Everybody has mental health, however one in four people at some time in their life will experience issues with their mental health due to a range of health and social factors.
The CCG has worked together with commissioners and providers of health and social care and members of the public, including those with lived experience and their carers, to develop the Mental Wellbeing strategy for Bradford and Craven.
The strategy outlines our shared commitment to promoting mental wellbeing and tackling the things that cause mental ill health. The strategy is guided by three overarching principles of delivery:
- Our wellbeing: A focus on building resilience, promoting mental wellbeing and delivering early intervention,
- Our physical, social and mental health: Developing and delivering care through the integration of mental and physical health and care, and
- Care when we need it: Ensuring that when people experience mental ill health they can access high quality, evidence-based care.
By 2021 we have to deliver on our five strategic outcomes which have formed the foundations of our implementation plan:
- Early action, awareness and prevention people will be supported to recognise and value the importance of their mental wellbeing and take early action to maintain their mental health through improved prevention, awareness and understanding:
- Promote good wellbeing people will enjoy environments at work, home and in other settings that promote good mental health and improved wellbeing;
- Easy access to integrated care people will experience seamless care and have their physical, social and mental health needs met through services that are integrated and easily accessible;
- Services focussed on recovery people will reach their maximum potential through services which are recovery focused, high quality and personalised and which promote independence;
- Transforming services people will expect support to be commissioned and delivered in a way which leads to increases in efficiency and enables transformation of care through reinvestment.
A voice for people and their carers who are experiencing mental health issues:
- If you would like to be involved in improving care or tell commissioners about your experience please contact us on firstname.lastname@example.org
Key services if you or someone you know needs support with your mental health, you can contact our services:
- Guide-line on 01274 594594: Guide-Line is our confidential telephone helpline which offers support and information to anyone over the age of 18. It is open from 12pm to 9pm every day of the year.
- MyWellbeing College – mental health support: MyWellbeing College is a free NHS service to help people manage everyday problems such as feeling low, having problems sleeping, feeling anxious and experiencing stress. It can offer a wide range of options including online courses, group courses, phone advice and one-to-one ‘talking therapies’ including peri-natal support.
- First Response on 01274 221181: Our First Response service offers support 24 hours a day, seven days a week to people of all ages living in Bradford district and Craven experiencing a mental health crisis.
Improving access to psychological therapies – recovery
Two stars - similar to the English average.
Half of people who complete psychological therapies recover, which is about the same as across England.
Access and recovery to IAPT
Our vision is increased access to psychological therapy, engaging people earlier to prevent deterioration in their mental wellbeing and reducing the social and economic impact for individuals and their families.
To increase and improve access to psychological therapies, we have extended our MyWellbeing College service model through a multi-provider network that offers choice, flexibility and easy access. We understand that people may need support while waiting for appointments and we have a range of community support services, led by the voluntary and community sector, who also offer a range of services.
Delivering new services for people with long term conditions and ensuring that services provide a balanced range of culturally appropriate and effective interventions.
Children and Young People’s Mental Health
Two stars - similar to the English average.
40% that is to say 2 in every 5 children and young people estimated to have a diagnosable mental health condition were receiving services in the community this result is above the national target of 30%.
Our joint Local Transformation Plan was developed in the context of Bradford and Airedale with reference to the Joint Health Needs Analysis of emotional and psychological wellbeing of children in Bradford (Public Health 2015). There are five key themes to the work we are progressing, there are:
- Promoting resilience, prevention and early intervention
- Improving access to effective support: a system without tiers
- Care for the most vulnerable
- Accountability and transparency
- Developing the workforce.
Some of the key things we have developed are:
- A community-based eating disorder service to support children and young people with an eating disorder, while remaining at home instead of having to travel out of area for treatment.
- We have established the roles of mental health lead in schools, created a network of support and training for the champions and launched our mental health matters website.
- Expanded the First Response service to ensure children and young people at a time of crisis have their needs assessed and are able to access safer spaces as an alternative to admission.
- Providing therapeutic care to vulnerable young people, specifically looked after children, by making sure they receive an assessment from a mental health worker.
- Building resilience, early intervention and prevention by developing a children and young people’s single point of access hub
- Providing vulnerable children, young people and families who are from refugee and asylum seeking families with specialist support
- Developed the Youth in Mind model which aims to support children and young people with the most appropriate community based support, this is delivered by trained youth workers, mental health workers, young people with lived experience, mentors and counsellors.
Going forward, we are transforming our child and adolescent mental health services to provide seamless and specialist support.
Improving access to psychological therapies – access
One star - worse than the English average
Access to psychological therapies fell below the 4.2% standard and needs to be improved.
First episode of psychosis
Two stars - similar to the English average.
Access to intervention for psychosis is above the 50% standard, with almost 3 out of every 4 people being seen within 2 weeks for a NICE recommended care package
Our Early Intervention in Psychosis service is for people aged 14-65 years old who may be experiencing issues with their mental health, such as:
- Unusual or distressing beliefs.
- Hearing, seeing, sensing or feeling things that no one else can (e.g. hearing voices).
- Feeling suspicious or paranoid.
- Jumbled up or confused thinking.
This is sometimes called ‘psychosis’. Often this happens when stressful events or situations have become too much and intervening early can prevent problems and improve long term outcomes. We are developing our services so that people who are at risk can reduce their risk of transition to psychosis.
We aim to ensure that people receive specialist care within two weeks of a referral. Our Early Intervention team provides a range of services including psychological therapies, medical and social interventions designed to meet people’s needs, and helping them get their lives back on track.
Mental health out of area placements
Three stars - better than the English average.
Reducing out of area placements for people with mental health problems is a key priority – currently we have zero bed days placed out of area.
Our vision is to deliver care for people who need mental health support as close to home as possible as this leads to better outcomes for people in the long term. This commitment means we have taken a full system approach to reducing our Out of Area placements. This includes:
- Our First Response service – this is a single point of self-referral available by telephone 24 hours a day, seven days a week for anyone in need of urgent mental healthcare. Roles within the service include tele-coaches (psychological therapists) who are able to assess and support via telephone, nurses and social workers who are able to make in situ assessments and advanced nurse practitioners (ANP) who are able to prescribe and divert away from out-of-hours and emergency services.
- Police and emergency services have also been given access to a timely response through a for people they have identified as being in crisis.
- Alternative spaces for people in crisis were created in partnership with voluntary services including The Haven and The Sanctuary, which are available for those needing support (from 10am to 1am) and are an alternative to A&E attendance.
- New roles were introduced in the inpatient setting including ANPs to support with nurse-led discharges; this process supports stepping down to the care of our Intensive Home Treatment Team.
- A housing social worker post was created to support with delays in identifying suitable accommodation which were preventing people from being discharged home in a timely way.
- Our community spaces, delivered by the voluntary and community sector, which provide peer and group initiatives to support people in their own communities.
Looking ahead, we will build on the above services to meet the CORE 24 standards of providing mental health liaison into acute care settings. We also have a commitment to increase our use of personal health budgets so that people can manage their own care and support and avoid reaching crisis and the need for specialist inpatient care.