1. Presentation to Mental Health Matters – January 2015 Debbie Graham – Head of Service Improvement debbie.graham@calderdaleccg.nhs.uk Calderdale CCG

2. 5 Year Journey The focus of our change programme over the next 5 years will be to shift the balance from avoidable hospital admissions to integrated health and social care models - delivered in community and primary care settings. We will transform the way our system currently works so that empowered citizens can access integrated community, social and primary care services that are connected by effective pathways into acute settings. This forms the basis for our Care Closer to Home Programme 2

3. Our Compelling Story “Learn, plan, explore, dare to dream …… The future of our organisations, the future of Calderdale” 3

4. Challenges High need, variable service quality, over-reliance on urgent care (VFM and quality), poor outcomes: PYLL – 10% reduction (between 2012 and 2013); ranked in upper 4 th quintile nationally Health related quality of life for people with LTC – improvement from 12/13 to 13/14; ranked in 3 rd quintile nationally Avoidable emergency admissions (inc mental health admissions)– 1.8% reduction from 12/13 to 13/14; ranked 5 th quintile nationally CPA numbers below national standard, high levels of depression (national psychiatric morbidity survey) Higher than average male suicide range, lower level of those on CPA in employment and lower than average numbers of people moving into recovery following psychiatric therapy 4

5. Mental Health Programme Largest area of programme spend in Calderdale Spend is lower than the national average and comparator average Need to refresh our Strategic direction Commitment to Crisis Concordat New Clinical Lead (Dr Caroline Taylor)

6. Outcomes Dashboard

7. 5 Tiers (Adapted from National MH Strategy) Tier 5 – Forensic Tier 4 – Acute/In-patient Tier 3 – Community Tier 2 – Informal Support, Supported Self Managed care Care & & Social Care Tier 1 - Primary Prevention

8. Framework (Kings Fund) NoArea 1 Pathways (21 patient journeys) 2 Primary/secondary interface 3 Integration of physical and mental health 4 Data & Outcomes 5 Crisis Services 6 Access to services 7 Tackling Inequalities 8 Recovery services

9. Additional Investment 14/15 RAID Psychiatric Liaison CAMHs contract recovery Crisis Service Noah’s Ark Healthy Minds Women’s Centre Staying Well (Loneliness) SRG Wave 2 - Complex PD SRG Wave 2 – Support for 24/7 SRG Wave 3 – IHBT/Concordat

10. Next Steps… – New Mental Health Improvement Hub (first meeting 4th March am (innovation, integration, care closer to home, stimulating local market – particularly the third sector) – Generate clear strategic plan (spend, outcomes, insights) – Ensure investment in line with local priorities – Track progress though Dashboard

11. 11 Questions…..