Prevention Concordat for Better Mental Health An Overview January 2018 Julie Daneshyar North East Public Health England Centre
Why was the Prevention Concordat set up? The programme has been set up in response to Recommendation 2 from the Five Year Forward View for Mental Health February 2016 https://www.england.nhs.uk/wp-content/uploads/2016/02/mental-health- Taskforce-FYFV-final.pdf A range of policy drivers make the strong moral and economic case for action beyond treatment; to intervene early, support recovery and prevent mental illness and poor mental wellbeing 2 Prevention Concordat for Better Mental Health Programme
Policy developments that drive the prevention agenda The development of New Models of Care and the emergence of ACS/ACOs STP Mental Health Prevention plans Stepping Forward to 2020/21: Mental health workforce plan for England Local area suicide prevention action plans https://www.england.nhs.uk/wp-content/uploads/2016/02/mental-health-taskforce-fyfv-final.pdf http://www.rcpsych.ac.uk/pdf/mh_new_models_care_kings_fund_may_2017.pdf https://www.rcpsych.ac.uk/pdf/fyfv%20mental%20health%20workforce%20plan%20for%20england%20final.pdf https://www.publications.parliament.uk/pa/cm201617/cmselect/cmhealth/300/300.pdf 3 Prevention Concordat for Better Mental Health Programme
Public Mental Health Methodology Informed by the WHO approach Everyone, irrespective of where they live, has the opportunity to achieve good mental health and wellbeing especially communities facing the greatest barriers and those people who have to overcome the most disadvantages. This includes those living with and recovering from mental illness. Key themes: Reducing health inequalities Community centred approaches Embedding and integrating mental health Improving workforce capacity and competency Mental illness prevention and suicide prevention Mental health Promotion Improving lives, supporting recovery and inclusion 4 Prevention Concordat for Better Mental Health Programme
What is the Prevention Concordat programme? The prevention concordat programme is an agreement between national and local organisations to transform the local focus to the promotion of good mental health and wellbeing. The programme is underpinned by an evidence base which demonstrates that a prevention-focused approach to improving the public s mental health makes a valuable contribution to achieving a fairer and more equitable society. This prevention-focused transformation will be achieved by increasing impact through commissioning decisions and evidence based planning. 5 Prevention Concordat for Better Mental Health Programme
Our aim is to galvanise action The Prevention Concordat for Better Mental Health programme aims to: Galvanise local and national action around the prevention of mental health problems and promotion of good mental health; Facilitate every local area to put in place effective prevention planning arrangements led by health and wellbeing boards, clinical commissioning groups, and local authorities; and Enable every area to use the best data available to plan and commission the right mix of provision to meet local needs, increase equity and reduce health inequalities. The work covers prevention in the widest sense from the promotion of good mental health and well-being through to living well with mental health problems and everything in between. 6 Prevention Concordat for Better Mental Health Programme
Prevention Concordat for better Mental Health The Prevention Concordat is intended to provide a focus for cross-sector action to deliver a tangible increase in the adoption of public mental health approaches across the whole system. This includes local authorities, the NHS, public, private and VCSE sector organisations and employers. The development phase has been guided by an expert steering of key national partners, listed below, and wider support through members of the national prevention alliance for better mental health 5. Prevention Prevention Concordat Concordat for Better for Mental Better Health Mental programme Health Programme
A suite of Prevention Concordat resources August 2017 1. A consensus statement 2. Prevention planning resource for local areas 3. Prevention planning resource Overview infographic 4. Local planning resource summary 5. Stocktake of local strategic planning 6. Mental Health and wellbeing joint Strategic Needs Assessment Toolkit 7. Commissioning cost-effective services 8. Barriers and Facilitators to commissioning cost effective services 9. Mental Health promotion return on investment tool and tool guide 10.Psychosocial Pathways and Health outcomes : informing action on Health inequalities 8 Prevention Concordat for Better Mental Health Programme
A Consensus Statement -pledge To transform the health system by focussing on prevention and the wider determinants of mental health To promote joint cross sector action, expertise of people with lived experience and wider community To acknowledge that all organisations have a role to play To work collaboratively across organisational boundaries and disciplines to secure bespoke place based improvements To build the capacity and capability of the workforce to prevention mental health and promote good mental health A shared commitment to implement the Prevention Concordat for Better Mental Health 9 Prevention Concordat for Better Mental Health Programme
Prevention Concordat for Better Mental Health Signatories The Prevention Concordat launched on 30 th August 2017 with 30 signatories Key national cross-sector partners declared commitment to support action across the whole system. Initial signatories were: Age UK Association of Directors of Public Health UK Association of Mental Health Providers Care Quality Commission Centre for Mental Health Children and Young People s Mental Health Coalition Department of Health Faculty of Public Health Health Education England Homeless Link Housing Associations Charitable Trust Local Government Association Mental Health Foundation Mind NHS Clinical Commissioners National Institute for Health Care and Excellence 10. Prevention Concordat for Better Mental Health Programme PHE SW webinar series mental health and wellbeing 15.1.18 The National LGBT Partnership National Suicide Prevention Alliance National Survivor User Network National Voices NHS Digital NHS England NHS Improvement Public Health England Rethink Royal College of Nurses Royal College of Psychiatrists Samaritans Student Minds Youth Access List available at: https://www.gov.uk/government/publications/prevention-concordat-for-bettermental-health-consensus-statement/prevention-concordat-for-better-mental-health#contents
1. Prevention Concordat for Better Mental Health A prevention planning resource for local areas The planning resource: has been developed to support local areas across England to put in place effective arrangements to promote good mental health and prevent mental health problems; builds on published evidence review and draws on the findings of a stock take of prevention planning arrangements, which was led by The King s Fund; and supported by stakeholder engagement events across England with a range of representatives to understand needs of local areas. The resource is accompanied by an infographic and a topline summary document 8. Prevention 9. Prevention Concordat Concordat for Better for Better Mental Mental Health Health programme programme
Each section of the guidance includes A case for change, explaining why each section is important for the prevention of mental health problems and the promotion of good mental health; A development framework of actions and tools to help all areas improve across promotion and prevention, with further resources to stimulate ideas and local thinking; What good looks like, summarising predicted outcomes and using case studies to illustrate actions that have already been taken by local areas in England.
