Using intelligence based decision making to help deliver...
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Using intelligence based decision making to help deliver the
Prevention Concordat for Better Mental Health
Cam Lugton Programme Lead – National Mental Health Intelligence Network, PHE
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What is the Prevention Concordat for Better Mental Health?
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What do we mean by prevention?Prevention involves reducing the incidence and prevalence of mental health problems and suicide. Prevention can occur at three levels:
• Primary prevention aims to prevent the onset of mental health problems by addressing the wider determinants of illness and using ‘upstream’ approaches that target the majority of the population.
• Secondary prevention involves the early identification of signs of mental health problems or suicide risk and early intervention to prevent their progression or the development of other health complications.
• Tertiary prevention involves working with people with established mental health problems to promote recovery and prevent (or reduce the risk of) recurrence.
Mental health promotion is part of primary prevention but also important for those experiencing and at risk of developing, mental health problems.
3 Prevention Concordat for Better Mental Health Programme
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A Public Mental Health Approach to Prevention Concept informed by World Health Organization methodology for public mental health
which has been adopted by Public Health England
Everyone, irrespective of where they live, has the opportunity to achieve good mental health and
wellbeing - especially communities facing the greatest barriers and those people who have to
overcome the most disadvantages.
This includes those living with and recovering from mental illness. Mental health promotion
Reducing premature
mortality for those living with or
recovering from mental illness
Mental illness prevention and
suicide prevention
Key themes:• Reducing health inequalities
• Community centred approaches
• Embedding and integrating mental health
• Improving workforce capacity and competency
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Five Priority Themes to Improve Prevention Planning
Needs and assets
assessment
Partnership and
alignment
Translating need into deliverable commitments
Defining success
outcomes
Leadership and
accountability
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Endorsement and Adoption The Prevention Concordat for Better Mental Health was launched September 2017
The 30 organisations who endorsed the concordat at launch each declared a pledge to engage in specific actions to deliver cross sector change.
Since launch the number of signatories continues to grow.
Age UK Association of Directors of Public Health UK Association of Mental Health Providers British Islamic Medical Association Care Quality Commission Catholic Bishops’ Conference of England &Wales Centre for Mental Health Children and Young People’s Mental Health
Coalition Department of Health (on behalf of government) Faculty of Public Health Health Education England Homeless Link Housing Associations’ Charitable Trust Local Government Association Mental Health Foundation Mind Muslim Council of Britain
Network Rail NHS Clinical Commissioners NICE The National LGBT Partnership National Suicide Prevention Alliance National Survivor User Network National Voices NHS Digital NHS England NHS Improvement Public Health England Rethink Royal College of Nurses Royal College of Psychiatrists Samaritans Student Minds StreetGames Youth Access
County Durham Derby City Hertfordshire Middlesbrough Redcar and
Cleveland Warwickshire
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Sign up round 2 – who is it aimed at?Anyone who has a commitment to promote positive mental health and preventing mental illness
for example:
• Partnerships: STP/ICS, Health and wellbeing Boards, Community Safety partnerships, Voluntary sector partnerships
• Organisations: Local authority, CCG, NHS Hospital Trust, Voluntary organisation,
• Communities: local community groups, faith groups, Big Locals
• National organisation or partnerships: Professional membership bodies, charities, government agencies
Submission dates:• wave 2 -end of September 2018• wave 3 -end of November 2018• wave 4 - end of February 2019
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Five Year Forward View for Mental Health
Prevention Concordat for Better Mental Health
The Mental Health and Wellbeing JSNA Toolkit
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Five Year Forward View for Mental Health Prevention Overview
3.
NHSESupport
Rec 3: All local areas to have multi-agency suicide prevention plans in place by 2017, reviewed
annually thereafter and supported by new investment.
Align NHS I (Learning from death by suicide)
Lead PHE
Lead DH
Rec 43: Clear plan to develop and support the Mental Health
Intelligence Network over 5yrs, so that it supports data linkage across
public agencies, effective commissioning & implementation of new clinical pathways and standards
as they come online.
Lead NHSE
Lead PHE
Rec 2: National Prevention Concordat to support all
Health and Wellbeing Boards (+ CCGs) to put in place updated JSNAs and joint
prevention plans that include mh & co-morbid alcohol and
drug misuse, parenting programmes, and housing, by
no later than 2017
LeadPHE
Prevention Concordat Event: North East 24th Jan 2018
Lead PHE
NHSESupport
Align NHSE –led Recommendation 22 (improved physical health for people with SMI 280,000 more people with SMI will have access
to evidence based physical health checks and interventions)
Rec 20: Ensure that people with mental health problems at greater risk of poor physical health get access to prevention
and screening programmes. All mh inpatient units and facilities to be
smoke-free by 2018.
9.
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Purpose of the Mental health and wellbeing
JSNA toolkit
10.
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11.
Stakeholder voices
Local expertise
Knowledge of services Local data
Identified priorities
Overview metrics Links to
detailed metrics
Policy guidance
Robust evidence
base
National expert opinion
Local interventions
JSNA Process
Local inputs: Bespoke to area
National inputs:Do once and share
toolkit supports local action
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Components
12.
Supporting components
Mental health and wellbeing JSNA toolkit 2017/18
Content:• HTML based with bite sized sections• Focus on prevention, wellbeing, risk
profiling and community assets• Intelligence on policy, case for change,
data and interventions• Guide follows life course
Mental health JSNA stocktake
(Kaleidoscope)
Content:• 100+ overview metrics• GP & ward level metrics
• Each domain follows life course • Gateway to a range of NMHIN topic
based profiles• PDF output report
Meeting the need – what makes a ‘good’ JSNA for mental health?
(Centre for Mental Health 2016)
Mental health primary prevention return on investment tool & report
(London School of Economics)
Prevalence & incidence
Quality & outcomes Finance
Risk factors
ServicesProtective factors
Understanding place
Understanding people
Perinatal
Working age adults
Older years
Data profile Knowledge guideChildren &
young people
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Using the toolkit
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The Knowledge Guide
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All Knowledge Guide chapters begin with a list of topic related questions that a JSNA may seek to answer.
Each sub-section within these chapters provides • An introduction to the topic• An overview of some relevant policy and guidance• A link to the relevant metrics in the profile• Links to other available national data sources• Ideas for sources of local data• Links to relevant evidence and further information
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Knowledge Guide: Overview
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Understanding place and people
Socioeconomic deprivation
Child poverty Older people
living in poverty
HousingHomelessness
EducationEmployment
Gap in employment
Community wellbeingCrime Offending
levels
Fuel poverty
Population demographics
Equity of access
Vulnerable groups
Excess weight
Smoking
Physicalactivity Outdoor space
Self-harm SuicideComorbidity -
mental & physical illness
Alcohol misuse and drugs
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Using the toolkit
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Using the profile
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Data Profile: OverviewStructured into 6 domains
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Variation within area (GP practice)QOF Depression: % of adults on register
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Risk - variation within area (wards)
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Go to products:
Mental Health and Wellbeing JSNA Data Profile:https://fingertips.phe.org.uk/profile-group/mental-health/profile/mh-jsna
Mental Health and Wellbeing JSNA Knowledge Guide: https://www.gov.uk/government/publications/better-mental-health-jsna-toolkit
Google: Mental Health Fingertips or Mental Health Intelligence
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Thank You [email protected] to the Prevention Concordat for Better Mental Health: [email protected]
Download full suite of resources: https://www.gov.uk/government/collections/prevention-concordat-for-better-mental-health#consensus-statement
Acknowledgements: PHE TeamsPublic Mental Health; Mental Health Intelligence Network; Health Economics