The document discusses mental health systems and supporting people with mental health problems. It examines what is currently in place, current issues, and what people with mental health problems have done to influence change. It explores what older leaders can do to raise awareness of older people's mental health issues and drive further changes to better support those experiencing mental health challenges.

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Older Leaders for Change in Mental Health
Module 2
6 June 2014

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Part 1
What is currently in place to support people with
mental health problems?
Part 2
What are the current issues?
What have people with mental health problems done
to influence change?
Part 3
What can Older Leaders do to raise the profile of
older people’s mental health and influence change?
Overview

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What is currently in place to support people with
mental health problems?
Part 1

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What “the system” means to you…

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What “the system” means to me…

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Who is the MH system for?
5% 45%
20% 40%
75% 15%
Multiple complex
conditions
Single chronic disease/
At risk of a major
procedure
Healthy, minor
Health issues
If any
A&E over-utilisation,
high care variation
Infections,
complications,
readmissions
Multiple complex
conditions
Patient Segments Cost Breakdown

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Who is the MH system for?

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Who is the MH system for?

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The other 1 in 4…
*92% of people with diabetes receive care
26% of people with a mental health
problem receive any care

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Who is the MH system?

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Who is the MH system?

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What is the MH system?

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What is the MH system?

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Medical Services Person
• Diagnose
• Medicate
• Service
• Community Mental Health
• Crisis Resolution
• Assertive Outreach
• Early Intervention in Psychosis
• Forensic Services
• CAMHS
• Acute/inpatient care
• Drug and alcohol
• Liaison
• LD / Challenging Behaviour
• Older People
• Primary mental health care / GPs
• Stigma
• Discrimination
• Lack of rights
• Removal of rights
• Little understanding
• Little support
What is the MH system?
How the system currently flows…How the system currently flows…
How the system should flow…How the system should flow…

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What is the MH system?

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What is the MH system?

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What is the MH system?

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What is the MH system?

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What will the MH system be?

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What will the MH system be?
NHS spend 83.3% of
all MH budget
DP money spent:
NHS + social service
providers - £4.7m
(15.5%)
Non-statutory
providers - £25.8m
(84.5%)
80%80%
20%20%
80%80%
20%20%
Without choice…
With choice…

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Break

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What are the current issues?
What have people with mental health problems
done to influence change?
Part 2

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What have you done to help things improve?
Can be something to do with mental health
Can be something beyond mental health
Why did that work?
What is the general lesson / principle of why that
worked?
A time things have improved…

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Levers / drivers for change

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Levers / drivers for change

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MH payment system
Individual patient needs
Assessment and diagnosis
Individual patient needs
Assessment and diagnosis
Mental Health Clustering Tool
Standardised summary of individual needs
Mental Health Clustering Tool
Standardised summary of individual needs
Cluster
Global description of combination & severity of individual needs
Cluster
Global description of combination & severity of individual needs
Care Packages
Individually negotiated care plan informed by NICE Guidance
Care Packages
Individually negotiated care plan informed by NICE Guidance
Quality and Outcome Metrics
Triangulated measurement of process and effect
Quality and Outcome Metrics
Triangulated measurement of process and effect
Local/national Tariff
Derived from joint understanding of accurate costs
Local/national Tariff
Derived from joint understanding of accurate costs

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Change

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Lunch

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What can Older Leaders do to raise the profile of
older people’s mental health and influence
change?
Part 3

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What are your reflections today?
Emerging ideas for influencing…
Questions and discussion
Discussion

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Paths to Personalisation
JCPMH
NHS Confederation MH Network
Mental Health Foundation
CQC
NSUN
Sources of information

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Contact
Rich Watts, MH Programme Lead
T: 01225 789135
E: rich.watts@ndti.org.uk
Twitter: @rich_w