Mental Health and Dementia Care in an
Integrated Accountable Care Organisation
(IACO)
Dover Mental Health Action Group
24th January 2017
Justine Leonard, Mental Health Pathway Lead
(SKC and Thanet CCG’s)
What is an Integrated Accountable Care Organisaion
(IACO)?
“Deliver a model for health and care services out of the acute hospital, wrapped around
the patient and co-ordinated by their GP; designed and delivered around local patients
in neighbourhoods. Ultimately delivering one service which is provided by one team,
with one budget.”
(Delivering Together for the people of South Kent Coast/Thanet Integrating health and Social Care, “ One
Service, One team, One Budget”, Compact agreement 2015-2018).
What do People want from Mental Health
services?
 I can access the right help when I am in crisis.
 I can choose what an independent and purposeful
life means to me.
 I am supported to manage my mental health and
physical health together.
 I can plan my care with people who know me and
who work together to do what is best for me.
 I live in a community which has an understanding
and acceptance of mental health.
Integrating Mental Health in Primary Care
Primary Care Team (PCT)
• Mental Health and Dementia
Practitioners will be core members
of the Primary Care Team
• Gateway for Community Mental
Health Services
• Clinical Triage will take place in
Primary Care
• Aligned Consultant Psychiatrists
will provide specialist
consultation, support and
management advice
Secondary Mental Health Care Services (younger and older adults)
• CPA based interventions, case management (including medicines
management for secondary complex and high risk need
• ‘Stepped Up’ and crisis support provided through an integration of CRHT
and CMHT capacity
• Gatekeeping of locality inpatient acute beds
• Access to specialist services (Forensic/eating Disorder/Learning Disability)
Multi- Disciplinary/Multi-Agency
Team
• A ‘virtual’ integrated team
(IAPT/Live Well/primary care
Social Workers/DWP Link
Workers/Turning Point etc)
• Dementia Care services will
work with the Intermediate
and Enablement teams to
provide joint
assessment/treatment and
crisis management
• A ‘walk-in’ hub will provide
same day access for
‘unscheduled’ mental health
and dementia care need
linking to SPoA, the PCT and
Psychiatric Liaison
Discussion
• Do you recognise and agree with these
priorities?
• What would this mean for you about where
and how you access services?