Mental Health and Dementia

1. Mental Health and Dementia Strategic Clinical Network Event 23 September 2013

2. Cheshire and Merseyside Strategic Clinical Networks and Senate Update on progress for meeting on 23rd September 2013

3. Report • Key progress – first 6 months • Achievements – next 3 months • Challenges and risks • Success/ opportunities

4. Report • Progress – clinical leads appointed/ service mapping completed/ development workshops held/ priorities identified and shared with systems/ initial work programmes developed/ setting up network architecture • Next 3 months – enlarged engagement/ SCN structures operating/ progress with work programmes on target • Risks – internal resource/ old ways of thinking/ engagement challenges • Opportunities – working with non - NHS partners/ financial challenges/ expand clinical leadership involvement

5. Mental Health & Dementia Strategic Clinical Networks (London Region) Strategic Clinical Network 23 September 2013

6. Mental Health SCN

7. Mental Health SCN

8. London Mental Health SCN Priorities 2013/14 Strategic work plans & desired outcomes Mental health in Primary Care(depression, anxiety) Psychosis & urgent care pathways Prevention of mental illness in the early years. Building resilience in young people Integration of mental health into physical health carepathways. Support those with long term conditions who also have mental health conditions Primary care commissioning. Working with AHSN (UCLP) to support London CCG MH Network Support Health in the Criminal Justice System Evidenced based best practice │ Needs assessment │ Care pathway profiling │ Referral & access protocols │ Patient assessment guidelines Benchmarking │ Measurement │ Informatics & Analytics │ Training │ Redesign modelling │ Service model recommendations │ Standards

9. Dementia SCN

10. Dementia SCN

11. London Dementia SCN Priorities 2013/14 Strategic work plans & desired outcomes Improved end of life care Improved quality of care within the NHS Good quality early diagnosis & intervention Strategic commitment to improve care and integrating innovation Living well with dementia, including in care homes Optimising medicines use Evidenced based best practice │ Needs assessment │ Care pathway profiling │ Referral & access protocols │ Patient assessment guidelines Benchmarking │ Measurement │ Informatics & Analytics │ Training │ Redesign modelling │ Service model recommendations │ Standards

12. South East Coast

13. First 6 months – key progress • SCN core team recruitedinc. Clinical Director • Work programme developed • Stakeholder/Launch event & wider engagement • PPI/PPE strategy developed • Work plans developed (MH, CAMHS, Neuro & Dementia) • SCN structure developed (Steering Group and Clinical Advisory Group) • Commissioning Forum proposed • Baseline reviews completed and shared • 2013/2014 Commissioning Guidance sent out

14. Achievements in next 3 months • Clinical Leads appointed • Clinical Advisory groups initial meetings • Task and finish/project groups convened • Five year strategy developed (CtA) • AT clinical strategy • Specialised Commissioning derogation action plans • Continue engagement work/stakeholder buy in/development of wider network

15. Challenges and risks • Structure untested • Inability to secure buy in for strategic plans • Limits on recruitment (Clinical Leads!) • Shared Themes • Emphasis on diseases not outcome domains • Complexity of new NHS landscape • Commissioners and clinicians overwhelmed with information • Meaningful patient and public engagement on a large geographical scale • Capacity/capability of team

16. Successes and opportunities • Positive initial feedback from stakeholders • Good relationship with AT(s) colleagues • Strong links with Senate • Baseline reviews have proved useful to wider system • Joint work with AHSN/HEE • Programme budget

17. Wessex Strategic Clinical NetworkClinical Leads: Dr Christopher Kipps and Dr Denise CopeContact: England. Wessex@nhs.net SCN and Senate Work plan lead: AD Lucy Sutton Domain 1: Preventing people from dying prematurely. Lead - SCN Manager Domain 2: Enhancing quality of life for people with long-term conditions. Lead - SCN Manager Domain 3: Helping people to recover from ill-health or following injury. Lead - SCN Manager Theme: Early diagnosis/Health Checks . Lead - QIL Theme: Rehabilitation, recovery, ESD, Survivorship. Lead - QIL Theme: Supporting people to self-manage their long term conditions. Lead - QIL Theme: Diagnostic pathways, capacity & decision making. Lead - QIL Theme: Safe and sustainable maternity, paediatric and new born services. Lead - QIL Theme: Integration of care around the needs of the patient. Lead - QIL Project support to SCN steering groups and subgroups Administrative support to SCN steering groups and subgroups Overarching strategy: SCN Manager Clinical Director CVD SCN Clinical Directors MH,D & N SCN Clinical Director CANCER SCN Clinical Director MCYP SCN Crosscutting themes: Oversight and Planning Group, SCN AD, SCN Managers and Senior QILs Quality Improvement Leads and admin team

18. First 6 months – Key Progress • Reviewed commissioning plans, JSNAs & JHWS across Wessex • Identified gaps and links between and across plans • MHDN Stakeholder Event on 11th June, more than 100 delegates – informed priorities • Initial work plans agreed by local Commissioning Assembly • Initial work plan for SCN approved by Oversight and Planning Group in July • 8 Project briefs drafted, based on challenges identified so far, for consideration by SCN • Decision to appoint 2 people as CDs to manage the breadth of work

19. Next 3 months • Initial meeting of MHDN SCN Steering Group 1st Oct. Prioritise actions and projects / teams • Local champions identified to lead specific projects • Oversight and Planning Group authorise ‘refined’ plans late Oct • Involve patients and public, influence local PPI Strategy, due Nov • Better use of limited resources to effect change • Refine our understanding of network tools and drivers • Go out and meet people

