What services are available?

Primary care

  • The impact of the care provided for people with physical conditions, especially long-term, on their emotional and physical wellbeing in hampered by lack of outcome measurement – as is the case in primary and mental health care
  • IAPT services now have a focus on providing care for emotional problems comorbid with  long term conditions and pathfinder sites have recently set up for PES (‘MUS’)

Secondary care
In secondary care, liaison teams exist in many University hospitals but are less common in other general hospital settings. Psychologists are part of multidisciplinary teams in some departments. This has tended to happen in a non-systematised way where the value of evidence-based practices is recognised by local clinicians and so may be provided by:

  • Clinical and/or health psychologists embedded in medical teams, such as oncology, diabetes, renal, rheumatology or respiratory teams and providing specialist talking therapies, assessment, consultation, training and research
  • Chronic pain management teams and chronic fatigue teams, operating over a wider area than a single acute hospital
  • Cancer network of psychosocial support professionals, organised to support sophisticated training arrangements for medical and nursing oncology staff (and often including liaison psychiatrists)
  • Cardiac and pulmonary rehabilitation teams