Enhanced Primary Care Mental Health Service

External Drivers• MH identified as a priority in the strategic commissioning plans for the 3

Worcestershire CCGs • Widely accepted that most MH problems should be managed in PC

setting• Commissioners reviewed current provision for mental health services in

Primary Care• New service specification with focus on developing a service that

provides a ‘no wrong door’ approach to service users and health professionals

• Service delivered in collaboration with a variety of Voluntary and community based organisations

• Extended services and a choice of access

Objectives

• Patient centred – age inclusive and based on need• Accessible• Evidence based• Capable (skills and capacity)• Integrated (Health and Social Care and specialist

services) • Outcome and recovery focused• Community linked• Preventative – interventions targeted at groups at risk

For complex patients:-

• Peer support/pathway navigator

• MH Professional in primary care

• Access to wellbeing resources via wellbeing hub phone or website

Public and patients

Self referrals

GPs will have support from:-

• Mental Health Professional in Primary Care

• Member of staff from the CMHT who will liaise

• Case discussion with Consultants

• Direct book for assessment appointments via SPA

GPsMH ServicesProfessionals

VoluntaryCommunity Sector (VCS)

SINGLEPOINT OFACCESS

(SPA)

WELLBEINGHUB

TALKING THERAPIES(WHM)

1:1 and work

• 1:1 and group work• NICE Recommended psychological intervention

(IAPT complaint)• CBT• Primary Care Psychology• Counselling• Supported cCBT

MENTAL HEALTHPROFESSIONAL IN PRIMARY CARE

(WHM)

• Support for step up/step down• Frontline mental health assessment • Liaison with CVS statutory and non-statutory

COMMUNITY SUPPORT AND WELLBEING

SERVICE

• Advice including::• Self help materials, access to cCBT and

signposting available to the Wellbeing Hub• Ability to book directly into step 2 cCBT and VCS

provision Eg MoodMaster• Mentoring• Mental Health First Aid• Recovery College• Social Prescribing• Books on Prescription• Peer Support/pathway navigation

SOCIAL INCLUSION

• MH awareness raising and up scaling• Mental Health Professional in Primary care

support to VCS/Statutory and non-statutory services

• Mental Health training directory• CPD recognition to MH training• Advice available wellbeing hub/SPA/MH

Professional

MODEL FOR ENHANCED PRIMARY MENTAL HEALTH CARE SERVICES

ENHANCED PRIMARY CAREMENTAL HEALTH SERVICE

SECONDARY CARESERVICES

Key features• Build upon and further develop systems that facilitate easy

access - Single Point of Access (professional and self-referrals)

• Clear criteria for access and sign-posting • Facilitate access to the most appropriate level of intervention• Ensure access to appropriate and convenient locations –

identify community based venues• Establish mutually beneficial partnerships with local voluntary

organisations• Increase public awareness of services available

Worcestershire Health & Care NHS Trust

Worcestershire Healthy Minds

Secondary Care Community Mental

Health Teams

Acute In-Patient Service

Adult Mental Health

Worcestershire Healthy Minds Objectives

Develop coherent pathways that:• Enable

Early identificationTimely access to assessmentSeamless transition to the least burdensome and most

appropriate intervention• Support

Recovery Return to a fulfilling life

WHM – remit

• A Countywide Primary Care Mental Health Service;• People aged 16 and over;• Experiencing common mental health problems e.g. stress, low

mood and anxiety;• Provide a range of information, interventions and therapy, both 1:1

and in a group format;• Aim to help people improve their mental wellbeing through a range

of support.• All clinicians are professionally trained, registered and are receiving

regular supervision.

Cognitive Behavioural Therapy (CBT)

ServiceCounselling Service

Mental Health Professionals in

Primary CarePsychology Service

Worcestershire Healthy Minds

WHM Intention

• Improve partnership working with local community support networks and providers

• Establish integrated pathways between PC, SC and VCS services

• Provide effective coordination of care throughout the patient journey