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Lancashire Acute Mental Health Reconfiguration

Lancashire Acute Mental Health Reconfiguration. Engagement work to date. Mike Hammond Engagement and Communications Manager NHS East Lancashire 20 th April 2011. Public Listening Events. People want to be supported at home / in their own community

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Lancashire Acute Mental Health Reconfiguration

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  1. Lancashire Acute Mental Health Reconfiguration Engagement work to date Mike Hammond Engagement and Communications Manager NHS East Lancashire 20th April 2011

  2. Public Listening Events • People want to be supported at home / in their own community • Crisis care needs to be available around the clock • Responsive service across all areas • Access to services is important • Support to families and carers is vital

  3. Other engagement activity • Meetings with the Overview and Scrutiny Committees • Correspondence with stakeholders • Liaison with GPs and clinical committees • PR • Liaison with the Lancashire LINk • Web site, newsletters

  4. Avondale Unit • Focus groups, surveys and meetings involving more than 1,165 individuals and organisations • Key themes which are relevant: - maintaining local facilities - ensuring the right level of community services - ensuring information about services is available (how to access) - providing support for families and carers

  5. Avondale Unit - Findings • GPs accepted the wider rationale for change across Lancashire • Key theme was to ensure the further development of community services • Availability of crisis service

  6. Joint Lancashire Health Overview and Scrutiny Committee (HOSC) • HOSC was briefed on progress to date with the re-test work and a steer on further engagement was sought, given that fewer in-patient beds are needed • To meet this brief, an online survey entitled ‘Feedback’ was developed in partnership with service users and carers: Mental Health and Dementia Services in Lancashire

  7. Methodology • Online and paper survey created • Invitation sent out to carers, service users, public and staff • Survey covered whole of Lancashire • Fieldwork started on 2nd March and closed on 3rd April 2011 • 402 responses in total

  8. Accessible, local services a top priority for mental health services • Followed closely by a quality training standard 33.8% 28.7% 17.8% Source = Mental Health Survey 2011 (Q1) Base = 349

  9. Carer respite & support a top priority for dementia services • Again, quality training features high up the list 32% Early diagnosis 23.8% 22.7% 22.7% Source = Mental Health Survey 2011 (Q2) Base = 269

  10. On balance, services not working particularly well • Dementia services seen to be slightly better than mental health • Both services working less well for carers and members of the public No 71.6% No 67.3% Yes 32.7% Yes 28.4% Source = Mental Health Survey 2011 (Q3 & Q5) Base = 320 & 210

  11. Supportive services and local groups seen to be working well • But for a service to be considered effective, staff play a huge role 28.9% 33.3% Source = Mental Health Survey 2011 (Q3a & Q5a) Base = 63 & 38

  12. How could the quality of current services be improved? • Mental Health 1. Better access to services 2. Reduced waiting times / faster response 3. Listening to the user / carer • Dementia 1. More help and support 2. Earlier intervention / diagnosis 3. Train staff better Source = Mental Health Survey 2011 (Q4 & Q6) Base = 316 & 196

  13. How can we best keep patients out of hospital? • Mental Health • 1. Community services / social activities • 2. Respite / support for carers • 3. Regular contact and outreach • Dementia • 1. Respite / support for carers • 2. Good facilities / support at home • 3. Respite / support for patients Source = Mental Health Survey 2011 (Q7 & Q8) Base = 332 & 223

  14. Example comments If the NHS is genuinely committed to involvement and engagement, there is significant useful support available in the communities that can help them to do more for less Services outside of hospital push people away. I’ve now lost trust in the mental health service & don't feel able to contact them • We need a more dementia focused service. Please stop putting all mental health issues in the same bracket Thank you for giving me the time to think about mental ill health and attempt to formulate responses about the very important role of those who care and those who provide the services for mental health service users • My expectation is that with budget cuts, hospital admissions will naturally increase Patients need lots of support while they are in crisis - they need to know that help is there and that they can get better • I would like to see health care professionals putting the patient first

  15. Summary • Accessible, local services a top priority for mental health • Carer respite and support a top priority for dementia services • Quality training (for staff) a high priority in both areas • Current services not working particularly well • For a service to be effective, hard working, caring, staff are vital

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