Greater Manchester Mental Health Network past, present and future

1
Greater Manchester Mental Health Network - past,
present and future
2
Purpose of presentation

• To remind board members of the original aims and
  objectives of the Network
• To summarise its achievements
• To set the context for its future work

3
Origins of the network

• Established in 2004/05
• Greater Manchester Strategic Health Authority
  keen to raise its profile in mental health
• Aimed to create strategic director post with an
  emphasis on performance improvment

4
Origins

• Greater Manchester Association of PCTs keen to
  support network approaches to clinical areas
• Opportunities for collaborative commissioning and
  for lead commissioning arrangements
• Opportunities for strategic consistency across
  Greater Manchester

5
The original network

• Part-time SHA director (John Archer)
• Full-time network associate director (Richard
  Spearing)
• Secure and specialised commissioning staff,
  hosted by North Trafford PCT
• Network board chaired by Tim Riley
• Focused on adults of working age

6
Some achievements

• Created strategic framework for mental health
  (still in use)
• Created stronger performance focus, especially on
  National Service Framework targets and Autumn
  Assessment
• Developed improved collaborative commissioning
  for Greater Manchester

7
Some things which were not achieved

• No agreement on lead commissioning arrangements
• Performance management by consent rather than
  authority
• Limited focus on mental health improvement

8
April 2006

• Hosting of network passed to North Manchester PCT
• SHA director post deleted
• Interim arrangements for associate director, now
  managed within mental health commissioning team
  in North Manchester PCT
• Board met very infrequently

9
April 2007

• Network hosted by NHS Manchester from October
  2006
• Specialised commissioning transferred to North
  West Specialised Commissioning Team
• Network costs 150K per year

10
January 2009

• Interim management arrangement still in place but
  permanent postholder appointed (Linda Colgan)
• Network hosts Greater Manchester Mentally
  Disordered Offenders Development Manager
• Additional resources available for suicide audit
  work

11
What the network does now

• Convenes and supports the Greater Manchester
  Suicide Prevention Partnership
• Convenes and manages the Greater Manchester
  mental health performance forum
• Convenes Greater Manchester mental health leads
  group

12
What the network does

• Works alongside the Association of PCTs and
  health improvement network to address Audit
  Commissions findings on health inequalities
• Facilitates programme of work on payment by
  results linked to Pennine commissioning toolkit
  project

13
What the network does

• Facilitates analysis and resolution of Greater
  Manchester problems and issues, e.g., serious
  untoward incident arrangements,
  resident/registered issues
• Provides advice and support on mental health
  issues

14
What the network does

• Champions mental health across Greater
  Manchester, e.g., through Health Leadership Group
  and resource allocation processes
• Supports directors of commissioning group in
  mental health priorities

15
The network in the future

• Existing priorities and programmes
• Mental Health Commission review
• Audit Commission second stage report
• World Class Commissioning - PCTs as local leaders
  of the NHS
• Market development - foundation trusts

16
North West Mental Health Commission

• Opportunity to take the lead for Greater
  Manchester in implementing the response to the
  Mental Health Commissions report
• Working closely with partners such as the
  commissioning business service

17
Audit Commission

• Opportunity to support renewed focus on reducing
  mental health inequalities and promoting
  well-being, by enabling strong leadership and
  working alongside public health programmes

18
Existing priorities

• Performance work turning towards quality
  improvement
• Mental health leads supporting commissioners
• Opportunities for Greater Manchester developments
  e.g., attention deficit hyperactivity disorder in
  adults
• Further development work linked to changes to
  Care Services Improvement Partnership?

19
Issues for the Board

• Consider and endorse network priorities (North
  West Commission, Audit Commission, renewed,
  existing priorities)
• Agree to prepare new partnership commitment,
  terms of reference and action plan
• Agree governance arrangements based on board and
  Association of PCTs