National Programme National Programme for Mental Health for Mental Health

National Programme National Programme for Mental Health for Mental Health

WHAT IS CLINICAL GOVERNANCE?Clinical governance is a framework through which healthcare teams are accountable for the quality, safety and satisfaction ofpatients in the care they deliver. It is built on the model of the chief executive officer/general manager or equivalent working inpartnership with the clinical director, director of nursing/midwifery and service/professional leads. A key characteristic of clincialgovernance is a culture and commitment to agreed service levels and quality of care to be provided.

National Mental Health Programme

Early InterventionEvidence

Based Practice

Interventional Partnerships

Positive Outcomes

Four Principles for New Service Development

Three ‘Strands’ of Care SMI / Psychoses

Complex MH ConditionsCommon MH Problems

The First Three Programmes

• Early Intervention in Psychosis

• Early Intervention in Eating Disorders

• The Management of Self Harm Presenting to Emergency Departments

“Specialist within Generalist” Teams

IMPROVEDOUTCOMESContinuous quality improvementInterventions and partnerships for enhanced social functioningMeasuring individual clinical and social functioning OutcomesMeasuring service user experienceMeasuring programme targets

EARLY DETECTIONRecognising that a problem existsEducation of Primary Care TeamsRapid access to an assessment

REFERRAL/RAPID ASSESSMENTLinking individuals to care providersReady access to screening with 72 hoursStreamlining the referral processImmediate take up of those at risk

TREATMENT and INTERVENTIONSPhase specific interventions includingCollaborative treatment planningFamily Psycho educationCognitive behavioural therapySupported employment/ education

MONITORING AND EVUALATIONEnsuring clinical programme success

Implementing standards and guidelinesNational Clinical and Academic networkIT infrastructure in placeService user and carer evaluations

↓

↓

EIP

Consultation Feedback

• Primary Care inclusion

• Recovery and Values Based Care

Key Factors for Better Services

• Community Mental Health Teams• Local leadership• National clinical and academic leadership• Broad based outcomes measurement

including service user satisfaction• IT• Role of Service User

Patient and Public Involvement in

Healthcare

• SUs - as patients - as consumers - as ‘survivors’ - as providers

Together (founded 1879)

• …people experiencing mental distress can direct their own journey towards improved mental health and to living independent, fulfilling lives.

How Service User Involvement Operates

• The interaction between service users and in self help

• The interaction between service users and mental health professionals working with them

• The management of local services• The planning of overall services

Values-Based Practice

… the theory and practice of effective healthcare decision-making where legitimately different (and sometimes conflicting) values are in play.

The Guiding Principles as a Framework of Values

The National Mental Health Programme

will….• Promote SU representation on CMHTs• Support the primacy of SUs as directors of

care plans• Develop a broad range of outcome measures

directed towards real world SU issues • Include satisfaction as a core outcome

measure• Promote the development of Values Based

services