Mental health and wellbeing of people with mental health problems

Transcription

1 NHS North, Central and South Manchester Clinical Commissioning Groups Mental health and wellbeing of people with mental health problems GRANTS PROSPECTUS 2016

2 Prospectus 1 Contents Key information... 2 Grant programme... 3 Why the grant programme is needed... 3 Improving Access to Psychological Therapies (IAPT)?... 6 Community mental health teams... 6 Grants... 7 Objectives... 7 Requirements... 7 Definitions... 9 Who can apply? Partnership and collaboration Funding What can be applied for? How decisions will be made? How to apply What will happen after the decisions have been made How will the activities be evaluated and monitored?... 14

3 Prospectus 2 Key information Application period Monday 5 September to Friday 14 October 2016 Selection period Monday 17 October 2016 to Friday 6 January 2017 Start-up period All projects must be finished within 18 months of start date by Monday 9 January to Friday 7 April 2017 Friday 12 October 2018 If you require any further information or have any questions please contact grants@macc.org.uk.

4 Prospectus 3 This grant programme is funded by North, Central and South Manchester NHS Clinical Commissioning Groups (CCGs) and administered by Macc. It is overseen by a programme board made up of a range of stakeholders. Thanks for your time in reading this prospectus and good luck with your application. Grant programme The total amount of the grant programme is 330,000. The main aim of the programme is to improve the mental health and wellbeing of people with mental health problems living in Manchester The secondary aims of the grant programme are: to improve the number and effectiveness of relationships between voluntary, community and social enterprise (VCSE) organisations and statutory providers of health and social care services based in neighbourhoods to assist CCGs to improve the way they commission neighbourhood-based services Why the grant programme is needed Mental health problems are a significant issue in Manchester and the mental health of its citizens is integral to their overall wellbeing and to the success of the city. National government has made it a priority to improve the quantity and quality of mental health services. According to Manchester s Joint Strategic Needs Assessment: it is estimated that between one in eight and one in ten Manchester adults are prescribed antidepressant medication 6.9% of North Manchester patients over 18 have unresolved depression compared to 5.8% for England In Manchester, 3,981 people are in contact with mental health services for every 100,000 of the population (1 in 25), compared to 2,176 nationally (1 in 46) the Care Programme Approach (CPA) is a planning system for people with more severe mental illness and complex needs. In Manchester 685 people are registered with CPA for every 100,000 of the population, compared to 531 nationally Manchester has a significantly higher rate of suicide (14.5 people per 100,000 of the over 15 population) than averages for England (8.5 per 100,000) for those using secondary care mental health services in Manchester, 78% are not in paid employment and 18% are not in settled accommodation

5 Prospectus 4 Nationally The Five Year Forward View for Mental Health (Department of Health, February 2016) states that: it is estimated that people with a diagnosis of schizophrenia will have up to 20 years less life expectancy at least one in four people will experience a mental health problem at some point in their life and one in six adults has a mental health problem at any one time almost half of all adults will experience at least one episode of depression during their lifetime one in five mothers suffers from depression, anxiety or in some cases psychosis during pregnancy or in the first year after childbirth. Suicide is the second leading cause of maternal death, after cardiovascular disease sickness absence due to mental health problems costs the UK economy 8.4 billion a year more women than men are diagnosed with common mental health problems (women 21.5%, men 13.5%) In Manchester some of the most persistent challenges for people with mental health problems and for mental health services are: the system for managing acute and urgent mental health needs to be improved there is delayed access to talking therapies fragmented delivery of services across poorly-integrated providers (mental and general/physical healthcare) the stigma of mental health it is hard for people to leave mental health services the routes back into employment, education and independent accommodation are not easy and can hinder a person s sense of wellbeing In response to some of these challenges Manchester Health and Social Care Services are moving to a One Team approach, bringing services together in 12 neighbourhoods that cover all of Manchester. The intention is that this approach will both create better joint working both between statutory services and between statutory services and local organisations. This grant programme is part of additional investment by CCGs to: increase access to services and improve recovery develop the way that IAPT services are provided to make it work for Manchester and for the One Team deliver the interventions and support in a way which is meaningful for the people who need it

