GOVERMENT Regulators: CQC HCPC NHS Clinical Commissioning Groups Mental Health Trusts Local Authorities Local Authority Commissioners Social Services Community.

MENTAL HEALTH FUNDING SYSTEM

Health Local Authority /social servicesCost

“No health without Mental Health”

National Institute of clinical excellence.

N.I.C.E.

IAPT Funding

2008/09 – £33 million 2009/10 – £70 million 2010/11 – A further £70 million

Total 173 million 2012 – Over £400 million invested to increase

access to NICE-Approved Psychological therapies and extend IAPT services to children and young people

Complex Needs

(Spot Purchasing)Private HospitalsResidential Care Day Services

Personalisation agenda

“Putting people first”

Personal Budgets

Some ways individuals spend their personal budgets are:

Getting help with cooking, shopping and cleaning

Having short breaks or a holidayLeisure activities, e.g. an art class or a walking

group

Having driving lessonsBuying specialist or computer equipment to

make like easierBuying membership of a gym or sports clubFinding a job or learning new skillsHaving an aromatherapy massage or other

alternative therapy – mind website.

Personal Budgets

Assessment of need

“FACS”LowModerateSubstantialCritical

Outcome Assessment IAPTKey performance indicators (KPI’s):patient health questionnaire generalised anxiety disorder assessment questionnaire phobia screening questions disorder specific measures work and social adjustment scale employment questions

Outcome studies:IAPT three year report (DOH, 2012)Mukuria et al. (2013) Cost-effectiveness of an Improving Access to Psychological Therapies Services. British Journal of Psychiatry

Outcome Assessment Personal Budgets- Department of HealthPatient Choice empowers and strengthens partnerships between users, patients and clinicians.Active and Intelligent commissioning is the key to success.Cost effectiveness

EU Mental Health Strategy

Green Paper European Commission (2005)

"Improving the mental health of the population: Towards a strategy on

mental health for the European Union“

The establishment of a strategy on mental health at EU-level would add value by:

Creating a framework for exchange and Cooperation between Member States

Helping to increase the coherence of actions in different policy sectors

To open up a platform for involving stakeholders including patient and civil society organizations into building solutions

EU Mental Health Strategy

The Commission proposes that an EU-strategy should focus on the following aspects :

Promote the mental health of all

Address mental ill health through preventive action

Improve the quality of life of people with mental

ill health or disability through social inclusion and the protection of their rights and dignity; and

Develop a mental health information, research and knowledge system for the EU.

EU Mental Health Strategy

Department of Health (2009)

New horizons: “Towards a share vision for mental

health”

UK Mental Health Strategy

Key themes of the strategy are:

Prevention and public mental health:

Tackling stigma

Early Intervention

Personalized care

Multi-agency commissioning/collaboration

Innovation

Value for money

UK Mental Health Strategy

Proposals For European Planning 2013 – 20

A exploration of the various models of treatment across a section of EU countries.

Research investigating diagnosis specific treatment models that have proved to be effective taking into account patient experience, carers and professionals.

Exploring the development of an integrative approach towards the treatment of mental health and other associated disorders in which social and health care models can be integrated in more efficiently.