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 discharges•out 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 used•physical 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