National Mental Health Dementia & Neurology Intelligence Network. Variation between CCGs in need, prevalence, service use and outcomes
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1 National Mental Health Dementia & Neurology Intelligence Network Variation between CCGs in need, prevalence, service use and outcomes Mike Streather (Head of Intelligence (Mental Health), NMHDNIN Thursday 16 th March 2017
2 What we will cover 1. Introduction to the National Mental Health Intelligence Network 2. Overview of how to navigate fingertips and the CMHD profile 3. Detailed look at how the CMHD profile focussing on: a. Additions to the profile in the past year b. The relationship between deprivation and outcomes c. Proposed developments of the profile in Questions and feedback 2 NMHDNIN CMHD March 2017
3 Introduction to the National Mental Health Intelligence Network
4 Introduction to the network o Established in 2014, sits within the National Mental Health, Dementia and Neurology Intelligence Network (NMHDNIN), one of PHE s five HINs which mirror NHSE Clinical Networks. o The NMHIN is a cross-system network: o Chaired by the NHSE National Clinical Director for Mental Health o Leadership Group NHSE, HSCIC, DH, PHE, NHSI, 3 rd Sector and Clinical Expertise o Our main products: 1. Data profiling tools 2. Intelligence reports and briefings 4 NMHDNIN CMHD March 2017
5 The fingertips data profiling tools o Publicly available online tools that allow you to access and view national metrics in relation to mental health o Data is presented by a range of geographies and localities, allowing you to benchmark and identify variation o Data is presented across a pathway, with data on: risk and related factors, prevalence, services, quality & outcomes, and finance. CMHD also has pathway, therapy type and problem descriptor. o Seven mental health data profiling tools on: joint strategic needs assessment, common mental health disorders, severe mental illness, suicide prevention, co-occurring substance misuse and mental health issues, children and young people s mental health and wellbeing, and crisis care 5 NMHDNIN CMHD March 2017
6 Common Mental Health Disorder domains Domain 1: CMHD pathway Profile overview of key indicators Domain 2: Risk & related factors Domain 3: Prevalence Domain 4: Services Domain 5: Quality & Outcomes Domain 6: Finance Domain 6: Outcomes by Problem Descriptor Domain 7: Availability by therapy type Deprivation Risk factors such as unemployment, homelessness Risk factors affecting children Estimated prevalence Recorded prevalence IAPT Primary care prescribing IAPT Primary care (QOF) Prescribing Programme budgeting Recovery rates Referral numbers by therapy type 6 NMHDNIN CMHD March 2017
7 How to navigate the CMMHD profile
8 8 NMHDNIN CMHD March 2017
9 9 NMHDNIN CMHD March 2017
10 10 NMHDNIN CMHD March 2017
11 Data at multiple geographies / co-terminosity County District CCG 11 NMHDNIN CMHD March 2017
12 What does the CMHD profile tell us about need, access and outcomes?
13 13 NMHDNIN CMHD March 2017 Deprivation
14 GP survey Prevalence estimates Modelled estimates QOF 14 NMHDNIN CMHD March 2017
15 Relationship between deprivation and prevalence GP survey QOF recorded 15 NMHDNIN CMHD March 2017
16 Access to IAPT services (referrals) Rate per 100,000 popn Percentage of those with anxiety / depression 16 NMHDNIN CMHD March 2017
17 17 NMHDNIN CMHD March 2017 Relationship between deprivation and referrals
18 18 NMHDNIN CMHD March 2017 Relationship between prevalence and referrals
19 19 NMHDNIN CMHD March 2017 IAPT recovery
20 20 NMHDNIN CMHD March 2017 IAPT reliable improvement
21 Relationship between deprivation & outcomes Recovery Reliable improvement 21 NMHDNIN CMHD March 2017
22 Relationship between prevalence & outcomes Recovery Reliable improvement 22 NMHDNIN CMHD March 2017
23 Recent developments
24 Additions in 2016 Annual IAPT report Outcomes by problem descriptor - Recovery by problem descriptor - Percentage of completed treatments with different problem descriptors Availability by therapy type - Numbers treated by different therapy type 2014/15 & 2015/16 data 24 NMHDNIN CMHD March 2017
25 Forthcoming developments
26 Forthcoming developments Finance data on planned IAPT spend Annual IAPT report Waiting time between 1st & 2nd treatment Intensity of therapy low, high, both Finishing a course of treatment with paired ADSMs by problem descriptor GAD & PHQ scores at start & end of treatment and effect scores 26 NMHDNIN CMHD March 2017
27 Questions and feedback
28 Contact us Contact us with any further feedback at: - Mike Streather (Head of Intelligence (Mental Health), NMHDNIN) mike.streather@phe.gov.uk Visit the fingertips CMHD profile: Or Google mental health fingertips
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