nmhdu special briefing for nhs confed nov 2010

8/8/2019 NMHDU Special Briefing for NHS Confed Nov 2010

1/3

NOVEMBER 2010

www.nmhdu.org.uk

1

INTHESPOTLIGHT

POLICYANDPRACTICE

Quality, Improvement,Productivity and Preventionin Mental Health

Mental Health Commissioning

Public health and wellbeing

Personalisation in mental health

Improving Care Pathways

ThisspecialeditionofStakeholderBrienghasbeenproducedfortheNHSConfederationMentalHealthNetworkConference

Ifyouwouldliketoknowmoreaboutourwork,contactAlisonCooleyorTonyJameson-Allen.Formoreinformationgotoourwebsite.Click here to subscribeorunsubscribe to future editions.

Update from Ian McPherson

Since its inception in April 2009, the National Mental HealthDevelopment Unit (NMHDU) has had a strategic partnership withthe NHS Confederation through which we have developed jointprogrammes of work in a range of areas, including Commissioning,Personalisation, Improving Care Pathways and Public Health andWellbeing. The partnership has also enabled us to be responsiveand exible to the evolving landscape from the QIPP challenge andplans around the NHS White Paper. Currently, NMHDU and the NHSConfederation are working together with the DH Mental Health Division,SHA leads, the Audit Commission and ADASS to develop and promotethe contribution of mental health to the QIPP agenda and informdevelopments around the new commissioning structures.

We have produced this special brieng to coincide with the NHSConfederations Mental Health Network Conference, highlighting ourjoint programmes and current activity.

IN THE SPOTLIGHT

SPECIALEDITION

Our programme of work with the NHS Confederation

NMHDU has developed a range of programmes and activity inpartnership with the NHS Confederations. Achievements and areasof joint work include:

MentalHealthCommissioning this work is being taken forwardin partnership with the Royal College of GPs, the Royal College ofPsychiatrists, ADASS and a number of Strategic Health Authorities.

ImprovingtheCarePathway in particular work to promote theAcute Care Declaration improving the experience of inpatient careand a new initiative developing organisation based approaches topromoting recovery.

Personalisationinmentalhealth this work has included a reportof the views of NHS and social care leaders around the implementationof personal health budgets within mental health.

Wellbeingandpublicmentalhealth this work includes a surveyof NHS and local government leaders around commissioning forwellbeing agenda.

QIPPinmentalhealth jointly agreed programme of work withthe Department of Health, SHA mental health and clinical leads,the Audit Commission and ADASS to look at specic areas within themental health system where QIPP outcomes could be achieved.


2/3

NOVEMBER 2010

www.nmhdu.org.uk

2

INTHESPOTLIGHT

POLICYANDPRACTICE






Quality, Improvement, Productivityand Prevention in Mental Health

NMHDU, along with the NHS Confederation, DH, the SHAs, the AuditCommission and ADASS, has established a MentalHealthworkstreamto support the national Quality, Innovation, Productivity and Prevention(QIPP) initiative. The workstream comprises three projects:

acutecarepathways to reduce variations across the country in mentalhealth bed day usage so that all areas achieve the upper quartileof national performance. This will be achieved by improving use ofevidence based interventions to reduce admissions, lengths of stay anddelayed discharges

outofareaplacements, including medium secure services to reducethe numbers of people with mental ill health and related conditionsplaced outside their PCT area and to improve the outcomes where theseplacements are used

physicalandmentalhealth to reduce the use of primary and acutehospital services by people with medically unexplained symptoms (MUS)and people with long-term physical health conditions and co-morbidmental health issues by use of evidence-based psychological treatments.

POLICY AND PRACTICE

> POLICY AND PRACTICE more overleaf

A central focus of the design of the project is to enable the keystakeholders to work together at national, regional and local levels toachieve improvements in these three areas.

The three projects are already working towards a number of products,including guidance on best practice and evidence-based outcomes,implementation toolkits for regional/ local commissioners and providers,

and joint NHS Confederation / NMHDU / ADASS brieng materials.


Forthcoming changes to both NHS commissioning and to arrangementsfor Social Care and Wellbeing proposed in the NHS White Paper andelsewhere have led to a signicant shift in emphasis within the NMHDUNational Mental Health Commissioning Programme. In the course of2011/2012 the commissioning landscape will alter fundamentally asa new NHS Commissioning Board and GP Commissioning Consortiabegin to be established. In order to ensure that Mental Health iswell-positioned to ourish within this changing landscape the NationalMH Commissioning Programme is working with a range of partners atthe national and regional level to identify and promote good practicein MH Commissioning. This will incorporate the development of a MHCommissioning Framework and a Transition Template

SPECIALEDITION


3/3

NOVEMBER 2010

www.nmhdu.org.uk

3

INTHESPOTLIGHT

POLICYANDPRACTICE







Results of an NHS Confederation-led leaders survey into wellbeing,commissioned as part of the NMHDU public mental health andwellbeing programme, will be presented at a leadership summit on8 December. Leaders across the NHS, social care, local government,public health and GPs were asked for their views around commissioning

for and delivering the wellbeing agenda. The summit will be followed bya report with recommendations for future support in taking wellbeingand population mental health work forward.


In response to the ndings in the report 'Shaping Personal Budgets'(NMHDU/Confed 2009), the NMHDU has commissioned the NHSConfederation Mental Health network to undertake another pieceof research. Leaders questioned in the original report describedstaff attitudes as being the likely biggest block to change. The NHSConfederation is undertaking research to discover levels of awareness,understanding and appetite about personalisation and PHBs of sixprofessional groups Psychiatrists, psychologists, MH nurses, OTs, social

workers and GPs. Through each professional body, a detailed web-basedquestionnaire is being sent to each group. Even a small percentageresponse will give signicant research material. From those respondentsa small number will be selected to take part in more detailed analysis.At the same time, the NHS Confederation ave commissioned similarresearch with users/carers from the Mental Health Foundation.Both studies will be completed and report by March 2011


NMHDU and the NHS Confederation are implementing a project-ledpartnership with the Centre for Mental Health, to promote and supportrecovery-focused organisations and services. The work builds on theresearch summarised in the Centre for Mental Health publication,Making Recovery a Reality. The project will pilot recovery-focused

organisational development across selected local NHS sites and willdemonstrate and evaluate outcomes for providers and commissioners.There has been a very positive response to the opportunity to participatein this from members of the NHS Confederation Mental Health Network

For further details on all of these programmes go to the

NMHDU website www.nmhdu.org.uk

SPECIALEDITION

POLICY AND PRACTICE

nmhdu special briefing for nhs confed nov 2010

Documents