16649 Commissioning Newspaper-A4_Layout 1 04/08/2015 15:45 Page 12
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Dramatic new Atlas of variation data
shows the current system is failing
patients with mental ill health
how do we act on the evidence? You will be
presented with dramatic new data that
irrefutably proves that the current system is
catastrophically failing patients with mental ill
health. It is clear from the statistics that change
is desperately needed at pace and scale to put
an end to the alarming disparity between
psychological and physical health services.
Armed with this powerful data, you will be
challenged to come up with a plan of how to
activate yourselves, colleagues, patients,
families and communities to improve mental
health and wellbeing. Also, you will be asked to
look at how we can accelerate the use of digital
technology and data sharing to make a real
difference to those statistics.
Discussion led by: Dr Arokia Antonysamy,
Consultant Psychiatrist, Oxleas NHS
Foundation Trust and Mental Health Lead,
Strategic Clinical Network, Greater
Manchester
The Mental and Physical Health
session was facilitated by:
Dr Geraldine Strathdee, National
Clinical Director for Mental Health, NHS
England
•
Dr Iain Jordan, Cancer Clinical Lead
and Consultant Psychiatrist,
Psychological Medicine Dept, Oxford
University Hospitals Trust
Dr Caroline Dollory, Clinical Director of
the East of England Strategic Clinical
Network for Mental Health,
Neurology and Learning Disability,
Chair of Mid Essex CCG and steering
group member, NHSCC Mental
Health Commissioners’ Network
Dr Arokia Antonysamy, Consultant
Psychiatrist, Oxleas NHS Foundation
Trust
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Dr Phil Moore, Chair, NHSCC Mental
Health Commissioners’ Network
Dr Katrina Webster, Clinical Director
for Mental Health and Learning
Disabilities, West Hampshire CCG
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Report Summary
“We know the problem and we know
the solution; what we need to do know
is turn round the Titanic that this is.”
Participants engaged in a passionate
debate about the need for change in
the way we commission and provide
mental heath care in England
It produced a number of powerful,
practical steps that could change the
face of patient care.
This report is captured in the
form of a ‘charter’ as
requested by the facilitators.
• The financial case for mental health
has been made by rigorous
economic analysis– today we spend
billions dealing with the poor
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Monocular health care is costing lives
and lead to high costs:
how do we break away from the monocular
model of healthcare - taking an acute trust as
an example? This discussion will focus on how
we move the system away from its current
focus on body parts to take a more holistic
approach to a patient’s health and wellbeing.
What’s in the current commissioning system:
new thinking from Hampshire CCG mental
health leads.
Discussion led by: Dr Phil Moore, Chair,
NHSCC Mental Health Commissioners'
Network and Dr Katrina Webster, Clinical
director for Mental Health and Learning
Disabilities, West Hampshire CCG
• Mental Health patients are high users of A&E
and a key causes of 4 hour breaches
• The mental health patients who use A&E have
• Dementia, alcohol, depression, suicide, selfharm, physical LTCs, relapse of psychosis
presentations
• Without a mental health expert team there,
40% of avoidable admissions to acute beds
and 40% of avoidable admissions to care
homes happen
• Young people who present with self-harm
don’t get an expert assessment so they have
repeat crises and are more likely to commit
suicide
This break-out group will explore:
• What is the extent and nature of Y[