Working together for better mental health Ian Winter Department of Health (London Region) 29th February 2012

Where have we come from We have an inextricably linked history Mental Health is grounded in how well people are - no health without mental health Collaboration has been the hallmark of good practice

Big Questions The exponential impact on individuals Un-coordinated service reductions Affordability and safety A new commissioning paradigm The impact of the reforms 3

Adult Social Care priorities Prevention Recovery Continued Support Efficient Process Partnership Contribution In addition to this are the statutory responsibilities including S117, Mental Health Act and DoLS 4

Facing the dementia challenge The growing numbers Pressure on primary care, adult social care and communities following early diagnosis Bed management in hospitals A new model for residential care Support to carers

Forensic Mental Health and Prisons/Offenders Rising numbers Increasing length of stay Personalisation and choice Health of offenders Chaos, disruption and impact

System Change The impact of the reforms Handling the interregnum The post 2013 world Integrated commissioning and integrated care

The leadership challenge PBR The social work task and responsibility Pan London Commissioning Support Working with Clinical Commissioning Groups Role of Health and Wellbeing What are we waiting for