priority 1: wellbeing, information, advice and support in ... · tbc karen clarke/nancy...

Southwark Joint Mental Health and Wellbeing Strategy 2018-21

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Priority 1: Wellbeing, Information, Advice and Support in the Community • Ensure earlier access to services to support prevention and early intervention • Ensure advice and information services are easily available to all communities, accessible in specialist and generic settings

No Priority area Actions Outcomes/impact Timescale Lead responsible

for Delivery Governance

arrangements

1.1 Increase access to a range of community-based interventions, developing opportunities for early identification of those people at risk of social isolation

• Map existing services to identify available community resources • Gain a picture of where and how support services fit within local pathways, including for hard-to-reach groups • Ensure links with local strategies such as the Voluntary and Community Sector (VCS) Strategy and Public Health’s developing Loneliness Strategy

• Southwark services are more accessible and better promoted across the borough • Support is readily available from a range of services, including the Community Hubs

January 2019

Jane Love / Karen Clarke/Hayley Sloan

SMI CDG Adults CDG

1.2 Ensure people with mental health problems have good access to advice and support, including benefits, housing, substance misuse

• Review the resources available to support people with mental health needs • Improve links between SLaM, statutory and voluntary sector organisations

• Improved wellbeing and referrals to secondary care

tbc Karen Clarke

1.3 Ensure voluntary sector services, including carers’ support services, are networked and well publicised

• Meet with the VCS Liaison Group to agree an approach to joint working and promotion of services

• Good support provision available to all local people

tbc Karen Clarke/ Steven Douglas/Hayley Sloan


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• Link to the current review of Southwark Council’s Carers’ Strategy • Link to new developments in Southwark such as the Local Care Networks (LCNs) and Partnership Southwark

• Good promotion of local services across the borough and on CCG/Council websites

1.4 Improve access to health and social care services for minority groups, and support improved cultural competency across the borough

• Link with local community leaders. Develop an action plan to support the training and development of Wellbeing Champions from diverse communities • Ensure the MH Strategy has links to the Council’s Faith Strategy and action plan • Work as part of Southwark’s Civic Challenge to identify local digital offers

• Improved knowledge about cultural competency and its importance in relation to the planning, training needs and delivery of health and social care • Knowledge of local communities and their approach to wellbeing • Improved quality of local services

tbc Stacy Dangare/Rosemary Watts/Bola Olatunde/Jessica Leach/ Cllr Evelyn Akoto/Cllr Jasmine Ali


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Priority 2: Primary Care and Improving Access to Psychological Therapies (IAPT) • Develop enhanced primary care services • Ensure IAPT services are well-developed and available to all groups within Southwark, including people with long-term conditions

No Priority area Actions Outcomes/impact Timescale Responsible for Delivery

Governance arrangements

2.1 Investigate how to improve support (clinical and social care) support available to GPs to reduce the need for people with stable moderate to severe mental health to be seen unnecessarily in specialist mental health services

• Develop a Mental Health and Wellbeing Primary Care Strategy • Consider GP training needs required to manage crises and medication • Expand social prescribing options

• More people supported in primary care settings, able to access more specialist support when required

tbc Karen Clarke/Nancy Kuchemann/Emily Gibbs/Jean Young

LCN/Learning Partnership

2.2 Improve pathways between secondary care, social care, and primary mental health services, as well as pathways for physical and mental health, and other pathways such as those for homeless people

• Map current provision, work with SLaM borough leads developing the community offer • Build links with Council Housing and Homelessness leads, the START and SPOT teams

• Identification of priority areas for reinvestment, opportunities to improve pathways, access to services and support • Improved physical and mental health

tbc Karen Clarke/Jo Kent/Jane Williamson/Ian Swift/Hayley Sloan

LCN/Learning Partnership

2.3 Provide psychological therapies within primary care and co-locate IAPT services within acute and physical healthcare

• Develop IAPT LTC implementation plans • Develop an evaluation framework and IAPT LTC reporting mechanisms

