2. My role and what it entails
Responsible for overseeing the commissioning on the
mental health budget, answerable to the CCG board.
To bring a GP clinical perspective to commissioning,
designing and performance managing contracts and
services.
To suggest/design new services in Mental health, to
‘trouble shoot ‘ and bring people together.
To liaise with the third and private sectors and service
users and carers and other borough leads.
Bring a national and international perpective via
Leadership network/SCN
3. Services in Newham
Child and Adolescent Mental health Services – Child and
Family Consultation Service, also PRUs, NCY, More Than
mentors, Troubled families etc
Adult Services- Crisis team, CMHTs, in patient wards and
PICU, extended primary care service, RAID (16 up)
Therapy services- IAPT, LTC IAPT, CYP IAPT and secondary
care psychology
Acute trusts also do therapy type services but not well
known or advertised- so your service user may be getting
therapy you just don’t know!
Older peoples Sevices (from 65) Dementia services-
memory clinic, functional older adults, organic psychiatric
problems e.g parkinsons
Hestia, ASK, MIND, Anchor House, NAWP
LD services
4. Key Issues in Mental Health
Parity of Esteem
Crisis care (concordat), new ‘ambulances’?, street triage, RAID etc
‘Nobody made the Connection’,(neurodevelopmental)
Dementia
Recovery, Resilience, enablement.
Eating Disorders and perinatal mental health.
5. The local and national issues that
are key to success for health care
delivery currently and in the
future
Local-all about CCGs, Local boroughs, education, liaison
and diversion, acute and MH trusts, third sector,
pharmacies.
Competition between areas-good and bad.
National- using money/skills/time creatively
Crisis care and justice
Specialist Commissioning.
Tariffs- lets split them!
Parity of Esteem
6. Compliance with medication and
prescription drug addiction
Proactively ask how people are feeling and know what to
say if they answer ‘not well’, etc , discuss signs of side
effects that you may notice,
Watch for addiction/use by family members and friends
E.g the child minder using the Concerta, using medications
to control young/old people in the family- even the animals!
Ask about use of recreational drugs and any positive effects
of their prescribed medication that service users talk about
Remember that sometimes the service user may have
developed their own way of taking meds whichmat not seen
logical but works for them.
Young Minds- Headmeds
7. Important Points to think of
What to do in a crisis- who to call, what to do, what to
expect to happen
Have you ever visited an acute psychiatric ward? Do you
have any lived experience yourself? Service users often
value this.
Be alert to eating disorders - are they buying a lot of senna/
diet pills? Blisters on hands etc
Be alert to perinatal mental health issues- and know what
to do if you suspect there may be a problem
Safeguarding issues-domestic violence, elder abuse,
children, forced marriage, even FGM
Mental health awareness training for staff- mental health
Lite or MINDeD on line training developed by Young Minds.
