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Enhanced Primary Care Mental Health Services

ITEM 2 JUDITH WATT PRESENTATION. Enhanced Primary Care Mental Health Services. Overview & Scrutiny Committee 12 th June 2007 . Hertfordshire Partnership NHS Trust. NHS. Enhanced Primary Care Mental Health Services - Values. Recovery & Social Inclusion Choice of Treatment

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Enhanced Primary Care Mental Health Services

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  1. ITEM 2 JUDITH WATT PRESENTATION Enhanced Primary Care Mental Health Services Overview & Scrutiny Committee 12th June 2007 Hertfordshire Partnership NHS Trust NHS

  2. Enhanced Primary Care Mental Health Services - Values • Recovery & Social Inclusion • Choice of Treatment • Care Closest to Home • Working & Learning Together

  3. Enhanced Primary Care Mental Health Services - Scope • Common Mental Health Problems • Mental Health Problems associated with physical health • Long Standing complex, non-psychotic mental health problems • People with Psychosis • Those with Cognitive Impairment

  4. NICE Stepped Care Approach (Anxiety & Depression)

  5. Enhanced Primary Care Mental Health Service – who delivers? • Graduate Workers • Gateway/Link Workers • Support Time & Recovery Workers • Vocational Advisers • Psychologist • Consultant Psychiatrist

  6. Short term interventions Social & Vocational Support Referral on to secondary services Enhanced Primary Care Mental Health Service – What will it deliver? • Screening • Signposting • Self Help • Guided Self Help • Computerised Cognitive Behavioural Therapy • Individual/Group Work

  7. Enhanced Primary Care Mental Health Services – where will it deliver? • Within Primary Care setting:- • GP practices • Alternate, non stigmatising Community Settings eg Letchworth Healthy Living Centre

  8. 3 Primary Care Pilots Letchworth Watford St Albans All 3 Pilots :- Enhanced Primary Care Services + Improved Access to Psychological Therapies + St Albans Only – New Ways of Working for Consultant Psychiatrist Enhanced Primary Care Mental Health Services in Hertfordshire

  9. Results of PCMHT:Assessment Outcome: Feb – March 2007

  10. Interventions offered by PCMHT’s

  11. Discharge Information -Letchworth EPCMHS

  12. Discharge Information – Watford EPCMHS

  13. Discharge Information – St Albans EPCMHS

  14. Impact on CMHT - Referrals & Waiting Times

  15. Increase in Service User satisfaction Increase in GP satisfaction Increase in range of services available Reduction in no.s of referrals to secondary CMHT services Initial indication of improvement in measured mh Initial increase in numbers of referrals to EPCMHS + CMHT Identification of “unmet need” Inconsistent uptake of service offered in EPCMHS Lack of longer term studies to identify repeat referrals Issues of skill mix Conclusions

  16. Joint Commissioning Team – expressed intentions to develop Primary Care Mental Health Services across Hertfordshire; To form part of HPT Foundation Trust Contract Letchworth, Watford, St Albans to evolve Further developments Stevenage PBC Pilot Overview CMHS Reconfiguration Project EPCMHS in Hertfordshire – The Next Steps

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