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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 2 Workforce Heads: 2980 WTE: 2566.66 3 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 4 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 5 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. 6 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 7 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 8 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 9 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 10 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 11 And Finally… 12