Mental Health and Dementia Care in an Integrated Accountable Care Organisation

(IACO)

Dover Mental Health Action Group24th January 2017

Justine Leonard, Mental Health Pathway Lead (SKC and Thanet CCG’s)

“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 is an Integrated Accountable Care Organisaion(IACO)?

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.

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

Integrating Mental Health in Primary Care

Discussion

• Do you recognise and agree with these priorities?

• What would this mean for you about where and how you access services?