The nominations below are the winners and highly commended nominations for our Commissioning in Mental Health Award this year:-
West Cheshire Clinical Commissioning Group. West Cheshire Clinical Commissioning Group is approaching the commissioning of mental health services in an innovative way. We have established an Integrated Provider Hub, which is a partnership between provider organisations, whose role is to commission services across the whole programme of mental health care rather than commissioning each organization in isolation.
Introducing an Integrated Provider Hub enables us to have an outcomes based contract across care pathways (regardless of who is providing the service) rather than commissioning episodes of care in a potentially fragmented fashion. This approach allows commissioners to clearly articulate the desired outcomes for the population and enables all providers to work collaboratively to transform services to deliver these outcomes. Ultimately, this ensures that care is provided to the patient at the right time in the right way by the right people.
The Integrated Provider Hub is a partnership between Cheshire and Partnership Trust, NHS Western Cheshire CCG and Cheshire West and Chester. The Integrated Provider Hub works with other third sector, voluntary and independent providers within the mental health pathway. Everything the Integrated Provider Hub does has an impact on service users; its work is about ensuring our resources are used in the most effective way to deliver care in the right place at the right time. The case studies listed above give just a few examples of how this has made an impact on individuals. We recognise that it is vital to involve service users as partners in the development of this model and so we do have service user representation on the programme board which oversees the Integrated Provider Hub and in the workgroups developing care pathways.;
HIGHLY COMMENDED –
Hardwick Clinical Commissioning group, Derbyshire. The Mental Health Commissioning Team works under Hardwick CCG but we lead on the Mental Health Contracts across all 4 Derbyshire CCGs. We are a small but well-established team and within the team membership there is clinical and social care experience as well as contracting and business management expertise. We also have a GP working with us 1 day a week to help support the clinical commissioning priorities across all CCGs and who is also working with NHS England on the Parity of Esteem work.
We have very close working relationships with the main mental health care provider Derbyshire Healthcare NHS Foundation Trust and other partner agencies such as voluntary and 3rd sector provider agencies and it was this working relationship that helped successfully commission a Crisis House and “step down” facility with Richmond Fellowship called 2 Care Trevayler an already established provider of local Residential Mental Health services. This was in response to the local and national high demand for acute beds whereby some patients are either being admitted to an acute bed in the absence of other alternatives and/or remaining in hospital longer than necessary.
Trevayler has been operating in Derby since 1993, supporting individuals through their recovery journey. Trevayler provides innovative, community based rehabilitation and recovery services for people with mental health conditions. Their support is focused on short term, intensive and structured rehabilitation to enable service receivers users help manage their own mental health and wellbeing. Trevayler have been successful in supporting people living with long term mental health conditions including schizophrenia, depression, bi-polar disorder, OCD, dual diagnosis, self-harm and personality disorders.
5 crisis beds and 5 step down beds have been commissioned in the centre of Derby City in the South of the County and with another facility being considered in Chesterfield which lies in the North of the County.
At the same time DHcFT, with the support of commissioners, have reconfigured the hospital acute wards to meet Kings Fund Quality standards and have increased the bed numbers by 5 additional beds in order to manage the significant increase in out of area acute bed placements – but at the same time increase the quality and improve patient experience.
The outcomes so far are that we are seeing fewer admissions to acute beds and ensuring that some clients now do not end up being inappropriately admitted to an acute ward because no other service exists.;
HIGHLY COMMENDED –
NHS South Cheshire and Vale Royal Clinical Commissioning Groups, Cheshire. A CQUIN scheme was introduced in 2013/14 between the two CCGs and Cheshire and Wirral Partnership NHSFT (CWP) to introduce systematic baseline dementia screening for people with Down’s syndrome aged 30 onwards. There is an increase in the prevalence rate for dementia in the Downs syndrome population from the age of 30 onwards, with a steady increase in numbers as people with downs syndrome reach their 60s. The CCGs and CWP recognised the importance of establishing an accurate baseline of cognitive and adaptive functioning for people with Down’s syndrome prior to the onset of the high risk age range for development of dementia as early detection relies on a good baseline.
Partners also agreed the importance of diagnosing dementia in this population as early as possible in order to ensure the person can access appropriate treatment (cognitive enhancers as outlined in NICE guidance) and ongoing support, including the re design of any care package to ensure the person can stay in their own home wherever possible.
CWP worked closely with GP practices to identify people eligible for the screening. A total of 65 people were offered screening, with 41 completing the assessments. CWP also delivered training with the aim of equipping staff with confidence and knowledge to provide a high quality of care that is appropriate to the individual needs of people with learning disabilities and dementia. It was aimed to support staff to think about the provision of social care, based on the reality of the person with dementia and provide materials and information to support their understanding. The programme included video clips as well as presentations and exercises. Plus each participant was given a pack of resources.
A range of organisations took part in the training, including supported living providers, Local Authority day service and social work staff and independent sector organisations. Agency staff supporting people with Down’s syndrome were prioritised via information being left with the houses at screening, plus follow up flyers and phone contact. However, he training was open to any staff supporting people with learning disabilities.