1. Mental Health & Learning Disabilities
Today:
Area/s for improvement
Context - national & local
Progress – December forward following NHS management changes within Powys
Potential benefits

2. Mental Health & Learning Disabilities
Identified Areas for Improvement:
Ensuring out of hours and crisis support when needed
Alternatives to admission, with in-patient access when needed
Developing integrated services for people with Dementia
Extending access to psychological therapies
Child and adolescent mental health services

3. Mental Health & Learning Disabilities
Context: National
Mental Health (Wales) Measure 2010
Together for Mental Health (2012)
Together for Children and Young People
Dementia Action Plans
Psychological Therapies Implementation Plan

4. Mental Health & Learning Disabilities
Local context: Powys
Hearts and Minds: Together for Mental Health in Powys
Model for adult mental health services (enhanced primary care; acute care in the community; needs led services for older people; integration)
Increase in people living with dementia in the county by 44% by 2021
Integration of services with Powys County Council
Change to NHS management arrangements from 1st December (previously 4 health boards managing mental health services within 1 county)

5. Identified Area for Improvement: out of hours and crisis support
Tiered approach
Prevention and early intervention: information and advice; psychological therapies; co-ordinated care and treatment planning
Alternative to admission: Crisis Resolution Home Treatment Teams and Community Intensive Teams
On-call: GP out of hours; local authority Emergency Duty Team/s; nurse on-call; psychiatrist on-call; section 12 doctors; psychiatric and medical emergencies; s 136
Together
understanding “intensity” is not frequency in a highly rural area; training Section 12 GPs; training and developing Approved Clinicians from different professions; accredited accommodation/ different approach to a crisis house; technology - Telemedicine and internet services (including for psychological therapies); rigorous and creative care and treatment planning; tackle gaps during the day; extending CRHTTs for older people; alternative places of safety; admission for high physical and mental health needs; role of advanced practitioners

6. Mental Health & Learning Disabilities
Progress to date:
December forward due to NHS management changes in Powys
Membership (people using services; multiagency)
Elements underway in line with national strategy – added benefit of working together

7. The Potential Benefits to Mid Wales:
Mental Health & Learning Disabilities
The Potential Benefits to Mid Wales:
Sustainable approach in a highly rural area– so people with mental illness can receive appropriate help out of hours
Reduced travelling time and delays for patients (and best use of scarce skills)
Investment in local services by reducing inappropriate and distant hospital admissions
Better care and treatment planning to prevent a deterioration