• Integration of mental health within primary and physical healthcare settings

tbc Karen Clarke/Jo Kent


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2.4 Develop IAPT services for people with long-term conditions (LTC), ensuring that IAPT is embedded within LCN clusters and multi-disciplinary teams

• IAPT implementation plan to plan for co-location of IAPT staff within multi-disciplinary teams • Work within acute services, linking in with existing health psychology services • IAPT to work with the emerging LCN clusters to provide therapeutic support to patients in the care coordination cohorts

• Increase in the uptake of psychological therapies for people with LTC • Psychological support available within place and population-based integration models

tbc Karen Clarke/Jo Kent/Hayley Sloan


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Priority 3: Averting Crisis and Reducing Suicide • Improve crisis service provision and pathways



3.1 Map the existing pathways and address any gaps to strengthen the pathway where required

• Complete a mapping exercise with SLaM, considering all routes into crisis services, the Urgent Care Service and London Ambulance Service • Make recommendations for improved community support • Develop new commissioning intentions

• More people will feel in control of their mental health and be able to access support in an appropriate setting in times of crisis

tbc Stacy Dangare/Jo Kent

3.2 Reduce crisis attendances at A&E Departments

• Examine the specific needs of adults attending A&E in mental health crisis, including suicide attempts and self-harming • Link to the Alcohol Care Team development at Kings College Hospital • Review information available to local people, GPs and providers. Improve information about crisis support

• Improved experience and outcomes through the reduction of inappropriate admissions • Better detect and prevent mental health crisis

tbc Stacy Dangare/Jo Kent


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3.3 Ensure the Mental Health and Wellbeing Strategy is closely aligned to the Southwark Suicide Prevention Strategy (2017-2022)

• Attend Suicide Prevention Steering Group meetings • Regular audits of actions to ensure alignment of the two strategies • Annual joint review of both strategies to be held in public

• A reduction in suicide attempts and deaths by suicide

tbc Karen Clarke/Richard Pinder

3.4 Ensure links to the Council’s Crime Reduction Strategy

• Develop joint approaches to managing crime and anti-social behaviour, drawing on guidance and best practice • Link in with Council knife crime initiatives

• Joined-up approaches to managing support needs in the community • Better training and understanding of managing crime, ASB and substance misuse for frontline staff

tbc Karen Clarke/Stacy Dangare/Jenny Brennan


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Priority 4: Children and Young People’s services • Improve support to children and young people



4.1 Implement recommendations from the Southwark CAMHS review and Local Transformation Plan

To be added when the review report has been signed-off late September

To be added when the review report has been signed-off late September

tbc Deborah Cohen/ /Carol-Ann Murray

4.2 Continue mental health support to schools

To be finalised • Build on our evaluation of training pilots in schools to increase mental health awareness and wellbeing. Review approaches to bullying and cyber bullying • Review the local Healthy Schools programme • Work to reduce self-harm in school

To be finalised

tbc Deborah Cohen/ Carol-Ann Murray/Lee Souter


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Priority 5: Older People and Dementia • Improve support to older people and people living with dementia



5.1 Improve support options for older people

To be finalised • Implementation of the Older Persons’ Pathway Review • Link to Bridges to Health segmentation and delivery planning • Improve support to older people with substance misuse issues

To be finalised • Improve local awareness of support options

tbc Shirley Regan/ Juliet Alilionwu/Peter Wade

5.2 Increase public and professional awareness and understanding of dementia

To be finalised • Develop a CCG/Council communication and engagement plan for the implementation of pathway changes • Deliver training for health and council staff working with people with dementia

To be finalised • People with dementia supported to live well in the community

tbc Shirley Regan/ Juliet Alilionwu/Richard Pinder


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Priority 6: Housing and Move-on Options • Ensure a range of options are available which enable people to live as independently as possible • Improve supported housing options and pathways



6.1 Rebalance the system to shift investment into prevention, early intervention and recovery, and reduce unnecessary use of inpatient beds

• Develop and implement a Move-On Strategy for Southwark • Work as part of the Complex Placements’ Review Project to plan move-on from services

