Mental Health, Dementia and Neurological Conditions

Presented by Martin Fahy

East Midlands SCN

Introduction

• SCN Overview – Mental Health Network

• Developing the Network

• Dementia Programme (legacy)

• Neurology Programme (new)

• Perinatal Mental Health Programme (legacy)

• IAPT Programme (legacy)

• Report Cards

• Issues and Challenges

SCN Overview – Mental Health Network

• Three programmes for mental health network• Dementia (Priority Project)

• Neurological Conditions (Continuous Improvement)

• Perinatal Mental Health Services (CI)

• IAPT (CI)

• The Team:• 1 x Clinical Director, 3 x Clinical Leads, 1 x Network

Manager, 1 x Quality Improvement Lead, 1 x Senior Quality Improvement Lead

Developing the Network

• Engaging with key people• Extended existing networks; meetings with key

organisations; Clinical Advisory Groups established

• Regional events • Neurology and Dementia conferences, November and

January

• Links with key delivery partners• Collaboration with EM Academic Health and Science

Network, Health Education East Midlands, EM Specialised Commissioning Group

Dementia Programme

• Review of current service models and case for change developed (in line with national priorities)

• Best practice models e.g. primary care Hardwick CCG

• Develop minimum core standards and baseline service specifications

• Acute; Mental Health; Local Authority

• Working group established to lead on this

• Undertake regional service mapping project• Training; Long-term care; Domiciliary Care

Neurology Programme• Stakeholders identified & engaged• Identified key issues and barriers & progress

• Under-resourced; local champions and clinical leaders; lack of national drivers

• Establish neurology specific data set• Collaboration with NCS

• Develop baseline ‘products’• Service Mapping; Standards, Integrated Care Pathways

• Focus on enhanced community care(working with Stroke Network)

Perinatal Mental Health Programme• Legacy of regional and national work

• Minimum standards and service specifications

• RCPsych; Clinical Reference Group; national mental health contract

• Working with EM Specialised Commissioning Group• Recent developments & closure of Mother and Baby Unit

• Further developing Perinatal Community Psychiatric Services in Leicestershire

• Public engagement on behalf of CCGs• Focus groups with ex-service users

IAPT Programme

• Regional IAPT event • National perspective; data; pathways; training

• Establish Clinical Advisory Group

• Key areas of development• Improve access to IAPT services and recovery rates• Additional education and training in specialist areas

Report Cards

• Developing 13 SCN Report Cards• Including Dementia; Neurology; Perinatal Mental Health

• Benchmarking service provision• Structure, process, outcome• Identifying regional variation

• Implementation March 2014

• What are SCNs for and what do they do?• Common vision/shared purpose, ‘Hearts and Minds’

• Sign-up/consensus on key, fundamental areas of improvement

• Strategic vs operationalisation

• Interfaces • Services; organisations; professionals; budgets

• Targets• Large scale change vs timescales

• Resources

Issues and Challenges