1 00:00:00,150 --> 00:00:07,080 Well, thank you very much. You've done well to make it to the end of the day, and I can feel like a long day by the time you get to this stage. 2 00:00:07,080 --> 00:00:12,300 And I just wanted to say a few words to just wrap up what we've heard today. 3 00:00:12,300 --> 00:00:21,840 Just before you leave this morning, we heard, if you can think back that far, we had about population changes. 4 00:00:21,840 --> 00:00:28,620 We had that we're living longer and that we're entering this phase of many people living with active ageing. 5 00:00:28,620 --> 00:00:34,980 So a sense that actually people can age very well, people age in a very heterogeneous way, 6 00:00:34,980 --> 00:00:40,380 and that that's that's great that our health systems are working to keep people living longer. 7 00:00:40,380 --> 00:00:47,190 However, people also live with the sense of increased dependence and poor health conditions when they age. 8 00:00:47,190 --> 00:00:53,130 And that that presents a challenge for us as doctors that we need to change the way we deliver services 9 00:00:53,130 --> 00:00:59,820 so that we can offer integrated care that really needs meet the needs of individual patients. 10 00:00:59,820 --> 00:01:05,170 So I think one of the speakers that is not about the historical picture is not about the buildings we've got or 11 00:01:05,170 --> 00:01:11,550 our traditional professional silos is actually about thinking what do patients need and how can we deliver that? 12 00:01:11,550 --> 00:01:15,780 And I think for us and for our generation particularly, that's the challenge we've got. 13 00:01:15,780 --> 00:01:25,440 How can we change what we currently do? We need to provide services that are much more flexible and responsive to people's needs. 14 00:01:25,440 --> 00:01:35,340 And we heard from Chris Graham about how thinking about patient experiences of care can really help us to develop different services. 15 00:01:35,340 --> 00:01:42,450 When Marianne Talbot spoke after lunch and he heard about what her experiences were as a carer of somebody with dementia, 16 00:01:42,450 --> 00:01:45,870 that really sort of brought home to me how patient experiences, 17 00:01:45,870 --> 00:01:56,430 carer experiences can really be useful in terms of developing new ways of doing things and how we can learn from their experiences to improve things. 18 00:01:56,430 --> 00:02:01,170 The other thing I think I took away from Marion's talk was about the stories we heard, 19 00:02:01,170 --> 00:02:06,420 stories about what it was like to look after her mum, what it was like to be a carer. 20 00:02:06,420 --> 00:02:10,920 And that lingered a little bit with some of the clinicians who said that old age 21 00:02:10,920 --> 00:02:16,650 psychiatry is is about the personality and the experience of the individual. 22 00:02:16,650 --> 00:02:21,390 And it's certainly one of the reasons that I went into old age psychiatry is that actually I like the 23 00:02:21,390 --> 00:02:27,090 stories of the people that I treat and I like sitting down to hear what has happened over their lives. 24 00:02:27,090 --> 00:02:34,200 And how is that affecting the way that they're presenting with their mental illness later on in their lives? 25 00:02:34,200 --> 00:02:36,510 Oh, they psychiatry. Then we've got stories. 26 00:02:36,510 --> 00:02:43,560 We've got the need to be a good psychiatrist and to be a good clinician in terms of a medical condition as well, 27 00:02:43,560 --> 00:02:50,460 so that you can think about polypharmacy, you can think about the physical health needs, and that on a very individual level with a patient, 28 00:02:50,460 --> 00:02:57,810 there is that integrated care and they approach that. As a psychiatrist, you might take to your patients. 29 00:02:57,810 --> 00:03:02,070 There's a need as well in old age psychiatry for quite a rigorous intellectual approach. 30 00:03:02,070 --> 00:03:11,640 And that's about clinical practise. It's about the ethical and legal aspects and about how you interact with people to really think about 31 00:03:11,640 --> 00:03:19,860 a complex clinical problem and all the different facets of that and then how you can help people. 32 00:03:19,860 --> 00:03:22,470 So clinical practise requires this intellectual approach. 33 00:03:22,470 --> 00:03:27,990 And then this afternoon, we've heard a bit more about if you wanted to stretch your intellect, how else he could do that. 34 00:03:27,990 --> 00:03:34,560 And research is definitely one of the ways of doing that. And we've heard that research is very relevant to your clinical practise. 35 00:03:34,560 --> 00:03:42,210 So you need to know about the research basis to the conditions that are treated in order to provide better care for patients. 36 00:03:42,210 --> 00:03:46,860 And actually getting involved in research can really complements the clinical career. 37 00:03:46,860 --> 00:03:54,540 And Emma has talked about different opportunities in terms of funding and really the need for doctors to get involved in research. 38 00:03:54,540 --> 00:03:56,580 And I think plasterwork, it really does blow me away. 39 00:03:56,580 --> 00:04:02,160 I've had this similar talk before, but I mean, the scale of what is being done is just totally phenomenal. 40 00:04:02,160 --> 00:04:08,160 A few years ago, if you did an imaging study and you had 10 cases and 10 controls, well, wow, that would be great. 41 00:04:08,160 --> 00:04:14,100 And you get published in a really good journal. And now we're talking about a study with 100000 people. 42 00:04:14,100 --> 00:04:19,290 And that's not going to be published by itself. That's going to be joined with a whole other cohort studies. 43 00:04:19,290 --> 00:04:24,570 So we're really talking about big data, big networks, big, big collaborations. 44 00:04:24,570 --> 00:04:29,040 And if we want to tackle some of these problems, which are not just UK wide but global, 45 00:04:29,040 --> 00:04:34,530 I think that large scale approach is what we really need to think about. 46 00:04:34,530 --> 00:04:38,760 So I hope you've enjoyed the day. I hope it has been interesting, very inspiring. 47 00:04:38,760 --> 00:04:43,650 And you've had a chance to meet colleagues and peers and that it might make you think 48 00:04:43,650 --> 00:04:49,920 about old age psychiatry in the future when you're making key career decisions. 49 00:04:49,920 --> 00:04:55,890 I want to say a few thank you's just thank you. Health Education. England funded the day so very grateful to them. 50 00:04:55,890 --> 00:04:59,880 And we've had support from the Royal College of Psychiatrists as well as. 51 00:04:59,880 --> 00:05:04,590 Particular thank you to our speakers and only to left in the room now, but honestly, without you, 52 00:05:04,590 --> 00:05:09,030 obviously the conference would be nothing and I've just been very impressed by the high quality of all the speakers. 53 00:05:09,030 --> 00:05:13,140 We're very grateful to them. And so few sitting here. 54 00:05:13,140 --> 00:05:17,610 And there've been a number of other people who've been involved in organising and supporting the conference. 55 00:05:17,610 --> 00:05:20,940 And it's been great to have their help. 56 00:05:20,940 --> 00:05:28,170 The last thing is that if you've got any questions after the conference about careers in psychiatry and how you wanted to ask and forgot to do, 57 00:05:28,170 --> 00:05:31,890 I'm very happy for you to contact me. I'm Charlotte Allen. 58 00:05:31,890 --> 00:05:36,990 It's like the OK to kick my email address is on the website. 59 00:05:36,990 --> 00:05:43,410 I'm sure you could contact Sophie to. So do get in touch if there's anything else we could help with. 60 00:05:43,410 --> 00:05:51,658 So thank you very much. Have a safe journey home and thank you for coming.