Transforming Mental Health Services in Brighton and Hove

2. Background and context to the refresh of Mental Health Strategy. Share key messages from the consultation exercise. Provide an overview of our priorities for transforming mental health services. Summarise our four key programmes of work. Focused discussions to help shape our thinking on how we are going to deliver this transformational programme. Discussion, questions and answer session. Purpose of workshop: Developing and refreshing strategic commissioning plan which will focus on key priority transformation programmes Also developing a primary and community strategy so want clinical input and buy in (will talk more detail re this in mo) We were planning on focusing on the longer term but given capacity issues facing us all at the mo we will also use workshop to discuss immediate actions Need to do things differently now to improve patient care and safety and LHE capacity going into winter Role of PEC and SCAF � brief overview Urgent care and LTC cross all care groups and organisations and is key to a sustainable future locally Need to do this together, led by clinicians. Much of what we need to do is not new, so why have we not achieved in past? Lots of good things going on but still system struggling Purpose of workshop: Developing and refreshing strategic commissioning plan which will focus on key priority transformation programmes Also developing a primary and community strategy so want clinical input and buy in (will talk more detail re this in mo) We were planning on focusing on the longer term but given capacity issues facing us all at the mo we will also use workshop to discuss immediate actions Need to do things differently now to improve patient care and safety and LHE capacity going into winter Role of PEC and SCAF � brief overview Urgent care and LTC cross all care groups and organisations and is key to a sustainable future locally Need to do this together, led by clinicians. Much of what we need to do is not new, so why have we not achieved in past? Lots of good things going on but still system struggling

3. High level of need across the city in terms of mental health, drug and alcohol use. Strategic shift towards a greater focus on health and wellbeing, recovery and improving patients experience of care. Locally the transition of focus from specialist services to recovery has not progressed rapidly and the mental health system as a whole needs to be developed for this to happen. Last 3 years has seen an increase in mental health funding (working age) . Spend on mental health in 2009/10 is �46,649,515 for adults with a further �5,116,177 being spent on substance misuse services. This is �4m above the national ONS cluster average per head of adults in the city.

4. Difficult times ahead with regards to public sector funding levels. Benchmarking data suggests we should be aiming for greater efficiencies across man service areas including the access service, acute bed lengths of stay, occupancy rates and overall capacity. We need to improve the quality of specific services including access, OOH, crisis and improve patient experience overall. A vibrant third sector providing a wide range of mental health related support services.

7. Make better use of our resources. Provide access into services based on need and not age. Promote positive mental well-being, address social inclusion, reduce stigma and ensure access to vocational support across all levels of need. Reduce waiting times for assessments and initiation of treatment. Commissioning effective treatment pathways including access to psychological support. Improve the co-ordination of care within and across services and service providers. Greater role for primary care across pathway of care. Ensuring a diverse and skilled workforce. Increased opportunities for personal choice and self directed support.

8. Improving outcomes through a greater focus on wellbeing and prevention. Improving access to services through an effective gateway and triage into services. Effective and efficient care pathways. Developing capacity in primary care � including early support, follow up and recovery.

11. Piloting a new referral management and gateway into mental health services for all non urgent referrals. Improvements in access to emergency and urgent treatment services. Roll out of IAPT. Redefining the service specification for step 1 and 2 support services; Identifying opportunities for service redesign and re-commission the Access service in 2010/11.

12. Realigning the commissioning and provision of mental health services on the basis of need not age. Work with SPFT on Better by Design to: Reviewing day care provision and community mental health teams Better meeting the needs of people with complex mental health problems Reducing the number of acute beds across Sussex. Better integration between primary and secondary care and co-ordination of care across and between services.

13. Better integration with secondary services and an enhanced role for primary care in the recovery stage. Greater range of more personalised services. Introduction of the SMI LES to support discharge from mental health services into the community. Developing a range of community initiatives for choice, self directed support and personalisation. Reviewing and realigning day and homecare support.