Support for the Mental Health of Londoners 11

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Support for the Mental Health of Londoners 11 th July 2016 Kim Archer

Support for the Mental Health of Londoners 11 th July 2016 Kim Archer

Slide 2 Did you Know? And Why it is Important! 1. In any one

Slide 2 Did you Know? And Why it is Important! 1. In any one year 1 in 4 British Adults have a mental health problem 2. Over 6, 000 people in England commit suicide each year 3. The economic and social cost of mental health problems in England was £ 105 bn in 09/10 4. Common mental health problems accounted for 1/3 working days lost. Cost of sick absence £ 4. 1 bn in 09/10 5. Depression and anxiety are 4 to 10 times more prevalent among people who have been unemployed for more than 12 weeks.

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S l Slide 4 i d The Conditions e 4 are Mental Health and

S l Slide 4 i d The Conditions e 4 are Mental Health and Behavioural Disorders

Slide 5 The Opportunity for Improving Outcomes 1. Almost half the people in London

Slide 5 The Opportunity for Improving Outcomes 1. Almost half the people in London claiming ESA have a mental health or behavioural difficulty. 2. Evidence suggests that 30% of them, or more, could work given the right sort of help. 3. And 30% would not have a long term condition if they had been given help at the right time. Slide 5

Slide 6 Mental Health and Employment Trailblazer STARTING IN SEPTEMBER 2016 The Context 1.

Slide 6 Mental Health and Employment Trailblazer STARTING IN SEPTEMBER 2016 The Context 1. As part of the Growth Deal, Cabinet Office announced that the WLA (on behalf of the London LEP), with three other LEPs would be trailblazers for integration of support for unemployed individuals experiencing Common mental health problems 2. The intervention will be Individual Placement and Support, this is a high quality approach that is proven to be effective in getting approximately 35% of participants into work compared to 5% through traditional vocational approaches 3. One of the key features of IPS is the integration of the clinical and work interventions. A key challenge is integration with Health, for SMI, there IPS is delivered in the Mental Health Trust, where treatment takes place, the treatment pathway for CMI is more community based; with the clinical lead usually remaining the GP. As part of the trial participants will need to refer, have already been referred, to IAPT. But IAPT provision is variable across the different MH Trusts 4. Across West London, there are estimated to be over 27, 000 benefits claimants, where Common Mental Health conditions are a barrier to getting work. The Trailblazer Programme will be able to provide support to around 1000 of them 5. While unemployment across the 6 WLA boroughs and H&F is below national average, all boroughs have manifesto commitments to increasing employment Slide 6

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Slide 8 Devolution - Work and Health Programme 1. London Devolution includes agreement to

Slide 8 Devolution - Work and Health Programme 1. London Devolution includes agreement to co-commission and codesign Work and Health Programme with DWP. New programme starting October 2017 2. Negotiating with DWP for 4 sub-regional contract package areas to reflect local needs 3. People with health and disability conditions eligible on a voluntary basis and those unemployed for 2 years plus mandatory (? ) 4. In WLA, co-designing with LAs, health colleagues. Aligning with Health STP. Want to co-ordinate/integrate WHP with other provision. Will want to ensure evidence based interventions for MH 5. Exploring co-location and co-ordination models

Slide 9 Programme Governance Mapping

Slide 9 Programme Governance Mapping

Slide 10 ESF – BREXIT- Gaps Future and Now WLA is collating information about

Slide 10 ESF – BREXIT- Gaps Future and Now WLA is collating information about all the programmes commissioned by third parties so we really understand what employment support interventions are available for people with mental health conditions. We need to use this money well before ESF ends. • Big Lottery IPS service – for inactive people with common mental health problems (£ 1. 8 M) • Big Lottery M&P support - for those who don’t/won’t use IAPTs (£ 1. M) • Big Lottery Complex Needs – substance abusers/homeless (£ 705 K) • SFA 18 -25 year olds – substance abuse/mental health problems (£ 400 K) We need to think about the gaps in service now and in the future Taking account of LA commissioned services as well, there appears a significant gap now in IPS provision for people with severe and enduring mental illness (about 15, 000 in WLA) We also have evidence that IPS works for people with substance abuse/mental health problems

Slide 11 Innovation Fund, Scaling and Working Together • Like other London sub-regions WLA

Slide 11 Innovation Fund, Scaling and Working Together • Like other London sub-regions WLA have submitted an EOI to the Work and Health Joint Unit Innovation fund. • The EOI includes scaling IPS services for a range of cohorts with mental health problems and substance abuse • WLA is happy to work with other London Sub-Regions on trialling and scaling employment support interventions. We are also keen to share learning and evaluation so we invest in what work for our residents. Next Steps • Buy In from employers, helping employers create healthy work places, helping them feel confident to employ someone who has had a mental health problem. Thank You - Questions