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