birmingham_opsn_th
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RSA OPSN Mental Health and data project:
Turning Public Data into Public Information BIRMINGHAM
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About the RSA OPSN projectIn 2014, the Department of Health said in their paper Closing the gap: priorities for essential change in mental health:
“we need a truer, more up-to-date and more detailed picture of mental health and wellbeing nationally and in each area.”
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Realising the power of dataWe believe that open access to information is vital for communities to self-organise. Those empowered with the right information can more effectively demand more from their health services and act as a tool to close the gap between those living with serious mental illnesses and those who aren’t.
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Launch of report ‘Getting the message on mental health’ at RSA House
Roger Taylor, FRSA, Chair OPSN; Geraldine Strathdee, NHS National Clinical Director for Mental Health
Paul Farmer, FRSA, CEO, Mind; Kate Dale Mental/Physical Health Lead, Bradford NHS Trust
at RSA House
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National press coverage
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Recommendations• There is an urgent need to review GP and community care services and how they treat mental health patients, particularly in relation to their physical health.
• Primary and secondary care must be more easily accessible and integrated.
• Access to employment, personal budgets, settled accommodation and advice and information must be prioritised by local authorities as a key indicator of successful interventions.
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Mortality across England
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•Nationally 18% less likely to receive a cholesterol test if you have a serious mental illness (SMI)
Access to Physical tests
•Only 13% of those with anxiety and depression get access to IAPT nationally
Access to IAPT treatments
•There is a 36% dropout rate for IAPT treatments•In places like Birmingham, it is as high as 90%
IAPT outcomes• Over 1/3 of people on the Care Programme Approach are not in settled accommodation
• Just over 1/3 of people with SMI are in employment
Living Well Index
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Minister for Mental Health, Alistair Burt said:‘This site is a good example that will help ensure our NHS has high quality services across the country and inform our thinking of how to measure mental healthcare in our new CCG scorecard.”
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Healthierlives.phe.org.uk
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Birmingham and West Midlands:
Are you living a long life in Birmingham?• West Midlands has some of the highest dropout rates of IAPT in England• Birmingham South and Central CCG has the highest dropout rates: 90%• In Birmingham only 20% of people with SMI are employed, with 41.32% gap
in employment. You are almost 50% less likely to be in employment if you have a mental illness in Birmingham.
• Birmingham has one the half the percentage of employment for people in settled accommodation amongst those on the NHS CPA (Care Programme Approach) 3.5%, nationally 40%.
• NHS Birmingham South And Central CCG access to IAPT is HIGH (above expected prescription rates for IAPT) -15.7% of people with anxiety and depression accessing IAPT, compared with 13% nationally. 59.09% waiting than 28 days for treatment.
• NHS Sandwell And West Birmingham CCG is more likely to prescribe talking therapies over anti-depressants
• Birmingham CrossCity CCG is below the national average for take up of talking therapies (IAPT)
Postcode: B1 Sandwell and West Birmingham
Sandwell and West Birmingham CCG
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Sandwell and West Birmingham CCG21% less likely to receive a cholesterol test in Sandwell and West Birmingham
6% less likely to a blood pressure test in Sandwell and West Birmingham
Blood pressure81% without 64% with SMI
Cervical cancer screening80% without70% with SMI
Cholesterol test91%– without85% with SMI 12.5% less likely to
receive cervical cancer screening in Sandwell and West Birmingham
Birmingham CrossCity CCG
Birmingham Cross City CCG
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Birmingham CrossCity CCG17% less likely to receive a cholesterol test in Bristol
5% less likely to a blood pressure test in Bristol
Blood pressure88% without 84% with SMI
Cervical cancer screening78% without69% with SMI
Cholesterol test83%– without69% with SMI 12% less likely to
receive cervical cancer screening in Bristol
Access to IAPT – West Midlands
The West Midlands has some of the worst drop out rates for IAPT (talking therapies) in England
90% drop out rates
NHS Airedale, Wharfdale And Craven CCG NHS Camden CCG NHS East Staffordshire CCG NHS Herts Valleys CCG NHS Merton CCG NHS Norwich CCG NHS South Lincolnshire CCG NHS Telford And Wrekin CCG NHS Wokingham CCG0.00
0.50
1.00
1.50
2.00
2.50IAPT Completion rate
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Birmingham West and Sandwell CCG35% less likely to receive a cholesterol test in Bristol
10% less likely to a blood pressure test in Bristol
Blood pressure83% without 75% with SMI
Cervical cancer screening80% without70% with SMI
Cholesterol test86%– without56% with SMI 14% less likely to
receive cervical cancer screening in Bristol
IAPT access - AS EXPECTEDBirmingham Cross City CCG comes out ‘as expected’ for access to IAPT but still significantly lower than national average.People entering IAPT with anxiety/depression in Birmingham: 15%Nationally: 14%Wait times (over 28 days)Birmingham: 59%Nationally: 62%
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IAPT outcomes: lowBirmingham South Central CCG10% completion rate for IAPT 39% in “reliable improvement”44% “moving to recovery”England:64% completion rate for IAPT62.7% in “reliable improvement”46.9% “moving to recovery”
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IAPT outcomes: low
OPSN banding:
LOW
Sandwell and West Birmingham CCG.11% completion rate for IAPT 47% in “reliable improvement”38% “moving to recovery”England:64% completion rate for IAPT62.7% in “reliable improvement”46.9% “moving to recovery”
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IAPT outcomes: low
OPSN banding:
LOW
Birmingham CrossCity CCG.26% completion rate for IAPT 57% in “reliable improvement”33% “moving to recovery”England:64% completion rate for IAPT62.7% in “reliable improvement”46.9% “moving to recovery”
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Prescribing vs.anti-psychotics – as expected
Sandwell and West Birmingham CCG:Antidepressant prescribing: Higher than average prescribing rate for talking therapies (IAPT) than anti-depressants,CrossCity CCG: classed as ‘low’ for access to IAPTnationally
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Birmingham Living WellIndexSatisfaction with social care support: % of service users extremely satisfied or very satisfied with their care and support: 64% AlI England: 17%Employment of people with mental health disorders:: 20%AlI England: 40%Gap in employment: gap between employment rate of those with mental health disorders & overall population: 41% LOWAlI England 63% CPA adults in employment: % of people aged 18-69 on CPA in employment Self directed payments: 3.5%All England: 8%Carers receiving services or advice or information as % of mental health clients receiving community services: 20%Percent of people aged 18-69 on CPA in settled accommodation: 71%All England: 61%
RSA-Barnet Pilot
Data capture – Barnet was one of very few local areas who could not be banded on our ‘living well index’ due to lack of data and needs urgently addressing - particularly with regards to employment statistics for people with mental health diagnosis as these are key indicator of social productivity.Carers information – The lack of advice and information for carers and social care service users is a concern – with a significant difference compared the national average in EnglandAnti-depressant/IAPT prescription – Our data reveals that there is evidence that Barnet is under-prescribing treatments for mental health service users. Both anti-depressant prescription and prescription to IAPT (Improving Access to Psychological Treatments) are significantly below average in Barnet.
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National partnerships:Health as a social movement
www.thersa.org.uk/mentalhealth
www.thersa.org.uk/opsn