Parity of esteem? Rebecca Cotton, Director of Policy, Mental Health Network.

Slides:



Advertisements
Similar presentations
Norfolk’s Working Well
Advertisements

Tobacco control and the new structures for public health Professor Kevin Fenton Director of Health & Wellbeing Twitter:
Croydon Clinical Commissioning Group An introduction.
CCPS event Edinburgh Thursday 26 th March 2009 Getting it Right for Carers.
Southwark shadow Health & Wellbeing Board Jan Southwark’s Health & Wellbeing strategy Jin Lim.
Spending the NTW Pound Guy Pilkington. The Alliance Clinical Commissioning Groups have started a listening exercise “Deciding Together”, to look at how.
Rebecca Kennelly Chair Hampshire Councils of Voluntary Services Network Chief Executive Basingstoke Voluntary Service The Value of Volunteering and the.
Preventing chronic disease and promoting sustainable social policy Anna Coote Commissioner for Health, UKSDC December 2007.
Healthy People, Healthy Lives Our strategy for public health in England.
Healthy People, Healthy Lives Our strategy for public health in England Transparency in Outcomes Funding and Commissioning routes for public health.
Salford Primary Care Trust – your leader for health IN Salford Salford Primary Care Trust 5-year Strategic Plan 2009 – 2014 Briefing to the Salford Strategic.
The West Cheshire Way Be part of the conversation.. Alison Lee Chief Officer West Cheshire Clinical Commissioning Group Making sure you get the healthcare.
CITY OF BRISTOL ISOLATION TO INCLUSION (I2I) ACTION PLAN.
Level Health Equally Well Key findings from a literature review informing collaborative efforts to improve the physical health outcomes of people with.
‘Discrimination and disadvantage: Narrowing the gap.’
Mental Health Services 2015 & Beyond Dr Nick Broughton.
Better together We provide integrated mental and physical healthcare services for people of all ages. This includes specialist services such as learning.
Healthy Lives, Healthy People Our strategy for public health in England.
Effective Services for People (including Children) in Mental Health Crisis Sarah McClinton, Director of Mental Health and Disability, Department of Health.
Integrated Workforce Assessment Modelling Programme Mental Health Focus Skills for Health Research Team January 2015.
BMER Mental Health Partnership Summit -QUIZ Mental Health In Camden What do you know?
The Psychological Professions Network Working with Health Education North West to promote excellence in psychological health and wellbeing Making Parity.
Aquatics and health Using aquatics strategically to improve population health Dr Ann Hoskins Deputy Regional Director of Public Health NHS North West.
Embedding ethnic equality in commissioning practice Name, date, contact 1.
Update from the Clinical Commissioning Group Dr Katie Coleman Joint (Clinical) Vice Chair ICCG.
Healthy Ireland A framework for improved health and wellbeing Healthy Food for All 20 November 2013 Dr Miriam Owens.
Tackling health inequalities – Scottish Government perspective Tony Rednall Creating Health Team: Public Health Division.
Facts about the Trust £110 million pound turnover 1,619 staff plus staff employed by contractors 33,365 inpatient and day cases were treated 10,670 elective.
CCG Strategy Update Lewisham Children and Young People Strategic Partnership Board 26 th January 2015.
Wellness in Mind Nottingham City Mental Health and Wellbeing Strategy Homelessness Strategy Group Nov 2014 Liz Pierce, Public Health, Nottingham City Council.
Why mental health is important in west Hampshire Spotlight on mental health 23 rd June 2015 Dr Katrina Webster Clinical director for mental health & learning.
SECTION B: SOCIAL ISSUES IN THE UK Study Theme 2: Wealth and Health in the UK 5.
Hepatitis C, Drug Use and Stigma Liz Allen. What it is Hepatitis C? Hepatitis C is a blood-borne virus Can cause serious damage to the liver First indentified.
