Presentation from WCVA's Annual Conference 2014

1. Wales Wellbeing Bond
Transforming Public Services
Valleys Steps – a case study
James McMahon
Cwm Taf University Health Board

2. Need to be met
• Latest data suggests prescribing rates
for anti-depressants within Cwm Taf
equates to 1 in 6 of our population
taking some form of this medication
• Cost to the UHB currently £1.6 million
forecast to rise to £2 million by 2019 if
we do nothing (providing no further
rise in unit cost)

3. Prescribing Rate
200000
250000
300000
350000
400000
450000
500000
550000
600000
2007 2008 2009 2010 2011 2012 2013
No of items of anti-depressants dispensed in
Cwm Taf
No of items
Linear (No of items)

7. Other drivers
•Local reconfiguration of services
– move to Recovery Model in Cwm Taf
– increase of community based services
– need for earlier interventions
• Mental Health Measure
– Statutory requirements for ‘Part 1’ Primary Care
Mental Health Support Service
• Together for Mental Health
– Outcome 2 ‘People and communities are more
resilient …’

8. Evidence Based Psychological
interventions – Mindfulness and Stress
Control
•Easily Accessible and Free
• Non-Stigmatising
• Attractively Branded and Well Promoted
• Meets demand and capacity requirements
• Fit Strategically – Tier 0
• Adequate governance and clinical support
= ‘Valleys Steps’
Prudent Solution

9. • Wide review of similar interventions
• Use of Special Purpose Vehicle
•Evidence from local pilot
• Sign up from UHB
• Opportunities for local third sector
Why this approach?

10. Valleys Steps model

11. Links to Prudent Health Care
• Increases Income by utilising
 Social Investment Funds
 Attracting investment into local Third
sector
• Reduces Costs
 Savings on anti-depressants
 Reducing uptake of health services
• Reduces Demand
 Self care
 Earlier intervention
 Increased resilience
 Co production of next steps