nmhdu final news briefing march 2011

8/7/2019 NMHDU Final News Briefing March 2011

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IAN MCPHERSON ONNMHDU's CLOSURE

MENTAL HEALTHCOMMISSIONING PROGRAMME

IMPROVING ACCESS TOPSYCHOLOGICAL THERAPIES

MENTAL HEALTHEQUALITIES PROGRAMME

PROMOTING SOCIAL INCLUSIONAND SOCIAL JUSTICE

IMPROVING MENTAL HEALTHCARE PATHWAYS

PROMOTING WELLBEINGAND PUBLIC MENTAL HEALTH

PERSONALISATION INMENTAL HEALTH

Two years ago, in April 2009, NMHDU was launched with undingrom the Department o Health and the NHS and a clear brie to provide national support or the implementation o mental healthpolicy. Our role and purpose were, as our logo says, to put policyinto practice and practice into policy.

Specifcally, NMHDU was charged with delivering our objectives:

specialist expertise in priority areas o policy and delivery eective knowledge transer on research, evidence and good practice translation o national policies into practical deliverables that

achieve outcomes co-ordination o national activity to help regional and local

implementation.

We divided our work into seven key programme areas, though withmuch cross-programme collaboration. Two years later, as we completeour work, this briefng will attempt to review in ar too ew words howwell we have achieved our aims, as demonstrated by the productsand partnerships we have initiated and taken orward and which willcontinue to inorm service development and delivery.

Ourmodus operandi has been to work with and build on theexpertise and knowledge o the people out there delivering andmanaging services and, very importantly, those receiving mentalhealth services, and their carers.

All our policy and practice development work has involved the keyorganisations representing health and social care and the voluntary,statutory and independent sectors. But these organisations and agencieshave come not just rom within the traditional mental health arena.

We have worked with housing associations, fnancial organisations,employment and many other agencies whose activities and concernsinclude aspects o the lives and healthcare o people with mental healthproblems. Our aim has been to take mental health into the mainstream,and to bring the mainstream (by that I mean the issues that areimportant to every one o us and contribute to our wellbeing, regardlesso our mental health diagnosis, such as work, homes, relationships,money, amily) into mental health care.

Read more >>

ON CLOSING NMHDU THE ACHIEVEMENTS, THE LEARNING AND THE CHALLENGES AHEAD IAN MCPHERSON

ISSUE 7

Welcome to the nal edition of theNational Mental Health Development Unit(NMHDU) news brieng.

Please note that all resources published on theNMHDU website will continue to be available afterMarch 2011 at the usual address www.nmhdu.org.uk
http://www.nmhdu.org.uk/http://www.nmhdu.org.uk/


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And last, but not least, we have provided a bridge between theDepartment o Health and the other major stakeholders in the mentalhealth arena and have creatively used these stakeholders expertise andtheir networks o inuence to shape policy, practice and governance.We have worked with the Royal Colleges representing healthcareproessionals, the NHS Conederation, the Association o Directors oSocial Services, the National Survivor User Network and many, manymore. This is, o course, a much more powerul approach than the

traditional approach to policy implementation, oten perceived by thoseon the receiving end as simply yet another top-down dictat.

When we were established there was a debate about whetheran agency like NMHDU was needed at national level. I believe wehave demonstrated by our actions that there was indeed a gap thatneeded to be flled.

This, it must be said, presents a challenge now how to fll this gapbetween policy and practice when NMHDU has gone, especially duringthe coming period o transition while the new NHS structures are notyet bedded in and the new agencies responsible or monitoring anddelivering on the policy aims are coming into being at a time o majorfnancial constraints across the public sector.

The challenge to the Department o Health and also the wholemental health community is to make sure that mental health andwellbeing maintain the high profle to which NMHDU has contributedover the past two years.

Talk o mainstreaming mental health may be something o a clichbut it still needs to happen. Mental health is only partially about thecommissioning and provision o specialist services by the NHS and socialcare. Yes, we need access to high quality, eective and timely servicesbut they will not have the greatest impact on peoples mental health.

