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Thursday 8 th November 2018 #VCSEEngage

GM VCSE Mental Health Forum (including dementia, perinatal, children, young people and adult mental health). Thursday 8 th November 2018 #VCSEEngage. GM Mental Health Programme Update November 2018. What will the presentation cover?.

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Thursday 8 th November 2018 #VCSEEngage

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  1. GM VCSE Mental Health Forum (including dementia, perinatal, children, young people and adult mental health) Thursday 8th November 2018 #VCSEEngage

  2. GM Mental Health Programme Update November 2018

  3. What will the presentation cover? • Recap on background of the MH Programme and agreed transformation fund investment • Progress since September 2017 • Next steps for the MH Programme

  4. The Timeline Devolution deal GM Mental Health investment agreed and GM Commissioning Review GM MH and Wellbeing strategy Five Year Forward View Mental Health GM Mental Health Programme Delivery 2015 2016 2018 2017 Devolution does NOT take away Greater Manchester responsibility to deliver on national mandated priorities, standards and targets

  5. GM Mental Health and Wellbeing strategy vision Improving child and adult mental health, narrowing their gap in life expectancy, and ensuring parity of esteem with physical health is fundamental to unlocking the power and potential of GM communities. Shifting the focus of care to prevention, early intervention and resilience and delivering a sustainable mental health system in GM requires simplified and strengthened leadership and accountability across the whole system. Enabling resilient communities, engaging inclusive employers and working in partnership with the third sector will transform the mental health and well-being of GM residents.

  6. How Greater Manchester will Deliver Our Share of the National Five Year Forward View Ambition by 2020/21 … 3,920 more children will access evidence-based mental health care interventions – including better access for ADHD, eating disorders + those with disabilities Intensive all-age home treatment will be available in every part of GM as an alternative to inappropriate hospital admissions No GM acute hospitals without all-age mental health liaison services, and 100% meeting the national ‘core 24’ service RAID standard + RADAR Increased access to evidence-based psychological therapies to reach 25% of need - 33,600 more people helped – primary care and LT condition care pathways At least 1,680 more women each year can access evidence-based specialist perinatal mental health care + additional local parent-infant MH support pathways 30 people fewer or 10% reduction suicides and all areas will have multi-agency suicide prevention plans in place (including acute hospital standards) 1,624 people with SMI who can access evidence-based Individual Placement and Supported Employment will do so - and GM Work & Health model support 15,680 people with SMI will have access to evidence based physical health checks and interventions – targeting smoking and obesity 60% people experiencing a first episode of psychosis will access NICE concordant care within 2 weeks Inappropriate out of area placements will be eliminated for adult acute mental health care - with targeted city-centre action, expanded local GM MH rehab specialist units + GMP/L&D triage New models of care for tertiary MH will deliver quality care close to home,reduced inpatient spend, increased community provision and new crisis care models for children and young people Right number of CAMHS/Eating Disorders/LD/Secure T4 beds in the right place – esp reducing the number of inappropriate out of area placements for children and young people

  7. GM Mental Health Programme investment

  8. GM Mental Health Programme Implementation Provider Federation Board Primary Care Advisory Group GM Health & Care Board Joint Commissioning Board (NHS/ LAs) Association of GM CCGs (to be discontinued) GM Commissioning Hub GMCA MH Programme Delivery Board Dementia United Board GMHSCP Performance and Delivery Board Specialised Commissioning Oversight Group Population Health Board Adult MH Board CYP MH Board Urgent and Emergency Care Board Health and justice Board GM Mental Health Network MH service user/ carer networks MH VCSE forum and reference group Enabling programmes: business intelligence, finance and contracts, workforce, estates, IM&T

  9. What are the Priority Workstreams? Mental Health Programme Delivery Board • CYP MH Board • CYP MH community based access and crisis care • CYP Access and Waiting Times • Perinatal and parent-infant mental health • iTHRIVE and CYP MH workforce development • Mental and Emotional wellbeing in education setting • Student mental health • Attention Deficit Hyperactivity Disorder • Eating Disorders • Service transitions • Adult MH Board • Liaison MH • Suicide prevention • Mental Wellbeing • Increasing Access to Psychological Therapies • Early Intervention in Psychosis • Out of Area Placements • Physical Health of People with Severe Mental Illness • Individual Placement Support • Personality Disorders Additional work that reports into Mental Health Programme Delivery Board includes MH Workforce, MH Evaluation, MH Finance, MH Estates, MH Specialised Commissioning, MH IM&T

