Progress in delivering existing Mental Health Strategies

1
Progress in delivering existing Mental Health
Strategies

• Mick James Head of Mental Health and Learning
  Disability Commissioning, NHS Airedale, Bradford
  and Leeds

2
Background

• Strategic review of mental health services for
  working age adults Adult Mental Health
  commissioning Strategy and Plan 2008 -2011.
• Strategic review of mental health services for
  Older People Emerging from the Shadows 2008
  2011
• Previous strategies have now run their course and
  we need to prepare for the transition to the
  Clinical Commissioning Groups
• National Strategy Context has shifted NSFs
  replaced by No Health without Mental Health
  (2011) and Living Well with Dementia (2009)
• Development of a comprehensive approach for
  working age adults and older people

3
Process

• Review of progress against existing strategies
• Assessment of need based on a demographic
  analysis.
• Review and analysis of the current levels of
  service and finances.
• Benchmarking the range and performance of
• services against demographically similar areas.
• Stakeholder meetings

4
The Mental Health Programme

• The Mental Health Programme for adults and older
  people will-
• Help people to stay well and enjoy good mental
  health.
• Support people to live well, cope with ill health
  and not be left out of society.
• Make it easy for people with mental health
  problems to get the right help early.
• Include families and carers in our help and
  support.
• Provide choices of good quality care
• Spend money on what works for people but stop
  spending on things that do not work.
• Ensure that mental well being is everybodys
  business.

5
The Mental Health Programme

• Mental Health Promotion and Suicide Prevention
• Non urgent care pathway
• Improved Access to Psychological Therapies
• Older People's Mental Health Projects
• Day Services Review (AMH)
• Acute Care Pathway
• Specialist Tertiary Services
• Delivering Race Equality

6
Progress in delivering existing strategies

• The key components of the National Service
  Framework for Mental Health commissioned and
  providing benefit (Assertive Outreach, Crisis
  Resolution, Early Intervention in Psychosis)
• Mental Health Promotion and Suicide Prevention
  audit of suicides, reviews if SUIs and Health
  Needs Assessment
• Non urgent care pathway and acute care pathway -
  work to improve acute pathway completed and
  non-urgent care pathway work has made significant
  progress in its roll out.

7
Progress in delivering existing strategies

• Improved Access to Psychological Therapies - A
  new service model for the provision of Talking
  and Psychological Therapies across all tiers of
  service. Further investment in and development of
  Primary Care Mental Health services but we know
  these need further development
• Older People's Mental Health Projects including
  Memory Assessment and Treatment Services, Acute
  and Care Home Liaison, enhanced CMHT, Wellbeing
  Cafes, Dementia Advisors, Creative Support.

8
Progress in delivering existing strategies

• Day Services Review (AMH) - Day services to
  improve focus on socially inclusive outcomes.
• Specialist Tertiary Services - High cost / low
  volume specialist services currently commissioned
  out of area reviewed to improve access/pathways
  and ensure value for money.
• Delivering Race Equality - Community Development
  Workers for Mental Health to influence the
  commissioning of culturally appropriate services.
  BME Outcomes framework (SUNSHINE)