TEAM was asked to contribute to two emerging strategic priorities for the Nottinghamshire STP;
- Developing an Integrated All Age Mental Health Strategy
- Developing a Vision for Community Centred Approaches
Mental Health Strategy
There was an emerging consensus amongst stakeholders that the path to a transformed Mental Health landscape for the STP should be supported by a number of key pillars:
- Developing integrated system infrastructure;
- Developing integrated working in local communities;
- Enhancing workforce culture and competencies across the public sector;
- Mitigating adverse childhood experiences (ACE);
- Transforming user-involvement through co-design, choice and control;
- Developing an integrated mental/physical health approach to urgent and emergency care needs;
- Providing the right care in the right place.
A number of other considerations for the strategy were:
a) A joined up, coherent approach to self-care/prevention. The Public Mental Health model should be utilised to highlight what elements are universal (prevention), selective (targeting at risk groups) or indicative (treatment and recovery);
b) An acknowledgement that this broad range of priorities cannot be delivered all at once and that implementation will not necessarily be linear. There is a requirement to build foundations and set milestones to meet along the way in achieving the long-term vision (co-produced with consumer/service user);
c) A focus on mental health recovery – how people move on and away from statutory services – particularly in relation to prevention, promotion and community work;
d) Greater focus on building individual and community resilience to reduce the impact of adversity and the subsequent impact of adverse experiences on individuals’ physical and mental health. Rather than simply focus on treatment, the strategy should also embody a wellness model and incorporate prevention/self-care across all its elements;
e) An understanding of the key root causes of poor mental health (such as social isolation, housing issues, alcohol, unemployment, education, crime), and;
f) Addressing the stigma and labelling around mental health conditions, challenging outdated myths and beliefs.
Community Centred Approaches
The aim of these workshops is for stakeholders to coproduce an agreed standard for community centred approaches that support people to live well in their communities across Nottingham and Nottinghamshire. For us to work together to reduce health inequalities and create healthy, resilient, engaged communities. There are a number of barriers and challenges to be recognised and overcome including the need for;
- longer term investment in order to build capacity
- a wider culture change
- skills, knowledge and values in communities
- meaningful engagement to support and empower people to contribute
For consideration was the development and scaling up of a number of areas:
- Social Prescribing
- Health Coaching
- Shared Decision Making
- Patient Activation Measures
- Building Community Resilience/Capacity
- Reducing Loneliness
Mid Notts Better Together Alliance
Staying Independent and Healthy
TEAM has recently joined the ‘Staying Independent and Healthy’ Programme Delivery Board. The group aims to knit together activity on common agendas from health and social care, with TEAM representing the third sector. After only one meeting, we have already raised awareness of the debt support programme available in CAB’s, and are working to create a more formal referral process with NCC, District Councils and Primary Care.
To avoid duplication of work and maximise existing resources, it was agreed that the Notts Help Yourself website, managed by Notts County Council, is best utilised for community mapping.
Members of the groups including representatives from County County, District councils, Primary care and TEAM agreed to support and encourage the use of Notts Help Yourself.
Notts Help Yourself Website
The website provides a valuable database of approximately 6500 community groups and organisations across the county.
The database that sits behind is up-dated by auto reminders to the owners of the information and can be used to populate different web site front interfaces if necessary. A 6 monthly refresh/prompt cycle ensures data is maintained and kept accurate, with reminders being sent to organisations before the record expires. Quality checks are carried out on some user information and groups now registering must also provide an email address and contact telephone number, to make contact by the public easier.
The website’s search engine is currently undergoing an upgrade and will be available in the New Year. The user interface itself will not change a great deal, but the search engine behind it, will be improved and TEAM has suggested that a user guide be made available to both organisations and the public to show how best to use the search facilities.
A provider guide is already available, assisting groups to set up their details and show basic functions of the website. If you do not have this, you can contact the Notts HelpYourself team to request any additional help. Either use the contact form on the website or email email@example.com
Frailty Project Group
The Frailty project group has recently relaunched aiming to bring together organisations and individuals across mid Notts who provide services to people that are frail or otherwise vulnerable and at risk of hospital admission. The objectives of the group include;
- bringing services and support closer to people in their homes
- ensure they have the best care, treatment and support at the right time in order to reduce hospital admissions, improve quality and enhance patient experience.
TEAM attended the first meeting where the organiser was asking for services and organisation details for a mapping exercise for the future locality hubs/GP’s. We were informed that 4 locality hub navigators will be in place to work with GP’s, social care, health and community, signposting patients to appropriate services. TEAM suggested that the Notts HelpYourself website was an existing directory of services, to avoid further duplication of work.
If you would like to be involved, contact Jill Thompson, Mansfield & Ashfield CCG – Jill.firstname.lastname@example.org