A focus on improving outcomes for people with mental health issues in the city Leeds has higher than national average, prevalence for common mental health disorders Most people’s contact with services is crisis driven – because people don’t know how to access support, or report feeling stigmatised to do so Mental health and physical health is poorly integrated leading to fragmented care Level of demand and acuity in secondary mental health services is increasing Leeds has comprehensive mental health service provision, including one of the most vibrant and effective third sector establishments in the country What we know

Development of citywide Leeds Mental Health Framework Citywide agreed MH Framework – co-produced with all stakeholders Extensive and continuous involvement of service users Agreed four cross-cutting priorities: information; children and families; redesign of community based mental health services; crisis & urgent care Working across the “whole system” to take mental health out of its silo Building on well established third sector by expanding service provision from statutory, third sector and service user self-help and resilience initiatives Developing the mechanisms for integration of mental health commissioning across Health & Social Care through shared posts, and pooled fund Our approach

We can talk about successes…. Reinvestment of the mental health tariff deflator has led to : – Crisis Assessment Unit – Nurses in Police Control Room/Street Triage – An increase in Service User Led Crisis Response – Increased housing liaison Implementation of a radically different statutory/third sector rehabilitation and recovery partnership model, substantially reducing bed reliance Highly successful mental health employment and job retention service Expanded self harm and A&E liaison initiatives Implementation of statutory/third sector memory support service Keys successes

Aligning our Plans with the Five Year Forward View for MH To benchmark ourselves against 5YFV MH - review against taskforce recommendations to build on our good foundations To go live with citywide Information Portal in 2016 to enable people to self navigate, de-stigmatise mental health, increase general awareness of how best to self manage To redesign of crisis care pathway to improve access through A&E, and reviewing of liaison service in acute hospital to extend provision to 24/7 To build capacity in primary care beyond IAPT to work with low level mental health issues; including development of MCP prototypes Next steps

Changing the assumptions of what needs to be supported by mental health specialist services – and what is “everyone’s business” Ensuring that good mental health and wellbeing is a foundation of new models of care developments Tackling significant and sustained increases in both acuity levels, and referral rates into secondary service Resourcing and better integrating mental and physical healthcare in the community and at primary care level Responding to the need for early intervention for young people and adults for all conditions not just psychosis Key Challenges