Presentations from the NHS Health Education Wessex, Wessex AHSN Mental Health Summit

1. Better Local Care
Dr Lesley Stevens, Medical Director
Southern Health NHS Foundation Trust
Your health, in your hands, with our help.

2. • An NHSE vanguard site, developing the Multi-specialty
Community Provider (MCP) model of care, as described in the
NHSE Five Year Forward View.
• In the model an extended team of GPs and specialists work
together to provide better access to a wider range of health and
care closer to people’s homes.
• Centred around access hubs that support a population based
around natural communities of care.
• Better Local Care has grown to cover 829,000 registered
population in 13 natural communities of care across five
CCGs.
• There is commitment from GP practices, Southern Health NHSFT,
Solent NHS Trust, Hampshire County Council, Southampton City
Council and commissioners to integrate our teams and work
together at scale.
Your health, in your hands, with our help.
What is Better Local Care?

3. Your health, in your hands, with our help.

4. • MH problems are the largest single cause of disability in
the UK, with a cost to the economy of £105billion/year
• 1 in 5 mothers have MH problems in the year after birth
• People with serious mental illness die 15-20 years earlier,
2/3 of these deaths are from avoidable causes
• Long term condition + mental health problem = 45%
increased cost of care
• 40% of elderly in care homes are depressed
Your health, in your hands, with our help.
“Mental and physical health needs need to be
treated with equal importance.” (Five Year Forward
View For Mental Health)

5. Your health, in your hands, with our help.
“We need provision of mental health support in
physical health care settings - especially
primary care .” (Five Year Forward View For Mental
Health)
• 1 in 6 of population has diagnosable mental health problem
• Half do not access primary care
• Half that do access primary care are not recognised as having
a mental health problem
• 90% of those who are receiving care are managed in primary
care
• 28% of suicides occur in people who are not in contact with
MH services
• People ‘stuck’ in mental health services, who should be
managed in primary care

7. Your health, in your hands, with our help.
Integrating mental health into
Better Local Care aims to achieve:
• Improved early identification and intervention in mental health
problems
• Reduce proportion of GP consults about mental health
• Improve rates of mental health interventions for people with
long term physical health conditions
• Improve physical health care for people with serious mental
illness (close the mortality gap)
• Reduce referrals into mental health services, and more rapid
discharge
• Improve access to crisis services
• Reduce suicide rate

8. Your health, in your hands, with our help.
Lessons so far…
• A step change is needed – not playing around the edges
• Creating and developing leadership capability throughout the
organisation and system is key
• The challenge to focus all our people on transforming services for
the future, despite increasing demand and reducing resource now
• Changing culture – across the whole system
• Organisational form changes are required to successfully deliver
the new models of care