Joint Commissioning Unit
Mental Health
Sue Harris – Mental Health
Commissioning Lead
Setting the scene: New Horizons....
 Prevention of mental ill health and promoting
mental health
 Early intervention
 Tackling stigma
 Strengthening transition
 Personalised care
 Innovation
The Commissioning Journey
- Joint Commissioning Strategy published 2008
- JCU formed in April 2009
- Mental Health team in place Oct 09
- Mental Health priorities agreed Nov 09
- MH investment agreed for 2010-2013
The Commissioning Journey
Developing the MH commissioning focus
- commissioner / provider relationship in its infancy
- limited integration with other programmes (LD,
CAMHS, Prisons, DAAT)
- underdeveloped information/data flows and
evidence around the pathway experience
= Strengthen contract for 2010-13
+ “World Class Commissioning” of New Services
Levels of need – Adult MH
Year
2009
2010
2011
2012
2013
2015
2020
2025
2030
People aged 18-64 predicted to have depression
8,706
8,706
8,713
8,681
8,658
8,645
8,661
8,712
8,698
People aged 18-64 predicted to have a neurotic
disorder
56,166 56,160 56,201 55,997 55,846 55,761 55,850 56,163 56,056
People aged 18-64 predicted to have a personality
disorder
15,020 15,022 15,038 14,987 14,948 14,927 14,967 15,071 15,067
People aged 18-64 predicted to have a psychotic
disorder
1,878
1,878
1,880
1,873
1,868
1,865
1,870
1,882
1,880
Total males aged 30-64 predicted to have early onset
dementia
96
95
95
93
93
92
97
101
97
Total females aged 30-64 predicted to have early
onset dementia
66
66
66
66
65
65
68
70
68
Levels of need – Older Adult MH
Year
People aged 65-69 predicted to have
dementia
2013
2015
2020
2025
2030
456
475
486
433
444
507
721
748
830
1,011
906
940
People aged 75-79 predicted to have
dementia
1,162 1,178 1,194 1,228 1,268 1,354
1,617
1,978
1,794
People aged 80-84 predicted to have
dementia
1,779 1,803 1,847 1,894 1,931 1,995
2,375
2,851
3,512
People aged 85 and over predicted to have
dementia
3,281 3,370 3,505 3,589 3,699 3,949
4,701
5,913
7,501
Total people aged 65 and over predicted to
have dementia
7,289 7,454 7,679 7,888 8,120 8,613 10,136 12,092 14,255
People aged 70-74 predicted to have
dementia
2009
2010
2011 2012
382
401
424
685
702
710
Themes
Commissioning Intentions in Strategy
Theme 1:

Mental health promotion and mental
well being



Additional aligned JCU intentions
since publication of MH strategy
Review, update and implement the
Worcestershire
Mental
Health
promotion and suicide reduction
strategy
Ensure single point of access
telephone advisory service
Ensure MH services support guided
self care approaches
Promotion of mental wellbeing in
the key settings
Theme 2:

Primary and community mental health
care


Implementation
of
dementia 
strategy

Implementation of IAPT provision

Improvement in general health of
people with mental health problems
Retender of day services
Review of vocational services
Review of CMHT aligned to IAPT
developments

Ensure equitable range of evidence 
based community mental health
treatment services
Review carer support services

Extend provision for early on set
dementia
Review services for adults with
Aspergers Syndrome
Review of MH Act statutory support
functions / Mental Incapacity
advocacy
Develop long term financial stability
of S117 arrangements
Extend mother and baby mental 
health services
Review out of county placements
and enhance repatriation process

Review Eating Disorders services
Review of DAPA, court diversion
pathways and requirements in line
with Bradley report
Strengthen transition from Tier 3
and 4 CAMHS to Adult MH services
Theme 3:
Specialist mental health care



Theme 4: Tertiary Services



Development Programmes: IAPT
 Model signed off by SHA
 Additional funding for 2010/11
 Increased emphasis on employment and
wellbeing
 Recruiting for April
 Part of a wider Primary Care MH strategy which
will drive CMHT refocus
Development Programme:Dementia




Recruiting Admiral Nurses
Strategy in draft – consultation March 2010
Early Intervention – workplan on track
Working with ACS re: OP integration , PCT re:
CHC integration
 Building the foundations for world class
dementia service
Development Work Programmes
 Aspergers – specification in draft
 Day services – models being explored by
working group
 Vocational services – integration with day
service developments
 All set in context of wider pathways workplan,
clarity on specifications / outcomes and
economic challenges