Transcript QIPP strategy meeting - London Health Programmes

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 Griffiths
National Clinical Director for Mental Health
This Talk
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Mental health the history: from rags to riches & by 2015 ?
The Mental health policy priorities
London: what can we be proud of & implementation challenges
The London implementation model: time for change
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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
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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
Mental Health Strategy
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2.
Objectives
More people will have good mental
health
More people with mental health problems
will recover
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
The route map to delivering the MH strategy
2012/2013 Operating Framework priorities
Dementia and older people MH
Building 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?
“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)
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
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.
The vision for Quality : key areas to measure:
Safety
“Will I be ok?”
From the
patient’s
perspective
Effectiveness
“Will it do me any
good?”
Experience
Efficiency
Was it fast, safe , near
home , back to work
asap
“Access, information &
treatment experience”
Bruce Keogh
The London delegated leadership model
to build leadership and networks to deliver the
Outcomes Framework?
Employers,
schools, public
services
prevention
services
Reducing
premature
mortality
Users and
carers
supporting self
management
Safer
services
Whole
community
services
Primary care
mental health
Recovery
Community
based specialist
multi agency
partnership
services
Improved
experience
for users
Specialist
residential &
hospital
services
Improved
quality of
life for
Long term
conditions
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
Clinical leadership in mental health commissioning
10 joint RCGP/ RCPsych Innova ve Commissioning care pathway support tools
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Each care pathway
support tool will contain
• Joint Strategic Needs
Assessment ready
made profiles
• Primary care rates of
iden fica on
• Current service
standards against NICE
•
NHS and social care
funding
e profil s
• Top ‘buys to
commission
• Economic modeling
• Service specifica ons
• Procurement
• Performance assurance
Au s c
spectrum
services
Primary
care MH
services
Top 10%
high cost
services
Children
top
priori es
Demen a
10 RCGP/ RCPsych
commissioning
care pathway
support tools
A/E and
crisis care
services
Acute and
home rx care
Liaison care
Drugs and
alcohol
Preven ve
mental
health
services
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