• Improved community support options • System savings achieved and reinvested into alternative services

tbc Sarah Garner/Jo Kent

6.2 Improve housing options, and supported housing provision and pathways

• Participate in the joint review of mental health supported housing provision and the Southwark Supported Housing Programme Board

• A reduction in homelessness for people with mental health needs • Commissioning improved supported housing services and move-on pathways

tbc Karen Clarke/Cynthia Davis/Paul Langford


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Priority 7: Recovery, Volunteering and Employment • Improve non-clinical support which is available to local people • Ensure people are supported to find work or training

No Priority area Actions Outcomes/impact Timescale Responsible for

Delivery Governance arrangements

7.1 Recognising that clinical services should be complemented by an ethos that promotes participation, empowerment and peer support

• Evaluate current recovery approaches and provision to consider how to improve options

• People using services empowered to take more control of their mental health and wellbeing

tbc Stacy Dangare/Zoe Reed/Rosemary Watts

7.2 Support development of Southwark Black Thrive

• Provide support to Black Thrive to help with their aim to achieve race equality in mental health care

• Greater equality for local BME communities

tbc Stacy Dangare/Zoe Reed/Rosemary Watts

7.3 Ensure a range of peer support and volunteering approaches are available in Southwark

• Analyse current provision and how well resources are accessed and promoted across the borough • Ensure close links with Southwark Council’s Volunteering Strategy • Consider the findings of the Council’s Experts by Experience peer support review

• More volunteering and other activities able to promote wellbeing and social connection • More people receive support from a peer

tbc Stacy Dangare


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• Consider expansion of the peer worker employment programme linked to SLaM’s Recovery College

7.4 Improve employment support available to people with mental health needs

• Re-commission the Southwark Works Framework, co-designing the mental health lot • Make connections between the Central London Works programme and local services • Contribute to the wave 2 STP submission for Individual Placement Support (IPS) • Consider the findings of the Experts by Experience scoping exercise (people moving from unpaid to paid work) • Ensure alignment with Southwark Council’s Good Work Standard and Volunteering Strategy

• Support for people with mental health needs to gain and keep paid employment • Increased employment opportunities and social inclusion for people experiencing early signs of psychosis • More people with a mental illness receive support to aid their recovery

tbc Karen Clarke/Elaine Gunn/Stacy Dangare


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Priority 8: Engagement and Co-Design • Local support services are better designed through close work with local people



8.1 Involve local people in the design and delivery of services, and capture information from activities to publicise achievements in this area

• Use co-production to co-design services, and develop an outcomes framework • Arrange regular engagement activities and forums to engage with local people and communities, and ensure information is captured and available as feedback to those audiences • Develop an engagement action plan and regular reporting mechanisms • Better use data and intelligence to ensure it drives better service design and delivery

• An agreed process for co-production for Southwark mental health services • There will be greater opportunities for local people and people who use services to shape their development and delivery

tbc Karen Clarke/Stacy Dangare/ Rosemary Watts/Bola Olatunde/Jessica Leach/ Cllr Evelyn Akoto/Cllr Jasmine Ali/ Southwark Engagement Advisory Group


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Priority 9: Prevention and mental health promotion • Local people and communities are supported to improve their mental health and wellbeing



9.1 Develop and promote approaches which support prevention and early intervention

• Work closely with the Public Health team and SLaM’s Mental Health Promotion Team to develop the prevention and promotion agendas • Make the most of local community-based resources to offer early support

• An increased number of people will access local preventative services

tbc Karen Clarke/Richard Pinder

9.2 Promote the Five Ways to Wellbeing across universal services and community resources

• Delivery of the mental health and wellbeing JSNA • Work with SLaM’s Mental Health Promotion Team to maximise impact

• Guidance that people can follow to improve their own mental wellbeing

tbc Richard Pinder

9.3 Work with partners to scale-up Mental Health First Aid training and STORM Suicide Prevention training

• Training to frontline staff and universal service providers across Southwark

• Front line staff feel confident to recognise signs of mental illness and support people at risk of self-harm and suicide • Improved patient and public experience

tbc Richard Pinder

priority 1: wellbeing, information, advice and support in ... · tbc karen clarke/nancy...

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