Strategic Direction of Travel for Mental Health in Derbyshire 2014-19
Derbyshire County Council, the 4 Derbyshire Clinical Commissioning Groups (CCGs);
Hardwick CCG, Southern Derbyshire CCG, North Derbyshire CCG, Erewash CCG and Public
Health have produced the attached joint strategic Direction of Travel for Mental Health
document which was recently endorsed by the Adult Care Board.
We are now carrying out a short period of stakeholder engagement with statutory and nonstatutory partner agencies, voluntary sector providers, staff, service receivers and carers to
gather feedback and comments on the Direction of Travel document.
Scope of the strategy / direction of travel
The strategy will relate to the mental health needs of people aged 18 and above, including
people with a dual diagnosis and people in transition from children and young people’s
services, or from prison or forensic services.
The strategy covers services that are currently commissioned and those that will be
commissioned by:
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Derbyshire County Council Adult Care (DCCAC)
Derbyshire County Council Public Health (DCCPH)
NHS Southern Derbyshire Clinical Commissioning Group (SDCCG)
NHS North Derbyshire Clinical Commissioning Group (NDCCG)
NHS Erewash Clinical Commissioning Group (ECCG)
NHS Hardwick Clinical Commissioning Group (HCCG)
The strategy excludes services commissioned by Tameside and Glossop Clinical
Commissioning Group.
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In considering the scope of the strategic Direction of Travel for Mental Health in Derbyshire,
it is important to acknowledge other strategic plans that cover services and support that are
subject to alternative commissioning arrangements such as Dementia, Carer’s, Substance
Misuse, Autism, Learning Disability, Children & Younger People, Community Safety,
Forensic etc. With this in mind, please note that the Direction of Travel for Mental Health
will have strong links into these strategic plans and close partnership working will ensure an
integrated approach.
Context
Mental health is moving up the policy agenda across government and improving outcomes
for people with mental health problems has been reflected in a number of recent policies
and guidance including, ‘No Health without Mental Health’ (2011) and more recently
‘Closing the Gap’ (2014). As a result, the health and social care community need to jointly
respond by transforming the support and care available to people with mental health
problems. This means not only focusing on delivering a choice of high quality treatments
and support to those who need them but also by focussing on promotion, prevention and
parity of esteem. Parity of esteem will ensure that there will be earlier identification of
mental health needs and preventive strategies put in place so that mental health and
physical health needs are treated in a joined up way.
Another recent key publication requiring an urgent partnership response is the Crisis
Concordat (2014) which aims to bring all key partners together to agree strategies for the
prevention of mental health crises where possible and in making sure effective crisis and
emergency response systems are in place.
The Care Act (2014) brings care and support legislation into a single statute. It is designed to
create a new principle where the overall wellbeing of the individual is at the forefront of
their care and support. To promote individual wellbeing, people’s needs, views, feelings and
wishes should be considered in all aspects of people’s wellbeing from physical and mental
health, through dignity and respect to control over their daily needs, access to employment,
education, social and domestic needs and the suitability of their accommodation.
The Better Care Fund, which comes into full effect in 2015/16, is intended to further
develop integration of health and social care for the benefit of the individual. In ‘Integrated
care and support: our shared commitment’, integration was defined by National Voices as
being able to ‘plan my care with people who work together to understand me and my
carer(s), allow me control and bring together services to achieve the outcomes important to
me’. This closely echoes the messages from local consultation and engagement.
Derbyshire Healthcare Foundation Trust (DHcFT), the main provider of secondary mental
health services across Derbyshire, is currently implementing a significant transformation
programme. New patient pathways are proposed that will require significant realignment of
the workforce and workforce development to meet the implementation requirements of
the National Mental Health Tariff Payment System and for integration between primary and
secondary mental health services.
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Next Steps
As the CCG’s publish their refreshed action plans, relevant actions will be incorporated into
the wider Derbyshire County Mental Health Strategy annual action plan. Additionally, any
relevant actions from the Better Care Fund plan and the Locality Public Health plans will also
be incorporated. The annual Mental Health Strategy action plans will be managed through
the Joint Commissioning Board for Mental Health and progress will be reported to the Adult
Care Board and Health and Wellbeing Board.
Action plans will be agreed annually throughout the five year life of the strategy and the
strategy document will be revisited on a regular basis and refreshed where necessary to
reflect any major changes to policy and legislation.
Opportunities for engagement
Opportunities for stakeholder engagement with statutory and non-statutory partner
agencies, voluntary sector providers, staff, service receivers and carers, will be project
planned alongside each action, i.e. Involvement in themed work streams (such as pathway
development, suicide prevention strategy, outcomes monitoring etc.), as well as
opportunities for decision making about future priorities.
Measuring the impact of the strategy
Each action plan, work-stream or service development will have its own set of outcomes,
relative to the specific piece of work and metrics will be agreed as each work-stream
develops. These metrics and outcome measures will be aligned to the high level strategic
themes to enable us to evidence successful implementation of the commissioning intentions
of the strategy.
Finalising the strategy document
The strategy will be finalised after taking into consideration the feedback received
throughout this period of consultation.
The finalised strategy will then be presented to the Adult Care Board for recommendation
and for endorsement by the Health and Wellbeing Board.
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Your feedback
Please share your comments on the Direction of Travel document by completing this proforma and returning it by email to
[email protected] or [email protected]
or by post to
Tracy McGonagle, NHS Hardwick CCG, FREEPOST SF1298, Scarsdale, Nightingale Close,
Chesterfield, S41 7PF
The closing date for feedback is 12th November 2014.
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Is it easy to read? Do you have any feedback on the format?
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Is anything unclear? Any areas / sections that need further clarification?
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Is there anything missing?
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Any additional comments?
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Would you like to be involved in future engagement activities related to the implementation
of the strategy? If so please provide us with your contact details below.
Please provide the following information (this is to ensure that we receive feedback that reflects a
wide cross-section of stakeholders).
 Service Receiver / Service Receiver representative organisation
 Carer / Carer representative organisation
 Voluntary sector provider or provider representative – please state
……………………………………………………………………………………………………………………………………………….
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 Partner organisation - please state ………………………………………………………………………………………….
 Health or Social Care staff – please state which organisation
…………………………………………………………………………………………………………………………………………..……
 Other
………………………………………………………………………………………………………………………………………
Thank you for your valuable feedback. This will be taken into consideration before the Joint
Strategy document is finalised for approval by the Health & Wellbeing Board.
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