Working together for better mental health

Ian WinterDepartment of Health (London Region)29th February 2012

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Where have we come from

• We have an inextricably linked history

• Mental Health is grounded in how well people are

- no health without mental health

• Collaboration has been the hallmark of good practice

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Big Questions

•The exponential impact on individuals

•Un-coordinated service reductions

•Affordability and safety

•A new commissioning paradigm

•The impact of the reforms

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Adult Social Care priorities

• Prevention

• Recovery

• Continued Support

• Efficient Process

• Partnership

• Contribution

In addition to this are the statutory responsibilities including S117, Mental Health Act and DoLS

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Facing the dementia challenge

• The growing numbers

• Pressure on primary care, adult social care and communities following early diagnosis

• Bed management in hospitals

• A new model for residential care

• Support to carers

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Forensic Mental Health and Prisons/Offenders

• Rising numbers

• Increasing length of stay

• Personalisation and choice

• Health of offenders

• Chaos, disruption and impact

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System Change

• The impact of the reforms

• Handling the interregnum

• The post 2013 world

• Integrated commissioning and integrated care

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The leadership challenge

• PBR

• The social work task and responsibility

• Pan London Commissioning Support

• Working with Clinical Commissioning Groups

• Role of Health and Wellbeing

• What are we waiting for