CPD Online eNewsletter April 2015

Welcome to the April 2015 CPD Online eNewsletter




New CPD Online Trainee Editor We are pleased to announce that Dr Shyamal Mashru has joined us as Trainee Editor. We look forward to working with him and to having his input into CPD Online. Do read his educational feature below.


Many thanks to Dr Hafi Bilal, who has been an invaluable aid to us over the past year-and-a-half; we wish him all the best in his new Consultant position.


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Educational feature:

Quality improvement – more than just an audit?

By Dr Shyamal Mashru, CPD Online Trainee Editor


Quality tick

If you have had any type of appraisal in the last 12 months you may have heard your supervisor tell you “why don’t you get involved in a Quality Improvement Project?” In fact at my Trust there is an entire department dedicated to Quality Improvement. Apparently it is the new audit, but “more than just an audit.”


Quality Improvement (QI) nestles very nicely in the realms of Leadership and Management as there are lots of buzzwords and slogans that organisations love to promote, such as “Quality Improvement is an effective way of promoting patient safety.” Words such as “effective use of resources” whilst maintaining “optimal quality” and “keeping patient safety as paramount” are what any Chief Executive needs to brandish at annual meetings and most importantly the Care Quality Commission draws much comfort from hearing this terminology.


The question I ask as a clinician is ‘does it do what it says on the tin?!’ Are we actually improving quality of care for patients or are we just jumping through hoops and ticking off the checklist that we have been advised to do? I guess one way of finding out is to get involved in a project in your own workplace and find out. 


QI seems like it is here to stay and may replace the ageing clinical audit. For a better understanding of how to do a QI project, try out our module Quality indicators and quality improvement methods: CCQI module 2 to help you think of some ideas for your own projects.


New modules:




It is estimated that 1 million people in the UK will be living with dementia by 2021, and dementia care currently costs the economy an estimated £23 billion per year. However, neuroimaging is improving diagnosis of the condition. This module reviews the role of neuroimaging and provides a practical guide to the appropriate use and evaluation of brain scans.

    Holding hands   Delirium in older people: assessment and management

Delirium occurs in up to 50% of older hospital inpatients, many of whom have pre-existing dementia. However, despite its serious implications it is often undiagnosed or misdiagnosed. It can be prevented if detected early, and controlled through effective management. Find out how.


  Clinical audit in mental health practice: CCQI module 1 [Fully revised & updated by Rob Chaplin]
This module enables practitioners to understand the basics of clinical audit and why they should use it. It will help you prepare for and implement a clinical audit within your own practice.
Teddy bear  

Psychiatric aspects of perinatal loss [Fully updated and revised by the author]

This module aims to summarise the relevant literature on grief, loss and mourning in general and as applied to the experience of perinatal loss. It considers the immediate and long-term effects of such losses on parents and siblings, the rationale for current medical management (as well as a critique of current practices) and the potential role for a psychiatrist in helping bereaved parents and the teams providing their care.

New podcasts:


Professor Windy Dryden offers a unique perspective on CBT and advocates an integrated approach to single-session therapy. Here he talks to Raj Persaud about the technique and the evidence for its effectiveness.

Magda Osman discusses how much control we have over our own lives, what role the unconscious plays in our decision-making, and the studies that have been conducted around agency and control.

Forthcoming modules:

Leadership and management series: Time management for psychiatrists

People with intellectual disabilities in criminal justice settings 

Children’s mental health within Scottish legislation

Minimising inpatient suicide



New from BJPsych Advances:



Needle   Why are long-acting injectable antipsychotics still underused?
Peter Bosanac and David Castle consider factors that affect best practice and evidence-based care in prescription of LAIs (depot antipsychotics) for schizophrenia. They argue that LAIs may have a place at various stages in the continuum of care and that they should be an option discussed with any patient requiring long-term treatment, even early in the illness course.


Don’t forget to tell your junior colleagues about CPD Online’s new ‘sister site’ Trainees Online (TrOn) – free to access for trainees and other College Members.


Subscribe to or renew with CPD Online – subscriptions can start from any point during the year.


With best wishes,

The CPD Online Team





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