Agenda Item No. 10
The Vale of Glamorgan Council
Scrutiny Committee (Social Care and Health): 5th January, 2015
Report of the Director of Social Services
Together for Mental Health Strategy
Purpose of the Report
1. To update Scrutiny Committee on the local response to the National Together for Mental Health Strategy and implementation of the Cardiff and Vale of Glamorgan Together for Mental Health Delivery Plan.
That Scrutiny Committee notes the content of this report.
Reason for the Recommendation
To inform Scrutiny Committee of the work being done, in collaboration with other agencies and organisations, to develop services that will deliver the ambitious outcomes defined in the Together for Mental Health Strategy.
2. In October 2012, Welsh Government introduced the together for Mental Health Strategy, which set out an ambitious programme of improvements and outcomes for the promotion of mental health and the prevention of mental illness. The Strategy recognised the significant impact of mental health problems on the individual, the family, the local community and more widely on the economy.
3. Through taking an overarching view of the impact of poor mental health and mental illness in Wales, the strategy clearly acknowledges that promoting a mentally healthy Wales requires a cross departmental, cross-organisational and multi-disciplinary approach. To this end, the Strategy brings together strategic outcomes for people of all ages and places responsibility for promoting mental health and preventing mental illness across all national and local public bodies.
4. The Strategy introduced local Mental Health Partnership Boards which bring together representatives from a wide range of NHS Clinical Boards, police, probation and prisons, third sector organisations, service users and carers as well as officers from local authority adult services, children's services and housing.
5. The Strategy is focused around the six high level outcomes which should be achieved:
· The mental health and wellbeing of the whole population is improved.
· The impact of mental health problems and/or mental illness on individuals of all ages, their families and carers, communities and the economy more widely, is better recognised and reduced.
· Inequalities, stigma and discrimination suffered by people experiencing mental health problems and mental illness are reduced.
· Individuals have a better experience of the support and treatment they receive and have an increased feeling of input and control over related decisions.
· Access to, and the quality of preventative measures, early interventions and treatment services are improved and more people recover as a result.
· The values, attitudes and skills of those treating or supporting individuals of all ages with mental health problems or mental illness are improved.
Relevant Issues and Options
6. The Cardiff and Vale Mental Health Partnership Board was set up in 2013, to lead on developing the local Together for Mental Health Strategy. Its first Annual report was presented to this Scrutiny Committee in June, 2014 and the draft second annual report (for 2014/15) was submitted to Welsh Government in October.
7. The Board has developed the Cardiff and Vale Delivery Plan in line with the outcomes defined in the national strategy.
This is attached at Appendix 1. It is set out in chapters:
a. Promoting better mental wellbeing and preventing mental health problems
The Local Mental Health Partnership will strengthen existing arrangements within the 'Time to Change' intentions and will develop new partnerships to deliver a better range of integrated services.
· The 3 year Dementia Plan has been launched and it includes initiatives such as Dementia Champions and Friends, to raise awareness within services and across the partnership.
· A range of mental health awareness events have been coordinated by third sector organisations to promote mental and physical wellbeing.
· A Suicide and Self Harm group has been set up to oversee the next phase of the 'Talk to Me' programme.
· In line with Veterans NHA Wales, the partnership has supported awareness raising and support meetings for veterans and older people with mental health problems that has reached over 110 people.
Priorities for next 12 months:
· Promotion and training around dementia care and the Deprivation of Liberty Safeguards in hospital settings.
· All partners to identify Time to Change Champions with specific responsibilities for raising awareness of mental health and promoting positive images of mental health when developing services.
· Further development of the suicide prevention strategy and Talk to Me Action Plan.
· Build better networks for veterans needing to access services.
b. A new partnership with the public
The Partnership Board acknowledges the value of involving service users and carers and the wider public in strategic development and continue to explore new approaches to developing a 'co-production' ethos throughout the partnership.
· Continue to contract with Cardiff and Vale Action for Mental Health and Hafal to provide support and opportunities for service users and carers becoming involved in the co-production of service provision, through the Sefyll and Nexus projects.
· Consultation and Engagement events have enabled over 140 service users and carers to have their say in identifying priorities for services, including specific work on engaging people from Black and Minority Ethnic groups.
Priorities for the next 12 months:
· Increased availability of mental health workers able to provide services to people with sensory needs.
· Provision of services available through the Welsh language.
· Improved accessibility of services for people from Black and Minority Ethnic groups.
c. A well designed, fully integrated network of care.
The Partnership Board is responsible for developing a fully integrated network of care and support as well as influencing universal community opportunities and activities that are inclusive and promote mental wellbeing (such as leisure, education, employment, housing and general medical services).
