1. Suffolk Integrated Mental Health Strategy

2. MH 5YP: rebalancing the system Right care Right time Right setting Prevention Early intervention Effective care Recovery

3. The system is currently not in balance

4. We are also missing opportunities to deliver better value care to individuals receiving treatment for a physical health condition If we are to improve outcomes and quality of life for individuals with physical health needs, then: a.Promotion of positive mental health as part of condition management b.Recognition of mental health needs c.Timely access to expert assessment and evidence based mental health care Will need to be integrated at every level of the physical healthcare system. a + b + c = reduced demand from repeat attendances in primary care, UEC and outpatient clinics = reduced acute length of stay = better outcomes at lower cost for individuals with long term conditions

5.  Tackle the causes, build community resilience and prevention:  Employment & housing  Schools: building resilience & training school nurses & form tutors  College students: Physical & mental health literacy  Transport: support for people to prevent isolation  Information on self-management & symptom control  Communities & leaders Key Recommendations

6.  Primary and Community Care integrated with Social Care; less medical prescribing with shift towards social prescribing model:  Primary Care Primary Mental Health experts  CCG/CC Mental Health leaders – clinical and managerial  Whole team training including suicide & depression  Integrated physical & mental health for LTCs including Risk Stratification  Enhanced schemes for Serious Mental Illness  Enhanced schemes for Medically Unexplained Symptoms  IAPT Plus: employment & social support  Virtual case conferences/MDT’s on frequent attenders/complex cases/families  GP & Practice nurse education  Transparent information on quality  Integrated & shared estates & facilities Key Recommendations

7.  Complex specialist population:  Crisis parity: Single point of access; crisis services with tele-triage, tele- health,24/7 home treatment, liaison MH 24/7  Multi agency, multi-disciplinary home treatment teams with personalised care for the most complex  Choice  Integrated physical and mental health care to reduce premature mortality Key Recommendations