Gloucestershire’s 5 Year Mental Health & Wellbeing Strategy November 2016

National and local context Themes from previous stakeholder events Sustainability & Transformation Plan Five Year Forward View for Mental Health Mental Health & Wellbeing Strategy 2014 Future in Mind Adult Mental Health Needs Assessment

Stakeholder event themes Co-production and involvement Use voluntary and community services more Listen to the views of the workforce Mental health awareness for staff Challenge discriminatory language and behaviour

Stakeholder event themes Better links/support with carers groups Carer health and wellbeing Easier access to advice for carers Embed Triangle of Care Person centred care Clear pathways

Stakeholder event themes Weekend services, out of hours, crisis Information Sharing & Care Plan Access and transport Increased access to employment for people with severe and enduring mental illness and common mental health problems

Sustainability & Transformation Plan Must Do’s for Mental Health Enabling active communities By 2017 we will have: Developed social prescribing schemes together with Mental Health including investment in Crisis Café Implemented new pathways for personality disorder, perinatal Mental Health conditions and developed Mental Health services for young people under ‘Future in Mind’

Sustainability & Transformation Plan Must Do’s for Mental Health Enabling active communities By 2021 we will have: Stronger, more resilient and well-connected communities that lead to better health and wellbeing and a reduction in inequalities Personalised care plan for a targeted proportion of patients with one or more long term condition

Sustainability & Transformation Plan Must Do’s One Place, One Budget, One System By 2017 we will have: Ensured we have delivered a responsive Mental Health Crisis Service for young people and adults and developed a programme for communities to have local Accredited Mental Health First Aiders and Champions delivering increased visibility, awareness and acceptability Link paramedic practitioners and additional mental health staff to practices and make sure pharmaceutical advisors cover a single cluster By 2021 we will have: A consistent 7 day urgent care offer across our system  

Sustainability & Transformation Plan Must Do’s Clinical Programme Approach Working together to redesign pathways of care in line with national mental health strategy More integrated approach between physical and mental health conditions

Other Must Do’s/Ongoing work Tackling Mental Health Stigma Schools Pilot Online Counselling Voluntary & Community Services Counselling project Integrated Recovery and Intervention Service (Children & Young People’s Safe Places) Crisis Café

Other Must Do’s/Ongoing work The Alexandra Wellbeing House Transport Review Art on Prescription Exploring opportunities for including Voluntary & Community Services in pathways and complementing existing 2gether NHS Foundation Trust services

Other Must Do’s/Ongoing work Ongoing Improving Access to Psychological Therapies (IAPT or Let’s Talk) and Primary Care Mental Health developments New Crisis model reducing age criteria for Crisis and Psychiatric Liaison to 11+ Dedicated High Intensity worker within Psychiatric Liaison and alternative options to Emergency Department

Other Must Do’s/Ongoing work Development of integrated care pathways based on clinical presentations Eating Disorders/Early Interventions services - new wait time to treatment targets are achieved. IAPT: ensuring access, wait times to treatment and recovery rates are achieved Recovery College

Other Must Do’s/Ongoing work Mental Health Crisis Care Concordat Personality Disorder: pathway development and options for commissioning specialist service Self-Harm: links to pathway, service developments, Crisis, Liaison, Personality Disorders Further development of Suicide Strategy

Other Must Do’s/Ongoing work Encouraging evidence based medicines are prescribed with maximum health benefit Mental Health Needs Assessment informing commissioning decisions to ensure choice and access     Development of patient focused services which provide joined up care and addresses mental and physical health needs

Workshops Have we got it right? What do you think is missing? We can’t do everything - what do you think are the priorities? How can you help and what would you like to do?