So, to our objectives. Yes, we have provided specialist expertise andadvice to government departments and policy-makers. Key examplesinclude our public mental health and wellbeing programme that has

inormed the growing national public health and wellbeing agenda,and our employment and mental health work that has helped shapethe welare to work agenda. Learning rom the equalities programmehas been crucial in highlighting the challenges o the new EqualitiesAct commitment across public services or those who experiencemental health problems.

Yes, we have amassed and disseminated quantities o inormation onmental health and social care, drawing not just on whats publishedin the research journals a lot o our work has been about collectingand disseminating the practical inormation and knowledge that isinside the heads o the experts working out there on the rontlineand in service development.

We have also supported major national and regional programmeimplementation notably, NMHDU has led the IAPT programme thatwill continue to roll out access to talking therapies across all areasand all age groups, and draw in those with severe as well as mild andmoderate mental ill health.

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ON CLOSING NMHDU THE ACHIEVEMENTS, THE LEARNING AND THE CHALLENGES AHEAD

IAN MCPHERSON (continued)


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MENTAL HEALTH COMMISSIONING PROGRAMME

Planning mental health services for young adults improving transition

This resource or health and social care commissioners is part o a suiteo materials produced with the National CAMHS Support Service andSCIE to improve the care and support provided to young people aged1619 and their amilies as they make the transition between CAMHSand adult mental health (or other) services. This transition has been along-standing problem in mental health services.

This guide has been written or commissioners to help them supportthe development o better models and systems so that vulnerable youngpeople are not let without adequate and appropriate services to helpthem through this critical period in their lives.

Download a copy >

Engagement in the commissioning cycle:a guide for service users, carers, the public, GPs, commissionersand other stakeholders in mental health care services

Involving service users and carers in the commissioning process remainsan important principle o the Coalition Governments reorms to the NHScommissioning system and structures. This guide to best practice is basedon research carried out by the voluntary sector organisation MakingSpace or NMHDU and the Mental Health Improvement Programme.It gives an overview o real and perceived barriers to engagement andinvolvement in the commissioning cycle rom the perspectives o serviceusers, carers, GPs, commissioners, service providers and the generalpublic, and makes recommendations on how best to embed user andcarer involvement and engagement in the commissioning process.

This will be available here when published >

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Mental health commissioning programme >

Partnership is key to commissioning and to the work othe NMHDU commissioning programme. All o the workhas been developed with people directly involved incommissioning services in the NHS and in Local Authoritiesas well as those who use these services and those whocare or them. Some key products have been:

Practical mental health commissioning:a framework for local authority and mental health commissioners

A very new product is the frst o three publications written orcommissioners o mental health and social care services those currentlyin post but also the new GP commissioning consortia.

This ramework sets the policy scene and changing commissioninglandscape and describes how the commissioning process currently works,beore going on to outline what mental health commissioners needto know i they are to ensure they invest in provision that meets thebreadth o local population need, including public mental health andpreventive interventions, in the most cost-eective, cost-efcient and

clinically eective way.

Partnership is key, through the new Health and Wellbeing Boardstructures, and between commissioners and clinicians on the rontline.It is envisaged that Parts 2 and 3 will be produced under the aegis othe Joint Commissioning Panel (see below).

This will be available here when published >
http://www.nmhdu.org.uk/silo/files/planning-mental-health-services-for-young-adults--improving-transition.pdfhttp://www.nmhdu.org.uk/nmhdu/en/our-work/mental-health-commissioning-programme/http://www.nmhdu.org.uk/our-work/mental-health-commissioning-programme/http://www.nmhdu.org.uk/nmhdu/en/our-work/mental-health-commissioning-programme/http://www.nmhdu.org.uk/nmhdu/en/our-work/mental-health-commissioning-programme/http://www.nmhdu.org.uk/our-work/mental-health-commissioning-programme/http://www.nmhdu.org.uk/nmhdu/en/our-work/mental-health-commissioning-programme/http://www.nmhdu.org.uk/silo/files/planning-mental-health-services-for-young-adults--improving-transition.pdf


