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Mental health DES 2017/18 - Wales

Details of the directed enhanced service (DES) for mental health for Wales.

This DES applies from 12 April 2017.

Aim of the DES

The main purpose of the enhanced service is to improve the quality of care provided to patients with mental health needs through better co-ordination and sharing of information.

Payment information

£101.72 per 1,000 registered patients.

DES requirements

The practice should run an annual practice-based mental health education study session that is at least two hours long. The entire practice should attend this session.

One topic from the following list should be addressed each year:

  • Service user led training on understanding the experience of mental illness from a service user’s perspective
  • Mental health and physical co morbidities; health promotion and reducing risks and inequity in primary care
  • Diagnosis and management of depression in the elderly
  • Understanding the mental health needs of young people and local pathways and support, working with local Child and Adolescent Mental Health Services
  • Eating disorders in adolescence and early adulthood
  • Recognition and management of threatened suicide and self harm
  • Early identification, effective management, advice and support for people with dementia and their carers;
  • Understanding the importance of timely diagnosis in dementia including advanced decision making and enduring or lasting powers of attorney
  • Perinatal mental health problems;
  • Meeting the health needs including mental health needs of refugees and asylum seekers

Practices should retain a record of the training session, including attendees, content and reflection of the learning achieved and agreed actions – this should be available to the local health board on request.

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