Search results for ‘Subject term:"mental health care"’ Sort:
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Mental health and primary care networks: understanding the opportunities
- Authors:
- NAYLOR Chris, et al
- Publisher:
- King's Fund
- Publication year:
- 2020
- Pagination:
- 32
- Place of publication:
- London
This report explores the opportunities the emergence of the primary care networks (PCNs) creates for improving the support and treatment provided to people with mental health needs in primary care. As part of the NHS long term plan, local areas are being asked to realign community mental health services with primary care networks, creating ‘new and integrated models of primary and community mental health care’ by 2023/24. The report describes why improvement to primary mental health care is badly needed, examines what this might look like in practice, and considers the role primary care networks could play in bringing about change. The report argues that PCNs potentially create an important opportunity to develop more comprehensive approaches to primary mental health care, with new forms of provision shared across groups of neighbouring practices. From April 2021 this will include the option of using new funding to pay for mental health practitioners based in general practices. Where primary care networks choose to use the new funding in this way, it is important that the creation of new mental health roles in primary care forms part of a comprehensive strategy to meet the full range of needs in the local population. This will involve rethinking how the system works as a whole, as well as putting extra resources into general practices. (Edited publisher abstract)
Mental health and new models of care: lessons from the vanguards
- Authors:
- NAYLOR Chris, CHARLES Anna, TAGGART Holly
- Publisher:
- Kings Fund
- Publication year:
- 2017
- Pagination:
- 86
- Place of publication:
- London
Based on research conducted by the King’s Fund and the Royal College of Psychiatrists, this report explores what successful integration of mental health within new models of care could look like. It found that while some of the vanguard sites developing new care models report promising early results from adopting a whole-person approach and removing the barriers between mental health and other parts of the health system, the full opportunities to improve care through integrated approaches to mental health have not yet been realised. The report draws on interviews from 22 vanguard sites, in-depth case study interviews with three vanguards and an expert workshop. It sets out nine principles for successful integration of mental health in new models of care. It also describes how multispecialty community providers (MCP) and primary and acute care systems (PACS) vanguard sites are making changes to support people with highly complex needs; ongoing long term care needs; urgent care need; and in supporting whole-population health. Finally it highlights lessons learnt for delivery across the three case study sites and provides a series of recommendations. (Edited publisher abstract)
Quality improvement in mental health
- Authors:
- ROSS Shilpa, NAYLOR Chris
- Publisher:
- Kings Fund
- Publication year:
- 2017
- Pagination:
- 58
- Place of publication:
- London
This report describes the quality improvement journey of three mental health organisations and highlights key lessons for others who are considering making similar changes. The term ‘quality improvement’ is used specifically to mean approaches that are based on the concept of empowering frontline teams, service users and carers to design, implement and test changes to services. The report presents the three case studies of mental health organisations, the benefits these approaches and key learning for other organisations. The case studies cover Tees, Esk and Wear Valleys NHS Foundation Trust, East London NHS Foundation Trust and the Institute of Mental Health in Singapore. Key learning for others focuses on the role of leadership and how organisations can make quality improvement part of the organisational culture. The report also considers opportunities for improvement in the mental health care sector and how relationships with regulators could enable mental health providers to focus on improvement. The report found that quality improvement approaches have the potential to improve treatment and support, including: reductions in the length of time people need to wait to get help; improving safety in inpatient settings; and developing new services to aid recovery. It also led to changes in organisational practices and cultures, with greater emphasis on engaging staff, service users and carers in finding solutions to problems. (Edited publisher abstract)
Transforming our health care system: ten priorities for commissioners
- Authors:
- NAYLOR Chris, et al
- Publisher:
- King's Fund
- Publication year:
- 2015
- Pagination:
- 18
- Place of publication:
- London
- Edition:
- Rev ed
Sets out ten priorities for action to help commissioners transform the health care system. The paper was originally published in March 2011 and has been updated in to reflect changes in the NHS. The ten priorities advocate a greater commitment to: active support for self-management; primary prevention; secondary prevention; managing ambulatory care-sensitive conditions; improving the management of patients with both mental and physical health needs; care co-ordination through integrated health and social care teams; improving primary care management of end-of-life care; good medicines management; managing elective activity – referral quality; and managing urgent and emergency activity. The paper explains the importance of each priority, their impact and how to implement them. Relevant resources are signposted. (Edited publisher abstract)