Improving Mental Health Care Pathways

This programme brings together a range of work concerned with embedding evidence based service models. establishing and spreading best practice and/or improving the quality of mental health care and services. 

The work of the programme is underpinned by commitments to recovery, the development of personalised care, social inclusion and providing best value in terms of the use of limited resources. 

The programme is closely aligned with key DH policy teams, including the DH Alcohol intervention and the National CAMHS programme.   The work involves co-production with a number of key strategic partners, including the NHS Confederation and ADASS.  Where appropriate, work is linked to other stakeholders and partners such as the Care Quality Commission.

New Workstreams for 10/11

Promoting Recovery-focused services

In the podcast above- Rachel Perkins describes A View of Recovery

If you are unable to view the content of this film, please contact your organisations IT Dept. The content is hosted by www.vimeo.com

Download a full transcript of this podcast- word document version or pdf version

The NMHDU has agreed a project-led partnership with the Sainsbury Centre for Mental Health (SCMH), supported by the NHS Confederation, to promote and support recovery-focused organisations and services.  The work builds on the recent SCMH programme, Making Recovery a Reality.  The project will pilot recovery-focused organisational development across selected local NHS sites (still to be determined) and will demonstrate and evaluate outcomes for providers and commissioners.  Further information will be available on our website shortly.  Contact Jim Symington for further information.

Strengthening liaison and diversion services for offenders 

This is a new NMHDU project to support the implementation of the recommendations of the Bradley review of people with mental health problems or learning disabilities within the criminal justice sustem.  A key recommendation is to improve liaison and diversion schemes for people with a mental health problem, ideally from policy custody, or from court.  The project is working on four products:  a best practice guide on liaison and diversion, based on consultations with existing schemes; a standard assessment tool that can be used to screen all vulnerable people in police
custody; a minimum data set for NHS data collection; and a scoping review of third sector involvement in liaison and diversion and its capacity to develop this role further.  Contact Malcolm King for further information.

Improving Care Pathways programme 10/11 - new focus 

As part of NMHDU's refreshed business commitments in 10/11, there will be a number of changes to the Improving Care Pathways programme moving forward.

The changes, agreed with the NMHDU Oversight Board, involve a renewed focus in some areas and a conclusion to some existing work in its current form.  The changes have been informed by the Oversight Board's judgements on where the impetus for implementation support and co-ordination will be most effective across the national, regional and local tier. In 2010/11 the programme will include

  • Improving transitions between young peoples and adult services
  • Developing organisational cultures and structures which support recovery
  • Strengthening liaison and diversion services for offenders

Key aspects of this programme will be delivered in partnership with the NHS

Confederation and the Sainsbury Centre for Mental Health.

Changes from the 9/10 Improving Care Pathways changes

There are a number of workstreams that are being changed or discontinued in their 09/10 form from April 2010. These include acute care, dual diagnosis, early intervention in psychosis and the inclusion of violence and abuse in routine assessment.  See specific website pages for further.

The themes of these programmes will be mainstreamed within other programme activity and with programmes in other areas such as dual diagnosis within the Alcohol Improvement programme.

Acute Care Pathways development

The NMHDU's Acute Care Pathways development programme will work with SHAs over the next 6 months to develop and embed the work around the Acute Care Declaration, launched in 2009. There will be a series of regional stakeholder events, supported by the NMHDU, to promote and sustain regional and local leadership and capability in this area.  Existing resources, including the Virtual Ward website will continue to be made available and maintained as a cental resource for regional and local networks. Further details on how priorities for future action will be taken forward over the next 6 months will be put on updated on the acute care. For more information contact Jim Symington.

Dual Diagnosis care pathways programme

The work of the national dual diagnosis programme will conclude shortly and the lead responsibility on developing dual diagnosis strategies and improvements transferred to SHAs and locally to service commissionersand providers.  The wealth of guidance and good practice built up over the last 5 years, including guidance on developing a capable dual diagnosis strategy regionally and locally, will continue to be available on the Progress website and relevant web pages on this site.

The NMHDU will continue to promote the needs of people with dual diagnosis, as an integral part of its work.  In particular, the Improving Care Pathways programme lead will be scoping further opportunity to collaborate with other programme areas, including the national Alcohol Improvement Programme (AIP) and offender health programmes, to strengthen links across to mental health.  Contact Jim Symington for further information.

Violence and abuse routine enquiry in assessments

The extensive resources to support the implementation of the violence and abuse policy in relation to the inclusion of the routine enquiry for abuse policy in relation to the inclusion of the routine enquiry of abuse in all assessments (Refocusing CPA Policy and Positive Practice Guidance, DH 2008) will continue to be freely available on the NMHDU website will continue to be freely available on the NMHDU website. Some bespoke nationally led work will continue, in particular focusing on the pre-registration training of mental health professionals.   In addition, issues around the mental health impact around violence and abuse more broadly, will continue to be a focus of NMHDU's work within the gender equality programme and other related areas. Contact Jim Symington or Liz Mayne for further information.

Paul Valentine, user of mental health services

When I was on the ward I found the treatment very impersonal. There was far too much emphasis on medication and nothing about personal issues and individual needs.  I would definitely be in favour of policy initiatives like New Horizons that are about the whole person, and recovery in the context of the person’s whole life. Time is also very important. The recovery has to be personalised to the pace of the individual, not the practitioner.

Visit the NMHDU New Horizons Section

Tracey Hayes, mother,

I say arms are for hugging, legs are for walking and hearts are for loving. Love is the most important thing, and if a child has that, they have everything. It’s good that the government is saying that it all starts from birth. I tell my daughter to be true to yourself, look people in the eye and do your best. That’s all you can ask. End of story!

Visit the NMHDU New Horizons Section

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