1. Mental Health Update MH Network 11th January 2017

2. Current performance – criminal justice interface and crisis (children)
Children’s POS now available

3. Current performance - criminal justice interface and crisis (adults)
Section 136 detentions in cells now minimal Police are a significant outlier of S136 use in the country. This has cost implication for health
Liaison and diversion in place

4. Benchmarking data

5. Benchmarking data

6. Benchmarking data

7. Benchmarking data

8. Benchmarking data

9. Benchmarking data

10. Benchmarking data

11. Current performance

12. Current performance
Livewell achieved CQC outstanding rating for its services at Glenbourne and its Learning Disability Service
Discharges from hospital followed up in 48hrs and being gate kept by Home Treatment
Low readmission rates when benchmarked nationally
Sustained improvement in IAPT – now meeting RTT and access.

13. Current performance Dementia diagnosis rate – 59.1% target 67%
ALOS 32 days against a target of 28
Use of IPP’s for acute care and PICU has increased
CMHT warning notice and subsequent action plan
Further work required on IAPT Recovery rate (target 50%).

14. Mental Health prioritised locally

15. Five Year Forward View

16. Existing work and strategies
The Whole systems Mental Health strategy for Plymouth.
One System One Aim Integrated Strategies
Fairness Commission Report for PCC – (2014)
Plymouth City Council - Pledge 90.
NEW Devon CCG - A mental health commissioning strategy for Devon, Plymouth and Torbay

17. Existing work and strategies
NEW Devon CCG Mental Health Commissioning intentions priorities
Plymouth Mental Health and Well-Being Promotion Strategy.
Closing the Gap – Priorities for Essential Change in Metal Health (2014).
SEN Bill
The Mental Health Five Year Forward View (5YFV) (2016)

18. Progress
Perinatal funding secured for community service over the next 3 years
Suicide reduction plan completed – moved from red to amber. Currently subject to refresh to meet 10% reduction target
First episode psychosis delivering RTT – additional investment secured to deliver NICE requirements
Additional investment into CYP services
Crisis concordat action plan developed
Additional investment for Psychiatric Liaison identified.
Additional £445K invested in 2016/17 (excluding Perinatal investment). Further investment next year (TBC)

19. Key issues and gaps
Need to develop a dashboard equal to those available for physical health to show capacity and flow. Limited visibility of performance data generally
Dementia diagnosis rate
Recovery rate – IAPT
Need more focus on community engagement, CVS role and social inclusion (housing, employment, recreation etc…). Requires closer collaboration with Complex Needs SOG.
Parity of esteem
Local perception of mental health services

20. Plan for 2016/2017
12 priorities identified based on 5YFV and local gaps/needs. Programme Board established to oversee implementation:
1. Improved access to early intervention in Psychosis services for those who require it.
Lead: Mike Jarman
2. Improved access to Psychological Therapies.
Lead: Tracy Clasby
3. Access to a specialist community Perinatal Mental Health service for woman who are at risk of or develop mental health issues whilst pregnant or postnatally.
Lead: Lin Walton
4. Improved support those with dementia.
Lead: Rachel Silcock
5. Access to support in times of crisis will be improved.
Lead: Sara Mitchell
6. Improvements in access for young people with mental health issues.
Lead: Liz Cahill

21. Plan for 2016/2017 7. Review of Recovery Pathway. Lead: Tracy Clasby
8. Reduce unnecessary out of area placements.
Lead: Dan Stevens
9. Veterans Mental Health
Lead: Katie Shorten
10. Review Community Mental Health Team’s
Lead: Sara Mitchell
11. Alignment of MEAM and Mental Health Strategies
Lead: Katy Shorten
12. Review of older persons service model
Lead: Rachel Silcock

22. Risks Working across CCG footprint – consistency
Plans for Western for 2016/17
Longer term strategy development for Western PDU
STP strategy, links across CCG and flow into local priorities and planning
Investment into MH – plan needed to support STP ambitions
Workforce – recruitment and skills shortage

23. Recommendations Support the 2016/17 plan
Support the development of a longer term ( ) strategy and work plan for the Western PDU
Support local MP’s proposal for a “Mental health Week”
Mental health needs to be embedded in each SDG
Feedback welcomed