1. Mental Health and the voluntary sector
Forward Together Conference, 6th July 2016
Antek Lejk, Chief Officer

2. Mental health and good wellbeing is everyone’s problem too
Earlier this year we were caught in a public campaign for more money for a service run by a partner in the voluntary sector, MIND
1 – We had no extra money to offer. But we had to find a solution and we did.
2 – It made us think – we have to change the conversation here. There is still a binary argument going on… “we want this and the NHS must pay”
But the public sector simply is no longer a bottomless pot
Mental health and good wellbeing is everyone’s problem too

3. Mental Health commissioning
Returning to just mental health…. mental health is a huge and complicated picture – this is just NSFT. We also commission major services from other mental health trusts and providers
There has got to be an increasing role for the voluntary sector. On what basis? We must keep talking

4. Mental Health vision
We want to help people staff safe and supported in their communities
Focus on prevention and early interventions
The NHS is a small part of that picture
Lots of crossover between what commissioned mental health services and the voluntary sector deliver
Determination to give mental health equal footing with physical health
Parity of esteem was a phrase that was associated with money. It is a much broader concept now
Prevention and early interventions evidenced by: Our £1.9m investment in CAMHS and commitment to CAMHS 5 year transformation plan which has been developed with the voluntary sector
Work with NSFT to implement Early Intervention in Psychosis service for under 35s (?) and to meet new national standards for access.

5. Commissioning
Long track record of commissioning voluntary sector providers to deliver services in Norfolk:
Julian Support workers on wards support and prepare patients for discharge
MIND and Relate - sub-contractors in the Wellbeing Service delivered by NSFT
MIND Crisis Support Line - merged with the Wellbeing Service helpline
Age UK Norfolk, Alzheimer’s Society, Equal Lives – provide information, support, advice and guidance
Together UK – supporting independence and recovery
Eating Matters – eating disorders support
4 Norfolk CCGs spend £2.3m on voluntary sector
Here are just some of the partnerships we have to deliver NHS mental health services

6. CCG finances – the QIPP gap
South Norfolk CCG: £13.8 million North Norfolk CCG: £9.2 million Norwich CCG: £9.7 million West Norfolk CCG: £9.6 million Total: £42.3 million
The financial situation is stark

7. A new commissioning agenda for mental health:
Doing it together not apart – old fashioned contracting hasn’t served us well
Integrated local service teams
Physical and mental health
Health and social care
Public sector/voluntary/community
Local decision-making where possible – county wide where appropriate
We know the money is tight – need a new dialogue about what is delivered by the public sector and what is not
Three to five year plans not annual
Starts with agreeing a mental health strategy
Need new commissioning mechanisms that make it easier and everyone can engage in

8. Thank you.
Contact us:
Antek Lejk – Chief Officer, NHS South Norfolk CCG