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MENTAL HEALTH COMMISSIONING PROGRAMME >

ISSUE 7

Our work on commissioning will be continued by theJoint Commissioning Panel (JCP) we have helped toestablish. This is a collaboration between the RoyalCollege o General Practitioners, the Royal College oPsychiatrists, the Association o Directors o Adult SocialServices and the NHS Conederation and Mind andRethink representing the Voluntary Sector.

Co-production with service users is seen as a priority,and the JCP works closely includes direct service userrepresentation on the panel. The JCP are keen totake orward the programme work and build on itsachievements to date.

Produced by

Andy BennettSteve AppletonCatherine Jackson

VolumeOne:

Settingthe Scene

Practical mental health commissioning

A framework for local authorityand NHS commissioners of mental healthand wellbeing services

Joint Commissioning Panelfor Mental Health

Planning mental health servicesfor young adults improving transition

A resource for health and social care commissioners
http://www.nmhdu.org.uk/our-work/mental-health-commissioning-programme/http://www.nmhdu.org.uk/our-work/mental-health-commissioning-programme/


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IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES

Improving Access to Psychological Therapies >

NMHDU has led the development and roll-out o the IAPT programmeto improve access to NICE-approved psychological therapies in primaryand community settings or people with depression and anxietydisorders. Following the closure o NMHDU, a transitional teamwill continue this work into 2011/12 to take orward the next phaseo development set out in the recent report Talking Therapies:a four-year plan of action.

A total o 3660 high and low intensity therapists have been trained todate, since the IAPT launch in 2008, and 147 out o 151 PCTs havea service in at least part o their area. In IAPT the patients conditionis ormally assessed at every session. This allows patients to see theprogress they are making towards recovery, and sta to benchmarktheir perormance.

By December 2010, nearly hal a million people had accessed IAPTservices, with around 100,000 being helped to recover rom depressionand anxiety disorders and very nearly 18,000 people had movedo sick pay and benefts and started or returned to work ollowingtheir treatment.

Talking therapies: a four-year plan of actionThe our-year plan o action (available on the Department o Healthwebsite reports IAPT achievements to date and how it will completeroll-out o the programme through six core elements: expanding thetraining programme or therapists, improving access or older people,delivering improved quality stands, delivering improved choice andequity o access or all, and supporting employment and other activity.

Developing IAPT

The Coalition Government has pledged continued investment inIAPT, both to continue to roll-out the programme to adults o all ages(it currently covers some 60% o the working age adult population),to ensure improved access or older adults, and to develop models ocare or previously excluded groups. From 2011 IAPT will:

complete the nationwide roll-out o IAPT services or adults o

all ages, with a specifc ocus on ensuring access to people over 65 introduce a stand-alone programme or children and young people

extend talking therapies to people with physical long-term conditionsor medically unexplained symptoms

expand access to talking therapies services to people with severemental illness.

The continued development will be supported up to 2015 by 400million in Government unding on top o the current 173 million annualPCT baseline allocation.

Learning and development support

Central to the IAPT programme is the support it provides to PCTs andpractitioners developing their own services. The IAPT website containsa wealth o resources, training tools, materials, guidance, research andgood practice examples. The site has recently been redesigned to makeit easier to navigate and more user-riendly.

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http://www.nmhdu.org.uk/our-work/improving-access-to-psychological-therapies/http://www.dh.gov.uk/http://www.dh.gov.uk/http://www.iapt.nhs.uk/http://www.iapt.nhs.uk/http://www.dh.gov.uk/http://www.dh.gov.uk/http://www.nmhdu.org.uk/our-work/improving-access-to-psychological-therapies/


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MENTAL HEALTH EQUALITIES PROGRAMME

Mental health equalities programme >

One o the most signifcant achievements o the Mental HealthEqualities programme has been its work to support understandingo the need or an integrated approach to promoting equality. Singlecharacteristics race, gender, age or sexual orientation will continueto be signifcant actors in how people experience mental health careand treatment, but mental health is more oten determined byoverlapping actors such as identity and culture, and also social and

economic circumstances and inuences.

