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Touchstone Kirklees Integrated Mental Health Advocacy & IMHA Service Annual Report 2015-16 NHS Greater Huddersfield Clinical Commissioning Group and NHS North Kirklees Clinical Commissioning Group

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Page 1: Touchstone Kirklees Integrated Mental Health …...1 Touchstone Kirklees Integrated Mental Health Advocacy & IMHA Service Annual Report 2015-16 NHS Greater Huddersfield Clinical Commissioning

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Touchstone Kirklees

Integrated Mental Health Advocacy

& IMHA Service

Annual Report 2015-16

NHS Greater Huddersfield Clinical Commissioning Group

and NHS North Kirklees Clinical Commissioning Group

Page 2: Touchstone Kirklees Integrated Mental Health …...1 Touchstone Kirklees Integrated Mental Health Advocacy & IMHA Service Annual Report 2015-16 NHS Greater Huddersfield Clinical Commissioning

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Introduction 2015-2016 has been by far the busiest year to date for Touchtone in Kirklees. We’ve

grown again and new teams have joined us in the Dewsbury Business Centre.

Throughout all of our exciting developments there is one thing that remains unchanged

and that is the passion and commitment we have for enabling mental health service

users to have a voice, get themselves heard and find solutions to improve their

wellbeing. From the humble beginnings of our original community advocacy service in

2011, we are proud to have built an exceptional reputation in Kirklees, leading on co-

production, empowerment and inclusion. The information over the next few pages gives

a flavour of our recent achievements and much more can be found on our website:

http://www.touchstonesupport.org.uk/

The Advocacy Service works with people who are

experiencing mental health difficulties to speak up for

themselves. Our team of experienced advocates support

people on wards and in the community, empowering

them to know their rights, have a voice and make

informed choices. We help people at important meetings,

to write letters and deal with issues over the phone. We

work with people of all ages (18+), including those living

with dementia.

The service took 442

new referrals in

2015-2016.

237 for Community

Advocacy and

205 for IMHA

The IMHA Service works with people in

hospital detained under the Mental Health Act,

or in the community on a treatment order. We

can explain how the law works, provide

information on rights and responsibilities and

help people to work out what they want. Our

service is completely free, confidential and

independent. We will ensure that the

professionals involved are aware of their

responsibilities and of the patients’ rights. We

will support people towards their recovery and

any other goals they have once they have been

discharged from hospital.

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Service Developments 2015-16 was our second full year of delivering the combined IMHA & community

advocacy contract and since successfully securing additional funding we have been able

to enhance our team and our service offer. We have recruited a fantastic new full time

community advocate, and as a result we have brought down our waiting list and waiting

times. The IMHA service continues to provide vital support to people detained in

hospital and we have seen referral numbers in this team grow by 18% on last year.

The Community Advocacy service is also growing

with a 17% increase of new referrals on last year. We are

proud to enable people through our seamless advocacy

service between hospital and home, and also through to

our Peer Led Brokerage Service too. We have reached a

more diverse audience than ever before and in particular

we are proud to have achieved our target of “working

toward becoming dementia friendly” status, being

awarded our recognition by Kirklees Dementia Action

Alliance early in 2016.

Our volunteers service is going from strength to strength with inductions and

training now being delivered locally by staff in Dewsbury, backed up by the knowledge

and experience of Touchstone’s Leeds-based Volunteers Project. Our peer translators

continue to help people on wards and at meetings in the community, giving people

greater access to their rights and to more effective support. Volunteers and peers play a

vital role in service design and delivery in every aspect of Touchstone’s work

“Words can’t express

how much of a positive

impact my volunteering

at Touchstone has on

my mental wellbeing!”

Page 4: Touchstone Kirklees Integrated Mental Health …...1 Touchstone Kirklees Integrated Mental Health Advocacy & IMHA Service Annual Report 2015-16 NHS Greater Huddersfield Clinical Commissioning

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Our biggest and proudest

achievement of 2015-16 has

to be the creation of the new

service user forum for

Kirklees. Through a huge

amount of effort, energy and

collaboration, Touchstone

has enabled a group of

people to completely redesign how service users can connect with each other and with

both statutory and community services across our locality. As the 2015-16 year comes

to close, this project is just about to go live, with our launch event planned and a

committed team of members who are brimming with ideas of how we might develop

into next year. Meeting of Minds has already been recognised by the Kirklees Mental

Health Partnership Board as

representing the future of service user

involvement; creating roles where

people can be leaders and have a very

real impact and influence on service

design and delivery.

Next year is going to be really exciting for Meeting of Minds so watch this space!

Touchstone organisation-wide has had another busy and successful year too. Here are

a few of our achievements in 2015-2016:

Would you like to connect

with other people using

mental health services in

Kirklees to share

information, experiences

and support?

