scotland’s health commitment to the armed forces, their families and veterans 4 th october 2011...

Scotland’s Health Commitment to the Armed Forces, Their Families and Veterans

4th October 2011Sir Andrew CashCo-ChairMoD/UK Departments of Health Partnership Board

Military Health & Veterans


MoD/UK Departments of Health Partnership Board

Priorities for the Partnership Board

Governance

Armed Forces Covenant

Transition to NHS Care

Veterans Mental Health

Murrison Prosthetics Review

Support to NHS Reservists


MoD / UK DH Partnership Governance

1. Partnership Board: cross government & administrations

2. Working Groups – People & Services (incl. DAs)

3. Joint Executive team

4. NHS Armed Forces Network (England & DAs)

5. DH England Strategic Partners Programme (3rd Sector)

6. Regional Armed Forces Forums (England & DAs)

MoD / UK DH Partnership Board

NHSArmed Forces

Network

Regional MilitaryCommands

Services WorkingGroup

People WorkingGroup

Joint Executive

Regional Forums


Armed Forces Covenant: Key Principles

The Armed Forces Covenant preserves and extends the key principles of the Service Personnel Command Paper:

No disadvantage in the provision and continuity of public services

Minimise the social and economic impact of military life

Positive measures to enable equality of outcome

Special treatment for the injured & bereaved as a proper return for sacrifice


Armed Forces Covenant: Health Commitments

The Armed Forces Covenant announcement including Health recommendations for Armed Forces community:

– Same standard of / & access to healthcare

– Maintenance of NHS waiting list place when moved

– Care of those injured in service

– Access to Mental Health professionals with Armed Forces awareness


Transition to NHS Care

Transition to NHS Care for Seriously Injured - Essential steps to ensure continuity of care

MOD Team need to identify receiving health authority at least 3 to 6 months prior to medical discharge

MOD Case Coordinator must establish contact with case manager for receiving authority

A Joint Care Plan drawn together by Defence Medical Services and NHS providers together with the 3rd Sector, Veterans Welfare Services and Local Authorities as appropriate to the case.

We need to avoid this…………


Transition to NHS CareThe Cliff-Edge Concern

Level of Care

In - ServiceDischarge

Post - Service


Veterans & Families Mental HealthNHS England Progress

Feb 2011: Mental Health Strategy: “No Health without Mental Health” including commitment on veterans

Mar 2011: Combat Stress 24hr mental health helpline(operated by Rethink) for veterans and families launched:

– Over 3,000 calls to date

Jun 2011: NHS Veterans’ Mental Health Capability: An uplift in the number of mental health professionals conducting veterans outreach, assessment and referral work in partnership with leading charities:

– e.g. in support of Tedworth House veterans hub from 29 June with Combat Stress & H4H


Veterans & Families Mental HealthNHS England Next Steps

Sept 2011:Trial of the Big White Wall online early intervention service for serving personnel, veterans and families (including RBL bereavement advice) – www.bigwhitewall.com

– Note: free access already in place for the Armed Forces, families and veterans, 200 AF community users to date

Sept 2011: Launch of E-Learning package for GPs in partnership with the RCGP

Nov 2011: National Veterans Mental Health Clinical Network in partnership with the MoD & leading charities – open to professionals from the Devolved Administrations


Veterans & Families Mental HealthNHS Services Next Steps

Nov 2011: Dr Murrison MP - first evaluation against the Fighting Fit recommendations & report to Ministers

April 2012: A Veterans Information Service (VIS) to be deployed 12 months after a person leaves the Armed Forces

2012: Annual Armed Forces Covenant report to Parliament – subject to Armed Forces Bill


The Armed Forces CovenantVeterans Health

Veterans Prosthetic Services – Murrison Review The review gathered evidence on the current and future needs of

veterans for prosthetics services, and on the provision and cost of services.

It also looked at:

– the future funding of high specification, evidence-based prosthetics services within the NHS and the possible contribution of personal health budgets and the inclusion of these in continuing healthcare arrangement

– how regional variations in service can be minimised;

– how the transition from the armed forces’ prosthetics care to the NHS can be improved; and

– the role of service charities in helping to meet the realistic needs of individuals over and above that which the NHS can provide.


The Armed Forces CovenantVeterans Health

Veterans Prosthetic Services – Murrison Review

The review was delivered to SoS Health, SoS MoD & Prime Minister on 30 June 2011

Estimated cost of around £15M over next 4 years

Ambition to develop a series of specialist prosthetics centres across England and the Devolved Administrations

– Import key intensive rehabilitation lessons from Headley Court

– Develop close clinical and professional links

– Backed up by evaluation and standards development work

There are challenges:

– The money / consistent service / overseas care / equalities


Support to NHS Reservists

Government has identified need to increase number of reservists

NHS reservists provide vital services to the Armed Forces

In return, the NHS gain staff with broader skills and wider experience

It is essential that reservists are treated consistently by the NHS – despite the pressures on resources


Military and NHS Care – challenges for all

Ongoing Issues

Quality & availability of receiving services

– Social care

– Continuing healthcare

– Prosthetics

– Mental Health services

– Medical records / registration

Establishing responsible commissioner

Expectations management – difficult for individuals and families

Confusion of clinical responsibility / temporary registration


Working with Key Delivery Partners

and many others….


Further information:

Contacts

DH Military Health Programme:doh.armedforcesnetworks@nhs.netwww.armedforceshealthparthership.org.uk

The TeamDave Rutter Jane BraceyCaroline Pease Rob Moorhead

scotland’s health commitment to the armed forces, their families and veterans 4 th october 2011...

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