All documents below are available to download rom this link

Race Equality Action Plan: a ve year review

Published late in 2010, this comprehensive report details the learningand achievements rom the fve-year national Delivering Race Equalityaction plan. It reports the projects initiated under the DRE umbrella andthe progress towards improving the experience, access and outcomesrom mental health treatment and services or people rom BMEcommunities, and ends with proposals or how the DRE programmework can inorm current and uture work to address inequalities inmental health and social care.

Delivering male: effective practice in male mental health

Building on an earlier report on mens mental health needs, thispublication, commissioned by NMHDU rom Mind and Mens HealthForum, sets out some suggested solutions a range o models andinnovative ways to engage with men and help them recognise andseek help i they have mental health or emotional problems. The reportcovers primary and secondary care services, and community based workand inormal support. Men also have gender-specifc needs, the report

argues, and men themselves can be an eective source o peer support.

National perinatal mental health project report

This is a ground-breaking review o perinatal mental health serviceprovision or black and minority ethnic women in England, Scotlandand Wales. Based on surveys and existing research knowledge, thereport concludes that the current patchy and ragmented provisionaects all women, regardless o their backgrounds, but that BME womenare more likely to fnd it hard to access services, due to a combinationo structural actors, such as unavailability o BME therapists and lacko culturally-sensitive care pathways, and personal and cultural actors,such as attitudes and belies about mental health and illness. The projectcalls or more holistic care pathways to ensure BME women do not all

through the net.

Next page >>

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http://www.nmhdu.org.uk/our-work/mhep/http://www.nmhdu.org.uk/our-work/mhephttp://www.nmhdu.org.uk/our-work/mhephttp://www.nmhdu.org.uk/our-work/mhep/


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MENTAL HEALTH EQUALITIES PROGRAMME

Let's Respect care homes guide (to be published shortly)

Produced as part o the NMHDU Lets Respect initiative, thiscomprehensive, accessible guide or care homes and their sta coversthe undamental principles o person-centred care o older peoplewith dementia, depression and other mental health difculties.

It draws heavily on lie story work and person centred approaches anational network and resource originally supported by the NMHDU

equalities programme and now stand-alone and covers symptoms andtreatments and also, importantly, environmental and social actors thatcan both cause and alleviate mental distress and behavioural problems,and the need to involve the amily.

Management of depression in older people fact sheet

Produced or GPs and primary care sta. It has been widelydisseminated including through the Royal College o GPs and theRoyal College o Psychiatrists.

Working Towards Womens Wellbeing

A report on achievements to date in improving services and supportor women with mental health needs

Deaf people and mental health services (to be published shortly)

A new leaet which provides inormation to enable services to bettermeet the needs o Dea people or whom accessing services at alllevels is a major challenge.

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Race Equality Action Plan:a fve year review

Melba Wilson, National Programme Lead,Mental Health Equalities Programme,National Mental Health Development Unit

DELIVERINGRACE EQUALITYIN MENTALHEALTH CARE

DECEMBER

2010Deliveringmale

Effective practice in male mental health

Commissioned by

David Wilkins

Mens Health Forum

Mariam Kemple

Mind

NATIONAL PERINATAL MENTALHEALTH PROJECT REPORT

Perinatal Mental Health of Black and Minority Ethnic Women:A Review of Current Provision in England, Scotland and Wales

Author: Dr Dawn Edge, Research Fellow, The University of ManchesterCommissioned by: National Mental Health Equalities Programme, National Mental Health Development Unit