  10. What do we need to do more on in the coming months? Mental Health Workforce initiatives Mental Wellbeing CYP MH Access and Waiting Times Expanding Mental and Emotional Wellbeing in Education Settings Programme Mental Health Evaluation Managing overlaps and interdependencies Further engage with Local Authority and wider system partners Supporting development of Mental Health in Integrated Care Organisations Consider the future of the GM MH Programme and how it will operate moving into 2019/2020

  11. Paul Martin OBEChief Executive Commissioning for Communities of Identity

  12. We are LGBT Foundation. Our Vision: We believe in a fair and equal society where all lesbian, gay bisexual and trans people can achieve their full potential. Our Mission: Here If You Need Us Achieving Equality Community Leaders Programme Pride in Practice LGBT Cancer Programme Training and Consultancy Research, Policy and Campaigns Guides and Resources Online Events Directory Encouraging Wellbeing Befriending & Social Support Women’s, Men’s and Trans Programmes Substance Misuse Programme Talking Therapies One-to-One, Email and Helpline Support Social and Support Groups Trans Advocacy Service Promoting Safety Village Angels and Village Haven Safer Sex Advice and Sexual Health Testing Free Condoms & Lube Domestic Abuse Support Hate Crime Reporting and Support Legal and Police Advice Surgeries

  13. GM VCSE Reference Group • We are many. The army of staff, volunteers and supporters across the sector are a catalyst for change and a connector of people • Our role is critical for the economic success of devolution in Greater Manchester but also for the equally important cultural and social devolution that will help build a truly equal region • We can devise, develop and deliver solutions to some of the most challenging problems faced by Greater Manchester, breaking down barriers and building community confidence and cohesion, and ensure we move from crisis resolution to anticipation and prevention • We understand our communities. We can help drive people-powered change, harnessing social action and bridging the gap that can exist between public services and the people they serve

  14. Overview of GM Commissioning Timetable • Commissioning for Reform 2016 – VCSE lobbying changed narrative of public sector & place based delivery only • Memorandum of Understanding between VCSE & GM HSCP – Significant Investment in engagement • Commissioning Review 2017 – Introduced more formally concept of Communities of Identity • VCSE Involvement in Population Health Inequalities work 2017/18 – Cancer Champions, Carers MOU, Mental Health Forum etc. • JCB Papers on Commissioning VCSE and Commissioning Communities of Identity 2018 – Currently being socialised around the system • Commissioning Hub & Commissioning Academy 2018/19 – Concept of Co-design will be at the heart of the work of the CH

  15. My Informal Secondment • GM Commissioning Review recognised the importance that services be commissioned to tackle inequalities and for communities to be also recognised through their shared identities • Specific recommendation for work with LGBT communities to be worked up as an exemplar • Co-production principle from Commission for Reform at heart of process • Systems intention to build stronger and more manageable partnerships with the VCSE • LGBT communities project to act as a tracer for other Communities of Identity • Action plan for delivering next steps – with aim to see change happen from next financial year

  16. Defining Communities of Identity • Communities are all about Identity.  Identity is what makes communities • Term used to draw a distinction with communities of place • Recognise that for some, their needs as a community may be better met by recognising and respecting their identities • Also recognise that peoples similar experiences might benefit from a targeted or integrated approach (communities of common experience) • Recognise that many of us have multiple and intersectional identities

  17. What’s coming up in 2019 and beyond • Action Plan for Commissioning for Communities of Identity • Better Commissioning of the VCSE • Comprehensive Spending Review • GM’s Target Operating Model • NHS 10 year plan • Transformation Fund II • Brexit, Possible ‘General Election’, …???

  18. Any questions? Paul Martin OBE Chief Executive paul.martin@lgbt.foundation

  19. My City Health https://mycityhealth.co.uk/

  20. My City Health • My City Health prototype website has been tested within Salford • Phase 2 piece of work to now turn this into a GM resource • Views required on the mental health section which can be found under the Thinking header on the website. Feedback required on • At a High level what you believe the pages could look like • What functionality could be built in • What links to locality services you think could be made • This will in turn help develop a broad specification for the work and assist with understanding the likely cost and what is conceivable given the current financial envelope.

  21. My City Health Next steps Development of task and finish group Timescales Event Mid December Media City detail to follow January – February feedback on functionality Like to be involved? Sherida.collins@nhs.net

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