Mental Health workstream update

By 24th August 2017Mental Health, STP

Health and care providers across Hull, East Yorkshire, Northern Lincolnshire, Scarborough and York are working collaboratively to ensure we have mental health services that are built around the needs of the local population now and in the future. This is a tremendous opportunity to transform mental health services and integrate them with physical health services to achieve parity of esteem.

A number of priority areas for the Mental Health workstream have now been agreed by the Mental Health Delivery Board. These are:

  • Out-of-area mental health placements for all-age adults
  • Access to crisis and liaison services
  • Community mental health teams
  • Perinatal mental health services
  • Health and justice for adults, children and young people
  • Older people and dementia

These priorities align with NHS England’s Mental Health Delivery Plan and the NHS Five Year Forward View. A clinical lead and a working group for each priority have been agreed and Project Leads will be responsible for agreeing the scope, definition, timelines and outcomes of each project.

The Humber Coast and Vale STP Mental Health workstream is led by:
Michele Moran, Senior Responsible Officer
Alison Flack, Mental Health Programme Director

Headline facts – why we need to change:

  • Poor mental health has a direct impact on life expectancy. Mortality rates are higher for people with serious mental illness than for the general population.
  • In Humber Coast and Vale 14% of people aged 16-74 are estimated to have a common mental health disorder – this varies from 11% in North Lincolnshire to 19% in Hull, against an England average of 15.62%.
  • Between 8.5 and 11% of children up to the age of 16 are registered in general practice as having any mental health disorder – this compares to an England average of 9%.
  • We have a higher prevalence of mental health disorders in children, and we know that the period from conception to age two is critical to equipping the developing brain for the best start.
  • In Humber Coast and Vale more people are admitted to hospital for self-harm than the England average. The rate for self-harm in Hull is almost twice that in North Lincolnshire and is significantly higher than the England average.
  • We have high A&E attendances for psychosis and psychiatric disorders and we need alternatives.
  • We have a significantly higher prevalence of dementia. Currently this is disproportionate in younger adults, and older adults are the fastest growing population. This is forecast to grow by 50% over the coming 20 years, along with high rates for risk factors, including smoking.
  • We need better follow-up services in place with the appropriate organisations. There is a lack of suitable post-treatment settings and we are reliant on out of area provision and high costs.
  • Solutions to these issues are not just ‘medical’. We need to work with voluntary and community organisations across the STP area to address some of these challenges.

Update from the Mental Health Delivery Board – August 2017

The Board agreed to draw up a refreshed application for capital funding for the STP’s new CAMHS inpatient unit, currently being developed by Humber Teaching NHS Foundation Trust. The aim is to secure funds anticipated to be made available in the Chancellor’s Autumn Statement;

Finance Lead Peter Beckwith agreed to work with NHS England to produce a template showing the approximate and projected CCG spending on mental health services, including CAMHS, out of area, and the voluntary and secondary sectors;

Following a Digital presentation by John Mitchell (eMBED) the Board is looking at a live bed availability portal across all four providers to sup-port the out of area placement project;

Board Chair Michele Moran agreed to circulate a paper prepared for the STP Executive Board on the development of Accountable Care Systems. Members were asked to comment by 18 August;

Given the national review of secure services, predicted to reduce bed numbers by between ten and 12 per cent, the Board agreed to ensure its work encompassed the likely impact on the STP’s community secure and place-based services;

Members agreed to draw up a draft dashboard highlighting the Board’s key performance indicators;

The Board will discuss its draft Memorandum of Understanding and Decision-Making policies at its next meeting;

Members rubber-stamped their reporting and communications arrangements;

They also agreed project leads and noted the work already carried out by their respective workstreams.

Stephen STP

Author Stephen STP

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