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National Collaborating Centre for Mental Health (UK). Psychosis and Schizophrenia in Adults: Treatment and Management: Updated Edition 2014. London: National Institute for Health and Care Excellence (UK); 2014. (NICE Clinical Guidelines, No. 178.)
In March 2014, a correction was made by NICE to the wording of recommendation 1.1.3.3 to clarify that it is the hydrocarbons in cigarette smoke that cause interactions with other drugs, rather than nicotine.
Psychosis and Schizophrenia in Adults: Treatment and Management: Updated Edition 2014.
Show detailsWith a range of practical experience relevant to Psychosis & Schizophrenia in Adults in the GDG, members were appointed because of their understanding and expertise in healthcare for people with Psychosis & Schizophrenia in Adults and support for their families and carers, including: scientific issues; health research; the delivery and receipt of healthcare, along with the work of the healthcare industry; and the role of professional organisations and organisations for people with Psychosis & Schizophrenia in Adults and their families and carers.
To minimise and manage any potential conflicts of interest, and to avoid any public concern that commercial or other financial interests have affected the work of the GDG and influenced guidance, members of the GDG must declare as a matter of public record any interests held by themselves or their families which fall under specified categories (see below). These categories include any relationships they have with the healthcare industries, professional organisations and organisations for people with Psychosis & Schizophrenia in Adults and their families/carers.
Individuals invited to join the GDG were asked to declare their interests before being appointed. To allow the management of any potential conflicts of interest that might arise during the development of the guideline, GDG members were also asked to declare their interests at each GDG meeting throughout the guideline development process. The interests of all the members of the GDG are listed below, including interests declared prior to appointment and during the guideline development process.
Categories of interest to be written in third person
Paid employment
Personal pecuniary interest: financial payments or other benefits from either the manufacturer or the owner of the product or service under consideration in this guideline, or the industry or sector from which the product or service comes. This includes holding a directorship or other paid position; carrying out consultancy or fee paid work; having shareholdings or other beneficial interests; receiving expenses and hospitality over and above what would be reasonably expected to attend meetings and conferences.
Personal family interest: financial payments or other benefits from the healthcare industry that were received by a member of your family.
Non-personal pecuniary interest: financial payments or other benefits received by the GDG member’s organisation or department, but where the GDG member has not personally received payment, including fellowships and other support provided by the healthcare industry. This includes a grant or fellowship or other payment to sponsor a post, or contribute to the running costs of the department; commissioning of research or other work; contracts with, or grants from, NICE.
Personal non-pecuniary interest: these include, but are not limited to, clear opinions or public statements you have made about Psychosis & Schizophrenia in Adults, holding office in a professional organisation or advocacy group with a direct interest in Psychosis & Schizophrenia in Adults, other reputational risks relevant to Psychosis & Schizophrenia in Adults.
| Declarations of interest | |
|---|---|
| Professor Elizabeth Kuipers-Chair, Guideline Development Group | |
| Employment | Professor of Clinical Psychology, Institute of Psychiatry, King’s College London. |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | From July 2007 – mid 2012 Elizabeth was a Patron of Making Space who provides family/carer support, residential care home provision, supported housing, day & employment services and clinical provision via their independent hospital and volunteer aided CBT provision. Elizabeth also helped re-launch the mentalhealthcare.org.uk website which is publically funded |
| Actions taken | None |
| Prof Max Birchwood | |
| Employment | Professor of Youth Mental Health, Division of Health and Wellbeing, Warwick Medical School, University of Warwick and Director of Research, Youthspace programme, Birmingham and Solihull Mental Health Foundation Trust |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Dr Alison Brabban | |
| Employment | Consultant Clinical Psychologist, Tees, Esk & Wear Valleys NHS Foundation Trust; Honorary Senior Clinical Lecturer. Durham University; National Advisor for Severe Mental Illness (IAPT); Department of Health |
| Personal pecuniary interest | Alison has been involved in randomised control trials for CBT and has taught in New York- Bellevue. National Advisor of Bipolar...etc |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Ms Debbie Green | |
| Employment | Directorate Lead for Occupational Therapy and Social Inclusion, Adult Mental Health, Oxleas NHS Foundation Trust, London |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | Debbie has a personal interest in assertive outreach programmes. Attended and contributed to the NHS Confederation and ImROC briefing paper on peer support workers. |
| Actions taken | None |
| Dr Zaffer Iqbal | |
| Employment | Head of Psychology and Consultant Clinical Psychologist, Navigo NHS Health & Social Care CiC |
