1. Source: www.southwest.nhs.uk/age-equality.html Age Discrimination and mental health services: Making Equality a Reality Dr Dave Anderson Chair, Faculty of Old Age Psychiatry Royal College of Psychiatrists

2. Source: www.southwest.nhs.uk/age-equality.html Policy Change Age 65 * working age adults * older people Need not age Age Proxy * nature of disorders * co-morbidity * lifecycle * delivery & treatment

3. Source: www.southwest.nhs.uk/age-equality.html Challenge Ageing population Discrimination barrier Post code commissioning

4. Source: www.southwest.nhs.uk/age-equality.html Discrimination Under 65 Rehabilitation Psychotherapy Hospital liaison Addictions

5. Source: www.southwest.nhs.uk/age-equality.html Discrimination NSF-MH (1999) * £2B * Assertive Outreach * Early Psychosis * Crisis home treatment PSSRU (2007) £2B

6. Source: www.southwest.nhs.uk/age-equality.html Commissioning Dementia Functional * Depression * Psychosis One size fits all

7. Source: www.southwest.nhs.uk/age-equality.html Crisis Home Treatment 8.8% 50% cost per day ↓ hospital admission 16-31% ↓ care home discharge 7% ↓ hospital stay 36 days carer satisfaction

8. Source: www.southwest.nhs.uk/age-equality.html Hospital Liaison 27% ↓ hospital stay * dementia 16 days * 2 days (24,000 p.a.) ↓ re-admission ↓ health care utilisation

9. Source: www.southwest.nhs.uk/age-equality.html Hospital Liaison ↓ bed days * dementia 1056 p.a. ↑ independent living Cost * £1.5 M/2 years * £6.5 M p.a. (NAO)

10. Source: www.southwest.nhs.uk/age-equality.html Care Home Liaison ↓ drug prescribing (£14 M) ↓ GP time ↓ hospital admission 75% trained 600 staff in 2 years ↑ QOL

11. Source: www.southwest.nhs.uk/age-equality.html Next Steps…….. National Drivers Dementia Strategy New Horizons Equality Bill IAPT ● Ageing Strategy

12. Source: www.southwest.nhs.uk/age-equality.html Next Steps…….. Need not age Specialist OPMHS * re-configured * equity Better access Choice

13. Source: www.southwest.nhs.uk/age-equality.html Equality NOT treating all people the same BUT Recognising their differences