1. Mental Health Services for Older People This presentation A priority for the PCT and the Council • Current position-the services available and how much we spend • The work of the Project Board • The proposals • Consultation and next steps

2. Mental Health Services for Older People It is important because • We are living longer • There are more of us needing or who will be needing a service • We want to stay in a home of our own as long as possible • We want to use hospital or residential care only if necessary

3. Mental Health Services for Older People The numbers….. Year over 65 over 85 dementia depression 2008 41000 4800 2600 5000 2015 50000 6000 3150 6000

4. Mental Health Services for Older People ….numbers (cont’d)…. Council Spend 07/08 £4.27m on residential services £1.67m on community services Total £5.9m

5. Mental Health Services for Older People ….more numbers PCT spend 2007/2008 £3.0m inpatient beds (before BBH transfer) £0.6m nursing home beds £1.9m community services Total £5.6m

6. Mental Health Services for Older People What people said about current services • The new beds at Callington and Southmead valued • Dedicated staff in all organisations • Memory clinic valued • Joint Council and PCT Intermediate care team is important • Once in the care system it is good

7. Mental Health Services for Older People Where could improvements be made • More choice and control • Join up health and social care mental health • Less of a wait for access to memory clinic • More information and support immediately after diagnosis • More talking treatments • More help in acute hospitals • Short breaks easier to get

8. Mental Health Services for Older People Proposed approach • More people to access service • Earlier access to diagnosis and support • More help at times of greatest need • More practical help and information • Less reliance on hospital and residential care

9. Mental Health Services for Older People Element 1-Information Education and Support Dementia café. (£45k) New information services. (£30k) ASSET Brokerage for People with dementia. (£50k) Increased access to support services. (£75k)

10. Mental Health Services for Older People Element 2-prompt help in the community New primary care support workers to get help as early as possible.(5/6 workers) (£180k) Increase memory clinic to improve waiting times. (£100k) Enhanced intermediate care services to improve range and scope of help to people at home.(£140k) Development of 3 locality based hubs associated with Extra Care Housing Schemes. (£4.5mcapital)

11. Mental Health Services for Older People Element 3-inpatient and residential Use Callington and Southmead in long-term, saving between £500k to £700k to invest in other services. Expand number of admissions to 150 per year with length. Invest £60k in help for people in acute hospital. Over next 5 years reduce number of residential beds, releasing further £340k for community services.

12. Mental Health Services for Older People Consultation questions • Do you think we have the right approach to redirecting investment from secondary care (i.e. hospitals and care homes) towards primary and community services? • Do you think that our proposals for investment are in the most effective areas?

13. Mental Health Services for Older People Main contacts • Roger Pedley. PCT • Guy Stenson. South Gloucestershire Council