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The Role of The Mental Health Partnership & Committee Anne Hawkins MHP Director Mental Health Partnership Focus Adult Mental Health Services Partnership Primary, Secondary & Social Work Services Leadership /


  1. The Role of The Mental Health Partnership & Committee Anne Hawkins MHP Director

  2. 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

  3. Mental Health Partnership • Performance Management • Development of Health Improvement Strategies • Capital Developments • Directly Managed Services – Beds & Area Wide Services

  4. Challenges • National Commitments • Forensic Services • Ongoing Redesign of Services • Performance Management • Implementing Clyde Strategy

  5. The MHP Committee • Whole System Accountability • Monitor Performance • Approve & Monitor Strategic Plans • Health Improvement & Prevention Strategies • Care Governance & Professional Standards • Legislation

  6. Care Governance Framework MHP Dr Linda J Watt Medical Director MHP

  7. 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

  8. Health Board / Local Authority RAS CHSCP x 5 P.E.G. LD Partnership ALDT Mental Mental EMI Health Health MH Network Partnership Partnership CAMHTs Addictions CATs Partnership WCD

  9. NHS Greater Glasgow Local Authorities and Clyde Sub Group 1 - Legislation Group MHP CHCP MHP Director Directors CHCP Medical P.E.G. Sub Group 2 Director - Information Governance Group CHCP Care Sub Group 3 Governance – Practice Committee LD Development and R esearch tR esearch Heads Of Sub Group 4 Mental MHP Care Care Health Governance Client Governance Care Service Safety Group Committee Governance Group Committees Adult MH Sub Group 5 Practice Training Group Forensic Mental CHCP Sub Group 6 Health Mental Service User Partnership Health / Carer Services Services Sub Group 7 Medicines Resource Management Group KEY Managerial Accountability For Care Governance Professional Support / Advice Structures & Lead Relationships

  10. Care Governance • Covers Health Clinical Governance • Covers Social Care Standards (to include purchased services)

  11. MHP Care Gov Group Membership • Medical Dir (chair) • Heads of MH • MHP Director • Staff/P rep. • Lead for SW (vice- • LD Lead chair) • Addictions Lead • Nurse Director • CAMS Lead • Prof Heads-AHP, • Older Peoples Lead Pharmacy, • Gen Man Forensic • Psychology • Legislation Lead

  12. 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)

  13. 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)

  14. 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)

  15. Performance Assurance Doug Adams Head of Planning and Performance (MHP)

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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

  21. 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

  22. 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

  23. 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

  24. 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

  25. Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland. Strategic Cohesion Delivering for Mental Health R R & R •Recovery focused care •Recovery focused care •Rights and values based training •Rights and values based training •Peer support worker •Expert patient •Psychological therapies •Psychological therapies •Reduce re-admissions •Develop self managed care •Establish acute care forums •Establish professional networks •Acute care a priority •Focus on acute care as a priority •Address health and wellbeing •Address physical health needs needs •Improve knowledge and skills in •Reduce suicide rates management of self-harm

  26. 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 Act Non-discrimination Participation Equality Respect for carers Respect for diversity Least restrictive alternative Reciprocity Benefit Informal care Child welfare

  27. 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.

  28. Rights, Relationships & Recovery. The report of the national review of mental health nursing in Scotland. Recovery is a collaborative process and is about…….. • 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

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

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