The Role of The Mental Health Partnership & Committee

Anne HawkinsMHP Director

Mental Health Partnership

• Focus – Adult Mental Health Services

• Partnership – Primary, Secondary & Social Work Services

• Leadership / Strategic Planning

• Development of Services

• Clinical / Corporate / Staff Governance – Implementation

Mental Health Partnership

• Performance Management

• Development of Health Improvement Strategies

• Capital Developments

• Directly Managed Services – Beds & Area Wide Services

Challenges

• National Commitments

• Forensic Services

• Ongoing Redesign of Services

• Performance Management

• Implementing Clyde Strategy

The MHP Committee

• Whole System Accountability

• Monitor Performance

• Approve & Monitor Strategic Plans

• Health Improvement & Prevention Strategies

• Care Governance & Professional Standards

• Legislation

Care Governance Framework MHP

Dr Linda J Watt Medical Director MHP

Mental Health Partnership Functions

• Management of all Adult Acute Beds, Forensic Services, Liaison Psychiatry, Rehabilitation & all cross city services

• Manage all Clyde MH services

• Strategic Planning & Performance management of entire MH System

• Clinical & Care Standards of entire MH System

LD Partnership ALDT

MHNetwork

MentalMental

HealthHealth

PartnershipPartnership

CHSCP x 5P.E.G.

Health Board / Local Authority

RAS

WCD

CAMHTsAddictionsPartnership

EMI

CATs

Local Authorities NHS Greater Glasgow and Clyde

MHP Care Governance Committee

CHCPMental Health

Services

Care Governance Committees

CHCP Directors

MHP Director

Sub Group 1- Legislation

Group

Sub Group 5Practice Training Group

Sub Group 2- Information Governance

Group

Sub Group 6Service User

/ Carer

Sub Group 3 – Practice

Development and

Research tResearch

Sub Group 7Medicines Resource

Management Group

Mental Health

PartnershipServices

Heads Of Mental Health Service

CHCP P.E.G.

MHPMedicalDirector

Sub Group 4

Client Safety Group

KEY

Managerial Accountability For Care Governance

Professional Support / Advice Structures &Lead Relationships

Forensic

CHCP Care Governance

Committee LD

Care Governance

Group Adult MH

Care Governance

• Covers Health Clinical Governance

• Covers Social Care Standards (to include purchased services)

MHP Care Gov Group Membership

• Medical Dir (chair)• MHP Director• Lead for SW (vice-

chair)• Nurse Director• Prof Heads-AHP,

Pharmacy,• Psychology

• Heads of MH• Staff/P rep.• LD Lead• Addictions Lead• CAMS Lead• Older Peoples Lead• Gen Man Forensic• Legislation Lead

Sub-Groups MHP

• Governance of Purchased Services (Clive Travers & Raymond Bell)

• Legislation Group (Chris Weir & Stuart Lennox)

• Information Governance Group ( Calum McLeod & Fiona Lockhart)

• User & Carer Group ( Robert Davidson & Cindy Wallis)

Sub-Groups MHP

• Client Safety Group ( Clive Travers & Raymond Bell)

• Practice Development & Research Group including Joint Training ( Colin McCormack & Mhairi Branagan)

• Medicines Resource Management Group ( Linda Watt & Derek Brown)

MHP Care Gov Links

• LD Partnership ( Lyndsey McNair)

• Additions Partnership ( Uday Mukerji)

• CAMS Services ( Julie Metcalf)

• Older Peoples Services ( Graham Jackson)

• Homeless Partnership ( Alice Docherty)

Performance Assurance

Doug Adams Head of Planning and Performance

(MHP)

National Policy And Performance Context

• Mental Health Act• Mental Health Delivery Plan• Mental Health and Well Being Strategy • HEAT Targets• National Performance Reporting

• HEAT Targets• Delivery Plan Implementation • Integrated Care Pathways

• Rights, Relationships and Recovery

Local Performance Priorities

• Development of CH(c)P Community Services• Crisis 24/7• Assertive Outreach • Integrated Teams

• Development of Specialist Community Services• Eating Disorders

• Major Capital Developments• Rowanbank Unit• New Gartnavel Hospital

Local Performance Priorities Continued….

• Strategy Development• Clyde Strategy• Greater Glasgow

• Effective Functioning of Service System across Community and Inpatient Services

• Effective Functioning of Community Services• Impact of Community Services on Patterns of

Inpatient Bed Use• Effective deployment of Inpatient Beds• Progress on HEAT Targets

Whole System Functioning: Performance Assurance

1. Individual CHP Managed Services: Community Services

2. MHP Managed Services: Inpatient and Pan CHP Specialist Services

3. CHP’s together through the Mental Health Partnership: Whole System of Care

• MHP Committee Focus • MHP Managed Services• Whole System of Care

Building Blocks For Performance Assurance• Common Core Dataset: Number Indicators

- Covers each Community Service Team and Inpatient Services

- Effective Functioning of Community Teams and Impact on Effective Deployment of Inpatient Beds

