04 February 2014 CCG GP Mental Health Leadership Programme

What is NHS England doing to support commissioners and providers move to an outcomes-based value system? 1. CCG: building capacity and capability in mental health leadership2. Parity of esteem physical/mental health; primary care mental health3. Care of people with psychosis : ‘industrializing’ improvement4. The acute care pathway and suicide prevention; crisis care 5. Integ rated physical & mental health care pathways 6. Mental health intelligence informatics network programme new model of information led commissioning & integrated provision Whole pathway commissioning of Tiers 1-4 Underpinning value-based commissioning and care Outcome measurement Service specifications aligned to payments systems Reducing burden to free up time to care

211 CCG GP Mental Health Leaders ‘Information revolution’ information and intelligence integrated care pathways; life course evidence base; what works value based commissioning commissioning for outcomes system (re)design; remodeling; transformation resources, tools, action learning accelerating change and improvement

Critical success factors Partnership working with local leaders, experts building on existing networks and alliances Ownership co-production; co-operation; coalitions; collaborative leadership Design tailored to individual learning & development needs sharing & disseminating knowledge, resources peer-to-peer learning; action learning; rigour; delivery 4

SCNs, AHSNs, local networks facilitate engagement with CCG GP mental health leads identify experts/contributors, local system resources broker participation, continue to develop relationships ensure wider engagement/communications (H&WB; LA; PHE) disseminate, share, spread assure quality; governance 5

6 Timetable Contracts - February 2014 SCN engagement – end February ff. Delivery - April 2014 Knowledge management & communications Governance Evaluation

04 February 2014 Improving dementia diagnosis and diagnosis pathways

NHS Outcomes Framework; NHS Mandate The Government's goal is that the diagnosis, treatment and care of people with dementia in England should be among the best in Europe. The objective is for NHS England is to make measurable progress towards achieving this by March 2015, in particular ensuring timely diagnosis and best available treatment for everyone who needs it, including support for carers. England rate : 47.5% 8

Better outcomes for people What does good look like? What works?  Looking beyond numbers to quality  Improving diagnosis pathways; timely diagnosis  Design: large scale complex system change 9

What can we learn from CCGs? Key findings from visits Autumn 2013 coherent, focused, and clearly led plan of work to improve dementia care. active, visible leadership; comprehensive strategy and action plan; work is proactive, systematic, comprehensive and sustained, rather than reactive and piecemeal; dementia care mainstreamed, not bolted on V&CS key partner; + investment in sector 10

CCGs making most progress with diagnosis rates Common factors high levels of the Directly Enhanced Service (DES) take up amongst GPs; data cleansing and monitoring of performance commissioning dementia advisor services to support timely diagnosis and post diagnostic support health care professional training carer training advance care planning access to respite care. 11

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14 System change: 10 Key Steps

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