Page 5: Touchstone Kirklees Integrated Mental Health …...1 Touchstone Kirklees Integrated Mental Health Advocacy & IMHA Service Annual Report 2015-16 NHS Greater Huddersfield Clinical Commissioning

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012345678

Comparison of self assessment before & after receiving advocacy support

Before

After

Advocacy Outcomes

When we first meet people we ask them to score how they feel about 10 areas of their

life, where 1/10 is the worst that things could be and 10/10 is the best that things could

be. We then review these scores each quarter and agree the priority areas to direct our

support planning. The following chart illustrates the average scores people gave

themselves in 2015-16:

We are delighted to be able to demonstrate that our outcomes data for each of the 10

areas of support have improved significantly from 2014-15 to 2015-16. This is testament

to the teams hard work in both delivering our service and also in supporting clients to

recognise and celebrate their own achievements.

Outcomes - Social Networks

Evidence gathered during our service user forum consultation has informed us that

isolation and loneliness remain a significant factor in people’s health & wellbeing. In

2015-16 people’s self assessments have shown a 32.5% improvement in this area

after advocacy support. This figure has increased from 8% last year and represents one

of our biggest achievements in the community advocacy service.

Page 6: Touchstone Kirklees Integrated Mental Health …...1 Touchstone Kirklees Integrated Mental Health Advocacy & IMHA Service Annual Report 2015-16 NHS Greater Huddersfield Clinical Commissioning

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Outcomes – Housing

Housing (including benefits and

finance) remains one of the most

common areas of support that new

referrals are seeking. A growing area

of our work is in supporting people

to attend benefits assessments,

medical reviews for ESA and PIP /

DLA proceedings. For those on fixed

incomes, benefits are a lifeline and

there is a real challenge for people

who feel that this area of their life is

under threat. Whilst we are not

‘benefits experts’ there is a clear link

between this issue and people’s mental health. We work in partnership with specialist

organisations to get people the best access to the right support. This year people told us

that they had achieved a 38%improvement after receiving our help in this area.

Outcomes - Physical Health

Outcomes - Education & Training

Living with a mental health condition can mean that accessing training and employment

is a real struggle. Also, a growing area this year is that people are asking for support to

stay in work, or to challenge decisions that employers are making about them. Self

assessments showed an 18% improvement for people receiving our support.

“My advocate is a breath of fresh air

and my light at the end of the tunnel.

She has motivated me and helped

with difficult decisions I had to make

with KNH, choose’n’move, managing

my debts and making plans with my

everyday life. She understands about

my moods and also gives me

encouragement, support and

a listening ear”

It is well documented that mental and physical health

cannot be separated. At Touchstone we take a “make

every contact count” approach when we meet with

people. This means that we talk to people about their

physical health, diet, exercise, smoking and drinking

whilst we are working with them on other things. This

year we helped people towards a 25% improvement in

their self assessment of physical health.

“I didn't think I deserved help. Now I make a

valuable contribution to

society”

Page 7: Touchstone Kirklees Integrated Mental Health …...1 Touchstone Kirklees Integrated Mental Health Advocacy & IMHA Service Annual Report 2015-16 NHS Greater Huddersfield Clinical Commissioning

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“I will always have mental

health, however I now realise I

can have better control”

‘Self /peer advocacy’, ‘confidence’ and ‘speaking up

for myself’ continue to be the three most important

outcomes for the team because they are all about

our key area of work – helping people to achieve

their goals through being able to express their

wishes and opinions. Advocacy is never about speaking on behalf of others; its main

focus is to give people the space and time to figure out what they need or want and to

show them the tools they can use to achieve this for themselves. Our style of working

puts people in charge, shifts the power balance away from the professionals and

enables people to achieve something they often think is impossible. The service user

quotes here say it all…

The improvements and stories we hear directly from service users are a huge sense of

pride for the team and we have big plans for even more developments next year.

These skills are a big part of our IMHA work in

hospitals. Here we find people who can often be

frightened, confused, angry, or a mixture of all

three. We don’t advise, instruct or diagnose; we

listen and talk about what’s happening and what

the person wants to do next and they often tell

us it just feels like someone is ‘on their side’.

Outcomes-

Self / Peer Advocacy 25% Improvement

Confidence 47% Improvement

Speak Up For Myself 57% Improvement

“You have helped me realise my strengths and positive character - that I

haven’t lost myself or my wellbeing and that the previous building blocks I

built have not been in vain”

“My advocate has

enlightened me, not only

helping me see things

clearer but to settle me

into moving forward and

making my life better and

more comfortable for the

future”

“I stood my ground and

realised I really do have

a voice when needed

and expressing this has

increased 100% since my

advocate came on

board”

Page 8: Touchstone Kirklees Integrated Mental Health …...1 Touchstone Kirklees Integrated Mental Health Advocacy & IMHA Service Annual Report 2015-16 NHS Greater Huddersfield Clinical Commissioning

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Outcomes - Mental Wellbeing

Many of our referrals are from people wishing to

challenge decisions about their mental health support.

Our work helps them to feel more in control of their care

and support, ensuring that they are listened to and

involved in decision making. Our clients tell us that this

enables them to access the right services to help them

towards their recovery. Feeling empowered and in

control of things is very important to mental wellbeing

and we are proud to see a 34% improvement recorded

in this area.

