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Enhanced Primary Mental Health Service

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Partnership between Joint Commissioning Team, Primary Care Trusts & HPFT - formal contract ... Others including Vocational Advisers, Occupational Therapists ... – PowerPoint PPT presentation

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Title: Enhanced Primary Mental Health Service


1
Enhanced Primary Mental Health Service Service
Redesign
  • Health Service Strategic Commissioning Topic
    Group 5th September 2007

NHS
Hertfordshire Partnership NHS Foundation Trust
2
Enhanced Primary Mental Health Service (EPMHS)
  • Partnership between Joint Commissioning Team,
    Primary Care Trusts HPFT - formal contract
  • Part of integrated, whole system stepped care
    approach to the care and treatment of mental ill
    health
  • Aid to understanding of mental ill health
    facilitation of social inclusion recovery
  • Multi-disciplinary service to adults of working
    age with mild-moderate mental ill health

3
Enhanced Primary Mental Health Service
  • EPMHS does form part of the modernisation of
    mental health services agenda
  • EPMHS does not replace primary care counselling
    services
  • EPMHS does not replace secondary care community
    mental health services
  • Secondary mental health services will focus
    primarily on those with most complex needs

4
Enhanced Primary Mental Health Service What
does it deliver?
  • Signposting
  • Triage Assessment
  • Guided/Self Help
  • High volume, low intensity psychological
    therapies
  • Individual/Group work
  • Short term interventions
  • Social Vocational Support
  • Primary care professional support guidance

5
Enhanced Primary Mental Health Services Who
delivers it?
  • Graduate Workers
  • Link Workers
  • Support, Time recovery Workers
  • Input from-
  • Psychologists
  • Consultant Psychiatrist
  • Others including Vocational Advisers,
    Occupational Therapists

6
Enhanced Primary Mental Health Services Where ?
  • Within Primary Care
  • GP Practices
  • Alternate, non-stigmatising community or
    voluntary sector settings eg Letchworth Health
    Living Centre

7
Enhanced Primary Mental Health Services Current
Position
  • Further development of previous pilots-
  • Watford gt WatCom, including Watford 3 Rivers
  • Letchworth gt North Herts to include Hitchin
    Royston (under negotiation)
  • St Albans to extend to include all GP practices
  • Stevenage Practice Based Commissioning Pilot
    includes development of EPMHS

8
Enhanced Primary Mental Health Services Next
Steps
  • Discussions under way with Hertsmere PBC
  • Approach from Cheshunt GPs in South East Herts
  • Hertfordshires success as Pathfinder Site for
    Improved Access to Psychological Therapies
  • Development of Joint Transition plan between
    HPFT, Joint Commissioning Team, Practice Based
    Commissioning Groups for EPMHS development across
    all areas of Hertfordshire

9
Mental Health Service Redesign Key Principles
  • Recovery Approach
  • Whole system Strengths Based
  • Needs-led service with focus on outcomes
  • Evidence-based/best practice
  • Timely/flexible access to required service
  • Clarity of function roles
  • Standardised Assessment Framework
  • New Ways of Working New Roles
  • Equity of resources
  • Partnership Working

10
Mental Health Service RedesignElements for
Consideration
  • Enhanced Primary Care Service development
  • Consequent Redesign of Secondary Service within
    CMHTs
  • Location of Referral Assessment function
  • Relationships with other community mental health
    services including-
  • Assertive Outreach Service
  • Community Home Support Services
  • Residential Rehabilitation Services including
    Group Home provision
  • Day Services
  • Crisis Assessment Treatment Service
  • AE

11
Mental Health Service RedesignProcess
  • HPFT Redesign Steering Group including Service
    User Carer representatives
  • Countywide Sector stakeholder workshops
  • Development of Proposals with input-
  • JCT
  • HPFT Executive
  • ACS Management Board
  • Staff-side Change Management Group
  • Consultation Response
  • Implementation
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