- Feedback on Comparative Performance and Practice Variance

- In Development; almost useable

Building Blocks For Performance Assurance Continued

Development and Performance Plan: MHP• Collects Together into Single Plan:

- External Performance Priorities - Corporate Organisational Priorities of NHS/ +- Local Authorities - Local Mental Health Priorities - Includes Practice Governance- In development; almost useable

• Sets Out- Objectives- Target and Progress Measure- Lead Officer- Mix of Number Based Indicators and Quality Based Progress

Update

Building Blocks For Performance Assurance continued

• Performance Framework in Place• Population of Performance Framework almost in

Place• Performance Assurance Group Recently

Established- Assures Progress on Development Plan - Commissions Management Action/Development Work - Significance and Exception Reporting- Produce Reports for MHP Committee- Assurance of Functioning of Whole System of Care- ? Rolling Programme of Strategic Reporting

Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.

Rights Relationships & Recovery

Briefing Presentation

Robert Davidson(Acting) Nurse Director

Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.

Delivering for Mental Health

•Published December 2006

•A new vision for services

•14 commitments

•3 HEAT targets (4)

•Support for change

•Performance Management

Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.

Strategic CohesionR R & R•Recovery focused care•Rights and values based training•Expert patient•Psychological therapies•Develop self managed care•Establish professional networks•Focus on acute care as a priority•Address physical health needs•Improve knowledge and skills in management of self-harm

Delivering for Mental Health•Recovery focused care•Rights and values based training•Peer support worker•Psychological therapies•Reduce re-admissions•Establish acute care forums•Acute care a priority•Address health and wellbeing needs•Reduce suicide rates

Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.

Mental Health (Care & Treatment) (Scotland) Act 2003

The Millan Principles: – The ethical underpinning of the ActNon-discrimination

Equality

Respect for diversity

Reciprocity

Informal care

Participation

Respect for carers

Least restrictive alternative

Benefit

Child welfare

Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.

The title of the report represents the central importance of:

•A rights-based approach to practice

•Developing positive relationships as the starting point for all interventions with service users, carers and families

•Recovery as the underpinning principle of therapeutic interventions.

Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.

• More than just symptom control• Feeling valued as a person• Feeling listened to and heard• Regaining control of life and life decisions• Being supported towards self-determination• Living a satisfying and fulfilling life• A journey with lots of ups and downs• Life being back the way it was or discovering a new life• Contributing to the community• Helping others

…..........Even when symptoms might still be present

Recovery is a collaborative process and is about……..

Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.

• Drive to embed nursing practice in a set of 10 essential shared capabilities

• Reaffirming that that core of mental health nursing is about engagement and relationships

• Shift towards recovery focused models of care supported by a ‘Realising Recovery’ service framework

• Responding better to diversity and inequalities

Key Themes

Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.

• Review of pre-registration educational programmes supported by competency based / capability frameworks

• Better support for people with long term mental health problems including improvements in physical health

• Developing skills in detection and management of suicide and self harm

• Developing nursing care in acute inpatient services

• Developing Advanced Practice and Nurse Consultant roles

Key Themes

Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.

• Developing nurse prescribing aligned to service redesign

• Increasing the profile and skills base in working with older people who have mental health problems

• Increasing knowledge and skills in psychosocial interventions and psychological therapies

• Improved collaborative working between service providers and Higher Education Institutions

• Develop user and carer involvement in nurse education.

Key Themes

Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland.

• Working in Partnership

• Respecting Diversity

• Practicing Ethically

• Challenging inequality

• Promoting recovery

The 10 Essential Shared Capabilities for Mental Health Workers in Scotland

•Identifying peoples’ needs and strengths

•Providing person-centred care

•Making a difference

•Promoting safety and positive risk taking

•Promoting personal development and learning

Staff Governance Standard3rd Edition 2007

Catriona Chambers Head of HR (MHP)

The governance framework within which NHS Boards must operate comprise of 3 distinct areas

Clinical GovernanceFinancial GovernanceStaff Governance

Staff Governance focuses on how NHS Scotland staff are managed, and feel they are managed.

Staff Governance is defined as:

• Well informed;• appropriately trained;• involved in decisions which affected them;• treated fairly and consistently; and• provided with an improved and safe working

environment.

NHS Boards are required to demonstrate that staff are:

“a system of corporate accountability for the fair and

effective management of all staff”.

Monitoring Arrangements

Staff Governance Standard

Audit Report Annual Review

Self Assessment Audit Tool and Staff Survey

Action Planning

Mental Health Partnership Response 2007/2008

- Local action plans completed Sept/Oct 2007

- Sub-group of MH Staff Partnership Forum (SPF) agreed September 2007

- Analysis of local action plans by sub-group November 2007

- Reporting cycle to MH SPF from November 2007

Some Staff Governance Challenges

- Size of Organisation

- Service Redesign

- Joint Working

- Integration of Clyde

- Pay Modernisation

- Workforce Information