Secure & Specialised Mental Health Commissioning

Team StructureWho’s Who

Director of Secure & Specialised

Mental Health & Learning Disabilities

CommissioningCarole Jobbins

Deputy DirectorStephen Brook

Head of Case Management/High Secure

CommissionerAlison Cannon

Specialised Mental HealthCommissioner

Steve Hamer

Case ManagersMick Booth

Claire CunninghamTony Kidd

Claire RidingRacheal SuttonMichelleTaylor

Administration Manager

Cathy Loughlin

Senior Commissioner

Learning Disabilities

StrategyPhil Shackell

Forensic AdvisorDr. Jim Higgins

Secure CommissionersPaula Grange

Glenn MacDonald

Team SecretariesPauline HopkinsCarol JacksonSandra Ventre

OATs AdministratorsAdam MulveyAndrea Shaw

Services

• High, Medium and Low Secure Mental Health

• Secure Learning Disability and Secure Personality Disorder

• CAMHs Tier 4• Eating Disorders Tier 5• Mental Health and Deafness• Gender Re-assignment

Stakeholders• NHS and Independent Sector Secure Providers• Specialist Mental Health Services and Learning

Disabilities services• Local NHS Providers• PCTs• Criminal Justice – Prisons, Courts, Probation• Social Care Commissioners and Providers• Secure Advocacy Providers• Department of Health• Mental Health Unit – Ministry of Justice• Users and Carers • Third sector • Strategic Health Authority/Mental Health Improvement

Plan Team

Context

• Secure services budget £227m• Projected overspend £8m• Risk share across PCTs• Approx 1100 patients includes over 250 OATs• High secure “steady”• LD reduced• Medium and low secure MH/PD numbers increasing• Variable across North West region• Demand rising across the country

The Problems

•Whole system problems•Pressures on local services – acute and PICU•Increasing prison population•Pressure in prisons/cuts in resources•Capacity of in-reach support to prisons•Availability of rehabilitation services•Society problems:

Increasing drug misuse/alcohol misuse/violenceYounger age of patients coming into servicesIdentified earlier – success of early interventionDysfunctional families

Secure & Specialised Mental Health

Reducing Demand Actions

Increase year on year North West - 5%Higher Increase in Greater Manchester (10-12%)

Work with prisonsProjects to move patients out of secure services

Step-down from step downCapacity in local servicesCost per patient issues