Outcomes - Community Participation

We continue to support and encourage people to

be involved in their local communities so that

they meet people, create opportunities and help

each other. Mental health difficulties can make it

hard for people to feel able to engage with

others. We work hard to reduce people’s

isolation, encouraging them to engage locally

with people other than support services and

professionals. This year we have helped people

to achieve a 42% improvement in this area.

Outcomes - Support Services

More and more, people are approaching the advocacy service with increasingly varied

support requirements and as a result our network of support partners continues to

grow. We enable people to access services and we support them when it feels like

services are not working in quite the right way. Our volunteers and peers help us to

continually build a list of local services based on their experiences of using them. Self

assessments in this area show a 31% improvement for people accessing our support; a

big increase on last year’s score of 17%, indicating another target exceeded by the team.

“My anti-depressants

made my self esteem

worse. I became

empty, like a shell of

myself. It took a lot of

time but Touchstone

didn’t give up on me;

I found my voice”

“I hope I could use these

skills to one day develop a

career in mental health. I

don’t currently know

what I would like to do

but am hopeful the skills I

am learning will become

invaluable and

transferable”

Page 9: Touchstone Kirklees Integrated Mental Health …...1 Touchstone Kirklees Integrated Mental Health Advocacy & IMHA Service Annual Report 2015-16 NHS Greater Huddersfield Clinical Commissioning

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59

9

32

0 0 0 0

Overall, what is your opinion of Touchstone?

64

9 18

0 0 9

0

How good is the support / service you get?

32 27

13 9

5 9

5

How well do we involve you in Touchstone?

45

18 18

5 0

14

0

How successful are we at getting it right first time?

41

23 23

5 0

4 4

How well do we promote and value diversity?

41 41

9 0 0

5 4

How well do our reception workers deal with your enquiries?

Touchstone 2015-2016 Service User Survey

Kirklees Advocacy Service Results

Page 10: Touchstone Kirklees Integrated Mental Health …...1 Touchstone Kirklees Integrated Mental Health Advocacy & IMHA Service Annual Report 2015-16 NHS Greater Huddersfield Clinical Commissioning

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Male 48% Female

52%

Gender - Advocacy

Male 51%

Female 49%

Gender - IMHA

10%

20%

19%

14%

15%

9%

6%

2%

5%

Age - IMHA

18-24

25-34

35-44

45-54

55-64

65-74

75-84

85+

Unknown

8%

15%

32%

19%

12%

5%

3%

1%

5%

Age - Advocacy

18-24

25-34

35-44

45-54

55-64

65-74

75-84

85+

Unknown

Kirklees Advocacy & IMHA Service Annual Statistics 2015/16

Page 11: Touchstone Kirklees Integrated Mental Health …...1 Touchstone Kirklees Integrated Mental Health Advocacy & IMHA Service Annual Report 2015-16 NHS Greater Huddersfield Clinical Commissioning

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59%

4%

19%

4%

3%

2% 9%

Ethnicity - IMHA

White British

White Other

Asian

Mixed

Black

Other

Not Stated

82%

4%

11% 3%

Service Expenditure

Staff /Vols

Travel

Office

Clients

73%

1%

4%

11%

5%

1%

5%

Ethnicity - Advocacy

White British

White Other

Mixed

Asian

Black

Other

Not Stated

Finance The total value of the advocacy contract for 2014-15 is £118,295, funded by Kirklees

Council, NHS Greater Huddersfield CCG and NHS North Kirklees CCG.

With 7172 hours of support

delivered by a team of 6

advocates, the Unit Cost in 2015-

16 is £16.49. This works out to a

cost of £10.29 per individual

supported per week.

Page 12: Touchstone Kirklees Integrated Mental Health …...1 Touchstone Kirklees Integrated Mental Health Advocacy & IMHA Service Annual Report 2015-16 NHS Greater Huddersfield Clinical Commissioning

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2015/16 Vision and Targets

We will enable Meeting of Minds to build on its positive beginnings and grow into

an established, structured, Kirklees-wide network. We will increase membership numbers and always offer participants a variety of access and involvement opportunities. As a result, MoM will grow to become an integral part of Mental Health strategy and service design in Kirklees.

We recognise that maintaining meaningful volunteer and peer roles is vital to the strength of our service offer and that we must be seen as leaders in this field to recruit and retain great people. The service will co-produce a full review of the current role profiles for advocacy volunteers, with the aim of giving service users opportunities to learn, develop, lead, influence and make positive change happen.

We will reduce waiting times and improve access to the service by undertaking a full review of the referral and assessment process.

We will continue working towards embedding group advocacy and awareness sessions into both the community and IMHA services.

We have listened to service user feedback and will undertake a review of how we advertise and publicise the advocacy service, bringing about improvement in people’s understanding of who we are and what we do.

We will always aim to be recognised as sector leaders in our approach to respecting and valuing equality and diversity; reducing discrimination and stigma and enabling service users to feel safe, respected and valued.

“Your support made me feel valued,

respected and calm, which ultimately

helped me focus on the task ahead”

“I still get pangs of distress,

worry and depression, but I

know I can learn to manage this

and move on with the help of

organisations like Touchstone”

“You know there are people there that not only have first hand experience

of your issues, but can help, assist and support you towards future

wellbeing and development”