Southern Health Medical Conference 2013 Inter professional working & the National perspectives Dr. Geraldine Strathdee, National Clinical director, Mental Health Mental Health Network Meeting 10th July 2013

This session Talk to share with this leadership community The current and future National perspective Working across boundaries, primary/secondary, inter professional Challenging traditional professional boundaries for people with complex needs and new models of integrated working Parity of esteem for physical and mental health and between patients and clinicians Self reflection and action planning What does this new landscape mean to you ? What does it mean for relationships within our organisations, with local community partners, and national policy: what influence can we have 3-5 key questions/challenges to consider in the 45 minute group work.

What kind of leaders are now needed What type of leader are you? Personal qualities Self belief Self awareness Self management Drive for improvement Personal integrity Self belief Self awareness Self management Drive for improvement Personal integrity Strategic leader Operational leader Setting direction Identifying horizons, And other fields ideas Seizing the future Partnerships and networks Political astuteness Drive for results Setting direction Identifying horizons, And other fields ideas Seizing the future Partnerships and networks Political astuteness Drive for results Leading change through people Holding to account Empowering others Effective and strategic influencing Collaborative working Leading change through people Holding to account Empowering others Effective and strategic influencing Collaborative working

The new world …what has changed

What has not changed: the patient focus What does Quality mean in mental health care Professor Bruce Keogh, Medical Director of the NHS

The route map to delivering the MH strategy

The national care pathways priorities What do we want to commission with partners Parity for people with physical & mental health Integrated physical & mental health & social care Where every contact is a kind enabling, coaching experience

Do you lead a high performing clinical team?

Strategic clinical networks Quality – contribution to the NHS Outcomes Framework Clinical leadership Patient and public voice Equality and health inequalities Innovation and the NHS change model

Emerging System priorities..a system based on value, equalities & shared learning

Value based Integrated care pathways design : commissioning for 60% volume, 60% spend; top 10%

International learning Primary care mental health service organization : they have a ‘ stratification’ care cluster approach ‘ (Kaeser, Scandanavia, US Vets

Depression : opportunities for demand management, prevention & early intervention across Value care pathways Elderly isolated & people with dementia Victims of domestic violence Alcohol and drug addictions Isolated women with small children Victims of school and employment stress and bullying Key life cycle: Divorce Retirement Redundancy Menopause Key life cycle: Divorce Retirement Redundancy Menopause Long term physically ill Dyslexia, Dysprexia ADHD, Autism, Asperger’s and Learning Disabilities Dyslexia, Dysprexia ADHD, Autism, Asperger’s and Learning Disabilities People with schizophrenia and sight and hearing problems

For the first time ever: the use of the mental health act part 2 and 3 by CCG area So now, we can identify the local conditions that can lead to use of the act: transport hubs, homelessness, no recourse to public funds, cultural mores, link with unemployment & drug and other criminal activities, clinical management & practice variations, service configurations

CCG Leadership development programmes

Prevention and Early intervention (Knapp et al, 2011) highly effective treatments: major economic benefit For every one pound spent the savings are: Parenting interventions for families with conduct disorder : £8 Early diagnosis and treatment of depression at work: £5 in year 1 Early intervention of psychosis £18 in year 1 Screening & brief interventions in primary care for alcohol misuse £12 Yr 1 Employment support for those recovering from mental illness: Individual Placement Support for people with severe mental illness results in annual savings of £6,000 per client (Burns et al, 2009) Housing support services for men with enduring mental illness: annual savings: £11,000–£20,000 per client (CSED, 2010).