Report from HoB PCT
Heart of Birmingham Teaching Primary Care Trust
Report to the Trust Board
Subject: Mental Health Promotion Consultation Findings
Date: October 2007
Author: Safina Mistry, Strategic Mental Health & Learning Disability Lead
As part of the NSF mental health, there is a requirement for a positive mental health promotion strategy, which outlines how organisations will invest and tackle stigma and discrimination, some of this mirrors the human rights agenda. The rational to improve mental health and promote it positively is an acknowledgement of the social and economic cost of mental illness on the whole of society. It is well documented and researched that positive mental health can impact on reducing number of suicides and Self-harm attempts. The production of a strategy is a national requirement and forms part of the audit process of mental health service delivery. The creation of the “Everyday People” strategy covers all ages and is a multi-agency approach to addressing inequalities. The strategy exists to ensure that at a commissioning, implementation and public health level there is a clear citywide strategic agreement on the key priorities and that delivery methods will not be over prescriptive allowing flexibility of localisation.
The previous strategy is out of date and required revisiting to reflect the priorities of more recent national policy documents which impact on people with diagnosed mental health conditions.
This strategy values the importance of measures to improve the mental health and well-being of all, and seeks to address aspects of people’s life experiences that may damage people’s self-esteem and social relationships. The strategy recognises the need to tackle wider health inequalities and to combat discrimination against individuals and groups with mental health problems, thereby promoting social inclusion.
The challenge is to offer a comprehensive, affordable, deliverable strategy, which articulates the following Strategic Objectives:
To provide clear collaborative partnership working across housing, health, employment and social care.
To promote mental health in a positive manner and focus well –being.
Patients have the opportunity to be equal partners in healthcare decisions
Self care management programmes offered as a real choice
Patients using health services proactively to prevent illness or to minimise impact of illness through seeking earlier intervention
Empower patients to become more confident to exercise choice
The drafting of a citywide strategy was lead by Heart of Birmingham tPCT with approval from the citywide joint commissioning board and has recently completed a three-month consultation process. The strategy covers the 3 years from 2006 – 2009 and will be subject to annual review through the Joint commissioning board mental health.
The consultation was undertaken earlier this year and further time was allowed for CAMHS to undertake some further work capturing the views of younger people. The consultation process has involved engaging with and presenting to a wide range of stakeholders including children’s services, older adults services, Clinical staff, PPI forums, Carer and service user groups, Voluntary and community sector organisations. It has also been tabled at the locality PBC meetings. We have been able to utilise local networks through our commissioning contracts with a number of community development services. Specific Local events were staged to inform the public of the aim of the strategy and share ideas. An email account was opened for the specific consultation and the strategy was placed on Organisations intranets.
During the consultation phase, 32 formal written comments were received from across the city. These included individual, group and organisation responses. Further comments were collated through the series of specific consultation events which had over 150 people in attendance and 28 agencies represented The majority of feedback supported the strategy and its key priorities, some comments focused on grammatical errors and format of strategy which have been corrected.
The analysis from the findings highlighted three specific themes
Less Jargon more user /patient friendly
A Stronger carer focus required
A clearer understanding on children and Service prevention
These themes have now been incorporated by amending the strategy and providing an easy read version as well as making any acronyms obsolete. A clearer carers and children’s focus is more visible with linkage into the city council strategies, in line with strengthening partnership working. The Everyday people strategy is an evolving process and will be reviewed and revised to continue taking account of both national and local changes and demands before the end of 2009.
The strategy has now been completed and is ready to submit to the JCBMH in October with anticipated sign off. Local action plans will need to be developed demonstrating how the strategy will be implemented. The action plans will be monitored in two ways, firstly multi-agency local implementation teams and secondly strategically by the JCBMH. In Heart of Birmingham pct a mental health promotion role exists which sits within the health exchange. The post holder is responsible for delivery against standard One of the NSF. As part of his portfolio he will be expected to develop, in partnership with others, a local Heart of Birmingham action plan across children’s adults and older people.
The progress on the local action plan should be tabled at Board on an annual basis.