commissioned mental health services in islington natalie arthur commissioning manager, mental health
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Commissioned Mental Health Services in Islington
Natalie ArthurCommissioning Manager, Mental Health
Introduction
Purpose of the session is to provide an overview of Mental Health (MH) services commissioned in Islington by the Local Authority (LBI) and Clinical Commissioning Group (CCG)
Prevention and recovery-based models
Co-production
Variety of services available supporting adults in a number of ways including:
Talking Therapies Supported Accommodation Reablement Enablement Crisis management
Types of commissioned services
Universal• Accessible to all• Includes services delivered by range of providers including
primary care (e.g. GPs) and voluntary organisations• Low need, prevention, early intervention• Self-referral
Secondary• Clinical services primarily delivered by Camden and
Islington Foundation Trust (CIFT)• Higher levels of need• Requires referral from GP or other appropriate
professional/agency
Overview of Commissioned Universal MH Services in Islington
Recovery College iCope and other counselling services Mental Health Working Community Wellbeing Development Service Day Services Crisis Support Services Welfare Rights
All of the above services accept self-referrals
Islington Borough User Group - iBUG
Investment and Development
Islington commissioners continuing to work towards better integration of health and social care services, delivered within a community setting, ensuring:
• Easier access to services which fully meet needs around both mental and physical health
• Better, more sustainable outcomes for people in Islington, helping people to recover and regain independence, with a reduction in recurrence of illness and better management of long-term conditions
Investment and Development
Examples include:
Dementia Navigators Reablement Service Integrated liaison and assessment Integrated MH rehabilitation and accommodation Perinatal MH service and MH support for parents MH working
Service User Involvement - iBUG
Commissioned from 2012-13 to promote the views of Islington’s past and current MH service users. Activities include:
Open monthly meetings where any service users come and discuss MH provision in Islington.
Monthly Patients’ Council at the Highgate MH Centre Quarterly inpatient and community forums where senior managers
from C&IFT and Joint Commissioning are informed and challenged by service users
Helping service users from all backgrounds and diversities to find their voice and confidence
Acting as forum for all users to share their experience and receive mutual support, as well as promoting social contact and enabling users to take control of their own lives
Supporting commissioning process e.g. market engagement, tender evaluation, service reviews
Service User Involvement - iBUG
Examples of impact of advocacy on behalf of service users include:
• Early identification of an upward trend in non-clinical transfers resulting in an invitation to monitor by the Chief Operating Officer to ensure no one has more than 2 transfers
• Successfully advocating the prioritisation of referral to treatment wait time reduction resulting in a sustainable reduction from 158 to 23 people waiting more than 18 weeks in 2014-15
• Successfully promoting and advocating for the development of a Mental Health Recovery College where experts by experience lead users of mental health services towards supported self-management
Service User Involvement – Co-Producing Commissioning
Value Based Commissioning (VBC)Islington has taken a VBC approach to closing the mortality gap for people living with psychosis
The outcomes and delivery model has been co-produced with people living with psychosis and providers e.g. service users have successfully advocated for outcomes important to them related to relationships and employment
Primary Care Mental Health ServiceA new service to provide access to specialist mental health treatment with primary care
Engagement and co-production has been strongly supported to develop the service model e.g. service users have successfully advocated for peer support workers to be included
Service User Involvement – Co-Producing Commissioning
Joint Commissioning
Service users are active paid participants in the commissioning cycle from review to procurement. iBUG has:
• Undertaken detailed quality reviews of Crisis House Services that has informed a service improvement plan and commissioning intentions
• Undertaken mystery shopping exercises to contract monitoring and management
• Evaluated tenders as members of commissioner evaluation panels
Service user Involvement – next steps
Various engagement exercises completed covering different areas of mental health services
Commissioners will be pulling results together to identify actions to address areas for improvement – both short term and long-term
Further work needed to develop service user engagement in some areas e.g. primary care
Questions [and any feedback on experiences]
More about…
Recovery College
Social Change and Iris’ recovery journey
Questions and Answers
What topics would you like to see at The Recovery College?
Co-Production Exercise
More about…iCope
Improving Access to Psychological Therapies (IAPT)
National programme to provide fast access to effective psychological therapies for mild-moderate anxiety and depression
Stepped care approach to treatment
Treatment options include:
• Cognitive Behavioural Therapy (CBT) – including Guided Self Help• CBT groups and courses • Community links• Computerised CBT • Other therapies – mindfulness, counselling, interpersonal therapy
.
iCope – Islington Psychological Therapies Service
Over 9000 referrals a year
Aim to reach under-represented groups (e.g. BME groups, Older Adults)
High levels of satisfaction and clinical change
Based in Primary Care
Part of the Camden and Islington NHS Foundation Trust
Easy access – health professional or self-referral
Self referral via [email protected] or 030 3123 1000
Or via Website – www.icope.nhs.uk
iCope
Interactive Session
Additional Information and Access to Services
• A directory of mental health services across Islington can be found here: http://linksforliving.islington.gov.uk/kb5/islington/asch/home.page
• Current and past users of mental health services in Islington, contact iBUG to get involved in monitoring the provision of services and helping to improve and shape current and future services: http://www.islingtonbug.org.uk/
Commissioner Contacts
• Natalie Arthur
Commissioning Manager, Mental
Health
London Borough of Islington / Islington
Clinical Commissioning Group
• Jennifer Speller
Senior Commissioning Manager, Mental
Health and Continuing Health Care
Islington Clinical Commissioning
Group / London Borough of Islington