Integrating mental and physical healthcare

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Frail elderly patients often have multiple conditions that include mental health problems such as depression, delirium or dementia. Traditional healthcare models, particularly admission to acute hospitals, can bring harm as well as benefit for these patients.

Mental and physical healthcare in the community is now commissioned from a single secondary care provider — Cambridgeshire and Peterborough NHS Foundation Trust. It had previously been the mental health trust for the county so had experience of moving from a mainly hospital-based model to community treatment. 

The trust now provides diverse services, including inpatient physical and mental healthcare, minor injury units, emergency community mental and physical healthcare response, district nursing and therapy, dietetics, speech and language therapy and many specialist teams. It has over 1 million patient contacts per year.

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