Transcript Secure Commissioning with Stephen Brooke, NHS NW

Secure & Specialised Mental
Health Commissioning
Team Structure
Who’s Who
Director of Secure
& Specialised
Mental Health &
Learning Disabilities
Commissioning
Carole Jobbins
Deputy Director
Stephen Brook
Secure Commissioners
Paula Grange
Glenn MacDonald
Head of Case
Management/
High Secure
Commissioner
Alison Cannon
Case Managers
Mick Booth
Claire Cunningham
Tony Kidd
Claire Riding
Racheal Sutton
MichelleTaylor
Specialised
Mental Health
Commissioner
Steve Hamer
Administration
Manager
Cathy Loughlin
Team Secretaries
Pauline Hopkins
Carol Jackson
Sandra Ventre
Senior
Commissioner
Learning
Disabilities
Strategy
Phil Shackell
OATs
Administrators
Adam Mulvey
Andrea Shaw
Forensic Advisor
Dr. Jim Higgins
Services
• High, Medium and Low Secure
Mental Health
• Secure Learning Disability and
Secure Personality Disorder
• CAMHs Tier 4
• Eating Disorders Tier 5
• Mental Health and Deafness
• Gender Re-assignment
Stakeholders
• NHS and Independent Sector Secure Providers
• Specialist Mental Health Services and Learning
Disabilities services
• Local NHS Providers
• PCTs
• Criminal Justice – Prisons, Courts, Probation
• Social Care Commissioners and Providers
• Secure Advocacy Providers
• Department of Health
• Mental Health Unit – Ministry of Justice
• Users and Carers
• Third sector
• Strategic Health Authority/Mental Health Improvement
Plan Team
Context
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Secure services budget £227m
Projected overspend £8m
Risk share across PCTs
Approx 1100 patients includes over 250 OATs
High secure “steady”
LD reduced
Medium and low secure MH/PD numbers increasing
Variable across North West region
Demand rising across the country
The Problems
•Whole system problems
•Pressures on local services – acute and PICU
•Increasing prison population
•Pressure in prisons/cuts in resources
•Capacity of in-reach support to prisons
•Availability of rehabilitation services
•Society problems:
Increasing drug misuse/alcohol misuse/violence
Younger age of patients coming into services
Identified earlier – success of early intervention
Dysfunctional families
Secure & Specialised Mental
Health
Reducing Demand Actions
Increase year on year North West - 5%
Higher Increase in Greater Manchester (10-12%)
Work with prisons
Projects to move patients out of secure services
Step-down from step down
Capacity in local services
Cost per patient issues