How to support mental health Whole population approaches Strengthening individuals e.g. mental health literacy Strengthening communities and healthy places e.g. housing, employers towns Addressing wider determinants e.g. mental health policy Life course approaches Family, children and YP e.g. schools Working age e.g. debt /welfare rights Targeted prevention approaches Groups facing higher risk e.g. criminal justice drugs and alcohol Individuals with signs and symptoms e.g. suicidal behaviour People with mental health problems e.g. recovery support, promote physical activity, healthy lifestyles Older people e.g. loneliness /isolation
2. Stocktake of local planning arrangements for the prevention of mental health problems Summary Report The summary document has been produced in partnership with Kings Fund 11. Prevention Concordat for Better Mental Health programme 12. Prevention Concordat for Better Mental Health programme It provides a high-level summary of how local areas are currently incorporating mental health promotion and prevention of mental ill-health in their planning processes It was based on a content analysis of key planning document s in 35 areas- 16 random sample + 19 selected as examples of good practice It Identified 4 common challenges to effective inclusion: 1. aligning different local planning processes/documents around a shared set of priorities; 2. translating strategy into deliverable commitments; 3. developing effective partnership arrangements; 4. measuring outcomes in relation to public mental health.
3. Mental Health and Wellbeing Joint Strategic Needs Assessment Toolkit: Knowledge Guide This knowledge guide: Complements the Mental Health Joint Strategic Needs Assessment Online Profile which is designed to support local Health & Wellbeing Boards in developing Mental Health JSNA; It brings together nationally available data on mental health prevalence, risk and protective factors and healthcare services; and covers the whole of the pathway from prevention through to treatment and includes wider determinants and assets. The tool can be accessed at: http://fingertips.phe.org.uk/profile-group/mentalhealth/profile/mh-jsna 13. Prevention 13. Prevention Concordat Concordat for Better for Better Mental Mental Health Health programme programme
4. Commissioning Cost-Effective Services for Promotion of Mental Health and Wellbeing and Prevention of Mental Ill Health The Return on investment resources have been developed by PHE and London School of Economics and consists of A report which summarises the findings of modelling work to estimates the cost of investing in a number of different interventions for which there is evidence that they can help reduce the risk and/or incidence of mental health problems in individuals of different ages and/or promote good mental health and wellbeing, and An interactive tool which will enable local areas to understand the ROI for specific cash-releasing intervention, and A report examining barriers and facilitators to commissioning cost effective services 12. Prevention 14. Prevention Concordat Concordat for Better for Better Mental Mental Health Health programme programme
5. Psychosocial Pathways and Health Outcomes: Informing action on health inequalities This report: has been developed by PHE and the Institute of Health Equity, UCL; aims to describe and provide evidence about the relationships between social determinants, psychosocial factors and health outcomes; and provides a conceptual framework that focuses on the psychosocial pathways between factors associated with social, economic and environmental conditions, psychological and psychobiological processes, health behaviours and mental and physical health outcomes 14. Prevention 15. Prevention Concordat Concordat for Better for Better Mental Mental Health Health programme programme
Learning events The Face to Face events: Wednesday 10 January 2018 Bristol Wednesday 24 January 2018 Durham Thursday 1 February 2018 London Tuesday 6 February 2018 Sheffield Thursday 15 February 2018 Nottingham Wednesday 28 February 2018 London Tuesday 6 March 2018 Cambridge Friday 9 March 2018 Plymouth Thursday 22 March 2018 Birmingham Tuesday 27 March 2018 London Wednesday 28 March 2018 Liverpool The Digital events online at 1-2pm: 11th January Upcoming learning events: what where and why? 18 th January Partnership and alignment 25 th January Needs and assets assessment 31 st January Translating need into deliverable commitment 14 th February Defining success outcomes 22 nd February Leadership and accountability 8 th March Viewers choice 15 th March Reflections and learning 18 PHE SW webinar series mental health and wellbeing 15.1.18
Thank you Julie Daneshyar julie.daneshyar@phe.gov.uk Acknowledgements: PHE Public Mental Health and Wellbeing Team