1 / 19

Current funding and policy environment

Current funding and policy environment. Current Policy Context. Mental Health Strategy - Life course approach: Quality Driven - Implementation Plan being prepared Health and Social Care Bill Healthy Lives Healthy People SEN and Disability Green Paper Education Act 2011

tia
Download Presentation

Current funding and policy environment

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Current funding and policy environment

  2. Current Policy Context • Mental Health Strategy • - Life course approach: Quality Driven • - Implementation Plan being prepared • Health and Social Care Bill • Healthy Lives Healthy People • SEN and Disability Green Paper • Education Act 2011 • OFSTED 2012 framework for school inspection

  3. Public Health England (Local health improvement in LAs) The new health system Department of Health NHS NHS Commissioning Board Monitor (economic regulator) CQC (quality) HealthWatch Clinical Commissioning Group Providers Localauthorities (via health & wellbeing boards) Local HealthWatch

  4. The Health Reforms NHS commissioners supported by a new NHS Commissioning Board which will authorise CCGs, commission some services including primary care, and host clinical networks and senates Most NHS care commissioned by Clinical Commissioning Groups All NHS providers to become Foundation Trusts A stronger role for local authorities in shaping services, with new responsibility for local population health improvement New Health and Wellbeing Boards within each higher tier local authority area

  5. The Health Reforms: health and wellbeing boards Core membership includes : DCS, DASS and one local councillor, DPH, Clinical Commissioning Groups and HealthWatch – with option for more Mutual obligations on Councils and NHS commissioners for joint strategic needs assessment (JSNA) and joint health and wellbeing strategies (JHWS) – in partnership Expectation that HWBs are involved throughout the NHS commissioning process – so commissioning plans are in line with the JHWS Joint commissioning and integrated provision promoted HWB to have a duty to involve users and the public in the JSNA and JHWS HWB will introduce local democratic legitimacy Local HealthWatch will bring a stronger voice for patients and the public - including children and young people

  6. Children and Young People’s Health Outcomes Strategy Launched by Secretary of State on 26 January 2012 Forum chaired jointly by Professor Ian Lewis and Christine Lenehan Will seek to ensure that the outcomes measured are the ones that matter most to children, young people and their families and the professionals that support them Will describe how different parts of the system will contribute to delivery of these outcomes.

  7. Transforming CAMHS through IAPT Working in partnership with children and young people to shape their local services improving the workforce through training in best evidence based practice - CBT and Parenting for 3-10 year olds (for emotional disorders such as anxiety, depression and behavioural problems) Developing session by session outcome monitoring Supporting local areas to improve their infrastructure to collect and analyse the data to see if children and young people are getting better.  Building on established local relationships Enhance supervision and monitoring of outcomes Maximise the value of investment Deliver quick and visible change Optimise local flexibility

  8. The Children and Young People's (CYP) Increased Access to Psychological Therapies Project • £8M per year for 4 years. (2011/12-14/15) The £32M budget is non recurrent. • In 2012-13 there is the opportunity to join the project either by • linking to an existing collaborative where the HEIs are based in  London, Reading or Salford • or, in areas of the country which cannot easily reach an existing collaborative, the project is seeking to appoint up to two new Learning Collaboratives.  • Partnerships can include the voluntary and statutory services  

  9. What does the offer include? • Training and ‘backfill’ for staff • Trainees • Supervisors • Managers/leaders • Funding for service development, IT infrastructure, participation, accreditation • Creating change agents within CAMHS • Funding for a further year for data capture across the service

  10. CAMHS Payment by Results Background PbR was introduced in acute health care settings in 2003. PbR is currently being adapted for CAMHS. This will be central to the future commissioning of CAMHS. The aim is for clusters and care pathways to be agreed and implemented by the end of 2014 a tariff-based system links a preset price to a defined unit of output activity (or currency)

  11. Key questions being explored Should children be placed into clusters characterised by the same level of resource allocation, or on the basis of sharing a common diagnosis, problem/need formulation, or care package? How should we take account of the fact that CAMHS provision often involves input from agencies outside health, in particular social care and education?

  12. Provisional Clusters To accommodate for complexity and risk, proposed that each cluster has 2 levels – low or high complexity

  13. Provisional Clusters To accommodate for complexity and risk, proposed that each cluster has 2 levels – low or high complexity

  14. Next steps for the project Proposed ways forward Testing of the provisional cluster structure using: Consultation – with CAMHS services, healthcare providers and non-healthcare providers etc. Trying to gauge how the clusters fit with clinical experience. Retrospective / Exploratory analysis – using large datasets currently being collected, to see how far the actual data supports the suggested clusters. Pilot clustering - using a basic algorithm with new cases at different CAMHS sites to refine clusters and allocate resources that will eventually lead to development of tariffs.

  15. VCS funding environment loss of 3.3 billion from public funders by 2015 static growth in individual and corporate giving vcs gets £13.9 billion from government, 79% is contracts for services About 3% of government funds go to small/medium organisations, rest to large charities Sustainability weakened - in 2009/10 voluntary organisations spent 99% of all incoming resources Inflation biting, grants reducing, spending up Social investment talked about but not market ready

  16. VCS operating environment Threat to VCS independence Compact compliance patchy 5% reduction in staff in 2010/11 Volunteering numbers down Demand for services has increased Big Society policies have failed to engage voluntary sector

  17. GETTING IN TOUCH Website: www.youngminds.org.uk/bond Email: bond@youngminds.org.uk Telephone: 020 7089 5050

More Related