people lives communitiespeople lives communities
Older Leaders for Change in Mental Health
Module 2
6 June 2014
people lives communities
Part 1
What is currently in place to support people with
mental health problems?
Part 2
What are ...
people lives communities
What is currently in place to support people with
mental health problems?
Part 1
people lives communities
What “the system” means to you…
people lives communities
What “the system” means to me…
people lives communities
Who is the MH system for?
5% 45%
20% 40%
75% 15%
Multiple complex
conditions
Single chronic disea...
people lives communities
Who is the MH system for?
people lives communities
Who is the MH system for?
people lives communities
The other 1 in 4…
*92% of people with diabetes receive care
26% of people with a mental health
pr...
people lives communities
Who is the MH system?
people lives communities
Who is the MH system?
people lives communities
What is the MH system?
people lives communities
What is the MH system?
people lives communities
Medical Services Person
• Diagnose
• Medicate
• Service
• Community Mental Health
• Crisis Resolu...
people lives communities
What is the MH system?
people lives communities
What is the MH system?
people lives communities
What is the MH system?
people lives communities
What is the MH system?
people lives communities
What will the MH system be?
people lives communities
What will the MH system be?
NHS spend 83.3% of
all MH budget
DP money spent:
NHS + social service...
people lives communities
Break
people lives communities
What are the current issues?
What have people with mental health problems
done to influence chang...
people lives communities
What have you done to help things improve?
Can be something to do with mental health
Can be somet...
people lives communities
Levers / drivers for change
people lives communities
Levers / drivers for change
people lives communities
MH payment system
Individual patient needs
Assessment and diagnosis
Individual patient needs
Asse...
people lives communities
Change
people lives communities
Lunch
people lives communities
What can Older Leaders do to raise the profile of
older people’s mental health and influence
chan...
people lives communities
What are your reflections today?
Emerging ideas for influencing…
Questions and discussion
Discuss...
people lives communities
Paths to Personalisation
JCPMH
NHS Confederation MH Network
Mental Health Foundation
CQC
NSUN
Sou...
people lives communities
Contact
Rich Watts, MH Programme Lead
T: 01225 789135
E: rich.watts@ndti.org.uk
Twitter: @rich_w
Overview of the mental health system - for Older Leaders 4 Change
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Overview of the mental health system - for Older Leaders 4 Change

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An overview of the mental health system, for the Older Leaders 4 Change programme being run by NDTi.

Diagrams from JCPHM, King's Fund, NAO, Mental Health Strategies (for DH).

Published in: Education, Health & Medicine
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  • 250 = general population
    230 = contact with GP
    130 = diagnosis of MH problem
    20-30 = referred to specialist mental health service
    <10 = ever admitted to a mental health hospital
  • Overview of the mental health system - for Older Leaders 4 Change

    1. 1. people lives communitiespeople lives communities Older Leaders for Change in Mental Health Module 2 6 June 2014
    2. 2. people lives communities Part 1 What is currently in place to support people with mental health problems? Part 2 What are the current issues? What have people with mental health problems done to influence change? Part 3 What can Older Leaders do to raise the profile of older people’s mental health and influence change? Overview
    3. 3. people lives communities What is currently in place to support people with mental health problems? Part 1
    4. 4. people lives communities What “the system” means to you…
    5. 5. people lives communities What “the system” means to me…
    6. 6. people lives communities Who is the MH system for? 5% 45% 20% 40% 75% 15% Multiple complex conditions Single chronic disease/ At risk of a major procedure Healthy, minor Health issues If any A&E over-utilisation, high care variation Infections, complications, readmissions Multiple complex conditions Patient Segments Cost Breakdown
    7. 7. people lives communities Who is the MH system for?
    8. 8. people lives communities Who is the MH system for?
    9. 9. people lives communities The other 1 in 4… *92% of people with diabetes receive care 26% of people with a mental health problem receive any care
    10. 10. people lives communities Who is the MH system?
    11. 11. people lives communities Who is the MH system?
    12. 12. people lives communities What is the MH system?
    13. 13. people lives communities What is the MH system?
    14. 14. people lives communities Medical Services Person • Diagnose • Medicate • Service • Community Mental Health • Crisis Resolution • Assertive Outreach • Early Intervention in Psychosis • Forensic Services • CAMHS • Acute/inpatient care • Drug and alcohol • Liaison • LD / Challenging Behaviour • Older People • Primary mental health care / GPs • Stigma • Discrimination • Lack of rights • Removal of rights • Little understanding • Little support What is the MH system? How the system currently flows…How the system currently flows… How the system should flow…How the system should flow…
    15. 15. people lives communities What is the MH system?
    16. 16. people lives communities What is the MH system?
    17. 17. people lives communities What is the MH system?
    18. 18. people lives communities What is the MH system?
    19. 19. people lives communities What will the MH system be?
    20. 20. people lives communities What will the MH system be? NHS spend 83.3% of all MH budget DP money spent: NHS + social service providers - £4.7m (15.5%) Non-statutory providers - £25.8m (84.5%) 80%80% 20%20% 80%80% 20%20% Without choice… With choice…
    21. 21. people lives communities Break
    22. 22. people lives communities What are the current issues? What have people with mental health problems done to influence change? Part 2
    23. 23. people lives communities What have you done to help things improve? Can be something to do with mental health Can be something beyond mental health Why did that work? What is the general lesson / principle of why that worked? A time things have improved…
    24. 24. people lives communities Levers / drivers for change
    25. 25. people lives communities Levers / drivers for change
    26. 26. people lives communities MH payment system Individual patient needs Assessment and diagnosis Individual patient needs Assessment and diagnosis Mental Health Clustering Tool Standardised summary of individual needs Mental Health Clustering Tool Standardised summary of individual needs Cluster Global description of combination & severity of individual needs Cluster Global description of combination & severity of individual needs Care Packages Individually negotiated care plan informed by NICE Guidance Care Packages Individually negotiated care plan informed by NICE Guidance Quality and Outcome Metrics Triangulated measurement of process and effect Quality and Outcome Metrics Triangulated measurement of process and effect Local/national Tariff Derived from joint understanding of accurate costs Local/national Tariff Derived from joint understanding of accurate costs
    27. 27. people lives communities Change
    28. 28. people lives communities Lunch
    29. 29. people lives communities What can Older Leaders do to raise the profile of older people’s mental health and influence change? Part 3
    30. 30. people lives communities What are your reflections today? Emerging ideas for influencing… Questions and discussion Discussion
    31. 31. people lives communities Paths to Personalisation JCPMH NHS Confederation MH Network Mental Health Foundation CQC NSUN Sources of information
    32. 32. people lives communities Contact Rich Watts, MH Programme Lead T: 01225 789135 E: rich.watts@ndti.org.uk Twitter: @rich_w
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