Regional view Dr Alistair Lipp Deputy Regional Medical

Regional view Dr Alistair Lipp, Deputy Regional Medical Director 4 th Feb 2014

Parity of esteem? British Medical Journal December 2013 2 NHS | Presentation to [XXXX Company] | [Type Date]

Esteem • “to regard highly or favourably; regard with respect or admiration” • “Respect from others entails recognition, acceptance, status, and appreciation. ” 3

Negative stereotypes? • “As a medical student I was told by my supervisor that I was ‘too bright’ for psychiatry, and other colleagues have told me of similar experiences”. • “Neurosurgeons: know a little, do a lot. Neurologists: know a lot, do a little. Psychiatrists: do nothing, know nothing!” • “Around the table were an aspiring surgeon, a respiratory physician, an emergency medicine doctor, and an anaesthetist. Eyebrows were raised when I said that I was going to be a psychiatrist. • Why do you want to do that? ’ one asked. ” 4

Workforce issues Health Education England (East of England) 5 NHS | Presentation to [XXXX Company] | [Type Date]

NHS workforce 2013 – 2028 7

NHS workforce 2013 – 2028 8

NHS workforce 2013 – 2028 9

Pre-registration Commissions 2014/15 Registered Mental Health Nurses • We are increasing our investment by 4%, with 11 extra students and a total investment in 273 students. This compares to a 1. 5% increase nationally. This level of commissions will ensure supply of newly qualified nurses to meet providers demand. • Risks: • Risk of supply shortages if providers demand does not reduce according to plan. • Anecdotal evidence of Essex providers being affected by recruitment in London. • Clinical Psychology • We are increasing the number of commissions by 5%, to 42, in 2014/15. This compares to a steady state nationally. 10

Regional issues Parity of performance? 11 NHS | Presentation to [XXXX Company] | [Type Date]

IAPT planned coverage (13/14) 12 (CCG)

IAPT plan achieved (Qu 1) 13 (CCG)

IAPT plan achieved (Qu 2) 14 (CCG)

Dementia – “Find” 15 (Provider)

CPA: Discharged + f/up within 7 days (CCG) 16