04 February 2014

kate.schneider@nhs.net

CCG GP Mental HealthLeadership Programme

What is NHS England doing to support commissioners and providers move to an outcomes-based value system?

1. CCG: building capacity and capability in mental health leadership

2. Parity of esteem physical/mental health; primary care mental health

3. Care of people with psychosis : ‘industrializing’ improvement

4. The acute care pathway and suicide prevention; crisis care

5. Integrated physical & mental health care pathways

6. Mental health intelligence informatics network programme• new model of information led commissioning & integrated provision • Whole pathway commissioning of Tiers 1-4

Underpinning value-based commissioning and care• Outcome measurement• Service specifications aligned to payments systems• Reducing burden to free up time to care

211 CCG GP Mental Health Leaders

‘Information revolution’

• information and intelligence

• integrated care pathways; life course

• evidence base; what works

• value based commissioning

• commissioning for outcomes

• system (re)design; remodeling; transformation

• resources, tools, action learning

• accelerating change and improvement

Critical success factorsPartnership

• working with local leaders, experts

• building on existing networks and alliances

Ownership

• co-production; co-operation; coalitions; collaborative leadership

Design

• tailored to individual learning & development needs

• sharing & disseminating knowledge, resources

• peer-to-peer learning; action learning; rigour; delivery

4

SCNs, AHSNs, local networks

• facilitate engagement with CCG GP mental health leads

• identify experts/contributors, local system resources

• broker participation, continue to develop relationships

• ensure wider engagement/communications (H&WB; LA; PHE)

• disseminate, share, spread

• assure quality; governance

5

6

Timetable• Contracts - February 2014• SCN engagement – end February ff.• Delivery - April 2014• Knowledge management &

communications• Governance• Evaluation

04 February 2014

kate.schneider@nhs.net

Improving dementia diagnosis and diagnosis pathways

NHS Outcomes Framework; NHS Mandate

• The Government's goal is that the diagnosis, treatment and care of people with dementia in England should be among the best in Europe.

• The objective is for NHS England is to make measurable progress towards achieving this by March 2015, in particular ensuring timely diagnosis and best available treatment for everyone who needs it, including support for carers.

• England rate 2012-13: 47.5%

8

Better outcomes for people

• What does good look like?

• What works?

Looking beyond numbers to quality

Improving diagnosis pathways; timely diagnosis

Design: large scale complex system change

9

What can we learn from CCGs?Key findings from visits Autumn 2013

• coherent, focused, and clearly led plan of work to improve dementia care.

• active, visible leadership; comprehensive strategy and action plan;

• work is proactive, systematic, comprehensive and sustained, rather than reactive and piecemeal;

• dementia care mainstreamed, not bolted on

• V&CS key partner; + investment in sector

10

CCGs making most progress with diagnosis rates

Common factors

• high levels of the Directly Enhanced Service (DES) take up amongst GPs; data cleansing and monitoring of performance

• commissioning dementia advisor services to support timely diagnosis and post diagnostic support

• health care professional training

• carer training

• advance care planning

• access to respite care.

11

12

www.primarycare.nhs.uk

13

14

System change: 10 Key Steps

15

www.dementiapartnerships.com/pathways/diagnosis