Coronavirus

26 December, 2020

Responding to coronavirus: information for GPs

In the best interests of the health of all our service users, staff, visitors and the wider public, St Patrick’s Mental Health Services (SPMHS) is currently implementing contingency measures against the potential spread of the COVID-19 coronavirus.

We regularly share updates on our latest coronavirus measures and protections on our website and social media channels. Please check here for guidance and information which will be helpful when you are referring a patient to our services or supporting a patient who is currently attending our services. 

Please note that the following guidelines apply to all of our campuses, unless otherwise stated: locations and contact details can be found here.

Service updates for GPs

  • Who can currently attend our campuses?

    Our campuses will be open to staff members and service users with a clinical need to be onsite, as advised by their clinician or multidisciplinary team

    We are currently operating visiting restrictions in line with the government’s Plan for Living with COVID-19Please note, that following the announcement of Level 5 restrictions by government on Tuesday, 22 December 2020, all visiting to our campuses is suspended from Sunday, 27 December.

    Clinical personnel from outside our service - such as ambulance personnel or accompanying nurses - will be admitted to the campus in accordance with our infection control guidance, outlined in the last item of this list of questions. Notification of such personnel attending our campuses is requested in advance, with the personnel requested to leave the campus as soon as they have completed their duties. 

    This arrangement will be under constant review.

  • What visiting restrictions do we have in place?

     

    All visiting to our campuses is suspended from Sunday, 27 December 2020 in line with the introduction of Level 5 restrictions against COVID-19 by the government. We are very grateful to our service users and their supporters for their patience and understanding with these restrictions, which are in place to best protect everyone’s health.

     

  • Are we continuing to admit inpatient service users?

    Yes, we are continuing to accept referrals for inpatient service users.

    We have introduced a homecare service, consisting of the highest levels of one-to-one support provided remotely, to ensure service users receive necessary care and treatment. Service users availing of this service will receive daily or more frequent contact, along with psychopharmacological input arranged in liaison with local pharmacies.  This service will include the following elements:

    1. Assignment to a multidisciplinary team (MDT)
    2. At least daily contact from a member of the MDT by videocall, where available, or, where not, by phone
    3. Participation in an MDT meeting by video link or by phone at least once weekly
    4. Medication and prescribing review with the same frequency as regular inpatients (measures to ensure service users receive their new medication will be enacted)
    5. Appropriate individual therapy sessions with members of the MDT, delivered by video call
    6. Appropriate ongoing psychotherapeutic interventions delivered remotely
    7. 24 hours per day, seven days per week support.

    Due to the spread of COVID-19, all referrals for admission will be offered homecare admissions, with minimal exceptions. This will be discussed in detail with service users, and they will be informed of their options in advance.

    The mental health risk of the service user will always remain a priority, with considerations including clinical risk or the need for treatment which can only be delivered onsite, such as electroconvulsive therapy, being taken into account. Approvals for homecare services will therefore be taken on an individual basis, with all new referrals for inpatient services being reviewed by a consultant psychiatrist and a team of clinical directors to ensure best practice.

  • Can you continue to refer your patients to our services?

    Yes, our Referrals and Admissions Service remains in operation for inpatient and outpatient referrals.

    You can send us online referrals directly from your practice management system; this is a secure and fast way to send referrals and a copy of the referral is automatically saved into your patient's records on your GP Practice System. The process for homecare admissions, outlined above, will be conducted through technological means, using a platform available to both the service user and our staff member.

    Only those referrals whose clinical mental health risk assessment determines it will be physically admitted to hospital. A member of our Referrals and Admissions Service will contact these service users on the day before their admission and will carry out a screening protocol against coronavirus. Any risk factors which may be identified will be discussed and considered with a doctor before their admission.

  • Can you continue to use our online referrals system?

    Yes, our online referrals system is continuing to operate. You can send us online referrals directly from your practice management system; this is a secure and fast way to send referrals, and a copy of the referral is automatically saved into your patient's records on your GP Practice System. Easy, step-by-step guides to sending online referrals through HealthOne, Socrates, and HPM can be found here.

  • Are appointments and programmes still running?

    Yes, our services and programmes are continuing to run, with contingency measures in place to protect everyone's health and safety.

    As such, we have scaled up technology-mediated interventions for people attending our Dean Clinics and day services; these interventions are underpinned by rigorous risk-assessment, combined with assessment of suitability for the services we can provide. We are offering technology-mediated appointments to all service users of our Dean Clinics. Day services will now also be delivered either online or via telephone.

    A member of staff will be in touch with service users ahead of their appointment or session to inform and guide them on this. Instructions on how to take part in the appointment or session through the technology will also be sent to service users in advance.

  • Are volunteer support groups still running?

    No, all volunteer support group meetings, hosted at both St Patrick's University Hospital in Dublin 8 and St Patrick's, Lucan, have been postponed until further notice. These include Alcoholic Anonymous, Aware, OCD Ireland, LifeRing, Orientation, AL-ANON and ANEW meetings

  • What infection control measures are in place on our campuses?

    A number of restrictions on who can attend our campuses remain in place in order to best protect public health. Please check that you can attend our campus before making the journey.

    Everyone on our campuses should follow the guidelines below.

    • Wash your hands thoroughly before you arrive at the campus
    • Use our hand hygiene gels at the entrance and throughout the campus
    • Identify yourself at the reception desk when you arrive
    • Observe hand hygiene and coughing and sneezing etiquette closely, as promoted by the HSE, throughout your time on the campus
      • cover your mouth and nose with a tissue when coughing and sneezing
      • dispose your used tissues into a bin
      • wash your hands thoroughly after coughing or sneezing
      • wash hands thoroughly before leaving the campus.
    • Follow social distancing measures throughout your time on the campus by keeping a distance of at least one, and preferably two, metres from other people and avoiding physical contact.

    Please note that, when you arrive at the reception desk, you will be asked the three questions below: if you answer positively to any of them, we will be unable to permit entry to the campus.

    • Have you returned to Ireland from any other county (other than Northern Ireland) in the past 14 days?
    • Are you a close contact of a confirmed or suspected case in Ireland?
    • Are you experiencing any of the following symptoms: cough; shortness of breath; breathing difficulties; high temperature?

    In addition, a thermal imaging camera has been installed at the main entrance to St Patrick’s University Hospital. This camera will take your temperature as you come into the building. If you have a temperature equal to or greater than 37.5 degrees Celsius or higher, we will not be in a position to allow your entry to the hospital building.

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