| Personal pecuniary interest | Zaffer has links with medical suicidedology which gets funding from a pharmaceutical company. |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | Zaffer, publically advocates particular models of suicidology. Undertakes clinical teaching which may be paid by a trust of pharma- but not currently receiving money |
| Actions taken | None |
| Prof Sonia Johnson | |
| Employment | Professor of Social and Community Psychiatry, Mental Health Sciences, University College London; Consultant Psychiatrist, Camden and Islington Early Intervention Service, Camden and Islington NHS Foundation Trust |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Mr Tom Lochhead | |
| Employment | Mental Health Lead Professional for Social Work in Bath & North East Somerset |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Prof Max Marshall | |
| Employment | Professor of Community Psychiatry, University of Manchester. Honorary Consultant, Lancashire Care NHS Trust; Medical Director Lancashire Care NHS Trust; Deputy Director/Associate Director Mental Health Research Network England |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | Max is the medical director of Lancashire Care NHS Foundation Trust, which provides mental health services in Lancashire. A Professor of Psychiatry at the University of Manchester, and an executive director of the Mental Health Research Network. Max currently holds a programme grant on early psychosis from the NIHR and is a co-applicant on several other NIHR grants in the area of psychosis. |
| Personal non-pecuniary interest | Max is an author of a number of Cochrane reviews, including reviews of care management and interventions for early psychosis. He has generally been supportive of introducing new services for people with psychosis including early intervention teams, crisis teams and assertive community treatment; although he believes that this support has been tempered by a rational evaluation of the evidence base. |
| Actions taken | None |
| Dr Jonathan Mitchell | |
| Employment | Consultant Psychiatrist, Sheffield Health and Social Care NHS Foundation Trust |
| Personal pecuniary interest | Was working on a HTA examining non-pharmacological ways to prevent weight gain for people with Schizophrenia. |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Prof Tony Morrison | |
| Employment | Professor of Clinical Psychology, Division of Psychology, University of Manchester |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Dr David Shiers | |
| Employment | GP Advisor to the National Audit of Schizophrenia (the Royal College of Psychiatrists), London; Rethink Mental Illness Trustee (2010–2012) |
| Personal pecuniary interest | Received a lecture fee of £450 for presenting to a specialist mental health audience in Southampton, organised and paid for by Janssen-Cilag on 22nd September 2010. Title of keynote presentation was “Early intervention in psychosis – looking after the body as well as the mind.” (declared December 2010) Joint editor of ‘Promoting Recovery in Early Psychosis’ Wiley-Blackwell ISBN978-1-4051-4894-8. Published 2010 (Royalties received [for first time] £169.14 on March 23rd 2012) 27th November – 2nd December 2011 Tokyo: Attended the Japanese DIET inaugural meeting of the all-party parliamentary group on mental illness providing keynote presentation on UK Early Intervention service reforms; followed by my presenting similar keynote at a two day National Japanese Society for prevention and early intervention in psychosis; fee £1893.81 13th December 2011; Consultancy on early intervention in psychosis provided to Second Step Trust Bristol (voluntary sector); fee £412 11th November 2012; Bolton AqUA group of Salford Royal NHS Foundation Trust: Presentation on early intervention in physical health of people with psychosis; fee £500 18th February 2013: Fee for NSW Health presentation (Sydney) £407.07 13th March 2013: Fee AqUA group of Salford Royal NHS Foundation Trust: Presentation on early intervention in physical health of people with psychosis; fee £500 23rd March 2013: Fee for presentation at EPION network of Ontario – Toronto £947.05 |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | Co-author of Tobacco Use Before, At, and After First-Episode Psychosis: A Systematic Meta-Analysis. (declared May 2011 –Myles, N., Newall, H, Curtis, J., Olav Nielssen, O., PhD, David Shiers, D., Large, M. accepted for publication by J Clin Psychiatry) Co-authoring an early intervention in psychosis guidelines produced by IRIS Initative Ltd (a social enterprise) Co-author Efficacy of metformin for prevention of weight gain in psychiatric populations: a review Hannah Newall, Nicholas Mylesa, Philip B. Ward, Katherine Samaras, David Shiers and Jackie Curtis International Journal of Clinical Psychopharmacology 27(2):69–75 DOI: 10.1097/YIC.0b013e32834d0a5b Co-authoring with Tony Morrison and others an editorial regarding antipsychotics and patient choice (submitted to The British Journal of Psychiatry in March 2012) A collaboration with Tim Kendall and others on a study of Health Economic model on the key drivers for physical ill health for LSE and the Institute of Psychiatry 5th September 2012 and ongoing; funded by Southampton University to attend Diabetes Research Network/Mental Health Research Network writing group. March 2013: Approval for HTA grant number 12/28 examining non-pharmacological ways to prevent weight gain for people with Schizophrenia –lead PI = Prof Richard Holt 24th May 2013: Travel and accommodation to present at Australian Ministerial Summit on Physical / Mental Health Co-author on an international consensus statement of the importance of intervening early to prevent future CVD, obesity and diabetes. Entitled HeAL (Healthy Active Lives), this was launched at RC Psych event led by Sue Bailey on 19 June 2013. Co-author on an article for the Irish Journal of Medical Science, it is a Review of a Collaborative Symposium on the physical health of the severely mentally Ill, titled: Hearts and Minds – the double impact of poor physical and mental health”. |