Working towards WomensWell-being: Unfinished business

. m n l h l h u l i i . r . u

esigned and produced by The rt of esign Ltd

.theartofdesign.co.uk


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PROMOTING SOCIAL INCLUSION AND SOCIAL JUSTICE

Promoting social inclusion and social justice >

1: HOUSING AND EMPLOYMENT

NMHDU was originally commissioned to provide national supportto the implementation o Public Service Agreement (PSA) 16 onaccommodation and employment outcomes or people in contactwith secondary mental health services. Since May 2010, activity hasocused on sustaining national and regional networks, whilst identiying

opportunities within the new policy landscape to ensure the inclusionagenda (and legacy o the PSA 16 work) continues to be addressedwithin the Coalition Government NHS reorms, outcomes or publichealth and social care, localism, welare reorm and the ongoing NHSefciency programme delivered through the QIPP agenda.

Home ownership guide

The National Housing Federation (NHF), in partnership with NMHDU,will shortly be publishing a guide outlining home ownership optionsor people with mental health problems, including the HOLD (HomeOwnership or people with Long Term Disabilities) scheme. This willprovide an update to the NHF 1998 publication, Mental Health andHome Ownership.

Commissioning for improved housing outcomes

NMHDU have commissioned a piece o work on how to locatehousing in uture commissioning structures, with a ocus on QIPP andpersonalisation. This will be published in March as a web resource onthe NMHDU website. Key products within this work include practicalresources to support commissioners when making the case or supplychain integration between housing associations and NHS mental health

provider trusts, and a series o briefngs that highlight good practiceacross the range o commissioning audiences, including the NHS,GPs and local authorities.

Measuring the eectiveness o housing support services or peoplewith mental health problems This month (March) the University oYork and the National Housing Federation will be publishing a review,commissioned by NMHDU, on how to demonstrate systematically theeectiveness and benefts o housing-related support or working age

adults with mental health problems. The review, conducted by theUniversitys Centre or Housing Policy and Hull York Medical School,outlines a range o existing validated measures and sets out a practicalevaluation methodology that can be used by organisations with limitedresources or research. It can be viewed here

Housing and housing support in mental healthand learning disabilities: its role in QIPP

Commissioned by the Deputy Regional Director or Social Care inYorkshire & Humber, in partnership with NMHDU, this report outlinesthe important contribution that housing and housing-related supportcan make to the QIPP agenda in mental health and learning disabilities.

It argues that eective mental health and learning disabilitycommissioning must be a shared activity with many dierent partners,including housing. It identifes the key issues or commissioners andproviders in relation to the provision o good quality housing andhousing-related support, and demonstrates how housing can improveproductivity, maximise recovery and reduce the need or inpatient,residential and nursing home care and out o area placements.

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http://www.nmhdu.org.uk/our-work/promoting-social-inclusion-and-social-justice/http://www.york.ac.uk/inst/chp/Projects/NHFmentalhealth.htmhttp://www.york.ac.uk/inst/chp/Projects/NHFmentalhealth.htmhttp://www.nmhdu.org.uk/our-work/promoting-social-inclusion-and-social-justice/


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PROMOTING SOCIAL INCLUSION AND SOCIAL JUSTICE

Working for mental health website

We have launched, alongside No health without mental health, a newwebsite on work and mental health at www.workingormentalhealth.dh.gov.uk The website contains a range o inormation to help supportemployment outcomes or people with mental health problems. The site,which is hosted by the Department o Health, creates a major databaseo tools, research, policy documents, training materials and regionalinormation about what employment support services and initiatives are

available. It will be invaluable both or making the case or investment inemployment support and developing local employment support services.

2: SHIFT

SHIFT has been working to tackle the stigma and discrimination directedtowards people with experience o mental health problems, with a ocuson employment, the media, black and minority ethnic communities,young people, and sports and physical health. SHIFT products willcontinue to be available to the general public, employers, NHS servicesand the media rom its website at www.shit.org.uk, and key services,such as the Speakers Bureau and the Stigma Watch website, willcontinue to be provided by partner organisations.

