The priorities identified in the 2016/17 Commissioning Intentions for West Suffolk Clinical Commissioning Group (WSCCG) will be achieved through working closely with our partners, in particular Suffolk County Council (SCC), Norfolk & Suffolk NHS Foundation Trust (NSFT), West Suffolk Foundation Trust (WSFT), the voluntary sector and our regional Clinical Networks including the Children, Young People and Maternity Clinical Network and the Mental Health, Dementia, Neurological Conditions, Learning Disabilities and Autism Network.
The CCG will work towards greater integration of specialist mental health services with the wider health and social care system as below, and will continue to work closely with NSFT to review the existing Access and Assessment / Integrated Delivery Team operational model and make changes where necessary. We will support the national focus on new mental health access and waiting time standards being introduced from April 2016.
We have set out the topics of our 2016/17 Mental Health commissioning intentions under the three broad themes of our joint CCG / SCC Adult Mental Health Commissioning Strategy, which is due for completion in autumn 2015, namely Early Intervention and Prevention, Recovery and Rehabilitation and Crisis (incorporating the Mental Health Crisis Concordat).
EARLY INTERVENTION & PREVENTION
- Primary Mental Health Service (previously Suffolk Wellbeing Service) – ensure the robust and successful implementation of the newly procured service from July 2016, including the extended scope to incorporate the commissioning of Primary Mental Health Workers (PMHWs) with SCC.
- Long Term Conditions – following evaluation in March 2016 of the Psychiatric Liaison and Wellbeing pilot to support patients with long term respiratory conditions, apply learning and approach to extend into other areas, including Dermatology and Cardiology.
RECOVERY & REHABILITATION
- Mental Health Rehabilitation Pathways – consider and scope the range of services supporting patient’s recovery and rehabilitation through a joint review with SCC.
- Supported Housing – we will support the shared procurement of the Early Supported Housing contracts with SCC.
- Tier 4 Child and Adolescent Mental Health Services (CAMHS) – we will support the commissioning of Tier 4 services as required, the responsibility of which is likely to return to CCGs in the future. We will support ongoing exploration of opportunities for better integrate local Tier 3 and Tier 4 CAMHS provision.
- 24/7 Crisis Response (including delivery of the Suffolk multi-agency Mental Health Concordat) – for adults and children, including review and audit of the current pathway for people with personality disorders (Night Owls Service) and respite beds; more than 50% of people experiencing a first episode of psychosis will be treated with a NICE-approved care package within two weeks of referral.
- Police Triage Service – we will implement and mobilise a service that will provide on the spot advice to police officers who are dealing with people with possible mental health problems, leading to people receiving appropriate care more quickly, resulting in better outcomes and a reduction in the use of section 136 and attendance at A&E.
- Suicide Prevention Strategy – we will support the development of the strategy and implementation of recommendations in partnership with Suffolk County Council and Suffolk Constabulary.
CHILDREN’S EMOTIONAL HEALTH & WELLBEING
The five-year transformation plan sets out a radical new service design which will make a big difference to the lives of young people and their families in Suffolk by 2020. The overall aim is to establish an integrated, family-focused response to the needs of young people in east and west Suffolk with emotional, behavioural and mental health needs. Through five big ideas and 10 priorities the plan will deliver a single point of access to services which are evidence-based and determinedly seeking better outcomes for patients.
The plan has been developed by our county’s health and care organisations and, importantly, with input from young people and their families.
Ensure that people of all ages have access to earlier assessment and diagnosis for Autistic Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) are supported to access the services that they need. We will re-model the service in response to the Joint Strategic Needs Assessment (JSNA) refresh / evaluation.
- National Drive to Increase Dementia Diagnosis Rate – we will continue to support and promote early diagnosis of Dementia and ensure those diagnosed are appropriately recorded on GP registers.
- Post Diagnostic Services Model – extension of existing contracts to March 2017 for post diagnostic services to align with SCC contracts. We will work through the Mental Health and Learning Disabilities Joint Commissioning Group with SCC to either align or jointly commission alternative arrangements, from the point of early diagnosis through to advance care planning and end of life care.
- Dementia Friendly Initiatives – we will work with our 24 practices to promote the establishment of dementia-friendly health and care environments. Our dedicated Care Homes Clinical Support Manager will work with care homes in order to support and facilitate these initiatives.