Why there’s no health without mental health Hertfordshire health and wellbeing conference Andy Bell, 9 July 2015.
The New Mental Health Strategy for England Dr Hugh Griffiths National Clinical Director for Mental Health.
Transforming Community Services Commissioning Information for Community Services Stakeholder Workshop 14 October 2009 Coleen Milligan – Project Manager.
Our Plans for 2015/16 We want to make sure that people in our area are able to live long and healthy lives, both now and in the future, and our plans set.
Health Challenge John Greensill. Current arrangements A fully integrated Health and Social Care Service funded 50:50 by NHS Walsall and Walsall Council.
Health and Wellbeing Marie Cowie Health Improvement Principal NHS Derby City.
Equal Treatment: Closing the gap Final results. Why we investigated ‘Far too many people…are dying in their 40s, 50s or even younger – far more than in.
Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel:
Social Benefit Bonds The Benevolent Society’s Experience 29 October 2015.
Mind or body – equal funding for care ‘The National Federation of Women’s Institutes calls upon the government to ensure that the care of people with poor.
UKPHR Consultative Forum 5 th November 2015 Dr Anne Kilgallen.
4 Countries Project: Modernising Learning Disability Nursing Dr Ben Thomas Director of Mental Health & Learning Disability Nursing 16 December, 2011.
5 Ways to achieve parity in mental health Karen Turner Director of Mental Health, NHS England 9 th December.
Mental Health. Youth health issues Asthma: A respiratory condition that involves the airways narrowing and swelling and mucus being produced. It can be.
Commissioning Intentions 8 th October Joint working with Islington Council Our four shared priorities are: To make sure every child has the best.
Our collective ambition for Greater Manchester GM has a history of ambition and cooperation. Skilled, healthy and independent people are crucial to bring.
29 January 2016 Warrington Health in Business Summit.
Taking charge of our health and social care in Greater Manchester January-March 2016.
Bedfordshire CCG - Our Story Health and Wellbeing Stakeholder Event 1 February 2013 John Rooke, Chief Operating Officer 1.
Herefordshire CCG Putting the patient at the heart of everything we do1 More information can be found at
Oldham’s Shadow Health and Wellbeing Board Cath Green Chief Executive First Choice Homes Oldham.
The National Picture: Equality & Diversity Presented by: Surinder Sharma National Director for Equality and Human Rights Department of Health and the NHS.
Inequality of Mental Health Care for our Young People: UK and European Perspectives Nicola Wilson, Director, Northern Health Matters, May 2016.
Emotional Wellbeing and Children and Adolescents Mental Health Services Strategy and Review Programme David Loyd-Hearn Commissioning Lead Children and.
Overview and Scrutiny, Coordinating and Call In Committee Personalisation Presentation 3 March 2009.
Commissioning for Wellbeing Time banking and other initiatives in Plymouth Rachel Silcock.
1 in 4 adults will experience a mental health problem each year 1 in 10 children will experience a mental health problem Approximately half of all lifetime.
Public Health in Scotland Why it matters Health and Social Care Analysis, Scottish Government, February 2016 All references available on request.
THE HEALTH CHALLENGE Sheila Shribman National Clinical Director Children, Young People & Maternity.
North East London (NEL): Mental Health Crisis Care
Mental health matters Place image here
Mental health matters Place image here
Mental health matters Place image here
DR MARWA EL MISSIRY A.PROFESSOR OF PSYCHIATRY AIN SHAMS UNIVERSITY
Sheffield Mental Health Strategy
Mental health matters Place image here
NHS LONG TERM PLAN.
Presentation transcript:

Parity of esteem? Rebecca Cotton, Director of Policy, Mental Health Network

About the Mental Health Network Part of the NHS Confederation – the membership body for all organisations that commission and provide NHS services. We represent 70 providers of mental health services in England – including around 95% of NHS Trusts and Foundation Trusts, third sector and independent sector providers. Governed by a board of members – including Chief Executives, Chairs, Clinicians and service user and carer representatives.

What we do We help shape and challenge national policy and legislation affecting our members. We provide members with up to date news and analysis, through briefings and events. We also work to identify and spread good practice and innovation in the mental health sector.

Enshrined in law by the Health and Social Care Act Also included in the Secretary of State’s Mandate to NHS England: “NHS England’s objective is to put mental health on a par with physical health, and close the health gap between people with mental health problems and the population as a whole. By March 2015, we expect measurable progress towards achieving true parity of esteem, where everyone who needs it has timely access to evidence-based services”

Public attitudes Nearly nine out of ten people with a mental health problem say they have faced stigma or discrimination. On the whole, society’s attitude to mental health problems are changing for the better. Time to Change have found the proportion of people saying they know someone close to them who has had some kind of mental illness has increased from 58% in 2009 to 63% in The percentage saying they would be comfortable talking to a friend or family member about their mental health, for example telling them they had a mental health diagnosis and how it affects them, rose from 66% in 2009 to 70% in The percentage saying they would feel uncomfortable talking their employer about their mental health was 43%, compared to 50% in 2010.

Costs of mental health problems Poor mental health carries an economic and social cost of £105 billion a year in England. The business cost of mental ill health among the UK workforce is £26 billion. By 2030 there will be approximately 2 million more adults in the UK with mental health problems than today – assuming prevalence rates remain the same. Between 10% and 16% of working age people with a mental health condition, excluding depression, are in employment. However, of the vast majority of people with mental health problems want to work.

High degree of health inequalities experienced by people with mental health problems People with serious mental illness are at risk of dying, on average, up to 20 years prematurely. People with a mental illness are almost twice as likely to die from coronary heart disease as the general population, four times more likely to die from respiratory disease, and are at a higher risk of being overweight or obese. A third of the 100,000 annual ‘avoidable deaths’ amongst the under 75s involve someone with a mental health problem. Smoking costs the NHS over £5 billion a year, yet 42% of all cigarettes smoked in England are by people with a mental health, drug or alcohol problem.

Addressing this makes sense from an equalities perspective, and from a QIPP perspective £1 in every £8 spent on long-term conditions is linked to poor mental health and wellbeing. This equates to between £8 billion and £13 billion of NHS spending in England. A 2012 Mental Health Network report, Investing in emotional and psychological wellbeing for patients with long-term conditions, highlighted a wide range of innovative services that were both generating much needed savings and improving outcomes for patients with diabetes, chronic obstructive pulmonary disease and a range of other conditions.

Age dimension: Around one in ten children aged between 5 and 16 years has a mental health problem. 75% of children and young people experiencing a mental health problem are thought to not access any treatment. Half of those with lifetime mental health problems first experience symptoms by the age of 14. Depression amongst older people notoriously under diagnosed and treated. Poorer outcomes for BME groups: People from black and minority ethnic groups are more likely to be admitted to hospital, more likely to be subject to legal restrictions, more likely to experience a poor outcome from treatment.

How does this play out in the NHS? Poorer rates of access to mental health services: Only around 25% of people with anxiety and depression, and 65% of people with psychosis, seek and receive treatment. Fewer rights: The NHS Constitution provides the right to start treatment for most health problems within 18 weeks – in certain circumstances, such as suspected cancer, guaranteed waiting times are even shorter. But these rights do not extend to people accessing non-consultant-led mental health services. Changes are coming in from April next year, but not for all mental health services. Squeezed services: Demand is increasing. Monthly referrals to community mental health teams were up 13% in 2013, and up 16% for crisis services. Resource isn’t keeping pace: local investment in mental health services has fallen in real terms for four years in a row.

Headlines from our recent member survey 96% of Mental Health Network members who took part are concerned about the effect of an ageing population on services, 90% are concerned about the future impact of long term conditions. 96% are worried about potential future budget cuts, and 90% think there’s insufficient investment to meet current service requirements. 89% are concerned about outdated service and workforce models, and the same percentage are worried about the relationship between health and social care. 90% think the public misunderstand the need for change in the NHS, and 80% think there’s a lack of political support for the change that’s needed. 85% of Mental Health Network members say the agreement of a long term (ten year) strategy and financial settlement for the NHS as a whole is important. Base: 103 MHN respondents, February 2014

General Election 2015 Securing fairer funding for mental health services A commitment to no major top down reorganisations over the lifetime of the next Parliament. The adoption of workable policies which support ‘parity of esteem’ (including access and waiting times, improving the physical health of service users etc).

Ensuring fair funding for mental health services Giving children a good start in life Improving physical health care for people with mental health problems Improving the lives of people with mental health problems Enabling better access to mental health services