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Suicide Prevention
Sector Led Improvement
Work in England
Professor Jim McManus,
FBPsS, CPsychol, CSci, FFPH, FCIPD
Vice President, ADPH
Director of Public Health,
Hertfordshire County Council
Context
Suicide prevention
as a national and
local priority
Select Committee
Report
Ministerial Expert
Advisory Group
Securing the shift
from national
mandation to
Sector Led
Improvement (SLI)
The ADPH/LGA/PHE
Board and (SLI)
approach
Ambition for wider
public mental
health approach
Key Points
1.Suicide Prevention must be seen
against the background of population
approaches to good mental health
2.Suicide and self-harm are not the
same thing
3.Multi Agency Partnerships
4.Multiple foci of action
5.Audit – Strategy – Review Cycle
Suicide as a system
• Predisposing and risk factors
• Intervention Points
– Eg NHS professionals, suicide
in hospital
• Early Intervention
• Rapid response to suicide
• Cluster
• Postvention and bereavement
support
National Self-Assessment
and Independent Report
Interviews Twelve Case Study Interviews
Plan
Analysis
Analysis of local Plan content and
themes – descriptive not assessive
Survey
144 responses out of 152
111 Plans submitted
Scrutiny
• Select Committee
Report
– Recommended
scrutiny
• Minister wrote thanking
all LAs and asking us to
implement Select
Committee
recommendation by
taking plans through
scrutiny
– 57 have been
– 37 will be going
– 34 using other mechanisms
(e.g. HWB)
Report
• Good work going on
• Room for improvement
• Reduce Risk
• Reduce Access to Means
• Tailor Approaches
• Partnerships
• Support for Bereaved
https://www.samaritans.org/about-samaritans/research-policy/national-local-suicide-prevention-strategies/
Priority Areas
Example – Children
SLI work had been done on suicide
before this exercise
Additional Support was wanted
Beyond the Self Assessment: SLI
Partnerships National, Regional and
Local
National
Overview
ADPH/LGA/PHE Joint SLI Board
Learning
National, Regional and Local Tailored
Improvement work and sharing this
Funding Funding for each area from DHSC,
devolved to ADPH Regions,
Work underway
• National SLI Board
• National Support
– Webinars
– Masterclass
– Advice
– Guidance
– “Must Knows”
– Pool of resource on
prevention
– Media work
• Regional/Network
Support
– Peer Networks
– Learning EVEnts
– Peer Challenge
• Local Support
– Bespoke local advice
from Samaritans
Hertfordshire
• New Strategy due Jan 2020
• Self Assessment and existing
strategy submitted to Scrutiny
• Scrutiny report published last
week
• New Strategy being developed
with Samaritans and NSPA
• Scrutiny feedback key
What
have we
learned?
Partnerships and sector experts
(eg Samaritans)
Subsidiarity in Approach
Variety of Methods
Need for understanding of SLI
Ethos in some national agencies
Thank You!
• Laura.caton@local.gov.uk
• Jim.mcmanus@hertfordshire.gov.uk

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National Suicide Prevention Quality Improvement

  • 1. Suicide Prevention Sector Led Improvement Work in England Professor Jim McManus, FBPsS, CPsychol, CSci, FFPH, FCIPD Vice President, ADPH Director of Public Health, Hertfordshire County Council
  • 2. Context Suicide prevention as a national and local priority Select Committee Report Ministerial Expert Advisory Group Securing the shift from national mandation to Sector Led Improvement (SLI) The ADPH/LGA/PHE Board and (SLI) approach Ambition for wider public mental health approach
  • 3.
  • 4.
  • 5. Key Points 1.Suicide Prevention must be seen against the background of population approaches to good mental health 2.Suicide and self-harm are not the same thing 3.Multi Agency Partnerships 4.Multiple foci of action 5.Audit – Strategy – Review Cycle
  • 6. Suicide as a system • Predisposing and risk factors • Intervention Points – Eg NHS professionals, suicide in hospital • Early Intervention • Rapid response to suicide • Cluster • Postvention and bereavement support
  • 7. National Self-Assessment and Independent Report Interviews Twelve Case Study Interviews Plan Analysis Analysis of local Plan content and themes – descriptive not assessive Survey 144 responses out of 152 111 Plans submitted
  • 8. Scrutiny • Select Committee Report – Recommended scrutiny • Minister wrote thanking all LAs and asking us to implement Select Committee recommendation by taking plans through scrutiny – 57 have been – 37 will be going – 34 using other mechanisms (e.g. HWB)
  • 9. Report • Good work going on • Room for improvement • Reduce Risk • Reduce Access to Means • Tailor Approaches • Partnerships • Support for Bereaved https://www.samaritans.org/about-samaritans/research-policy/national-local-suicide-prevention-strategies/
  • 12. SLI work had been done on suicide before this exercise
  • 14. Beyond the Self Assessment: SLI Partnerships National, Regional and Local National Overview ADPH/LGA/PHE Joint SLI Board Learning National, Regional and Local Tailored Improvement work and sharing this Funding Funding for each area from DHSC, devolved to ADPH Regions,
  • 15. Work underway • National SLI Board • National Support – Webinars – Masterclass – Advice – Guidance – “Must Knows” – Pool of resource on prevention – Media work • Regional/Network Support – Peer Networks – Learning EVEnts – Peer Challenge • Local Support – Bespoke local advice from Samaritans
  • 16. Hertfordshire • New Strategy due Jan 2020 • Self Assessment and existing strategy submitted to Scrutiny • Scrutiny report published last week • New Strategy being developed with Samaritans and NSPA • Scrutiny feedback key
  • 17. What have we learned? Partnerships and sector experts (eg Samaritans) Subsidiarity in Approach Variety of Methods Need for understanding of SLI Ethos in some national agencies
  • 18. Thank You! • Laura.caton@local.gov.uk • Jim.mcmanus@hertfordshire.gov.uk