20. Challenges, Successes, Risks and Opportunities • Challenge – to ensure support network is appropriately adapted to the needs of the developing network • Success in: • engagement across Wessex to date • dual leadership • Integrating with support team • Risk losing confidence of key stakeholders if we don’t establish ourselves quickly and demonstrate effectiveness • Opportunities to deliver significant improvements and improve parity of esteem for mental and physical health

21. WEST MIDLANDS SCNMental Health, Dementia and Neurological Conditions Ben Parfitt - Network Manager Dr Karim Saad and Dr Sharon Binyon - Clinical Directors

22. Work to Date • New Network in West Midlands • Stakeholder engagement • Linking with existing West Midlands Groups and previous work done, e.g. • Provider forum for PbR and their Quality and outcomes subgroup • West Midlands SHA Dementia work stream • West Midlands IAPT pilotsLaunch event July • Launch event July

23. Mental Health Priorities • Developing and supporting outcomes-based commissioning • Improving physical healthcare for people with a mental health problem • Improving primary care mental health services (including IAPT) • Developing psychological therapy services for children closer to home • Developing care pathways for people with neuro-developmental disorders

24. Dementia Priorities • Supporting increased prevention and timely diagnosis for people with dementia and ensuring appropriate support before and after diagnosis • Promoting 'Dementia Friendly Communities' • Improving the experience of care for people diagnosed with dementia • Improving the experience of end of life care for people with dementia and their carers

25. Yorkshire & the Humber Strategic Clinical NetworksMental Health, Dementia, Acute & Chronic Neurological Conditions Mental Health & Dementia National Meeting 23rd September 2013

26. APRIL TO SEPTEMBER 2013 Yorkshire & The Humber 3rd Largest Senate Area, 24 CCGs, 14 Acute Hospitals, 7 MH/Community Hospitals, 14 Local Authorities, 3 Area Teams covering 5.6m population over a huge and varied urban and rural demography • Intelligence Gathering, Scoping and Making our ‘offer’ to stakeholders : (CCGs, Prescribed Commissioners, LAs, Voluntary, Charities, Area Teams , AHSN etc.) • PPE Stocktake and Strategy Development • Appointment and induction of Clinical Leadership • Draft Work Programme Development/Consultation– Sept 2013 to April 2015 • Identify Cross Cutting themes with 7 sister networks • S136 and Neuro-rehabilitation projects – early wins • Formal SCN Launch 17th September 2013

27. NEXT 3 MONTHS • Firm up Work Programmes and agree Comms Strategy for the SCN • Establish formal governance to underpin structures/ways of working • Commence project work using MSP/PRINCE type methodology • Quarterly reports to CCGs/Area Team/Stakeholders and presentations to collaborative commissioning groups/NHS England commissioners • Confirm PHE relationships to support this SCN • Firm up PPE arrangements • Agree cross cutting project management arrangements (e.g. IAPT, CYP Transition in MH, Parity of Esteem, CAMHS etc.)

28. CHALLENGES/RISKS • CCG Engagement with SCNs generally and with specific areas such as acute neurology where this may not be seen as a priority • Access to data to provide Dashboard information that adds value to commissioners • Accessing groups that have existed for many years (change management behaviour) • Local Authority engagement – “clinical networks” are perceived as being health only – some aversion to nomenclature • Small resource in the SCN team in a financially challenged host Area Team • Duplication of work with AHSNs, ATs, HWBs, NHSIQ – CCG confusion of roles/responsibilities

29. SUCCESSES/OPPORTUNITIES • Formal Launch of the SCN ! • Excellent clinical leadership and engagement in Y+H • Do once and share and up the pace of the work • Influence commissioning plans for 2014/15 • Joining up MH and physical health • National and Regional sharing of best practice • For 12 national SCNs to really make a difference and place MHDN on the same platform that cancer, cardiac and stroke have enjoyed over the last 5-10+ years • Well respected and very credible NCDs !

30. Yorkshire & the Humber Mental Health, Dementia, Acute & Chronic Neurological Conditions Acute & Chronic Neurological Conditions Mental Health Dementia James Barnes Quality Improvement Manager Penny Kirk Quality Improvement Manager Sheriden McKiniry Quality Improvement Manager Vacant Quality Improvement Lead (MH and Dementia) Vacant Quality Improvement Lead (A&C Neuro) Alison Bagnall SCN Manager Dr Wendy Burn & Dr Oliver Corrado - Dementia Dr Helen Ford & Mr David Broomhead - Neurological Conditions Dr Wendy Burn (Interim) – Mental health Clinical Leads

31. YORKSHIRE & HUMBER CONTACTS Ian Golton, Associate Director – Ian.Golton@nhs.net Alison Bagnall, SCN Manager - Alison.bagnall@nhs.net Sheriden McKiniry, QIM (A&CNCs) - Sheriden.McKiniry@nhs.net Penny Kirk, QIM (QIM- dementia) - Penny.kirk@nhs.net James Barnes (QIM (MH) – email details to be confirmed Dr Wendy Burn – Wendy.burn@nhs.net (Dementia and MH (interim)) Dr Oliver Corrado – Oliver.corrado@leedsth.nhs.uk (Dementia) Dr Helen Ford – Helen.ford@leedsth.nhs.uk (A&CNCs) Mr David Broomhead- D.broomhead@nhs.net (A&CNCs)