6 Prospectus 5 use the strengths of communities and organisations to help mental health services deliver differently and in collaboration

7 Prospectus 6 Improving Access to Psychological Therapies (IAPT) IAPT is a national programme to Improve Access to Psychological Therapies which is: targeted at adults suffering from anxiety and depression developed so the first treatment option is not just medication IAPT services in Manchester have developed close links with employment support services. The interventions offered by IAPT providers are based on NICE guidance. The therapies offered by IAPT services include: cognitive behavioural therapy computerised cognitive behavioural therapy guided self help, pure self-help, behavioural activation and graded physical exercise mindfulness cognitive behavioural therapy couples therapy counselling for depression brief dynamic therapy interpersonal psychotherapy eye movement desensitisation and reprocessing Community mental health teams As well as working with IAPT providers you may consider working in partnership with the six Community Mental Health Teams run by Manchester Mental Health and Social Care Trust. These are multi-disciplinary teams that provide health and social care assessment, care, support, treatment, intervention, advice, guidance and liaison for individuals with severe and enduring mental health problems with a high complexity of need.

8 Prospectus 7 Grants Objectives 1. to increase the social inclusion within their neighbourhoods of people with serious and enduring mental health problems 2. to increase the take-up of Improving Access to Psychological Therapies (IAPT) programme services among communities that finds them difficult to access 3. to increase the level of support offered to people with mental health problems who find it difficult to access existing services in their neighbourhoods As well as meeting one or more of the objectives identified above, successful proposals will need to demonstrate how some or all of the following requirements of the grant programme are embedded within their organisations and proposed activities. Requirements a) User involvement and empowerment Activities are designed to enhance the capacity and capability of people with mental health problems to participate within the community and local social networks, to take charge of their own care and to increase their social capital. Organisations involve people with mental health problems in decision-making, both in terms of their own support and in the strategic direction of the organisation. Organisations have systems in place to find out the concerns and wishes of people with mental health problems and can demonstrate how these have (or will) lead to positive change. b) Equality Organisations strive to: strengthen their knowledge, understanding and evidence base about communities so that the CCGs can design services that meet everyone s needs and increase community cohesion tackle discrimination and narrow the gap between disadvantaged groups and the wider community and between Manchester and the rest of the country celebrate the diversity of Manchester and increasing awareness of the positive contribution that our diverse communities make to the city c) Partnership Organisations increase collaboration between public sector health and social care services and voluntary and community activities. All organisations applying to this grant programme are encouraged to set-up informal or formal partnerships with members of One Team.

9 Prospectus 8 d) Social value All projects must show how they will contribute to the social, economic and environmental welfare of Manchester. This might be through: employing local people on decent terms and conditions encouraging high quality volunteering encouraging inter-generational sharing contributing to and building local networks and partnerships adding to the artistic and cultural capital of the city e) Sustainability Organisations should be able to show how they will be sustainable beyond the lifetime of the funding other than through sourcing additional funding. The assessment of sustainability of projects relates to the legacy of continuing impact rather than ongoing funding. This could be measured by: the lasting impact on clients/participants the creation of mechanisms/networks/facilities that will have a lasting impact on the ability of people with mental health problems to participate within the community and help themselves the increase in the learning/capacity/skills of the organisation to help people with serious and enduring mental health problems f) Safeguarding All bids must be clear about how they will adopt best practice in safeguarding vulnerable adults. (All applicants are encouraged to use the Manchester VCS Safeguarding Toolkit available here: ctor_safeguarding_toolkit) g) Value for money The value for money that a project delivers will be assessed against its total contribution to both the aims and objectives. Bids will not be assessed against one another but they will be assessed for unreasonable costs.