The Line Managers Resource

This is a guide or line managers on how best to manage and supportpeople with mental health problems in the workplace. The EmployersForum on Disability and Mental Health First Aid are currently producingtheir own updated versions.

Working it out

A sta training video on managing mental health at work can beviewed on our website and on YouTube.

The SHIFT Speakers Bureau

The Speakers Bureau is a bank o people with experience o mentalill health who are available to do media interviews and speak atconerences. The Bureau will in uture be hosted by the Mental Health

Foundation and contactable through the MHF press ofce.

Stigma watch

Wordsmatter is a website run by mental health charity ok2b or SHIFTthat alerts subscribers to media stories they may wish complain about.This service will continue rom www.wordsmatter.org.uk

Other useul guidance and reports that will remain available on theSHIFT website include:

Whats the Story? a handbook or journalists on reportingmental illness and suicide

Making a Drama out of a Crisis a report on the depiction o

people with mental health problems in TV dramaGiving a Voice guidance or organisations on how to meaningully

involve people with experience o mental health problems, basedon SHIFTs own Expert Advisors group, who advised the programmeover its fve year lie.

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http://www.workingformentalhealth.dh.gov.uk/http://www.workingformentalhealth.dh.gov.uk/http://www.shift.org.uk/http://www.wordsmatter.org.uk/http://www.wordsmatter.org.uk/http://www.shift.org.uk/http://www.workingformentalhealth.dh.gov.uk/http://www.workingformentalhealth.dh.gov.uk/


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Improving mental health care pathways >

Improving peoples journeys through the mental health system is keyboth to recovery and to eective and efcient use o resources. We haveworked with a range o partner organisations and agencies to researchand produce guidance and resources or commissioners, service providersand users and carers across the breadth o mental health specialisms.

Efciency in mental health services:

supporting improvements in the acute care pathwayManaging bed use and ensuring that appropriate alternatives to hospitalare available poses considerable challenges to the mental health system.This briefng, produced with the NHS Conederation Mental Health andPrimary Care Trust Networks and the Audit Commission, oers guidanceand a model or reviewing the acute care pathway to help commissionersand providers identiy and analyse variations in bed use and make bestuse o resources.

Improving mental health service transitions for young people

A joint initiative with National CAMHS Support Service (NCSS) andthe Social Care Institute or Excellence (SCIE), this ambitious projecthas produced a suite o guidance, inormation, learning and service

development tools to help local commissioners, providers, practitionersand young people and their amilies tackle the long-standing problemo poor planning and poor management o transitions or young peopleaged 1619 as they move rom child and adolescent to adult mentalhealth services. The products include a guide to improving transitions orhealth and social care commissioners; guides on policy and rights relating

to services and transition or proessionals, young people and parents/carers (published with YoungMinds); research and good practice researchreports and reviews, and online and e-learning tools, all available romthe NMHDU website and rom www.chimat.prg.uk and www.scie.org.uk

Unlocking pathways to forensic mental health services

Produced with the Centre or Mental Health, this new report detailsfndings rom research into care pathways between prisons and orensic

mental health services. It looks at the current problems and blocks andsuggests new ways to improve systems and ow, including alternativemodels. The report will address barriers, transers, bed occupancyand bed management, cost-eectiveness, achieving the right balancebetween prison and secure provision or oenders with mental healthneeds, and orensic atercare.

Scoping the potential of community and voluntary organisations (CVOs)to deliver Criminal Justice Liaison and Diversion (CJLD) services

This report, produced by GVA Grimley or NMHDU, arises rom theBradley report recommendations that more and better provision shouldbe made to ensure people with mental health needs and those withlearning disabilities are diverted out o the criminal justice system

at an early stage and receive appropriate treatment in appropriatecare settings. Based on research among existing CVOs to identiycurrent good practice, the report highlights the potential or increasedinvolvement o the community and voluntary sector in CJLD services.

