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Mental health and the productivity challenge: improving quality and value for money

Authors:
NAYLOR Chris, BELL Andy
Publisher:
King's Fund
Publication year:
2010
Pagination:
53p., bibliog.
Place of publication:
London

Based on an analysis of ideas developed at an expert seminar in 2010 and on a review of related research evidence and consultation with key stakeholders, this report explores opportunities to deliver mental health services in a different and more cost-effective way. Illustrated with examples, it discusses: strategies for improving productivity, including priorities for improving productivity within existing mental health services; opportunities for mental health to help make savings in other sectors in the NHS; the economic benefits beyond the NHS of improved mental health care; and the longer-term challenge of building a preventive and empowering mental health system. The report also looks at how to make this happen, and includes recommendations for clinical teams, for provider organisations, for commissioners, and for government.

Book Full text available online for free

Mental health into the mainstream

Author:
ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
Publisher:
Association of Directors of Adult Social Services
Publication year:
2008
Pagination:
11p.
Place of publication:
London

The paper, Mental health into the mainstream, says: "Increasingly mental health has been seen as a "health" issue, sometimes in exchange for services for people with a learning disability being seen as a social care preserve.  ADDASS believes that social care's retreat from mental health has gone too far. Specific proposals include:- A national development plan to promote the use of personal budgets and direct payments for people with mental health problems, and extending personal budgets to some NHS services, and possibly to benefits, training and housing. Piloting person-centred planning for people with long-term mental health needs.

Book Full text available online for free

Choosing talking therapies?

Author:
COONEY Geraldine
Publisher:
Great Britain. Department of Health
Publication year:
2001
Pagination:
28p.
Place of publication:
London

This booklet provides information for people who feel depressed or unhappy, or who have emotional problems they cannot sort out on their own. It tells about the psychological help - or talking therapies - that are available for adults on the National Health Service (NHS). It explains what talking therapies are and what they aim to do. The information in this booklet is based on evidence from research studies on psychological therapies. They have been turned into guidelines for GPs on treatment options for people with emotional difficulties or mental health problems. The booklet also includes evidence and quotes from services users; this comes from research by the Mental Health Foundation.

Journal article Full text available online for free

There's another way

Author:
LEASON Katie
Journal article citation:
Community Care, 5.6.03, 2003, pp.36-37.
Publisher:
Reed Business Information

Looks at the use of complementary therapies for people with mental health problems, and asks whether the NHS should be making these therapies more readily available. Highlights the benefits and the need for more research.

Journal article

Take it from the top

Author:
HILL-SMITH Andrew
Journal article citation:
Health Service Journal, 8.2.96, 1996, p.33.
Publisher:
Emap Healthcare

One of the main aims of the NHS reforms was to introduce greater flexibility and competition to improve service quality. This article argues that consultants are ideally placed to identify gaps in the market and then lead new service developments.

Book

Health provision

Author:
CRAIG Tom
Publisher:
Mental Health Foundation
Publication year:
1995
Pagination:
11p.
Place of publication:
London

Factfile setting out basic information about what services the NHS provides for people with mental health problems.

Book Full text available online for free

Independent review of deaths of people with a learning disability or mental health problem in contact with Southern Health NHS Foundation Trust April 2011 to March 2015

Authors:
GREEN Bob, et al
Publisher:
Mazars LLP
Publication year:
2015
Pagination:
254
Place of publication:
London

This review seeks to establish the extent of unexpected deaths in mental health and learning disability services provided by the Southern Health NHS Foundation Trust and to identify any themes, patterns or issues that may need further investigation. Through an analysis of 540 individual reports of deaths of service users occurring between April 2011 and March 2015, reviewing documents relating to all deaths and an analysis of a wide range of data, the report identifies a series of key messages which result in recommendations for the Trust, its commissioners and nationally. In particular the review found that: the failure to bring about sustained improvement in the identification of unexpected death and in the quality and timeliness of reports into those deaths was a failure of leadership and of governance; there was no effective systematic management and oversight in reporting deaths and the investigations that follow; the review and investigation of deaths is usually left to the Trust to undertake and commissioners become involved in cases when these are determined to be serious incidents by the Trust; the Trust reported relatively few unexpected deaths of service users to regional and national systems; there was a very poor quality of written investigations at all stages; and the Trust could not demonstrate a comprehensive, systematic approach to learning from deaths as evidenced by action plans, board review and follow up, thematic reviews and resultant service change. (Edited publisher abstract)

Book Full text available online for free

Supporting recovery in mental health

Author:
NHS CONFEDERATION. Mental Health Network
Publisher:
NHS Confederation. Mental Health Network
Publication year:
2012
Pagination:
8p.
Place of publication:
London

In mental health, recovery means the process through which people find ways of living meaningful lives with or without ongoing symptoms of their condition. The Implementing Recovery through Organisational Change project is a new approach to helping people with mental health problems that aims to change how the NHS and its partners operates so that they can focus more on helping those people with their recovery. The Department of Health commissioned the NHS Confederation’s Mental Health Network and the Centre for Mental Health to pilot this major national project involving 29 mental health provider sites from April 2010. This Briefing details the interim findings of the project. Users of mental health services have identified three key principles: the continuing presence of hope that it is possible to pursue one’s personal goals and ambitions; the need to maintain a sense of control over one’s life and one’s symptoms; and the importance of having the opportunity to build a life beyond illness.

Book Full text available online for free

Listening to experience: an independent inquiry into acute and crisis mental healthcare

Author:
MIND
Publisher:
MIND
Publication year:
2011
Pagination:
52p., bibliog.
Place of publication:
London

Mind commissioned an independent panel to carry out an inquiry into acute and crisis mental health care. It ran a call for evidence, held hearings and visited a range of services. It asked: what do people in mental health crisis need; what is good about existing acute and crisis services – what would you like to protect or have more of; what are the problems in acute and crisis care; if services in your area are being reorganised, what impact is this having on acute and crisis care (if you know); and what changes in acute and crisis care do you want this campaign to achieve? This report found that while excellent crisis care does exist, there are problems with inpatient hospitals and community crisis teams including people struggling to get help, staffing problems, poor quality care environments and not enough treatment provided to help people recover. It also sets out a series of recommendations on how crisis care should be improved to give the best possible treatment to some of the most vulnerable people in NHS care.

Book Full text available online for free

Mental health and employment in the NHS

Author:
GREAT BRITAIN. Department of Health
Publisher:
Great Britain. Department of Health
Publication year:
2002
Pagination:
73p.
Place of publication:
London

This guidance is designed to provide advice to NHS employers on the retention and future employment of people who have experienced or are experiencing mental health problems. A key objective of the Government is to enable all disabled people, including those with mental health problems, to make the most of their abilities at work and in the wider society. It aims to do this by: providing active help for people to move into work; by taking the obstacles out of the benefits system; and by promoting equality and opportunity in the workplace. As the largest public sector employer in the country, the NHS should be making a significant contribution to delivering these objectives. This guidance confirms the strength of the Department of Health’s commitment to antidiscrimination principles. Its implementation will make a difference to the lives of healthcare workers who have experienced or are experiencing mental health problems; to their quality of life, their self-confidence and their work prospects.

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