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The Role of The Mental Health Partnership & Committee
Anne HawkinsMHP Director
Mental Health Partnership
• Focus – Adult Mental Health Services
• Partnership – Primary, Secondary & Social Work Services
• Leadership / Strategic Planning
• Development of Services
• Clinical / Corporate / Staff Governance – Implementation
Mental Health Partnership
• Performance Management
• Development of Health Improvement Strategies
• Capital Developments
• Directly Managed Services – Beds & Area Wide Services
Challenges
• National Commitments
• Forensic Services
• Ongoing Redesign of Services
• Performance Management
• Implementing Clyde Strategy
The MHP Committee
• Whole System Accountability
• Monitor Performance
• Approve & Monitor Strategic Plans
• Health Improvement & Prevention Strategies
• Care Governance & Professional Standards
• Legislation
Care Governance Framework MHP
Dr Linda J Watt Medical Director MHP
Mental Health Partnership Functions
• Management of all Adult Acute Beds, Forensic Services, Liaison Psychiatry, Rehabilitation & all cross city services
• Manage all Clyde MH services
• Strategic Planning & Performance management of entire MH System
• Clinical & Care Standards of entire MH System
LD Partnership ALDT
MHNetwork
MentalMental
HealthHealth
PartnershipPartnership
CHSCP x 5P.E.G.
Health Board / Local Authority
RAS
WCD
CAMHTsAddictionsPartnership
EMI
CATs
Local Authorities NHS Greater Glasgow and Clyde
MHP Care Governance Committee
CHCPMental Health
Services
Care Governance Committees
CHCP Directors
MHP Director
Sub Group 1- Legislation
Group
Sub Group 5Practice Training Group
Sub Group 2- Information Governance
Group
Sub Group 6Service User
/ Carer
Sub Group 3 – Practice
Development and
Research tResearch
Sub Group 7Medicines Resource
Management Group
Mental Health
PartnershipServices
Heads Of Mental Health Service
CHCP P.E.G.
MHPMedicalDirector
Sub Group 4
Client Safety Group
KEY
Managerial Accountability For Care Governance
Professional Support / Advice Structures &Lead Relationships
Forensic
CHCP Care Governance
Committee LD
Care Governance
Group Adult MH
Care Governance
• Covers Health Clinical Governance
• Covers Social Care Standards (to include purchased services)
MHP Care Gov Group Membership
• Medical Dir (chair)• MHP Director• Lead for SW (vice-
chair)• Nurse Director• Prof Heads-AHP,
Pharmacy,• Psychology
• Heads of MH• Staff/P rep.• LD Lead• Addictions Lead• CAMS Lead• Older Peoples Lead• Gen Man Forensic• Legislation Lead
Sub-Groups MHP
• Governance of Purchased Services (Clive Travers & Raymond Bell)
• Legislation Group (Chris Weir & Stuart Lennox)
• Information Governance Group ( Calum McLeod & Fiona Lockhart)
• User & Carer Group ( Robert Davidson & Cindy Wallis)
Sub-Groups MHP
• Client Safety Group ( Clive Travers & Raymond Bell)
• Practice Development & Research Group including Joint Training ( Colin McCormack & Mhairi Branagan)
• Medicines Resource Management Group ( Linda Watt & Derek Brown)
MHP Care Gov Links
• LD Partnership ( Lyndsey McNair)
• Additions Partnership ( Uday Mukerji)
• CAMS Services ( Julie Metcalf)
• Older Peoples Services ( Graham Jackson)
• Homeless Partnership ( Alice Docherty)
Performance Assurance
Doug Adams Head of Planning and Performance
(MHP)
National Policy And Performance Context
• Mental Health Act• Mental Health Delivery Plan• Mental Health and Well Being Strategy • HEAT Targets• National Performance Reporting
• HEAT Targets• Delivery Plan Implementation • Integrated Care Pathways
• Rights, Relationships and Recovery
Local Performance Priorities
• Development of CH(c)P Community Services• Crisis 24/7• Assertive Outreach • Integrated Teams
• Development of Specialist Community Services• Eating Disorders
• Major Capital Developments• Rowanbank Unit• New Gartnavel Hospital
Local Performance Priorities Continued….
