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Commissioning Adult Mental Health Services in a Primary Care setting

Commissioning Adult Mental Health Services in a Primary Care setting. WatCom, the background third year of commissioning 28 member practices 187,000 registered population £163m devolved budget for 08/9 £762K under spend in 07/08. Community Services – District Nursing. Late 2006

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Commissioning Adult Mental Health Services in a Primary Care setting

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  1. Commissioning Adult Mental Health Services in a Primary Care setting WatCom, the background third year of commissioning 28 member practices 187,000 registered population £163m devolved budget for 08/9 £762K under spend in 07/08 WatCom PBC Ltd

  2. Community Services – District Nursing Late 2006 WatCom concerns about standards/levels of DN Jan  2007  Project group – defined principles • -       Teams • -       Accommodation • -       Named nurse with 2 i/c -> PHCT • -       Single point of contact • -       Referral form • -       Time periods • -       Training and development WatCom PBC Ltd

  3. Community Services – District Nursing • June 2007 • Project group – specification       • - standard core services • -       agreed clusters and staffing levels • Nov 2007  • Discussions with PCT commissioner and provider services started WatCom PBC Ltd

  4. Community Services – District Nursing Changes Agreed • Old staffing level              New Staffing level* 74.23 wte               89.31wte • *additional 4 community matrons and • *2 DN student sponsored placements Additional costs • Pay             £375k • Non pay         £60K • Community Matrons       £190K • Students        £70K Implemented from April 2008 WatCom PBC Ltd

  5. Community Services – District Nursing Progress in 08/9 • -     Major recruitment campaign -  only 7.5wte vacancies • -       Funding on stream as required • -       Monitoring outcomes • quantative • qualitative Next steps • -     rebuild working relationships • -       LCP • -       Secondary to primary care shifts WatCom PBC Ltd

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