Welcome to the Right Decision Service (RDS) newsletter for April 2024.
Tactuum has been working hard to address the issues experienced during the last week. They have identified a series of three mitigation measures and put the first of these in place on Friday 3rd May. If this does not resolve the problems, the second mitigation will be actioned, and then the third if necessary.
Please keep a lookout for any slowing down of the system or getting locked out. Please email myself, mbuchner@tactuum.com and onivarova@tactuum.com if you experience any problems, and also please raise an urgent support ticket via the Support Portal.
Thank you for your patience and understanding while we achieve a full resolution.
A rotating carousel presenting some of the key RDS tools and capabilities, and an editable slideset, are now available in the Resources for RDS providers section of the Learning and Support toolkit.
The redesign of RDS Search and Browse is still on-track for delivery by mid-June 2024. We then plan to have a 3-week user acceptance testing phase before release to live. All editors and toolkit owners on this mailing list will be invited to participate in the UAT.
The archiving and version control functionality is also progressing well and we will advise on timescales for user acceptance testing shortly.
Tactuum is also progressing with the deep linking to individual toolkits within the mobile RDS app. There are several unknowns around the time and effort required for this work, which will only become clear as the work progresses. So we need to be careful to protect budget for this purpose.
These have all been compiled and effort estimated. Once the redesign work is complete, these will be prioritised in line with the remaining budget. We expect this to take place around late June.
Many thanks to those of you completed the value and impact survey we distributed in February. Here are some key findings from the 65 responses we received.
Figure 1: Impact of RDS on direct delivery of care
Key figures
Figure 2 shows RDS impact to date on delivery of health and care services
Key figures
These data show how RDS is already contributing to NHS reform priorities and supporting delivery of more sustainable care.
Saving time and money
Quality assurance and governance
Service innovation and workforce development
A few examples of toolkits published to live in the last month:
Some of the toolkits the RDS team is currently working on:
Please contact his.decisionsupport@nhs.scot if you would like to learn more about a toolkit. The RDS team will put you in touch with the relevant toolkit lead.
Thanks to all of you who have responded to the retrospective quality audit survey and to the follow up questions. We still have some following up to do, and to work with owners of a further 23 toolkits to complete responses. An interim report is being presented to the HIS Quality and Performance Committee.
Eight clinical services and two public library services are undertaking tests of change to implement the Being a partner in my care app. This app aims to support patients and the public to become active participants in Realistic Medicine. It has a strong focus on personalised, person-centred care and a library of shared decision aids, as well as simple explanations and videoclips to help the public to understand the aims of Realistic Medicine. The tests of change will inform guidance and an implementation model around wider adoption and spread of the app.
With kind regards
Right Decision Service team
Healthcare Improvement Scotland
This information guide is intended for people with mild-to-moderate symptoms. If you, or someone you know, needs support with mental health problems, in the first instance you should contact your GP. If required, your GP can then refer you to Mental Health Services in your local areas. If you need help for a mental health crisis or emergency, you should get immediate expert advice and assessment. It is important to know that support is available.
If you, or someone you know, needs urgent help or is in crisis, call NHS 24 on 111. If you just need to talk with someone, there is help available. The Samaritans are there 24 hours a day, 365 days a year. You can call them on 116 123 (freephone) or email: jo@samaritans.org. Breathing Space offers a confidential phone line for anyone in Scotland feeling low, anxious or depressed. You can call free on 0800 83 85 87.
Borderline Personality Disorder (BPD) is also sometimes called Emotionally Unstable PD (EUPD). There are also other Personality Disorder types, which can overlap with BPD symptoms. The term 'Borderline' was originally used because doctors used to think it was on the border between two different disorders - Neurosis and Psychosis.
See NHS Inform for further information of BPD.
Everyone is an individual, and no 2 people with this diagnosis have exactly the same combination of symptoms.
The main symptoms are:-
Having a diagnosis of Personality Disorder does not make you a bad person.
Everyone is an individual, and different things work for different people.
STOP Skill
S - Stop for a minute
T - Take a breath/Take a step back from the situation
O - Observe what is happening (what are you thinking/feeling)
P - Proceed mindfully - think about your actions
TIPP
T - Temperature (splash your face with water, or use ice pack)
I - Intense exercise - even just for a short while
P - Paced breathing (trying to slow your breathing down or breathe in for 5 and out for 7)
P - Pairing muscle relaxation with your breathing
NHS Inform has more information relating to personality disorder
NHS24 Available 24hrs - 7 days a week. Dial 111.
Breathing Space Mon-Thu 6pm - 2am. 24hr support from Fri 6pm - Mon 6am. Dial 0800 83 85 87.
Samaritans 24hrs - 7 days a week. Dial 116 123.
Shout 24hrs - 7 days a week. Text 85258.
Borderline and Beyond Patient Leaflet can be found here.
Some people find that talking with friends and family about their feelings can be a real source of support for coping with distress or suicidal thoughts. It might be helpful for them to map their support network and think about people they could call if their feeling suicidal. Other people may prefer to seek more professional support or call a helpline such as Breathing Space, Samaritans or Shout.
For some people they may be finding it difficult to cope and may think of ending their life, if you are concerned about your mental health and wellbeing, you can contact your G.P. within opening hours. If you feel you are in immediate danger, please call 999 for assistance.
MyApp: My Mental Health