1. Gloucestershire’s 5 Year Mental Health & Wellbeing Strategy November 2016

2. National and local context
Themes from previous stakeholder events
Sustainability & Transformation Plan
Five Year Forward View for Mental Health
Mental Health & Wellbeing Strategy 2014
Future in Mind
Adult Mental Health Needs Assessment

3. Stakeholder event themes
Co-production and involvement
Use voluntary and community services more
Listen to the views of the workforce
Mental health awareness for staff
Challenge discriminatory language and behaviour

4. Stakeholder event themes
Better links/support with carers groups
Carer health and wellbeing
Easier access to advice for carers
Embed Triangle of Care
Person centred care
Clear pathways

5. Stakeholder event themes
Weekend services, out of hours, crisis
Information Sharing & Care Plan
Access and transport
Increased access to employment for people with severe and enduring mental illness and common mental health problems

6. Sustainability & Transformation Plan Must Do’s for Mental Health
Enabling active communities
By 2017 we will have:
Developed social prescribing schemes together with Mental Health including investment in Crisis Café
Implemented new pathways for personality disorder, perinatal Mental Health conditions and developed Mental Health services for young people under ‘Future in Mind’

7. Sustainability & Transformation Plan Must Do’s for Mental Health
Enabling active communities
By 2021 we will have:
Stronger, more resilient and well-connected communities that lead to better health and wellbeing and a reduction in inequalities
Personalised care plan for a targeted proportion of patients with one or more long term condition

8. Sustainability & Transformation Plan Must Do’s
One Place, One Budget, One System
By 2017 we will have:
Ensured we have delivered a responsive Mental Health Crisis Service for young people and adults and developed a programme for communities to have local Accredited Mental Health First Aiders and Champions delivering increased visibility, awareness and acceptability
Link paramedic practitioners and additional mental health staff to practices and make sure pharmaceutical advisors cover a single cluster
By 2021 we will have:
A consistent 7 day urgent care offer across our system

9. Sustainability & Transformation Plan Must Do’s
Clinical Programme Approach
Working together to redesign pathways of care in line with national mental health strategy
More integrated approach between physical and mental health conditions

10. Other Must Do’s/Ongoing work
Tackling Mental Health Stigma
Schools Pilot
Online Counselling
Voluntary & Community Services Counselling project
Integrated Recovery and Intervention Service (Children & Young People’s Safe Places)
Crisis Café

11. Other Must Do’s/Ongoing work
The Alexandra Wellbeing House
Transport Review
Art on Prescription
Exploring opportunities for including Voluntary & Community Services in pathways and complementing existing 2gether NHS Foundation Trust services

12. Other Must Do’s/Ongoing work
Ongoing Improving Access to Psychological Therapies (IAPT or Let’s Talk) and Primary Care Mental Health developments
New Crisis model reducing age criteria for Crisis and Psychiatric Liaison to 11+
Dedicated High Intensity worker within Psychiatric Liaison and alternative options to Emergency Department

13. Other Must Do’s/Ongoing work
Development of integrated care pathways based on clinical presentations
Eating Disorders/Early Interventions services - new wait time to treatment targets are achieved.
IAPT: ensuring access, wait times to treatment and recovery rates are achieved
Recovery College

14. Other Must Do’s/Ongoing work
Mental Health Crisis Care Concordat
Personality Disorder: pathway development and options for commissioning specialist service
Self-Harm: links to pathway, service developments, Crisis, Liaison, Personality Disorders
Further development of Suicide Strategy

15. Other Must Do’s/Ongoing work
Encouraging evidence based medicines are prescribed with maximum health benefit
Mental Health Needs Assessment informing commissioning decisions to ensure choice and access    
Development of patient focused services which provide joined up care and addresses mental and physical health needs

16. Workshops Have we got it right? What do you think is missing?
We can’t do everything - what do you think are the priorities?
How can you help and what would you like to do?