Wellbeing Team Delivery Area 4 Hammersmith & Fulham CCGs Patient - - PowerPoint PPT Presentation
Mental Health and Wellbeing Team Delivery Area 4 Hammersmith & Fulham CCGs Patient Rep Group, 26 April 2017 Contents 1 - Like Minded overarching strategy Slide 3 2 - Achievements Slide 6 3 - Sustainability and Transformation Plan
Hammersmith & Fulham CCG’s Patient Rep Group, 26 April 2017
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1 - Like Minded overarching strategy Slide 3 2 - Achievements Slide 6 3 - Sustainability and Transformation Plan Slide 7 4 - Deep Dive into new Model of Care for adults with Serious and Long Term Mental Health Needs Slide 10
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London Collaboration of CCGs.
users, carers, health & care professionals, third sector & user-led organisations and
NW London actively involved in developing the strategy.
August 2015 – describing a shared picture of the issues and our shared ambitions.
realising this vision.
Like Minded is the strategy for establishing joined up care that leads to excellent mental health and wellbeing
across North West London.
Like Minded works across North West London – building on the local transformation and co-production work within each Borough, and on work led by our mental health providers
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Like Minded: our shared vision for North West London
Our vision is for North West London to be a place where people say: “My wellbeing and happiness is valued and I am supported to stay well and thrive” “As soon as I am struggling, appropriate and timely help is available” “The care and support I receive is joined-up, sensitive to my own needs, my personal beliefs, and delivered at the place that’s right for me and the people that matter to me”
community and I have opportunity, choice and control.
valued equally to my physical health
professionals understand the impact of my housing situation, my networks, employment and income on my health and wellbeing
services, and in the most appropriate setting
well for the whole of my life Core principles
5 Serious and Long Term Mental Health Needs Ensuring we address physical and mental health needs simultaneously and reduce use of A&E/acute hospitals Common Mental Health Needs Work with frail elderly and on Long Term Conditions needs to reflect depression and anxiety Children & Young People Specialist Eating Disorder services now provided across NW London, & CAMHS redesign underway - paediatric pathways link to CAMHS Perinatal Acute Recon & Maternity wards via new services in WLMHT areas Learning Disabilities Acute Recon, Local Services, via people moving out of acute beds and back into community in NW London Wellbeing and Prevention Links to Workforce, Local Services via work on Workplace Wellbeing Crisis Care Acute Recon, 7 Day Services & Local Services via Single Point of Access 24/7/365 for people needing crisis advice or referral Enablers for Mental Health Workforce, Outcomes, Estates links through all our workstreams
Our Case for Change fed a number of existing workstreams – which have impact not jut in mental health sector
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point of contact for people needing crisis advice or referral.
Treatment Team aims to provide 24/7/365 emergency mental health care with the same urgency that people expect from the NHS in a physical health emergency.
and dealt with in the first 3 weeks
Kensington & Chelsea and Westminster Telephone: 0800 0234 650 Email: cnw-tr.spa@nhs.net
& Fulham Telephone: 0300 1234 244
Crisis Response
treatment and support for women in Ealing, Hounslow and Hammersmith & Fulham with current or previous moderate to severe mental illness who are pregnant or have given birth with the past year.
professional including mental health professionals, midwives,
telephone advice to professionals if they have concerns about a woman’s mental health.
www.wlmht.nhs.uk/service/peri natal-mental-health-service
Perinatal mental health service
Disorder services for Children and Young People (aged 17 and under).
Schools/Colleges and other professionals.
Kensington & Chelsea and Westminster Telephone: 020 3315 2711
& Fulham Telephone: 020 8354 8160 (CAMHS reception)
estimated demand in Year 1 is 70 cases.
Children with Eating Disorders
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Our Sustainability and Transformation Plan (STP) has 5 delivery areas, with delivery area 4 focusing on mental health. However Mental Health is referenced throughout the STP and threaded throughout our delivery areas – within prevention and within work on long term conditions. We know focus is required as poor mental health has catastrophic impacts for individuals – and also a wider social impact. Justice system, police stations, courts and prisons are all impacted by mental illness with social care supporting much of the care and financial burden for those with serious and long term mental health needs. The ‘5 Year Forward View for Mental Health’ describes how prevention, reducing stigma and early intervention are critical to reduce this impact – and the outcomes described in the implementation guidance are reflected in our plans.
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Common Mental Health Needs falls under Delivery Area 2, Eliminating unwarranted variation and improving Long Term Condition (LTC) management.
The NW London Ambition:
quality care wherever they live
become an expert in living with their condition
mental health problem is diagnosed or not.
LTC.
access to IAPT where needed to people living with or newly diagnosed with an LTC One of the aims for Delivery Area 1, Improving Healthcare and Wellbeing, is to support people to stay healthy through targeted work with the population who need mental health support.
problem or behavioral difficulty.
more than half of the time.
The NW London Ambition: Supporting everybody to play their part in staying healthy
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Delivery Area 4, Improving mental health services, is the focus of the Mental Health strategy in the STP. This is broken down into:
with serious and long term mental health needs, to improve physical, mental health and increase life expectancy
Learning Disabilities, Autism and challenging behaviours
Care Concordat’
children’s mental health and wellbeing
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New Model of Care for Adults with Serious and Long Term Mental Health Needs
Serious and Long Term Mental Health Needs (SLTMHN) is our biggest workstream within
implementation of the Model of Care (MoC) will deliver a range
and the overall ‘system’
aim to support service users in the least intensive setting of care that is appropriate
implemented we believe that the ‘shape’ of the system will be different to the current situation
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support those with SLTMHN, intervene at the earliest stage possible where a crisis may be developing and provide ‘step down’ support from more intensive settings of care. As a result, we anticipate that acute inpatient bed use will reduce.
Recovery teams or crisis teams may not be sufficient for their needs and that an ‘alternative’ form of support to an acute inpatient bed would be more appropriate.
(from acute inpatient beds to ‘alternatives’) and where we anticipate a high level of investment.
model and make recommendations on the types of ‘alternatives’ that may benefit from additional investment to support delivery of the Model of Care.
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In Hammersmith and Fulham we have a dedicated Health and Social Care Sub-Group supporting coproduction of this model
September 2016 with representatives from the Trust, CCGs, Local Authority and Service User Reps.
‘alternative’ form of support to an acute inpatient bed would be more appropriate and to make recommendations on the types of ‘alternatives’ that may benefit from additional investment.
the group, including the proposal for ‘Brokerage’ roles and exploring ways to make a Recovery Café work in H&F, which was co-authored by a service user.
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On 12 January 2017, the H&F Health and Social Care Subgroup started to map where ‘alternatives’ services and places fit on the pathway
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On 25th January 2017, the H&F Health and Social Care Subgroup ranked the proposed alternatives by priority / likely impact against cost
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Areas for discussion
How can we join up services for mental health needs with services for physical health needs? How can we engage more with the H&F population? How can we better publicise the services we do have?