1. Working together for better mental health Ian Winter Department of Health (London Region) 29th February 2012

2. Where have we come from We have an inextricably linked history
Mental Health is grounded in how well people are
- no health without mental health
Collaboration has been the hallmark of good practice

3. Big Questions The exponential impact on individuals
Un-coordinated service reductions
Affordability and safety
A new commissioning paradigm
The impact of the reforms 3

4. Adult Social Care priorities
Prevention
Recovery
Continued Support
Efficient Process
Partnership
Contribution
In addition to this are the statutory responsibilities including S117, Mental Health Act and DoLS 4

5. Facing the dementia challenge
The growing numbers
Pressure on primary care, adult social care and communities following early diagnosis
Bed management in hospitals
A new model for residential care
Support to carers

6. Forensic Mental Health and Prisons/Offenders
Rising numbers
Increasing length of stay
Personalisation and choice
Health of offenders
Chaos, disruption and impact

7. System Change The impact of the reforms Handling the interregnum
The post 2013 world
Integrated commissioning and integrated care

8. The leadership challenge
PBR
The social work task and responsibility
Pan London Commissioning Support
Working with Clinical Commissioning Groups
Role of Health and Wellbeing
What are we waiting for