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Enhanced Primary Mental Health Service & Service Redesign

Enhanced Primary Mental Health Service & Service Redesign. Health Service Strategic Commissioning Topic Group – 5 th September 2007. Hertfordshire Partnership NHS Foundation Trust. NHS. Enhanced Primary Mental Health Service (EPMHS).

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Enhanced Primary Mental Health Service & Service Redesign

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  1. Enhanced Primary Mental Health Service & Service Redesign Health Service Strategic Commissioning Topic Group – 5th September 2007 Hertfordshire Partnership NHS Foundation Trust NHS

  2. Enhanced Primary Mental Health Service (EPMHS) • Partnership between Joint Commissioning Team, Primary Care Trusts & HPFT - formal contract • Part of integrated, whole system & stepped care approach to the care and treatment of mental ill health • Aid to understanding of mental ill health & facilitation of social inclusion & recovery • Multi-disciplinary service to adults of working age with mild-moderate mental ill health

  3. EPMHS does form part of the modernisation of mental health services agenda EPMHS does not replace primary care counselling services EPMHS does not replace secondary care community mental health services Secondary mental health services will focus primarily on those with most complex needs Enhanced Primary Mental Health Service

  4. Signposting Triage Assessment Guided/Self Help High volume, low intensity psychological therapies Individual/Group work Short term interventions Social & Vocational Support Primary care professional support & guidance Enhanced Primary Mental Health Service – What does it deliver?

  5. Enhanced Primary Mental Health Services – Who delivers it? • Graduate Workers • Link Workers • Support, Time & recovery Workers • Input from:- • Psychologists • Consultant Psychiatrist • Others including Vocational Advisers, Occupational Therapists

  6. Enhanced Primary Mental Health Services – Where ? • Within Primary Care • GP Practices • Alternate, non-stigmatising community or voluntary sector settings eg Letchworth Health Living Centre

  7. Further development of previous pilots:- Watford > WatCom, including Watford & 3 Rivers Letchworth > North Herts to include Hitchin & Royston (under negotiation) St Albans to extend to include all GP practices Stevenage Practice Based Commissioning Pilot includes development of EPMHS Enhanced Primary Mental Health Services – Current Position

  8. Enhanced Primary Mental Health Services – Next Steps • Discussions under way with Hertsmere PBC • Approach from Cheshunt GPs in South East Herts • Hertfordshire’s success as Pathfinder Site for Improved Access to Psychological Therapies • Development of Joint Transition plan between HPFT, Joint Commissioning Team, Practice Based Commissioning Groups for EPMHS development across all areas of Hertfordshire

  9. Recovery Approach Whole system & Strengths Based Needs-led service with focus on outcomes Evidence-based/best practice Timely/flexible access to required service Clarity of function & roles Standardised Assessment Framework New Ways of Working & New Roles Equity of resources Partnership Working Mental Health Service Redesign Key Principles

  10. Enhanced Primary Care Service development Consequent Redesign of Secondary Service within CMHTs Location of Referral & Assessment function Relationships with other community mental health services including:- Assertive Outreach Service Community & Home Support Services Residential Rehabilitation Services including Group Home provision Day Services Crisis Assessment & Treatment Service A&E Mental Health Service RedesignElements for Consideration

  11. HPFT Redesign Steering Group including Service User & Carer representatives; Countywide & Sector stakeholder workshops Development of Proposals with input:- JCT HPFT Executive ACS Management Board Staff-side Change Management Group Consultation & Response Implementation Mental Health Service RedesignProcess

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