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Hertfordshire Health Topic Group September 2007

Hertfordshire Health Topic Group September 2007. Investing In Your Mental Health Implementation Mark Jordan Hertfordshire Joint Commissioning Team. Session Contents. 1. Introduction: Mental Health Commissioning and Provision in Hertfordshire

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Hertfordshire Health Topic Group September 2007

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  1. Hertfordshire Health Topic GroupSeptember 2007 Investing In Your Mental Health Implementation Mark Jordan Hertfordshire Joint Commissioning Team

  2. Session Contents • 1. Introduction: Mental Health Commissioning and Provision in Hertfordshire • 2. Investing In Your Mental Health (IIYMH): Where we have come from, Where we are going and How we are going about it? • 3. Scrutinising Mental Health: Further Investigations and Future Opportunities for Working with Commissioning Structures • 4. Afternoon Question and Answer Session with Steve Malusky, Jess Lievesley, Miriam Mugan.

  3. 1. Introduction • What is Commissioning? • How are Mental Health Services Commissioned in Hertfordshire.

  4. Identifying Outcomes Required Evaluating Service Options Monitoring Service Outcomes Designing Service Specifications Performance Managing Services Contracting for Services What is Commissioning? Analysing Needs COMMISSIONING ACTIVITIES

  5. What is Joint Commissioning? • Through Joint Commissioning we bring together all that we have available to spend on health and social care for people with Mental Health problems or Adults with Learning Disabilities so as to provide the best services possible. • In Hertfordshire, more than £250m per year is spent on such services. The county council and primary care trusts together contribute this money to a Joint Commissioning Partnership who then oversee how the money is spent through a Joint Commissioning Team. • We currently use the majority of this money to commission Services from Herts Partnership Trust and from Adult Care Services. In addition we also commission services from other Health trusts and from the private and voluntary sector.

  6. What are the benefits? • By pooling all these resources we can make sure that we join up all the work of Health and Social Care organisations so that service users and carers experience their care as a single effective service. • We can make sure that we do not duplicate effort or waste money and we can make sure that any developments, improvements or changes happen effectively and smoothly. • We can choose whether to continue providing services through the current service providers or whether it would be better in future to provide services through different service providers.

  7. What are the challenges? • The needs of service users and carers are considerable and these services require significant ongoing modernisation and improvement. To achieve this, Joint Commissioning needs to be able to make the best possible use of limited resources . • The range of partners and stakeholders involved is large and varied so communicating effectively and reaching consensus is not always straightforward. • Such a large scale arrangement can run the risk of the losing touch with local needs and with the needs of individual service users and carers. Joint Commissioning must ensure that these needs and the needs of minority groups are recognised and addressed.

  8. Joint Commissioning in Hertfordshire Hertfordshire PCTs Hertfordshire CC Joint Commissioning Partnership Board Joint Commissioning Team Older People MH Strategic Gp Substance Misuse Strategic Gp Working Age MH Strategic Gp Adult Learning Dis Strategic Gp Child Adlscnt MH Steering Gp

  9. Commissioning Integrated Services JOINT COMMISSIONING PARTNERSHIP BOARD Joint Commissioning Team Herts Partnership Trust HCC Adult Care Services OTHER PROVIDERS

  10. 2. Investing In Your Mental Health • Where we have come from? • Where we are going? • How are we going about it?

  11. Commissioning Intentions: The National Context • Our Health, Our Care, Our Say • NHS Operating Framework • National Service Frameworks • Practice Based Commissioning • Foundation Trusts

  12. Commissioning Intentions: The Local Context • Investing In Your Mental Health (2005) provided us with: • A Vision for Mental Health Care • An Investment Plan • This in turn has shaped the agreed commissioning intentions of the Partnership Board

  13. What Has Influenced our Implementation Approach? • National Policy • Local Reconfigurations • Financial Environment

  14. Secondary Care inpatient Primary Care Primary 2 Primary 3 Community Support Mh promotion Housing Primary 1 Primary 4 Self Supporting Commissioning Intentions: The Local Picture INCENTIVISE Practice Based Joint Commissioning Service User (choice)

  15. What do we want our providers to achieve? • A vibrant and sustainable local range of care providers that are working together in a coordinated way at both organisational and service user levels. • An increasingly varied and flexible range of provision • Services that promote independence and deliver defined outcomes • Reliable services that users and carers can easily purchase and coordinate themselves. • Service providers who understand their position in a wider network of well-being and community support, beyond that of the immediate service contract.

  16. How Are We Going About Delivering IIYMH? • Primary Care Pilots and Practice Based Joint Commissioning • Foundation Trust Contract • A Greater Range of Providers • Integrated User and Carer Involvement

  17. Primary Care Pilots and Practice Based Joint Commissioning • Primary Care Developments in St Albans, Watford and Letchworth • Practice Based Joint Commissioning in Stevenage • A Better Model of Care

  18. A ‘Stepped Care’ Approach

  19. A New Service Model

  20. Foundation Trust Contract • Opportunities and Risks • IIYMH Objectives • Service integration through repatriation • Reduced reliance on inpatient treatment • Service Development and Modernisation

  21. A Greater Range of Providers? • Developing the Market • Encouraging Innovation • Establishing the Role of the ‘Third Sector’

  22. Integrated User and Carer Involvement in Planning and Monitoring • Developing host organisations to coordinate and reflect the views of service users and carers • Formalising the integration of user and carer views into commissioning decision making • Supporting Hertfordshire’s ‘Early Adopter’ work for LINks

  23. 3. Scrutinising Mental Health • A Moving Picture ? • Further Investigations • What Questions for Whom? • Future Opportunities for Working with Joint Commissioning Structures • Tapping into the user and carer networks being developed by the partnership • Joining our Public Briefings • Agenda sharing with the Partnership Board

  24. 4. Afternoon Question and Answer Session • Steve Malusky: Mental Health Services for Older People • Jess Lievesley: Mental Health Services for People of Working Age • Miriam Mugan: Mental Health Services for Children and Adolescents

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