Mental Health, Dementia and Neurological Conditions

1. Mental Health, Dementia and Neurological Conditions Presented by Martin Fahy East Midlands SCN

2. Introduction • SCN Overview – Mental Health Network • Developing the Network • Dementia Programme (legacy) • Neurology Programme (new) • Perinatal Mental Health Programme (legacy) • IAPT Programme (legacy) • Report Cards • Issues and Challenges

3. SCN Overview – Mental Health Network • Three programmes for mental health network • Dementia (Priority Project) • Neurological Conditions (Continuous Improvement) • Perinatal Mental Health Services (CI) • IAPT (CI) • The Team: • 1 x Clinical Director, 3 x Clinical Leads, 1 x Network Manager, 1 x Quality Improvement Lead, 1 x Senior Quality Improvement Lead

4. Developing the Network • Engaging with key people • Extended existing networks; meetings with key organisations; Clinical Advisory Groups established • Regional events • Neurology and Dementia conferences, November and January • Links with key delivery partners • Collaboration with EM Academic Health and Science Network, Health Education East Midlands, EM Specialised Commissioning Group

5. Dementia Programme • Review of current service models and case for change developed (in line with national priorities) • Best practice models e.g. primary care Hardwick CCG • Develop minimum core standards and baseline service specifications • Acute; Mental Health; Local Authority • Working group established to lead on this • Undertake regional service mapping project • Training; Long-term care; Domiciliary Care

6. Neurology Programme • Stakeholders identified & engaged • Identified key issues and barriers & progress • Under-resourced; local champions and clinical leaders; lack of national drivers • Establish neurology specific data set • Collaboration with NCS • Develop baseline ‘products’ • Service Mapping; Standards, Integrated Care Pathways • Focus on enhanced community care (working with Stroke Network)

7. Perinatal Mental Health Programme • Legacy of regional and national work • Minimum standards and service specifications • RCPsych; Clinical Reference Group; national mental health contract • Working with EM Specialised Commissioning Group • Recent developments & closure of Mother and Baby Unit • Further developing Perinatal Community Psychiatric Services in Leicestershire • Public engagement on behalf of CCGs • Focus groups with ex-service users

8. IAPT Programme • Regional IAPT event • National perspective; data; pathways; training • Establish Clinical Advisory Group • Key areas of development • Improve access to IAPT services and recovery rates • Additional education and training in specialist areas

9. Report Cards • Developing 13 SCN Report Cards • Including Dementia; Neurology; Perinatal Mental Health • Benchmarking service provision • Structure, process, outcome • Identifying regional variation • Implementation March 2014

10. Issues and Challenges • What are SCNs for and what do they do? • Common vision/shared purpose, ‘Hearts and Minds’ • Sign-up/consensus on key, fundamental areas of improvement • Strategic vs operationalisation • Interfaces • Services; organisations; professionals; budgets • Targets • Large scale change vs timescales • Resources