Community Mental Health
The Community Mental Health (CMH) Transformation Programme supports the delivery of the core clinical programmes within the Long Term Plan and the Mental Health Implementation Plan 2019/20 - 2023/24 (the Implementation Plan) by connecting commissioners, providers, professionals, patients and the public across pathways of care with the aim of improving health outcomes. This is achieved by sharing best practice and innovation, assessing and benchmarking quality and outcomes and driving improvement where required, through targeted support.
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What We Are Trying To Achieve
Community mental health services play a crucial role in delivering mental health care for adults and older adults with Serious Mental Health Problems (SMHP). The NHS Long term Plan and NHS Mental Health Implementation Plan 2019/20 – 2023/24 sets out that the NHS will develop new and integrated models of primary and community health care.
The aim is to deliver new models of integrated primary and Community Mental Health (CMH) care for adults and older adults with Serious Mental Health Problem (SMHP) over the next 3 years.
The need to dedicate time to laying the groundwork for delivery of these new models has been a key learning from the early implementer phase of the transformation programme.
New integrated community models for adults with Serious Mental Health Problem (SMHP) (including care for people with eating disorders, mental health rehabilitation needs and a ‘personality disorder’ diagnosis) spanning both core community provision and dedicated services will ensure 370,000 adults and older adults per year in England have greater choice and control over their care, and are supported to live well in their communities.
Local Integrated Care Systems have set out clear proposals for the transformation of community health services which include the following key deliverables:
- Invest baseline funding to recruit new staff, expand core Community Mental Health (CMH) Trusts, and increase capacity of CMH services including dedicated pathways for groups with specific needs (including adult eating disorders, mental health rehabilitation, ‘personality disorder’).
- As a minimum, systems should invest at least 85% of the baseline funding.
- Increase delivery of psychological therapy pathways in community services, including dedicated Adult Eating Disorder (AED) pathways and send appropriate staff on nationally funded training courses
- Implement community transformation proposals and develop integrated pathways for people with SMHP across primary care, secondary care, local authorities and the Voluntary and Community and Social Enterprise sector (VCSE)
- Expand services via recruitment and partnerships to meet the access and spend trajectories set out in community transformation plans
- Commission key contracts (e.g., with the VCSE) to support the new models and ensure integrated commissioning with local authorities
Why It’s Important
In line with the NHS Long Term Plan ambitions, by 2023/24:
- All Integrated Care Systems (ICSs) will have received funding to develop and begin delivering new models of integrated primary and community care for adults and older adults with SMHP.
- These new models of care will span both core community provision and dedicated services, where the evidence supports them. The new models will be built around Primary Care Networks.
- A total of 390,000 people with SMHP will receive a physical health check.
- A total of 55,000 people a year will have access to Individual Placement and Support (IPS) services.
- New local funding will also be used to maintain and develop new services for people who have specific or additional needs, including Early Intervention in Psychosis (EIP), complex mental health difficulties associated with a diagnosis of ‘personality disorder’, mental health rehabilitation and adult eating disorders.
The Community Mental Health Framework sets out how the NHS Long Term Plan vision can be realised and how community services should transform to offer whole-person, whole population health approaches, aligned with the new Primary Care Networks.
What We Have Achieved In The Last 6 Months:
The Clinical Network has worked with Regional Clinical Delivery Team to ensure a joint regional approach to CMH Transformation. In doing this, we have engaged closely with all stakeholders across Yorkshire and the Humber to:
- Maintained a regional CMH Transformation Collaborative, to provide a single place for all communications, updates and sharing of best practice. This was supported by the national Adult Mental Health Team.
- Led an event celebrating and sharing the excellent CMH transformation good practice within the region.
- Produced an interactive CMH Transformation Roadmap Support Tool which has been used nationally. In addition, worked with ICSs and created additional dashboards and highlight reports to support them.
- Supported an Action Learning Set to facilitate CMH Transformation sites to develop and have peer support.
- Identified improvement support required to support ICSs with implementation of CMH transformation and develop a work programme.
- Identified areas of best practice across the region and nationally and share this to increase learning and enhance service provision.
- Worked with ICSs, NHS England (including Workforce, Training and Education, formerly Health Education England) to improve capacity for the delivery of CMH Transformation.
- Established communities of practice at system request e.g. Additional Roles Reimbursement Scheme (ARRS) and Mental Health and Wellbeing Practitioners.
Meetings & Events
The CMH Transformation Regional Collaborative meets bi-monthly and continues to communicate with stakeholders between meetings to ensure consistency of appropriate communication where the Regional Collaborative doesn't meet.
Communities of Practice include Additional Roles Reimbursement Scheme (ARRS) and Mental Health and Wellbeing Practitioner Team Leader and Supervisors.
Professionals – please contact us for details of our FutureNHS page.
ICS links awaited
What We Plan To Do In The Next 6 Months:
Over the next 6 months we plan to:
- Work with local teams to support the move towards personalised care and support planning.
- Work with local teams to identify the impact of national guidance and support implementation e.g. joint working between NHS Talking Therapies and Community Mental Health Transformation; Patient Reported Outcome Measures (PROMs).
Helpful Resources & Links
Professionals – please contact us for details of our FutureNHS page
- Community Mental Health Framework for Adults and Older Adults
- A 5-minute animation on Community Mental Health Transformation
- A 5-minute animation on Community Mental Health Transformation – Plain English version
- NHSE/I Learnings Report from the Early Implementer phase
- Guidance to help development of 2021/22 proposals for adult and older adult community mental health transformation funding
- The Kings Fund: Transforming community mental health services report
- Care Programme Approach Position Statement
- Community Mental Health Services