The Mental Health Strategy for England and London’s approach to implementation Dr. Geraldine Strathdee, Associate Medical Director, MH NHSL, S. London clinician & National Professional Adviser, CQC On behalf of Dr Hugh Griffiths National Clinical Director for Mental Health Dr. Geraldine Strathdee, Associate Medical Director, MH NHSL, S. London clinician & National Professional Adviser, CQC On behalf of Dr Hugh Griffiths National Clinical Director for Mental Health

This Talk 1.Mental health the history: from rags to riches & by 2015 ? 2.The Mental health policy priorities 3.London: what can we be proud of & implementation challenges 4.The London implementation model: time for change  Commitment to keep mental health as a key priority  A clear statement about the London vision for the service model  Strong delegated leadership and communication champions at every level  Clinical ( experts) pathway networks :  An annual London report on mental health 1.Mental health the history: from rags to riches & by 2015 ? 2.The Mental health policy priorities 3.London: what can we be proud of & implementation challenges 4.The London implementation model: time for change  Commitment to keep mental health as a key priority  A clear statement about the London vision for the service model  Strong delegated leadership and communication champions at every level  Clinical ( experts) pathway networks :  An annual London report on mental health

Mental Health Strategy A strategy to transform the mental health and well-being of the nation An ambition to mainstream mental health and achieve ‘parity of esteem’ with physical health The aim for mental health to be ‘everyone’s business’ – all of Government, employers, education, third sector

Mental health ……everyone’s business

Mental Health Strategy - Themes Services and public mental health Outcomes and quality A life-course approach Early intervention Patient choice and control (personalisation) Reducing inequality and tackling stigma Improving efficiency (QIPP) in the context of a challenging financial climate

The mental health priority strategies 2012/2013

2.More people with mental health problems will recover Objectives 1.More people will have good mental health 3.More people with mental health problems will have good physical health 4.More people will have a positive experience of care and support 5.Fewer people will suffer avoidable harm 6.Fewer people will experience stigma and discrimination Mental Health Strategy

The route map to delivering the MH strategy

2012/2013 Operating Framework priorities

The London implementation model: time for action

The vision: taking dementia as an example: what do people with dementia want from their care? Older people with dementia want to be supported to remain at home: Avoiding care home admissions Avoiding hospital admissions Avoiding admission to A&E in crisis “Because we were able to have home carers… my husband was able to spend the last six years of his life in our own home, where he was very happy, instead of going into residential care, which would have made us all very sad” (Carer, National Dementia Strategy, 2009)

The vision: Reducing health and social care institutional based care when it isn’t needed

The vision for Quality : key areas to measure: Bruce Keogh

The London delegated leadership model to build leadership and networks to deliver the Outcomes Framework?

Our primary care network will have the support of the 10 core commissioning care pathways

Measuring implementation Mental health strategy implementation framework timeline

Where to find all documents Strategy and companion document – “Delivering better mental health outcomes for people of all ages” available at : Also, “Talking Therapies: a four-year plan of action” and: Impact Assessment and Analysis of Impact on Equality