1. NHiS Mental Health Commissioning Network
Dr Liz England -
Co Chair Joint Commissioning Panel for Mental Health as RCGP Mental Health Commissioning Lead
Clinical Lecturer, Primary Care Clinical Sciences, University of Birmingham
GP interested in mental health, Laurie Pike Health Centre, Aston, Birmingham
Quality and Safety and Mental Health Lead, Healthworks LCG, SWB CCG

2. Interests Collaborative care for people with SMI
Physical health care in mental health
Parity of Esteem for Mental Health and Health Inequalities
Transitions for CYP in MH
Early Intervention Services for First Episode Psychosis

3. So…? Encourage networking and collaboration
Building or Rebuilding relationships
Focus for learning and sharing experiences
Sense making of new structures and commissioning landscape
Putting the jigsaw together

4. Commissioning Priorities Closing the gap: priorities for essential change in mental health Mental health commissioning new priority for NHS England
Improving commissioning
“co-commissioning”
“holistic- whole person care”
“NICE standards”
“JCPMH”
2. Information revolution- MHIN
13. Mental health care and physical health care will be better integrated at every level- PoE
14. We will change the response to self-harm- Crisis care
17. Schools will be supported to identify mental health problems sooner- commissioning for early intervention and across the whole lifespan
18. CAMHS Transitions
Improving commissioning.
NICE Standards
Mental health leadership programme for Clinical Commissioning Groups (CCGs)
NHSE Developing best practice specifications for commissioning specialist mental health services- physical HC
Integrated approaches to local commissioning also have an important role to play in promoting mental wellbeing and preventing mental illness, as part of the local Health and Wellbeing Strategy.
Public Health England (PHE) is working to build up the evidence base around what kind of services and programmes are most effective.
Further guidance is provided by the Joint Commissioning Panel for Mental Health focuses on encouraging commissioners to use a values-based commissioning model.
We need a truer, more up-to-date and more detailed picture of mental health and wellbeing nationally and in each area. Setting up a new national Mental Health Intelligence Network (MHIN).
It will draw together comprehensive information about mental health and wellbeing to provide a greater insight into mental health problems, how they vary with age and in different parts of the country, and what the most pressing needs are in each area. It will also gather information about the services being provided – and how effective they are.
The information will be available to all, so that local people can see for themselves how their area is doing. But its main purpose will be to help local Health and Wellbeing Boards, CCGs and other partners to decide what types of health and social care services are needed in their area, and how they can improve the mix of services and support available.
The Department of Health has developed a Mental Health Dashboard which tracks the key measures that already exist and highlights the priority outcomes from the outcome .
In 2012 we started to introduce a new payment system for adult mental health services. Monitor and NHS England are developing this further in a way which enables commissioners to use payment systems increasingly to reflect quality and outcomes as well as volumes of activity. From April 2014, the Health and Social Care Information Centre will produce monthly reports for commissioners and providers which show how providers are doing against a number of quality and outcome measures.

5. Coordinating commissioning
“To achieve integrated healthcare, policy-makers, service planners and commissioners need to better understand the indivisibility and unitary nature of physical and mental health, which means that distinguishing between them is likely to lead to an incomplete response to people’s needs as well as flawed thinking about mental health. In addition, they should focus on major social and structural influences such as education, unemployment, housing, poverty and discrimination, rather than just on support given to individuals based on a medical diagnosis of mental illness.”
Mental health touches all aspects of life. There is no health without mental health. Good mental health or mental wellbeing is more than the absence of mental illness. Mental health encompasses emotional, psychological, spiritual
physical health are inextricably linked.
Therefore mental health cannot be commissioned in isolation and we need to focus on reducing the fragmentation and coordinating our commissioning efforts and developing integrated services that address the whole person.
Crossing Boundaries, MHF 2013

6. How can we achieve this? Values based Commissioning for Mental Health
Commissioning decisions
Commissioners and Clinicians skills and experience
Commissioning decisions traditionally guided by ‘evidence-based’ practice and research
But what about the thoughts, feelings and opinions of service users and carers?
To address this the concept of ‘Values based Commissioning’ has been developed as the values counterpart of the evidence-based approach.
VbP does not seek to replace EbP, but instead aims to make commissioning decisions on the basis of ‘values’ as well as ‘facts’. Service users and carers can work jointly with commissioners in order to influence decisions relating to the commissioning of mental health services.
In VbC, service users and carers become active and equal participants in decision making about commissioning strategy and therefore engage with the process and outcome to a greater degree.
This brings people together around a common set of goals, and by empowering service users and carers (both directly and through representative bodies), places them in the driving seat of commissioning strategy and creates a greater sense of ownership.
Commissioners should be aware of the benefits of VbC which include the delivery of more patient-focused services such as an integrated mental health service, potentially improved cost-effectiveness, and the achievement of key outcome measures such as improved physical healthcare.
Evidence base
Thoughts, feelings, opinions and values of service users and carers: What makes you get up in the morning?

7. The wobbly stool

8. Todays focus…
Parity of Esteem- Physical health in SMI, LTC and mental health, crisis care, spending, access and choice
Alcohol and mental health
Commissioning effective services for people with a diagnosis of psychosis

9. Parity of Esteem Programme: NHS England
How the programme will be delivered:
Specific improvement/change projects
Business as Usual
Alignment with other organisations and groups
Current Priorities:
Addressing and improving crisis care
Data, information & intelligence
Development of capability and skills in commissioning
Delivering improvements to clinical services
Improving physical health for people with serious mental illness

10. MENTAL HEALTH IS EVERYBODY’S BUSINESS
THANK YOU FOR LISTENING
ANY QUESTIONS?