Mental Health Action Group 17 October 2018, Maidstone Community Support Centre, Marsham Street

The Transforming Health and Social Care in Kent and Medway programme is one of 44 STPs across England National planning process as set out in the NHS Shared Planning Guidance 2016/17-2021/21 – published in December 2015 Our plan published in November 2016 following submission to NHS England – covers a planning period from October 2016 to March 2021 Sets out our ambition over a five-year timescale to work together across health and social care to close the three “Five Year Forward View gaps”: Health and wellbeing Care and quality Finance and efficiency Significant change will be needed to improve services and how they are delivered - parking individual interests to work together for our population We are engaging on ‘how’ with staff, stakeholders, patients, and the public; including monthly patient and public advisory group meetings with representation across our whole programme

Four transformation ‘themes’ with aligned workstreams Care Transformation Productivity Enablers Prevention Local (out-of-hospital) care Hospital transformation Mental health Clinical strategy Workforce Digital Estates Cost Improvement Programmes and delivering ‘Quality, Innovation, Production, Prevention’ initiative Shared back office services Shared clinical services Procurement and supply chain Prescribing System Leadership System / commissioning transformation Communications and engagement STP Workstreams East Kent Productivity System Transformation Local Care Prevention Mental Health Primary Care Estates Digital Workforce Stroke

Local care is a new model of delivery of integrated health and care services close to where people live. It is a collective commitment of the health and care system in Kent and Medway to fundamentally transform how and where we will support people to keep well and live well. *

Multi-Disciplinary Team Working (MDT) MDT includes: As we become more sophisticated we can be specific with cohort of patients and attendees; For younger cohorts, have the younger adult mental health team at the MDT Focus on; Social Isolation Depression Dementia With support from social prescribing Truly Integrated Approach with patient at the centre Health and social care coordinator Social Care representative / social worker Pharmacist Mental Health worker GP Social Prescribing Care plan Community nurse / LTC Nurse Nurse Specialist Geriatrician Agreed with patient/carer Administrator Allied Health Professional Additional members which vary locally: Fire and rescue Police Acute specialists Integrated Discharge Team

How do we make sure that Mental Health is intrinsic to Local Care? Integrating physical and mental health care Delivering Mental Health 5YFV Promoting mental wellbeing

Mental Health & Social Care (theoretical model for discussion) Mild to Serious Anxiety OCD Depression PTSD Panic Schizophrenia Bipolar Depression Anxiety Any other condition Having serious impact Re-connecting to others Safe places to talk Re-assurance GP Care Navigation KMPT Service provision

Cohorts 2,000 Serious and enduring Mental Illness 230,000 70 and over 1.8 million Kent & Medway population 230,000 70 and over Initial target are those with complex needs 10,000 Dementia 30,500 Depression Data source: Kent Integrated Dataset

Early look at conditions Each chart contains people 70 and over living in Kent & Medway and whose GP practice flows data to the KID Early look at conditions Data source: Kent Integrated Dataset