Regional viewDr Alistair Lipp,Deputy Regional Medical Director

4th Feb 2014

NHS | Presentation to [XXXX Company] | [Type Date]2

Parity of esteem?British Medical JournalDecember 2013

Esteem

• “to regard highly or favourably; regard with respect or admiration”

• “Respect from others entails recognition, acceptance, status, and appreciation.”

3

Negative stereotypes?• “As a medical student I was told by my supervisor that I was

‘too bright’ for psychiatry, and other colleagues have told me of similar experiences”.

• “Neurosurgeons: know a little, do a lot. Neurologists: know a lot, do a little. Psychiatrists: do nothing, know nothing!”

• “Around the table were an aspiring surgeon, a respiratory physician, an emergency medicine doctor, and an anaesthetist. Eyebrows were raised when I said that I was going to be a psychiatrist.

• Why do you want to do that?’ one asked.”

4

NHS | Presentation to [XXXX Company] | [Type Date]5

Workforce issuesHealth Education England(East of England)

NHS workforce 2013 – 2028

7

Forecast for Total Mental Health WorkforceSector Workforce

Partnershipvacancy rate 2013 Establishment

change 2013 - 2018

Mental Health Beds & Herts 13% -11%Cambridgeshire 9% -11%Essex 10% -8%Norfolk & Suffolk 9% -15%EoE 10% -11%

NHS workforce 2013 – 2028

8

Workforce Partnership

Sector vacancy rate 2013 establishment change 2013 - 2018

Beds & Herts Mental Health 13% -13%Cambridgeshire Mental Health 11% -15%Essex Mental Health 14% -9%Norfolk & Suffolk Mental Health 4% -17%EoE total Mental Health 11% -13%

Forecast for Registered Nurses and Clinical Support to Nursing in Mental Health

NHS workforce 2013 – 2028

9

Workforce Partnership Sector vacancy rate 2013

establishment change 2013 - 2018

Beds & Herts Mental Health 9% -7%Cambridgeshire Mental Health 9% -2%Essex Mental Health 8% 0%Norfolk & Suffolk Mental Health 6% -8%EoE total Mental Health 8% -5%

Establishment Forecast for Consultants and Non-Consultant Career Grade staff

Pre-registration Commissions 2014/15

Registered Mental Health Nurses

• We are increasing our investment by 4%, with 11 extra students and a total investment in 273 students. This compares to a 1.5% increase nationally. This level of commissions will ensure supply of newly qualified nurses to meet providers demand.

• Risks:

• Risk of supply shortages if providers demand does not reduce according to plan.

• Anecdotal evidence of Essex providers being affected by recruitment in London.

• Clinical Psychology

• We are increasing the number of commissions by 5%, to 42, in 2014/15. This compares to a steady state nationally.

10

NHS | Presentation to [XXXX Company] | [Type Date]11

Regional issuesParity of performance?

IAPT planned coverage (13/14) (CCG)

12

0%

5%

10%

15%

20%

25%

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13

IAPT plan achieved (Qu 1) (CCG)

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14

IAPT plan achieved (Qu 2) (CCG)

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Dementia – “Find” (Provider)

15

0%

10%

20%

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CPA: Discharged + f/up within 7 days (CCG)

16

60%

65%

70%

75%

80%

85%

90%

95%

100%