1. Progress in delivering existing Mental Health Strategies Mick James –Head of Mental Health and Learning Disability Commissioning, NHS Airedale, Bradford and Leeds

2. Background Strategic review of mental health services for working age adults – Adult Mental Health commissioning Strategy and Plan 2008 -2011. Strategic review of mental health services for Older People – Emerging from the Shadows 2008 – 2011 Previous strategies have now run their course and we need to prepare for the transition to the Clinical Commissioning Groups National Strategy Context has shifted – NSF’s replaced by No Health without Mental Health (2011) and Living Well with Dementia (2009) Development of a comprehensive approach for working age adults and older people

3. Process Review of progress against existing strategies Assessment of need based on a demographic analysis. Review and analysis of the current levels of service and finances. Benchmarking the range and performance of services against demographically similar areas. Stakeholder meetings

4. The Mental Health Programme The Mental Health Programme for adults and older people will:- Help people to stay well and enjoy good mental health. Support people to live well, cope with ill health and not be left out of society. Make it easy for people with mental health problems to get the right help early. Include families and carers in our help and support. Provide choices of good quality care Spend money on what works for people but stop spending on things that do not work. Ensure that mental well being is ‘everybody’s business’.

5. The Mental Health Programme Mental Health Promotion and Suicide Prevention Non urgent care pathway Improved Access to Psychological Therapies Older People's Mental Health Projects Day Services Review (AMH) Acute Care Pathway Specialist Tertiary Services Delivering Race Equality

6. Progress in delivering existing strategies The key components of the National Service Framework for Mental Health commissioned and providing benefit (Assertive Outreach, Crisis Resolution, Early Intervention in Psychosis) Mental Health Promotion and Suicide Prevention – audit of suicides, reviews if SUIs and Health Needs Assessment Non urgent care pathway and acute care pathway - work to improve acute pathway completed and non-urgent care pathway work has made significant progress in its roll out.

7. Progress in delivering existing strategies Improved Access to Psychological Therapies - A new service model for the provision of Talking and Psychological Therapies across all tiers of service. Further investment in and development of Primary Care Mental Health services but we know these need further development Older People's Mental Health Projects – including Memory Assessment and Treatment Services, Acute and Care Home Liaison, enhanced CMHT, Wellbeing Cafes, Dementia Advisors, Creative Support.

8. Progress in delivering existing strategies Day Services Review (AMH) - Day services to improve focus on socially inclusive outcomes. Specialist Tertiary Services - High cost / low volume specialist services currently commissioned out of area reviewed to improve access/pathways and ensure value for money. Delivering Race Equality - Community Development Workers for Mental Health to influence the commissioning of culturally appropriate services. BME Outcomes framework (SUNSHINE)