| Actions taken | None |
| Dr Clive Travis | |
| Employment | Service user representative |
| Personal pecuniary interest | Public governor SEPT. About to undertake paid work for SEPT. Due to publish an autobiographical novel about his journey through paranoid schizophrenia. It is entitled Looking for Prince Charles’s Dog. Due to the title and the story line all of the royalties are going to charities as follows: The Prince of Wales International Centre for SANE Research The Prince’s Trust The Diana Princess of Wales Memorial Fund Catholic Aid Overseas Development (CAFOD) The Salvation Army Build Africa UNICEF Medecins Sans Frontieres Comic Relief The Speedwell Trust The Dog’s Trust Look- Charity for Blind and Partially Sighted Children |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | Has a website www Clive believes that in some suicides of psychiatric patients, side effects of prescribed medication are a factor. |
| Actions taken | None |
| Ms Rachel Waddingham | |
| Employment | Service User Representative; London Hearing Voices Project Manager |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | Rachel is a trustee of the national Hearing Voices Network. And is an employee of MIND in Camden, a local MIND Organisation. |
| Personal non-pecuniary interest | Has spoken in public about her reservations about the scientific validity of the diagnosis of schizophrenia. Rachel has also spoken about the need for more alternatives to medication, and the need to provide better support and advice for those choosing to withdraw from medication. However, she has no clear views with respect to the guidance update and is open to reviewing the evidence gathered. |
| Actions taken | None |
| Mr Peter Woodhams | |
| Employment | Carer representatitve |
| Personal pecuniary interest | Peter has a contract as a self employed Carer Consultant with the Meriden Family Programme within Birmingham and Solihull Mental Health Foundation Trust and so he has an interest in Family Interventions |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Mr Norman Young | |
| Employment | Nurse Consultant, Cardiff and Vale UHB & Cardiff University |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
NCCMH staff
| Tim Kendall – Facilitator, Guideline Development Group | |
|---|---|
| Employment | Director, NCCMH |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | Tim is a co-applicant for a £1.7–2 million NIHR HTA grant for a multicentre, randomised controlled trial of a diabetes intervention to induce weight loss (DESMOND) for people who are overweight and have a SMI, including people with schizophrenia and bipolar disorder. |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Nadir Cheema | |
| Employment | Health Economist (until November 2012) |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Lucy Burt | |
| Employment | Research Assistant |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Bronwyn Harrison | |
| Employment | Research Assistant |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Evan Mayo-Wilson | |
| Employment | Senior Systematic Reviewer (until March 2012) |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Maryla Moulin | |
| Employment | Project Manager |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Eric Slade | |
| Employment | Health Economist (from January 2013) |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Sarah Stockton | |
| Employment | Senior Information Scientist |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Clare Taylor | |
| Employment | Senior Editor |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Amina Yesufu -Udechuku | |
| Employment | Systematic Reviewer (from March 2012) |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
Special advisors to the Guideline Development Group
| Victoria Bird | |
|---|---|
| Employment | Mental Health Sciences Unit, University College London |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | Funded as a researcher worker and PhD student by the National Institute of Health Research on a 5-year programme grant for applied research (RP-PG-0707-10040). The REFOCUS project is a testing a service-level intervention for people with psychosis. |
| Personal non-pecuniary interest | Victoria has recently published a paper in the British Journal of Psychiatry assessing the effectiveness of early intervention services for psychosis. (Bird, V, Premkumar, P., Kendall, T., Whittington, C., Mitchell, J. & Kuipers, E. 2010. Early intervention services, cognitive behavioural therapy and family intervention in early psychosis: systematic review, BJP, 197, 350–6) Victoria currently has a paper under review with the British Journal of Psychiatry assessing the effectiveness of complex psychological interventions for psychosis. |
| Actions taken | None |
| Brynmor Lloyd-Evans | |
| Employment | Mental Health Sciences Unit, University College London |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Alyssa Milton | |
| Employment | Mental Health Sciences Unit, University College London |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Daniel Tsoi | |
| Employment | University of Sheffield |
| Personal pecuniary interest | Author of the Cochrane Review “Interventions for smoking cessation in individuals with schizophrenia” (2013). |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
| Sophia Winterbourne | |
| Employment | London School of Economics |
| Personal pecuniary interest | None |
| Personal family interest | None |
| Non-personal pecuniary interest | None |
| Personal non-pecuniary interest | None |
| Actions taken | None |
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