

on anti-psychotics, mood stabilisers anti-depressants and benzodiazepines

Development of standardised pathway for prescribing

Integration with and development of non pharmacological pathways (e.g. Positive Behaviour Support pathway for CB)

Develop way of measuring clinical outcomes and audit pathway