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The Mental Health Strategy for England
and London’s approach to implementation
Dr. Geraldine Strathdee, Associate Medical Director, MH NHSL, S. London clinician & National Professional Adviser, CQC
On behalf of
Dr Hugh GriffithsNational Clinical Director for Mental Health
This Talk1. Mental health the history: from rags to riches & by 2015 ?
2. The Mental health policy priorities3. London: what can we be proud of & implementation challenges
4. The London implementation model: time for change Commitment to keep mental health as a key priority A clear statement about the London vision for the service model Strong delegated leadership and communication champions at every level Clinical ( experts) pathway networks : An annual London report on mental health
Mental Health Strategy
A strategy to transform the mental health and well-being of the nation
An ambition to mainstream mental health and achieve ‘parity of esteem’ with physical health
The aim for mental health to be ‘everyone’s business’ – all of Government, employers, education, third sector
Mental health ……everyone’s business
Mental Health Strategy - Themes
• Services and public mental health• Outcomes and quality• A life-course approach• Early intervention• Patient choice and control (personalisation)• Reducing inequality and tackling stigma• Improving efficiency (QIPP) in the context of a
challenging financial climate
The mental health priority strategies 2012/2013
‘No health without mental health strategy’
Dementia strategy Suicide strategy
Children strategy
2. More people with mental health problems will recover
Objectives
1. More people will have good mental health
3. More people with mental health problems will have good physical health
4. More people will have a positive experience of care and support
5. Fewer people will suffer avoidable harm
6. Fewer people will experience stigma and discrimination
Mental Health Strategy
The route map to delivering the MH strategy
2012/2013 Operating Framework priorities
Dementia and older people MHBuilding primary care mental health capacity in CCGs
QIPP : OATS, Acute care pathway, Physical & mental health, care homes, Comorbidities
Mental health PbR implementation
Autistic spectrum disorder
ALD outcomes in relation to Winterbourne view
IAPT implementation in CCGs and central co-ordination
Physical health & mental health initiatives to reduce the 15-25 year premature mortality gap
Children’s service & high risk groups
The London implementation model: time for action
Commitment to keep mental health as a key priority
A clear statement about the London vision for the service model
Strong delegated leadership
Communication champions at every level
Clinical ( experts) pathway networks
An annual London report on mental health which has Information not anecdote
The vision: taking dementia as an example: what do people with dementia want from their care?
Older people with dementia want to be supported to remain at home:• Avoiding care home admissions• Avoiding hospital admissions• Avoiding admission to A&E in crisis
“Because we were able to have home carers… my husband was able to spend the last six years of his life in our own home, where he was very happy, instead of going into residential care, which would have made us all very sad”
(Carer, National Dementia Strategy, 2009)
The vision: Reducing health and social care institutional based care when it isn’t needed
For health and social care partnerships, this means focusing on:
reducing unplanned hospital admissions;
reducing admissions to residential and nursing home care from the community;
improving hospital discharge arrangements, particularly to residential and nursing home care;
enabling people to be treated at home and die at home rather than in hospital if that is what they prefer.
From the patient’s
perspective
Safety “Will I be ok?”
Effectiveness “Will it do me any good?”
Experience“Access, information & treatment experience”Efficiency
Was it fast, safe , near home , back to work
asap
The vision for Quality : key areas to measure:
Bruce Keogh
The London delegated leadership model to build leadership and networks to deliver the
Outcomes Framework?
Reducing premature mortality
Safer services
Recovery Improved
experience for users
Improved quality of
life for Long term
conditions
Employers, schools, public
services prevention
services
Users and carers supporting self
management
Whole community
services
Primary care mental health
Community based specialist
multi agency partnership
services
Specialist residential &
hospital services
Commissioning care pathways & clinical ( expert ) networks to improve outcomes …
• Develop Mental health Information Literacy from national best• Care Pathway Commissioning • Every JSNA will have its own chapter on the 10 Mental health specialties• Health& Wellbeing Boards will have the information to enable oversight • Expert Integrated Commissioning• Health and social care • Acute physical health and mental health• Locality and specialist commissioning
• Commissioning drivers for Outcomes and Quality • Expert implementers & Care pathways networks
Prevention Identification Assessment Evidence
based treatments
Recovery & Social
inclusion
Our primary care network will have the support of the 10 core commissioning care pathways
•
Measuring implementation Mental health strategy implementation framework
timeline
Development of an outline framework document: To be completed February 2012 and circulated to members for comments and suggestions
Summit Event with Care Services Minister, Paul Burstow MP: 27th February 2012
Refining the framework following discussion with stakeholders: March 2012
Publication: Planned for early April 2012
Where to find all documents
• Strategy and companion document – “Delivering better mental health outcomes for people of all ages” available at :
• www.dh.gov.uk/mentalhealthstrategy• Also, “Talking Therapies: a four-year plan of action”
and:• Impact Assessment and Analysis of Impact on
Equality