10 Prospectus 9 Definitions A serious and enduring mental health problem is defined as a long-term mental health problem that means that the person experiences a substantial impairment, such as an inability to care for themselves independently, sustain relationships or work. The range of conditions that serious and enduring mental health problems cover is: psychosis schizophrenia / schizotypal and delusional disorders bi-polar personality disorders including emotionally unstable and anti-social manic episode depression, anxiety, PTSD, OCD where the condition significantly impacts on their functioning A person with mental health problems is defined as someone who is using mental health services or is in need of mental health services. Neighbourhoods are defined as the 12 areas covered by One Team The 12 neighbourhoods are the wards of: 1. Cheetham and Crumpsall 2. Higher Blackley, Harpurhey and Charlestown 3. Miles Platting, Newton Heath, Moston and city centre 4. Ancoats, Clayton and Bradford 5. Ardwick and Longsight 6. Chorlton, Whalley Range and Fallowfield 7. Gorton (north and south) and Levenshulme 8. Moss Side, Hulme and Rusholme 9. Wythenshawe (Baguley, Sharston Woodhouse Park) 10. Wythenshawe (Brooklands) and Northenden 11. Old Moat and Withington 12. Didsbury (west and east), Burnage and Chorlton (Chorlton Park) A community-based organisation is defined as a voluntary and community organisation that has a high level of connection with other organisations working within a neighbourhood including other voluntary and community organisations. A community within a neighbourhood is defined as a grouping based on common experience or identity e.g. people with diabetes or people who are from a specific ethnic minority. Social inclusion is defined as taking part in mainstream activities and opportunities within a neighbourhood. The kinds of activities and opportunities are chosen on the basis of the wishes, interests and strengths of the people who are being supported in becoming more socially included.

11 Prospectus 10 IAPT service providers are defined as providers currently funded through Manchester CCGs for the provision of IAPT services. IAPT providers that do not possess voluntary and community sector status cannot bid directly but can work in partnership with a communitybased organisation. As well as the NHS organisation, Manchester Mental Health and Social Care Trust, the city s voluntary and community sector IAPT providers are: 42 nd Street Self-Help Services Survivors Manchester African Caribbean Mental Health Services Lesbian Gay Bisexual and Trans (LGBT) Foundation Gaddum Centre For the purposes of this programme, members of One Team refers to staff from statutory health and social care services that are community based and work with people in neighbourhoods who have on-going and persistent health or other problems that cause a significant impairment in their ability to take part in ordinary community activities.

12 Prospectus 11 Who can apply? Organisations must: 1) be community-based or have links with organisations working in a neighbourhood (these ideally should be existing links not especially developed for this grant programme) but we would expect organisations to increase those links over the period of the grant 2) for the second programme objective applicants must be providers of IAPT services or have a formal/informal partnership with an IAPT provider Organisations that provide IAPT services can apply for funding as long as they meet the eligibility criteria but have to show how they are connected either directly with specific neighbourhoods or through partnership with community-based organisations. Organisations must have: a recent track record of work within the city of Manchester three or more committee members with roles e.g. chair, treasurer, secretary aims, objectives or purpose (e.g. a constitution, set of rules or other governing document) appropriate mechanisms to ensure financial accountability Applications will only be accepted from: unincorporated associations, incorporated associations, trusts or companies and are set up and registered as a charity an unincorporated association set up as a voluntary or community group an industrial and provident society a community interest company a not for profit company limited by guarantee a community benefit society The following cannot apply: private sector or for profit organisations statutory/public sector organisations e.g. local authorities, education institutions and health authorities individuals and sole traders These organisations can be included in formal/informal partnership applications but cannot receive income from the programme.

13 Prospectus 12 Partnership and collaboration Formal and informal partnership and all forms of collaboration are encouraged. One of the key aims of this grant funding is to encourage better relationships between statutory health and social care staff and a wide range of VCSE organisations working in neighbourhoods. To assist this process there are contact details for IAPT providers on Manchester Community Central. By partnership we mean that the grant-holder has a continuing relationship with one or more other organisations who contribute in an agreed and practical way to the outcomes of the activities being funded by this grant programme. The agreement does not have to be formal or written down. Where organisations are both benefitting financially from a grant then up to 10% of the total grant can be spent on partnership costs. Funding The maximum grant is 10,000 and the minimum is We expect there to be between 30 and 50 grants made. Organisations can be the main applicants in a maximum of 3 grants on their own or in partnership. Organisations cannot be financial beneficiaries in more than three applications. The maximum length of funding is 18 months from the agreed start point for the proposed activities. The proposed activities must start within three months of receiving the letter confirming a grant award. The funding will be paid in one tranche. Grant money that is unspent or unaccounted will be dealt with in accordance with Macc s recovery policy. What can be applied for? Although grants can be for capital and revenue activity (capital is defined as equipment in excess of 500) they must be predominantly revenue. Full cost recovery is encouraged including reasonable contribution to core organisational costs dependent on the nature of the project. Partnership applications are welcomed. Where both organisations benefit financially the lead organisation can include 10% of the total non-capital grant toward partnership costs. This fund is not intended to pay for language interpretation services, however, small amounts of interpretation costs can be included where they are essential to the operation of the activities.