• Strategy Development• Clyde Strategy• Greater Glasgow
• Effective Functioning of Service System across Community and Inpatient Services
• Effective Functioning of Community Services• Impact of Community Services on Patterns of
Inpatient Bed Use• Effective deployment of Inpatient Beds• Progress on HEAT Targets
Whole System Functioning: Performance Assurance
1. Individual CHP Managed Services: Community Services
2. MHP Managed Services: Inpatient and Pan CHP Specialist Services
3. CHP’s together through the Mental Health Partnership: Whole System of Care
• MHP Committee Focus • MHP Managed Services• Whole System of Care
Building Blocks For Performance Assurance• Common Core Dataset: Number Indicators
- Covers each Community Service Team and Inpatient Services
- Effective Functioning of Community Teams and Impact on Effective Deployment of Inpatient Beds
- Feedback on Comparative Performance and Practice Variance
- In Development; almost useable
Building Blocks For Performance Assurance Continued
Development and Performance Plan: MHP• Collects Together into Single Plan:
- External Performance Priorities - Corporate Organisational Priorities of NHS/ +- Local Authorities - Local Mental Health Priorities - Includes Practice Governance- In development; almost useable
• Sets Out- Objectives- Target and Progress Measure- Lead Officer- Mix of Number Based Indicators and Quality Based Progress
Update
Building Blocks For Performance Assurance continued
• Performance Framework in Place• Population of Performance Framework almost in
Place• Performance Assurance Group Recently
Established- Assures Progress on Development Plan - Commissions Management Action/Development Work - Significance and Exception Reporting- Produce Reports for MHP Committee- Assurance of Functioning of Whole System of Care- ? Rolling Programme of Strategic Reporting
Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.
Rights Relationships & Recovery
Briefing Presentation
Robert Davidson(Acting) Nurse Director
Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.
Delivering for Mental Health
•Published December 2006
•A new vision for services
•14 commitments
•3 HEAT targets (4)
•Support for change
•Performance Management
Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.
Strategic CohesionR R & R•Recovery focused care•Rights and values based training•Expert patient•Psychological therapies•Develop self managed care•Establish professional networks•Focus on acute care as a priority•Address physical health needs•Improve knowledge and skills in management of self-harm
Delivering for Mental Health•Recovery focused care•Rights and values based training•Peer support worker•Psychological therapies•Reduce re-admissions•Establish acute care forums•Acute care a priority•Address health and wellbeing needs•Reduce suicide rates
Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.
Mental Health (Care & Treatment) (Scotland) Act 2003
The Millan Principles: – The ethical underpinning of the ActNon-discrimination
Equality
Respect for diversity
Reciprocity
Informal care
Participation
Respect for carers
Least restrictive alternative
Benefit
Child welfare
Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.
The title of the report represents the central importance of:
•A rights-based approach to practice
•Developing positive relationships as the starting point for all interventions with service users, carers and families
•Recovery as the underpinning principle of therapeutic interventions.
Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.
• More than just symptom control• Feeling valued as a person• Feeling listened to and heard• Regaining control of life and life decisions• Being supported towards self-determination• Living a satisfying and fulfilling life• A journey with lots of ups and downs• Life being back the way it was or discovering a new life• Contributing to the community• Helping others
…..........Even when symptoms might still be present
Recovery is a collaborative process and is about……..
Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.
• Drive to embed nursing practice in a set of 10 essential shared capabilities
• Reaffirming that that core of mental health nursing is about engagement and relationships
• Shift towards recovery focused models of care supported by a ‘Realising Recovery’ service framework
• Responding better to diversity and inequalities
Key Themes
Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.
• Review of pre-registration educational programmes supported by competency based / capability frameworks
• Better support for people with long term mental health problems including improvements in physical health
• Developing skills in detection and management of suicide and self harm
• Developing nursing care in acute inpatient services
• Developing Advanced Practice and Nurse Consultant roles
Key Themes
Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.
• Developing nurse prescribing aligned to service redesign
• Increasing the profile and skills base in working with older people who have mental health problems
• Increasing knowledge and skills in psychosocial interventions and psychological therapies
• Improved collaborative working between service providers and Higher Education Institutions
• Develop user and carer involvement in nurse education.
Key Themes
Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.
• Working in Partnership
• Respecting Diversity
• Practicing Ethically
• Challenging inequality
• Promoting recovery
The 10 Essential Shared Capabilities for Mental Health Workers in Scotland
•Identifying peoples’ needs and strengths
•Providing person-centred care
•Making a difference
•Promoting safety and positive risk taking
•Promoting personal development and learning
Staff Governance Standard3rd Edition 2007
Catriona Chambers Head of HR (MHP)
The governance framework within which NHS Boards must operate comprise of 3 distinct areas
Clinical GovernanceFinancial GovernanceStaff Governance
Staff Governance focuses on how NHS Scotland staff are managed, and feel they are managed.
Staff Governance is defined as:
• Well informed;• appropriately trained;• involved in decisions which affected them;• treated fairly and consistently; and• provided with an improved and safe working
environment.
NHS Boards are required to demonstrate that staff are:
“a system of corporate accountability for the fair and
effective management of all staff”.
Monitoring Arrangements
Staff Governance Standard
Audit Report Annual Review
Self Assessment Audit Tool and Staff Survey
Action Planning
Mental Health Partnership Response 2007/2008
- Local action plans completed Sept/Oct 2007
- Sub-group of MH Staff Partnership Forum (SPF) agreed September 2007
- Analysis of local action plans by sub-group November 2007
- Reporting cycle to MH SPF from November 2007
Some Staff Governance Challenges
- Size of Organisation
- Service Redesign
- Joint Working
- Integration of Clyde
- Pay Modernisation
- Workforce Information