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IMPROVING MENTAL HEALTH CARE PATHWAYS
http://www.nmhdu.org.uk/our-work/improving-mental-health-care-pathways/http://www.chimat.prg.uk/http://www.scie.org.uk/http://www.scie.org.uk/http://www.chimat.prg.uk/http://www.nmhdu.org.uk/our-work/improving-mental-health-care-pathways/


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Recovery and resilience: African, African-Caribbean and South Asianwomens narratives of recovering from mental distress

Commissioned by NMHDU and published by the Mental HealthFoundation, this report suggests approaches to recovery that are shapedspecifcally to meet the needs o Arican, Caribbean and South Asianwomen. Based on in-depth interviews with 27 women about theirexperiences o recovery rom mental or emotional distress and whathelped them, it is accompanied by an online good practice guide, a

booklet describing the journeys o recovery, and an anthology o the27 narratives. It is available rom the MHF website at www.mh.org.uk

Implementing Recovery Organisational Change

NMHDU have unded a major national study to identiy the keyorganisational challenges which stand in the way o mental healthservices being more supportive o Recovery processes or thoseusing them and their amily, riends and carers. The study is titledImplementing Recovery Organisational Change across 30 sitesin England.

Selected sites are being provided with consultancy support rom ateam o national experts to help them use an organisational challengeramework to identiy locally relevant goals, implement actions andreview progress. They will also receive specifc help to develop localservice users as trainers or sta and other service users in Recoveryideas and to explore the possibility o training service users to act aspaid sta (peer specialists) in mental health teams. Trusts will alsohave the opportunity to join 6 learning sets over the two years to share

their experience and lessons learned with others who are trying to moretowards more Recovery-oriented services.

The project is being is being delivered as a partnership between theCentre or Mental Health and the NHS Conederation who willcontinue in 20011/12.

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IMPROVING MENTAL HEALTH CARE PATHWAYS
http://www.mhf.org.uk/http://www.mhf.org.uk/


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Promoting wellbeing and public mental health >

Promoting wellbeing and public mental health eature strongly in theCoalition Governments health, social care and public health and mentalhealth strategies. NMHDU has been working closely with a number opartner organisations to produce a body o resources to help inorm andguide NHS, Public Health, GP and local government commissioners, arange o providers and the soon to be established Public Health Englandagency and local Health and Wellbeing Boards.

The role of local government in promoting wellbeing

Jointly commissioned by Local Government Improvement andDevelopment and NMHDU and written by the New EconomicsFoundation (ne), this report examines how local government cansupport and promote wellbeing, and help achieve a better lie orlocal populations and build resilient communities, both now andin the long term.

Commissioning mental wellbeing for all: a toolkit for commissioners

Commissioned by NMHDU and written by a team rom the Universityo Central Lancashire, this toolkit identifes the ten key areas whereevidence-based interventions have been shown to make a signifcantcontribution to improving mental wellbeing at population level and listskey resources to support the commissioning processes. An accompanyingLeadership Brie or Boards and Senior Managers provides those inleadership positions across the NHS, local government and other sectors

with the evidence base to support arguments or investing in wellbeingand mental health promotion and the prevention o mental healthproblems.

Assessing wellbeing impact

A toolkit and sel-assessment programme, commissioned by NMHDUand produced by the English National Mental Wellbeing ImpactAssessment Collaborative, has been recently extensively revised andupdated. The toolkit is easily adapted to local circumstances and is useulor any organisation that wants to assess the impact o their work on thewellbeing o their service users and/or the local community. This resourceis particularly helpul or emerging local Health and Wellbeing Boards.

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PROMOTING WELLBEING AND PUBLIC MENTAL HEALTH


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Mental wellbeing checklist

This is a simple checklist tool or use on its own or alongside thewellbeing impact assessment toolkit. The checklist identifes the majorinuences on and determinants o mental wellbeing and is designedto help inorm local commissioning, development, review, delivery orevaluation o services and initiatives to promote mental wellbeing.