· Embedding the Mental Health Measure into secondary and primary mental health care has acted as a lever to promote further a recovery ethos into the spectrum of child, adult and older people's mental health services.
· The Co-creating Healthy Change initiative has strengthened service user involvement across adult Community Mental Health Teams by developing methodologies for greater involvement in care and treatment planning.
· Community and Inpatient Crisis Intervention Services have been strengthened, to reduce the number and length of hospital admissions.
· The Dementia Plan sets out an integrated approach to dementia care and seeks to promote awareness of dementia across all areas of health and social care.
· Vale of Glamorgan adult mental health services had a very favourable review from the Care and Social Services Inspectorate for Wales in October 2014. While acknowledging the limited resources available. CSSIW described many of our services as outstanding. The final report is attached at Appendix 2.
Priorities for the next 12 months:
· Improve availability and accessibility to psychological therapies in primary and secondary care services, particularly around:
- Obsessive Compulsive Disorders
- Early Interventions in Psychosis
- Post-Traumatic Stress
- Psychological input supporting physical health conditions.
· Quality audit of care planning to ensure that a recovery-focused and person-centred approach is set as a standard across all settings.
· Improved accessibility to Primary Mental Health Services.
· Implementation of the Primary Mental Health model and the Risky Behaviour model for Child and Adolescent Mental Health Services.
d. One system to improve Mental Health
The Partnership Board is aware that health, social care and other public services need to operate a unified approach if there is to be a holistic response to people's needs. It acknowledges the need to take a broader perspective when working with people and to build stronger partnerships.
· Improved communication and shared protocols with the Housing department has led to reduced delayed transfers of care and the development of creative housing solutions.
· Promoted awareness of mental health at the Housing Conference.
Priorities for the next 12 months:
· Promotion of the 'Out of Work' Peer Mentoring Programme, to support the employment of people with mental health problems.
· Develop integrated models of support to enable people's move on from institutional care into independent living arrangements.
e. Delivering for Mental Health
The Minister for Health and Social Services has said that 2014 is the year of 'Prudent Healthcare', avoiding waste and duplication. In delivering this commitment, the Partnership Board must tackle the challenges from a service user and carer perspective.
· Leading on the development of the All Wales Mental Health Core Data-set.
· Re-organisation of the Partnership Board to take a themed approach to explore, in detail, the innovations and areas for development of the mental health service providers.
Priorities for the next 12 months:
· Pilot the core data-set throughout the mental health collaborative.
· Consider unmet need in the planning and delivery of services.
· Development of Action Plan to consider outcomes of Service User Workshops held throughout 2014.
8. The Delivery Plan provides a detailed analysis of the progress to date and the areas for further action. It is clear that the Partnership is making significant progress in many areas with mental health services becoming much more recovery focused and aware of their place within the wider health, social care and community service systems.
Resource Implications (Financial and Employment)
9. The estimated annual cost of mental ill health in Wales is £7.2 billion per year. By working together to promote mental health and preventing mental illness, we can look to reduce the financial cost of mental ill health in the Vale of Glamorgan.
Sustainability and Climate Change Implications
10. More effective and responsive services do provide opportunities to reduce waste and duplication.
Legal Implications (to Include Human Rights Implications)
11. There are no specific legal implications as a result of this report.
Crime and Disorder Implications
12. There are no crime and disorder implications as a direct result of this report.
Equal Opportunities Implications (to include Welsh Language issues)
13. The Cardiff and Vale Together for Mental Health Strategy provides the same high level outcomes for people of all ages, aims to reduce stigma and promote equality of life chances for all.
14. Community Leadership:
CL2 Increase customer satisfaction and improve how customers access services by developing more integrated service delivery with our partners and being more innovative in how public buildings are used.
CL4 Explore opportunities for working collaboratively within the Vale and regionally which will lead to improved services for customers, support innovation and deliver savings.
15. Health, Social Care and Wellbeing:
HCWB2 Promote and support community facilities to offer a wide range of leisure and social activities helping to improve residents' health and wellbeing.
Policy Framework and Budget
16. This is a matter for Executive decision.
Consultation (including Ward Member Consultation)
17. There are no matters in this report which relate to any individual Ward.
Relevant Scrutiny Committee
18. Social Care and Health.
Together for Mental Health - Annual Report 2012 - 2013 (Welsh Government 2013)
Together for Mental Health - Cardiff and Vale Partnership Board Annual Report 2012 - 2013
Lance Carver, Head of Adult Services and Locality Manager
Andrew Cole, Operational Manager - Mental Health
Philip Evans, Director of Social Services