Transcript Mike Cooke - Rampton Secure Hospital

Local Services Division
Chris Packham –
Associate Medical
Director
Amanda Horsman –
Deputy Director
Simon Smith – Executive Director
Overview of the Division
 Adult Mental Health (AMH)
 Mental Health Services for Older People (MHSOP)
 Specialist Services (this includes: Learning Disabilities
Services; Substance Misuse Services; Child and Adolescent
Mental Health Services (CAMHS) and Psychological
Therapies).
 Improving Access to Psychological Therapies (IAPT).
 Provided 551 inpatient beds across Nottinghamshire
 Registered 12,296 new patients
 Saw 59,855 people in a community or outpatient setting
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Workforce
Heads: 2980
WTE: 2566.66
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Future Financial Challenges
 IAPT Transition to Any Qualified Provider Contracting –
potential loss of business
 Potential under achievement of CIP - due to slippage on
large schemes
 Over spend on Directorate positions - due to pressures,
particularly training medic positions, and Locum spend
 Loss of SIFT funding
 Potential slippage on recent investment on MHSOP
services
 Impact of future change to Payment by Results
contracting
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Top CIP Programmes for 13/14 onwards
 Reduction of 20 Inpatient beds at A23, QMC (MHSOP)
£450k
 Develop a 10 bed Women’s Personality Disorder Unit
(AMH) – re-provision of current rehab services £300k
 Development of Nurse Clinics (LD – Specialist Services)
£150k
 Review of care pathways – Specialist Services £310k
 New ways of working CLDTs £100k
 Trustwide Procurement Strategy £330k – including
mobile phone contract savings
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Service Priorities and Plans:
Service transformation areas
Adult Mental Health
 Enhancing NICE-mandated interventions,
 Reducing in-patient provision by enhancing those in the
community,
 Pathway for Women’s personality disorder
Mental Health Services for Older People (MHSOP)
 emphasis on less in-patient and more community care with
ready access to needs led services (intermediate care and
memory assessment services)
 flexible options for community care delivered in partnership
with other statutory and voluntary agencies.
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Continued…
Specialised Services
 Drug and Alcohol: Recent major tendering success for
provision in the city with voluntary sector partners
 LD – ongoing integration with social care alongside
developing the specialist NHS offer for healthcare
management of LD patients
IAPT
 Establishing service within AQP framework
 Expansion into Derby and Derbyshire
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Service Priorities and Plans:
New Models of Care
Enhanced Liaison Services:
 Holistic acute hospital settings: emergency and planned care
Adult Mental Health:
 Mapping and Redesigning services in the context of PbR (some 15 cluster streams)
MHSOP:
 enhance assessment and treatment pathways around PbR (clusters 18-21) and
organic (dementia) and functional (depression) service pathways
Specialised Services:
 CCG commissioners: (CAMHS tier three, Drug and Alcohol, Learning Disability,
Eating Disorders outpatient)
- Autistic Spectrum Disorder services
 NHS-CB commissioners (CAMHS tier four, Eating Disorders inpatient, Gender, Perinatal, Deaf)
- Consolidate / refine existing specialist services
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Estates
Professor Mike Cooke CBE
Chief Executive
Estates & Facilities Directorate
provide services to Local Services
and Health Partnerships as well as
other organisations across the East
Midlands with 385 staff.
Capital Priorities;
 New build Highbury ATU and
associated work at Lindsay
Close
 Start of feasibility for the redevelopment of the Thorneywood
site
 Minor Block capital priority list
developed
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Integration
Underway:
 CAMHS tiers two /three (County)
 Psychological therapies (IAPT, Tier Four)
 Back office
• IT and Business Intelligence project, HR (including
shared governance arrangements for primary care
services).
In development:
 Physical healthcare for severe mental illness
 Links between local drug services and prison integrated
drug treatment services
 Older adults with complex needs
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Service User/patient interface
 To work co-operatively with Service Users, Carers and
significant others in developing and delivering individual
packages of care
 Service user workstream for Electronic Patient Record design
and implementation
 Confirm and challenge
 PEAT and PLACE Audits
 ELC Divisional sessions
 Supporting work on Recovery Strategy
 Understanding demographic changes
• ‘Very old age’ (over 85) growth in County
• Massive growth in diversity in City
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And Finally…
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