Enhanced Primary Care Mental Health Service

External Drivers MH identified as a priority in the strategic commissioning plans for the 3 Worcestershire CCGs Widely accepted that most MH problems should be managed in PC setting Commissioners reviewed current provision for mental health services in Primary Care New service specification with focus on developing a service that provides a ‘no wrong door’ approach to service users and health professionals Service delivered in collaboration with a variety of Voluntary and community based organisations Extended services and a choice of access

Objectives Patient centred – age inclusive and based on need Accessible Evidence based Capable (skills and capacity) Integrated (Health and Social Care and specialist services) Outcome and recovery focused Community linked Preventative – interventions targeted at groups at risk

For complex patients:- Peer support/pathway navigator MH Professional in primary care Access to wellbeing resources via wellbeing hub phone or website Public and patients Self referrals GPs will have support from:- Mental Health Professional in Primary Care Member of staff from the CMHT who will liaise Case discussion with Consultants Direct book for assessment appointments via SPA GPs MH Services Professionals Voluntary Community Sector (VCS) SINGLE POINT OF ACCESS (SPA) WELL BEING HUB TALKING THERAPIES (WHM) 1:1 and work 1:1 and group work NICE Recommended psychological intervention (IAPT complaint) CBT Primary Care Psychology Counselling Supported cCBT MENTAL HEALTH PROFESSIONAL IN PRIMARY CARE (WHM) Support for step up/step down Frontline mental health assessment Liaison with CVS statutory and non-statutory COMMUNITY SUPPORT AND WELLBEING SERVICE Advice including:: Self help materials, access to cCBT and signposting available to the Wellbeing Hub Ability to book directly into step 2 cCBT and VCS provision Eg MoodMaster Mentoring Mental Health First Aid Recovery College Social Prescribing Books on Prescription Peer Support/pathway navigation SOCIAL INCLUSION MH awareness raising and up scaling Mental Health Professional in Primary care support to VCS/Statutory and non-statutory services Mental Health training directory CPD recognition to MH training Advice available wellbeing hub/SPA/MH Professional ENHANCED PRIMARY CARE MENTAL HEALTH SERVICE SECONDARY CARE SERVICES

Key features Build upon and further develop systems that facilitate easy access - Single Point of Access (professional and self- referrals) Clear criteria for access and sign-posting Facilitate access to the most appropriate level of intervention Ensure access to appropriate and convenient locations – identify community based venues Establish mutually beneficial partnerships with local voluntary organisations Increase public awareness of services available

Worcestershire Health & Care NHS Trust Worcestershire Healthy Minds Secondary Care Community Mental Health Teams Acute In-Patient Service Adult Mental Health

Worcestershire Healthy Minds Objectives Develop coherent pathways that: Enable  Early identification  Timely access to assessment  Seamless transition to the least burdensome and most appropriate intervention Support  Recovery  Return to a fulfilling life

WHM – remit A Countywide Primary Care Mental Health Service; People aged 16 and over; Experiencing common mental health problems e.g. stress, low mood and anxiety; Provide a range of information, interventions and therapy, both 1:1 and in a group format; Aim to help people improve their mental wellbeing through a range of support. All clinicians are professionally trained, registered and are receiving regular supervision.

Cognitive Behavioural Therapy (CBT) Service Counselling Service Mental Health Professionals in Primary Care Psychology Service Worcestershire Healthy Minds

WHM Intention Improve partnership working with local community support networks and providers Establish integrated pathways between PC, SC and VCS services Provide effective coordination of care throughout the patient journey