1. Mental Health Action Group
17 October 2018,
Maidstone Community Support Centre, Marsham Street

2. The Transforming Health and Social Care in Kent and Medway programme is one of 44 STPs across England
National planning process as set out in the NHS Shared Planning Guidance 2016/ /21 – published in December 2015
Our plan published in November 2016 following submission to NHS England – covers a planning period from October 2016 to March 2021
Sets out our ambition over a five-year timescale to work together across health and social care to close the three “Five Year Forward View gaps”:
Health and wellbeing
Care and quality
Finance and efficiency
Significant change will be needed to improve services and how they are delivered - parking individual interests to work together for our population
We are engaging on ‘how’ with staff, stakeholders, patients, and the public; including monthly patient and public advisory group meetings with representation across our whole programme

3. Four transformation ‘themes’ with aligned workstreams
Care Transformation
Productivity
Enablers
Prevention
Local (out-of-hospital) care
Hospital transformation
Mental health
Clinical strategy
Workforce
Digital
Estates
Cost Improvement Programmes and delivering ‘Quality, Innovation, Production, Prevention’ initiative
Shared back office services
Shared clinical services
Procurement and supply chain
Prescribing
System Leadership
System / commissioning transformation
Communications and engagement
STP Workstreams
East Kent
Productivity
System Transformation
Local Care
Prevention
Mental Health
Primary Care
Estates
Digital
Workforce
Stroke

4. Local care is a new model of delivery of integrated health and care services close to where people live.
It is a collective commitment of the health and care system in Kent and Medway to fundamentally transform how and where we will support people to keep well and live well. *

5. Multi-Disciplinary Team Working (MDT)
MDT includes:
As we become more sophisticated we can be specific with cohort of patients and attendees;
For younger cohorts, have the younger adult mental health team at the MDT
Focus on;
Social Isolation
Depression
Dementia
With support from social prescribing
Truly Integrated Approach with patient at the centre
Health and social
care coordinator
Social Care representative / social worker
Pharmacist
Mental Health worker GP
Social Prescribing
Care plan
Community nurse
/ LTC Nurse
Nurse Specialist
Geriatrician
Agreed with patient/carer
Administrator
Allied Health Professional
Additional members which vary locally:
Fire and
rescue
Police
Acute
specialists
Integrated Discharge Team

6. How do we make sure that Mental Health is intrinsic to Local Care?
Integrating physical and mental health care
Delivering Mental Health 5YFV
Promoting mental wellbeing

7. Mental Health & Social Care (theoretical model for discussion)
Mild to
Serious
Anxiety
OCD
Depression
PTSD
Panic
Schizophrenia
Bipolar
Depression
Anxiety
Any other condition
Having serious impact
Re-connecting to others
Safe places to talk
Re-assurance
GP Care Navigation
KMPT Service provision

8. Cohorts 2,000 Serious and enduring Mental Illness 230,000 70 and over
1.8 million
Kent & Medway population
230,000
70 and over
Initial target are those with complex needs
10,000
Dementia
30,500
Depression
Data source: Kent Integrated Dataset

9. Early look at conditions
Each chart contains people 70 and over living in Kent & Medway and whose GP practice flows data to the KID
Early look at conditions
Data source: Kent Integrated Dataset