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Mental Health Action Group 17 October 2018 , Maidstone Community Support Centre, Marsham Street

This action plan outlines a comprehensive strategy to bridge gaps in health and social care services over a five-year period, focusing on transformation themes, productivity enablers, local care, and Multi-Disciplinary Team Working. It addresses the integration of mental health into local care and supports various mental health conditions from mild to serious, with specific initiatives for different cohorts. Key details from the Kent Integrated Dataset are utilized to guide service provision.

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Mental Health Action Group 17 October 2018 , Maidstone Community Support Centre, Marsham Street

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  1. Mental Health Action Group 17 October 2018, Maidstone Community Support Centre, Marsham Street

  2. National planning process as set out in the NHS Shared Planning Guidance 2016/17-2021/21 – published in December 2015 Our plan published in November 2016 following submission to NHS England – covers a planning period from October 2016 to March 2021 Sets out our ambition over a five-year timescale to work together across health and social care to close the three “Five Year Forward View gaps”: Health and wellbeing Care and quality Finance and efficiency Significant change will be needed to improve services and how they are delivered - parking individual interests to work together for our population We are engaging on ‘how’ with staff, stakeholders, patients, and the public; including monthly patient and public advisory group meetings with representation across our whole programme The Transforming Health and Social Care in Kent and Medway programme is one of 44 STPs across England

  3. Four transformation ‘themes’ with aligned workstreams Care Transformation System Leadership • Prevention • Local (out-of-hospital) care • Hospital transformation • Mental health • Clinical strategy • System / commissioning transformation • Communications and engagement Productivity Enablers • Cost Improvement Programmes and delivering ‘Quality, Innovation, Production, Prevention’ initiative • Shared back office services • Shared clinical services • Procurement and supply chain • Prescribing • Workforce • Digital • Estates

  4. Local care is a new model of delivery of integrated health and care services close to where people live. • It is a collective commitment of the health and care system in Kent and Medway to fundamentally transform how and where we will support people to keep well and live well. *

  5. Multi-Disciplinary Team Working (MDT) MDT includes: As we become more sophisticated we can be specific with cohort of patients and attendees; For younger cohorts, have the younger adult mental health team at the MDT Truly Integrated Approach with patient at the centre Social Care representative / social worker Health and social care coordinator Pharmacist Mental Health worker Social Prescribing GP Care plan Community nurse / LTC Nurse Nurse Specialist • Focus on; • Social Isolation • Depression • Dementia • With support from social prescribing Geriatrician Agreed with patient/carer Administrator Allied Health Professional Integrated Discharge Team Acute specialists Additional members which vary locally: Fire and rescue Police

  6. How do we make sure that Mental Health is intrinsic to Local Care? • Delivering Mental Health 5YFV • Integrating physical and mental health care Promoting mental wellbeing

  7. Mental Health & Social Care (theoretical model for discussion) • Mild • to • Serious • Anxiety • OCD • Schizophrenia • Bipolar • Depression • Anxiety • Depression • PTSD • Any other condition • Having serious impact • Panic • Re-connecting to others • Re-assurance • Safe places to talk • GP Care Navigation • KMPT Service provision

  8. Cohorts 2,000 Serious and enduring Mental Illness 1.8 million Kent & Medway population 230,000 70 and over Initial target are those with complex needs 10,000 Dementia 30,500 Depression Data source: Kent Integrated Dataset

  9. Each chart contains people 70 and over living in Kent & Medway and whose GP practice flows data to the KID Early look at conditions Data source: Kent Integrated Dataset

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