Enhanced Primary Care Mental Health Service External Drivers

Enhanced Primary Care Mental Health Service

External Drivers • • • MH identified as a priority in the strategic commissioning plans for the 3 Worcestershire CCGs Widely accepted that most MH problems should be managed in PC setting Commissioners reviewed current provision for mental health services in Primary Care New service specification with focus on developing a service that provides a ‘no wrong door’ approach to service users and health professionals Service delivered in collaboration with a variety of Voluntary and community based organisations Extended services and a choice of access

Objectives • • • Patient centred – age inclusive and based on need Accessible Evidence based Capable (skills and capacity) Integrated (Health and Social Care and specialist services) • Outcome and recovery focused • Community linked • Preventative – interventions targeted at groups at risk

MODEL FOR ENHANCED PRIMARY MENTAL HEALTH CARE SERVICES GPs MH Services Professionals Voluntary Community Sector (VCS) GPs will have support from: - • • SINGLE POINT OF ACCESS (SPA) Mental Health Professional in Primary Care Member of staff from the CMHT who will liaise Case discussion with Consultants Direct book for assessment appointments via SPA SECONDARY CARE SERVICES 1: 1 and work TALKING THERAPIES (WHM) • 1: 1 and group work • NICE Recommended psychological intervention • • MENTAL HEALTH PROFESSIONAL IN PRIMARY CARE (WHM) (IAPT complaint) CBT Primary Care Psychology Counselling Supported c. CBT • Support for step up/step down • Frontline mental health assessment • Liaison with CVS statutory and non-statutory • Advice including: : • Self help materials, access to c. CBT and signposting available to the Wellbeing Hub Public and patients Self referrals For complex patients: - • Peer support/pathway navigator • MH Professional in primary care • Access to wellbeing resources via wellbeing hub phone or website WELL BEING HUB COMMUNITY SUPPORT AND WELLBEING SERVICE • Ability to book directly into step 2 c. CBT and VCS • • • provision Eg Mood. Master Mentoring Mental Health First Aid Recovery College Social Prescribing Books on Prescription Peer Support/pathway navigation • MH awareness raising and up scaling • Mental Health Professional in Primary care SOCIAL INCLUSION support to VCS/Statutory and non-statutory services • Mental Health training directory • CPD recognition to MH training • Advice available wellbeing hub/SPA/MH Professional ENHANCED PRIMARY CARE MENTAL HEALTH SERVICE

Key features • Build upon and further develop systems that facilitate easy access - Single Point of Access (professional and selfreferrals) • Clear criteria for access and sign-posting • Facilitate access to the most appropriate level of intervention • Ensure access to appropriate and convenient locations – identify community based venues • Establish mutually beneficial partnerships with local voluntary organisations • Increase public awareness of services available

Worcestershire Health & Care NHS Trust Adult Mental Health Worcestershire Healthy Minds Secondary Care Community Mental Health Teams Acute In-Patient Service

Worcestershire Healthy Minds Objectives Develop coherent pathways that: • Enable Ø Early identification Ø Timely access to assessment Ø Seamless transition to the least burdensome and most appropriate intervention • Support Ø Recovery Ø Return to a fulfilling life

WHM – remit • A Countywide Primary Care Mental Health Service; • People aged 16 and over; • Experiencing common mental health problems e. g. stress, low mood anxiety; • Provide a range of information, interventions and therapy, both 1: 1 and in a group format; • Aim to help people improve their mental wellbeing through a range of support. • All clinicians are professionally trained, registered and are receiving regular supervision.

Cognitive Behavioural Therapy (CBT) Service Counselling Service Worcestershire Healthy Minds Mental Health Professionals in Primary Care Psychology Service

WHM Intention • Improve partnership working with local community support networks and providers • Establish integrated pathways between PC, SC and VCS services • Provide effective coordination of care throughout the patient journey