Public mental health and wellbeing the local perspective

Drawing on the views o more than 140 leaders across the NHS, publichealth, primary care and local government, this report, undertaken bythe NHS Conederation in partnership with NMHDU, identifes a numbero key themes or uture work in public mental health and wellbeing.The report also describes fve case studies rom across England.

A number o publications are currently in production. They include:

Ways to wellbeing

Jointly commissioned by the Department o Health and theDepartment o Business, Innovation and Skills (BIS), supported byNMHDU and written by ne, the fnal report on this piece o work willoutline ways to communicate wellbeing messages to the general public

and vulnerable groups.

The Big Society and mental health

Commissioned by NMHDU rom the user-led social enterprise SocialSpider, this discussion paper will argue that mental health groups andorganisations already have the social and entrepreneurial skills to takeorward initiatives under the umbrella o the Big Society not just inmental health provision but also in delivering improved public servicesto the wider local community.

Mental health, resilience and inequalities

This inuential report, originally published by WHO Europe in 2009,sets out the compelling evidence or action to tackle inequalities inmental health at national and local government levels. NMHDU, theNHS Conederation and WHO Europe have jointly commissioned theauthor, Dr Lynne Friedli, to update the report with the latest evidencerom international studies and to add to it a ramework or communityaction.

Public mental health reviews

Eight comprehensive evidence reviews o eective public mentalhealth interventions and programmes are to be published by theDepartment o Health with NMHDU support.

All these products will be available on the NMHDU website, and those othe partner commissioning organisations and others.

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Personalisation in mental health >

This programmes energies have been ocused on two main themes:promoting personalisation in mental health services, and supportingthe roll-out o personal health budgets in mental health.

Paths to personalisation

NMHDU has extensively reviewed and updated its well-used Paths toPersonalisation guide. This is a comprehensive, multi-media resource

designed to help anyone with any involvement in mental health tounderstand the concept o personalisation and how to make it a realityor people with mental health needs. It provides inormation about whatpersonalisation means or mental health services, examples o whatneeds to be in place to make personalisation work, examples o goodpractice and sources o advice and inormation. Written or users omental health services and carers, as well as practitioners, proessionals,health and social care commissioners and senior executives and boardmembers, it also encourages people to look across the system toidentiy the wide span o agencies and organisations whose sign-upto personalisation is needed i it is to make a real dierence to theindividual service user.

Personal health budgets

The Department o Healths pilot personal health budget pilotprogramme ends in April 2012. NMHDU has been supportingpractitioners and managers in the 23 PCTs piloting the budgets in mentalhealth through two national learning sets, and contributing to a nationallearning network hosted on the Department o Health website, whereparticipants can exchange inormation, discuss problems and share goodpractice, and through individual consultancy, advice and support.

NMHDU with the NHS Conederation has also commissioned detailedsurveys o the views o dierent groups on the introduction o personalhealth budgets, including CEOs and Directors in Trusts and LocalAuthorities, six dierent mental health proessions and those o usersand carers.

These suggest that while personal health budgets have support inprinciple there is still a lot o uncertainty about how they will work inpractice to promote personalisation.

Governance and personalisation

Work that will continue ater March includes a joint project with theRoyal College o Psychiatrists and Association o Directors o Adult Social

Services to produce guidance on clinical governance and personalisation.The guidance will provide clinicians with clear inormation on risk andaccountability in the context o the more uid and varied world thatwill emerge as personalisation becomes embedded throughout mentalhealth services.

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PERSONALISATION IN MENTAL HEALTH
http://www.nmhdu.org.uk/our-work/promoting-wellbeing-and-public-mental-health/http://www.personalhealthbudgets.dh.gov.uk/http://www.personalhealthbudgets.dh.gov.uk/http://www.nmhdu.org.uk/our-work/promoting-wellbeing-and-public-mental-health/

nmhdu final news briefing march 2011

Documents