South East Mental Health and Dementia Clinical Network Charlotte Clow, CN Manager Jill Rasmussen, Dementia Clinical Lead

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1 South East Mental Health and Dementia Clinical Network Charlotte Clow, CN Manager Jill Rasmussen, Dementia Clinical Lead South East Mental Health Commissioning Network 17/5/16

2 Content Update on Clinical Networks Where do we want mental health services to be by 2020? Perinatal MH Children and Young People s MH Adult MH Dementia Staying in touch

3 Update on Clinical Networks National review now completed From SCNs to CNs Part of NHS England and aligned with NHSE priorities Strongly linked to the region and centre Retain support and advice function, critical friend role Clinically led, whole system, bringing people together

4 Where do we want to be by 2020?

5 Perinatal mental health programme

6 Perinatal mental health Aim for all women in the South East to have access to specialist perinatal mental health care by 2020/21 Setting up a South East Perinatal Mental Health Steering Group Supporting the development of locality Perinatal Clinical Networks Setting up overarching South East PN CN to look at whole system, including Mother and Baby Unit needs Mapping of baseline activity, provision and plans Whole pathway development Money will be coming down to support

7 Children and young people s mental health

8 CYP mental health Aim to transform CYP MH services in line with Future in Mind with increased access to high quality care South East CYP MH Steering Group set up Aim to achieve 100% rollout of CYP IAPT SE CYP IAPT Steering Group and development of learning partnerships CYP MH crisis pathway event taking place 5 July 2016 Innovations and digital technologies event - Sept Joint work plan with HEE KSS to address CYP MH workforce issues, national commissioner development programme Eating Disorder Clinical Network Forum to be set up Local Authority Adviser to be appointed

9 Adult mental health

10 Adult mental health Aim to achieve parity of esteem, transforming services in line with the FYFW for MH, and meeting the AWT Constitutional Standards for IAPT and EIP Support to STP process Setting up Adult MH Commissioning Forum first meeting 12/7/16 Hosting IAPT recovery workshop on 14/6/16 and setting up an IAPT Clinical Network Forum to share common challenges, learning and best practice Undertaking joint work with HEE KSS on workforce issues Further work plan to be scoped once vacancy filled

11 Dementia Dr Jill Rasmussen

12 Dementia: Where we started

13 Dementia: Where we are now National Rates Mar 2015: 61.6% Mar 2016: 67.5% Diagnosis Rates by Region Mar16 North: 72.3% Midlands: 65.3% London: 72.2% South: 63.8% Diagnosis Rates South Region Mar16 South Central: 65.5% South East: 63.8% South West: 61.7% Wessex: 64.7%

14 Prime Minister s Challenge Dementia 2020 Risk Reduction: NHS HealthCheck Programme (40 yrs and older) Dementia Diagnosis variation Dementia friendly Health & Care Settings Awareness and Social Action (Dementia Friends) Establish a new Dementia Research Institute Plan fits with other key strategic plans: NHS Mandate NHS Five-Year Forward View Government s Shared Delivery Plan for health and social care.

15 Dementia Metrics & Measurement PHE Dementia Intelligence Network (DIN): Ambition To work across all organisations involved in care support of people with dementia, providing data & intelligence that complements the NICE dementia pathway and supports improved outcomes for people with dementia and their carers Dementia profile,developed by DIN launched Jan16, collects new & existing data on dementia at CCG & local authority level: Six key domains across entire dementia pathway: Prevalence Preventing well Diagnosing well Living well Supporting well Dying well Ref:

16 Dementia Wellbeing Crosswalks

17 Dementia Work Programme Focus on supporting Achievement, Maintenance Improvement of dementia diagnosis standard 67% Bespoke support to CCGs to understand the dynamics of their dementia data Data Harmonisation run checks regularly Dementia Registers two separate aspects: Memory Assessment Clinics & Care Home Case Finding Quality of referrals; coding of outcome including Mild Cognitive Impairment

18 Dementia Work Programme Dementia recognition and management educational events for primary care Differential diagnosis of Cognitive Impairment: Impact of Physical illness, drug side-effects, Don t forget depression, Sensory Disability Impact of physical co-morbidities Involve ALL the Primary Care Team Care Plans holistic, person-centred, ONE only Evaluation of MAS models Plan to set up a Dementia Commissioning Forum and/or a Dementia Clinical Network Forum

19 Dementia Thoughts Consider Dementia as a long term condition - the new diabetes? Increasing role for Primary Care (diabetes model): Diagnosis, Prescribing Person-centred NOT disease centred care One Care-Plan Integration- Health, Social Care, Third sector EMBED needs of Dementia Pts / Families Carers in Everyday Practice

20 Staying in touch Get our e-bulletin to receive news of latest guidance, best practice, events etc Contact: Website

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