Transcript The Psychological Professions Network Making Parity of

The Psychological Professions Network
Working with Health Education North West
to promote excellence in psychological health and wellbeing
Making Parity of Esteem a Reality
Clare Baguley - Programme Manager PPN North West, HENW
Claire Maguire - Clinical & Professional Lead, Pennine Care NHS Foundation Trust
Zubeida Ali - Professional Lead for Counselling, Lancashire Care NHS Foundation Trust
The Psychological Professions Network
What Does Parity of Esteem Mean?
Valuing Mental Health Equally
with Physical Health
“My family and I have access to services which enable
us to maintain both our mental and physical wellbeing.”
“If I become unwell I use services which assess and treat
mental health disorders or conditions on a par with
physical health illnesses.”
Why Is It Important?
• Among people under 65, nearly half of all ill health is
mental illness
• Yet, only a quarter of all those with mental illness such
as depression are in treatment
• We tend to view physical and mental health treatment
in separate silos in health services
• People with poor physical health are at higher risk of
experiencing mental health problems…and people with
poor mental health are more likely to have poor physical
health
A Call To:
• Tackle mental health conditions with the same energy and
priority as we have physical illnesses.
• Equity of funding, commissioning and training
• End to stigma and prejudice within the NHS which stops people
with serious mental health problems getting treated with the
same vigour as if they had a physical illness such as diabetes.
If you fall down and break your hip, an ambulance will be with
you in eight minutes to give emergency care at the scene before
taking you to A&E. If, however, you suffer an acute psychotic
episode in the street, you are just as likely to be attended by a
police car and taken to a cell.
Parity of Attention
• Commissioners, Service Providers and System
Leaders need to devote the same time, energy
and resources to improving mental health as
they do to physical health
Parity of Value
• Good mental health and the treatment of
mental illness is valued in and of itself, as
well as for the contribution that it makes
to people’s physical health, the economy
or any other area
Parity of Expectations
• Patients, Professionals and Organisations have
the same high standards and expectations of
mental healthcare as for physical healthcare
Parity of Funding
• Mental health receives less than half the level
of funding that might be expected, given the
relative morbidity of mental illness
• Closing this gap is an essential prerequisite of
parity.
Parity of Resources
• Relates to the full range of time and effort that
NHS organisations - from the Department of
Health and NHS England downwards - devote
to mental health and access to NICE
recommended treatments, relative to other
areas of healthcare.
Parity of Expectations
• Individuals at all levels of the system should have
the same expectations of mental health services
as they would for physical health services.
• The government and NHS England should ensure
that they are able to hold both commissioners
and providers of mental health services to the
same standards and with the same rigour as they
apply in physical healthcare.
What Can We Do?
• Information - Commissioners need good
information to improve the system - Use of
routine outcome data
• Commissioning Development – we need to
raise the level of skills and capabilities to secure
services that deliver the parity of esteem
agenda.
What Can We Do?
• Integrate mental health support with primary
care and chronic disease management
programmes
• Improve the provision of liaison psychiatry and
psychological services in acute hospitals
• Train all health professionals in core mental
health knowledge and skills
• Remove barriers to integration, for example,
through redesign of payment mechanisms.
HEE Mandate – 2015-16
Chapter 4 - Mental Health Headlines
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Dementia awareness and skills
Implementation of access and waiting time standards
A&E and liaison psychiatry
Improving Access to Psychological Therapies
Learning disability
Perinatal Mental Health, Children and Young People’s Services
and Eating Disorders Services
• Criminal justice liaison and diversion services
• Exposure of doctors in training and GPs with specialist interest in
mental health
Discussion Prompts
• Funding models – how do we invest?
• Service models – which care pathways need to
be developed?
• Education Provision – how do we add to the
curriculum, educate and share best practice?
• Processes – what processes do we need to get
there?
[email protected]