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Nmhdu Briefing Autumn 2010

Nmhdu Briefing Autumn 2010

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Published by tony_jameson-allen
November briefing from the National Mental Health Development Unit
November briefing from the National Mental Health Development Unit

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Published by: tony_jameson-allen on Nov 09, 2010
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Welcome to the latest editionof the National Mental Health Development Unit (NMHDU)news briefing on programme developments and related policy and practice news.
If you would like to know more about our work, contactAlison Cooleyor Tony Jameson-Allen. For more information go to our website.
Click here to
to future editions.
Ian McPherson, NMHDU Director 
"The National Mental Health Development Unit is working alongsidepolicy colleagues to inform and shape the new mental health strategy,which the Minister for Care Services announced earlier in September.While no-one can credibly underestimate the scale of the challengesahead, it is possible to implement real, measurable improvements inmental health care provision and in the wellbeing of communities,families and individuals, if we take an evidence-based, whole systemsapproach to the task.The NMHDU is working closely with key partners, such as the NHSConfederation and ADASS to give local commissioners and providersa strong, well evidenced case for driving cost-efficiency in a way thatimproves outcomes in the lives, hopes, and expectations of the enduser. With this issue in mind, this edition of our stakeholder briefingfocuses on the work we are doing with DH and our partners to promoteQIPP (Quality, Innovation, Productivity and Prevention) in the mentalhealth system.The NMHDU is committed to providing a vital bridge betweenpolicy and practice and has an ambitious work programme that runsto March 2011.While our funding arrangements and future are subject to reviewand to the major changes across the public sector, key mental healthstakeholders are in discussions with the DH about what type of policyimplementation function would be required, and could be achieved,beyond March 2011. The outcome of those discussions are expected tobecome clearer towards the end of this calendar year.In the meantime, we welcome your continued interest and involvementto ensure we achieve the goals we have committed to in our currentwork programme."
Intention to launch new mental health strategy announced
Care services minister Paul Burstow plans to launch a new mentalhealth strategy towards the end of this year. The strategy is expected tomaintain New Horizons’ lifespan approach and emphasis on promotingmental health and wellbeing and the important contribution to mentalhealth of factors such as employment and housing. It will also continueto support the development of talking-based therapies across the NHS.Paul Burstow has signalled a new, equal emphasis on mental healthoutcomes in assessing quality of NHS and social care. The new strategywill expect patients’ mental health to be considered alongside their physical health outcomes following NHS treatment."The fact is we can no longer accept that curing someone of cancer,then leaving them to struggle with depression afterwards, is a true markof success," he told
Community Care
magazine."The NHS should deal with the full parameters of a patient's recovery,including helping them return to work and get their life back after illness.That's what the new outcomes framework should deliver."The full report is available on theNMHDU website.
Quality and productivity in mental health (QIPP)
Mental health accounts for around 13.8% of England's health budget
.One in six of the population has some form of common mental healthproblem at any one time
and up to one in 100 people live with a seriousmental illness
. Mental health has a successful track record in redesigningservices to improve quality and productivity, particularly in the adultmental health sector. However there remain areas of significant variationin quality across the country, including awareness of the links betweenmental health and physical health.In coordinated work with partners in DH, the SHAs, the NHSConfederation and the Audit Commission, NMHDU has developeda
potential national Mental Health QIPP
workstream to supportthe national Quality, Innovation, Productivity and Prevention (QIPP)initiative. The workstream comprises three projects:acute care pathways – to reduce variations across the country inmental health bed day usage so that all areas move closer to theupper quartile of national performance. This will be achieved byimproving use of evidence based interventions to reduce admissions,lengths of stay and delayed dischargesout of area placements, including medium secure services – to reducethe numbers of people with mental ill health and related conditionsplaced outside their PCT area and to improve the outcomes wherethese placements are usedphysical and mental health – to reduce the inappropriate useof primary and acute hospital services by people with medicallyunexplained symptoms (MUS) and people with long-term physicalhealth conditions and co-morbid mental health issues by use ofevidence-based psychological treatments.
The programme is supported by Dr Hugh Griffiths, the Departmentof Health’s Interim National Clinical Director, and is managed by JimSymington, NMHDU Deputy Director. A central focus of NMHDUactivity is enabling the key stakeholders to work together at nationaland local level to achieve improvements in these three areas.The three projects are already working towards a number of products,including guidance on best practice and evidence-based outcomes,implementation toolkits for regional/ local commissioners and providers,benchmarking information for SHAs, commissioners and providers,and joint NHS Confederation / NMHDU / ADASS briefing materials.
Mental health and the QIPP agenda– some facts and figures
Mental health problems account for 23% of all lostyears of healthy life in high-income countries
.Mental illness represents the single largest cause ofdisability in the UK. NHS, social and informal care costs£22.5 billion per annum in England

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