14 Prospectus 13 How decisions will be made? Decisions will be made by a selection panel which will include representatives from the Clinical Commissioning Groups and Manchester City Council, community stakeholder groups and mental health service users. Macc will not have any role in decision-making. The selection panel will use a set of criteria to rank the applications and then balance applications to ensure: a range of activities that will enable learning about the impact of a wider range of techniques and approaches to each of the programme s three primary aims a geographical spread across One Team neighbourhoods and CCG areas work with a range of types of communities work with a number of IAPT providers a balance between the three objectives of the grant programme The recommendations of the selection panel will then go to the programme board which will assess whether the selection process has been carried out with sufficient rigour and robustness before making a final decision. There is no appeal process. The decisions of the programme board are final. No complaints will be accepted about the decisions of the programme board. If there are any complaints about any other aspect of the process these will be dealt with through Macc s complaints procedure.

15 Prospectus 14 How to apply Applications forms should be sent by to arrive by 4pm on Friday 14 October All applications received before that time will be acknowledged by . This acknowledgement is proof that the completed application form has been received and will be considered. If no acknowledgement is made then the application has not been received by Macc. What will happen after the decisions have been made Both successful and unsuccessful applicants will be informed by . Grants will only be released once Macc has carried out due diligence checks on applicant organisations. Grant offers will be withdrawn from organisations that fail due diligence checks. Due to restricted resources, limited feedback will be given only on request. How will the activities be evaluated and monitored? An independent evaluator called OPM will be working with Macc to monitor and evaluate the grant programme. Please build into your costings sufficient time to carry out the following activities: half-day workshop this will take place shortly after the grants have been awarded and before activities have started. It will cover evaluation and monitoring and attendance is mandatory project progress form at a point three months after the starting point of the activities, grant-holders will be asked to fill in a short form about how the project is going, any changes from the original proposal, any changes in budget. It is estimated that this will take mins to complete impact monitoring form you will have to fill in an impact monitoring form every 6 months and at the end of project. If data collection is built into the activities the form should take 1-2 hours to complete. The final details have not yet been decided but it is likely to include: o waiting times / access times o basic service user demographic information (aggregated, e.g. age groups, ethnicity, gender) o quantitative data regarding the diagnoses of people accessing the funded projects (numerical counts of diagnoses amongst service users for each project) o numbers of sessions / interventions delivered, by location o details of other outputs delivered, e.g. number of marketing or awareness raising interventions, by project o evidence of impacts emerging (e.g. service user feedback, plus other evidence as available) o unanticipated outcomes emerging

16 Prospectus 15 o headline project lead reflections on the impacts and progress we would also like grant-holders to send in any user data that is collected, pictures, reports or anything else that the project produces that is helpful in understanding the activities and impact there will be a 30 minute interview with the grant lead towards the end of the period of activities. If the activities last for longer than a year then there may be a second interview at some point within the first year there will be a half-day learning and sharing session which we encourage grant-holders to come to the evaluators are intending to interview a small number of people who have been involved in some of the activities and will need assistance with identifying users of services willing to be interviewed end of project form at the end of the project grant-holders will be asked to fill in a short form about successes, challenges and learning and a breakdown of spend. It is estimated that this should take no longer than two hours to fill in, if the financial information is readily available. Grant holders will need to provide receipts for any single item of capital spend valued over 500