NHiS Mental Health Commissioning Network Dr Liz England - Co Chair Joint Commissioning Panel for Mental Health as RCGP Mental Health Commissioning Lead Clinical Lecturer, Primary Care Clinical Sciences, University of Birmingham GP interested in mental health, Laurie Pike Health Centre, Aston, Birmingham Quality and Safety and Mental Health Lead, Healthworks LCG, SWB CCG

Interests Collaborative care for people with SMI Physical health care in mental health Parity of Esteem for Mental Health and Health Inequalities Transitions for CYP in MH Early Intervention Services for First Episode Psychosis

Six degrees of separation? Networking PC Lead HoE MHRN/ Topic specific CRNs West Midlands SCN Steering group NHS MHCCC RCGP NAPC SAPC CAMHS 0-25yrs Procurement and Programme Management Group MH and LD pathways, Wolverhampton NHS MH Clinical Commissioners Leadership Programme RCGP MH commissioning lead JCPMH Commissioning tools and guidance AHSNs

So…? Encourage networking and collaboration Building or Rebuilding relationships Focus for learning and sharing experiences Sense making of new structures and commissioning landscape Putting the jigsaw together

Commissioning Priorities Closing the gap: priorities for essential change in mental health Mental health commissioning new priority for NHS England 1.Improving commissioning “coordinating and co-commissioning” “holistic- whole person care” “NICE standards” “JCPMH” 2. Information revolution- MHIN

13. Mental health care and physical health care will be better integrated at every level- PoE 14. We will change the response to self-harm- Crisis care 17. Schools will be supported to identify mental health problems sooner- commissioning for early intervention and across the whole lifespan 18. CAMHS Transitions- CAMHS AND transitions

Coordinating commissioning “To achieve integrated healthcare, policy-makers, service planners and commissioners need to better understand the indivisibility and unitary nature of physical and mental health, which means that distinguishing between them is likely to lead to an incomplete response to people’s needs as well as flawed thinking about mental health. In addition, they should focus on major social and structural influences such as education, unemployment, housing, poverty and discrimination, rather than just on support given to individuals based on a medical diagnosis of mental illness.” Crossing Boundaries, MHF 2013

Values based Commissioning for Mental Health Evidence base Commissioners and Clinicians skills and experience Thoughts, feelings, opinions and values of service users and carers Commissioning decisions

The wobbly stool

Todays focus… Parity of Esteem Alcohol and mental health Commissioning effective services for people with a diagnosis of psychosis

Parity of Esteem: Valuing mental health equally with physical health. Lord Victor Adebowale 14 February 2014

The vision What Parity will mean to me: My family and I all have access to services which enable us to maintain both our mental and physical wellbeing. If I become unwell I use services which assess and treat mental health disorders or conditions on a par with physical health illnesses. “Person centred, coordinated care” The patient

A few of our drivers 13

Role of the Board The role of the Board is to ensure that the Parity of Esteem Programme is; Delivered to plan Informed by the latest best evidence and clinical advice Informed by the patient voice Makes best use of the resources available Cultural change is at the heart of the Parity of Esteem programme and the Board will support and champion the change needed. The Board is committed to ensuring that the voice of patients and the public influences the delivery of the programme. Programme Board

POE Delivery Board Parity of Esteem (POE) Programme Board NHS England (Strategy) Board Existing and new task groups, for e.g. Dementia Group Domain Programme Board Mental Health System Board DRAFT Parity Of Esteem Programme Governance Diagram IAPT Delivery Board NHS England DH Other relevant DH groups, for e.g. Dementia Programme Board Ministerial Advisory Panel Formal report Informal report

Parity of Esteem Programme How the programme will be delivered Specific improvement/change projects Business as Usual Alignment with other organisations and groups Current Priorities Addressing and improving crisis care Data, information & intelligence Development of capability and skills in commissioning Delivering improvements to clinical services Improving physical health for people with serious mental illness

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