DIMH 2018 keynotes

A wide-ranging look at the priorities and goals

Giving the keynote address on Day Two of this year’s Design in Mental Health Network conference, Professor Tim Kendall, National Clinical Director for Mental Health at NHS England, reported on some of the key progress made, and the aspirations and goals yet to be met, on mental health provision in England in line with the Five Year Forward View for Mental Health.

Professor Kendall was appointed National Clinical Director (NCD) for Mental Health at NHS England in April 2016, and at NHSI in March 2017. As NCD for mental health, he is responsible for providing clinical advice and direction in mental health for NHSE and NHSI to Health Secretary, Jeremy Hunt, Ministers, and government more broadly, including the intergovernmental MH committee, and for the Department of Health and other government departments. He also works closely with other national clinical directors, including for Dementia and older people’s mental health, and children and maternity, and with a group of Associate NCDs for mental health covering secure care, CAMHS, perinatal mental health, and adult mental health, including workforce and Out of Area Placements. He also leads a National Network for MDs in mental health, and chairs a number of national committees to further the implementation of the Five Year Forward View for Mental Health. He has recently started work with the NHS’s ‘Getting It Right First Time’ programme, and with Lord Carter and his team within NHSI. He continues as director of the National Collaborating Centre for Mental Health (NCCMH), as visiting professor at University College London, and as MD for research in Sheffield, and works clinically with people with mental health problems in the Yorkshire city.

AN INTERESTING ASIDE Introduced by DIMHN President, Joe Forster, Professor Kendall began his keynote presentation, ‘Two years on – The Five Year Forward View for Mental Health’, with an interesting aside that demonstrated the high profile mental healthcare currently has in the UK. At this year’s Chelsea Flower Show, which took place the week after DIMH 2018, he explained that the Royal Horticultural Society would be joining with NHS England in the NHS’s 70th anniversary year to ‘award’ a ‘Wellbeing garden’, the RHS ‘Feel Good Garden’ designed by Matt

Keightley, to Camden and Islington NHS Foundation Trust as the winner of a recent competition.

GARDEN TO BE ‘SHIPPED’ TO TRUST Professor Kendall explained: “In fact the garden, which will feature at this year’s Chelsea Flower Show, will be ‘shipped’ in its entirety to one of the Trust’s North London sites, which provides care and treatment to vulnerable adults in a built-up part of London where green space is limited.” In all, 38 NHS mental health Trusts – three quarters of all those in England – had entered the competition to ‘win’ the garden, with the judging panel including both Professor Kendall himself, and Guy Barter, the RHS’s chief horticulturalist. Professor Kendall said: “Looking through the submissions, people had some great ideas about social prescribing and gardens, and being in touch with nature, but

very few Trust entrants had actually thought through where they would put the garden.”

PROGRESS TO DATE Here he began the main part of this presentation, focusing on the Five Year Forward View for Mental Health (FYFVMH), where he said he would explain ‘where we’ve got to so far’. He said: “Having completed the end of Year Two, we are just starting Year 3, and are thus about half way through a five-year-plan.” His next slide showed 12 of the key ‘commitments’ or priorities to be in place by 2020/2021 on mental healthcare provision set out in the FYFVMH, which are: l 70,000 more children to be able to access evidence-based mental healthcare interventions.

l Intensive home treatment to be available in every part of England as an alternative to a hospital stay.

l No acute hospital to be without ‘all-age’ mental health liaison services, and at least 50% to be meeting the ‘core 24’ standard.

l At least 30,000 more women each year to be able to access evidence-based specialist perinatal healthcare.

l A 10 per cent reduction in suicide, with all areas to have multi-agency suicide prevention plans in place by 2017.

l Increased access to evidence-based psychological therapies to reach 25 per cent of need, ‘helping 600,000 more people per year’.

l A doubling in the number of people with SMI (severe mental illness) who can access evidence-based Individual Placement and Support.

l Access to evidence-based physical health checks and interventions for 280,000 people with SMI.

l Sixty per cent of people experiencing a first episode of psychosis will be able to access NICE-concordant care within two weeks, including children.

l Inappropriate out-of-area placements (OAPs) will have been eliminated for adult acute mental healthcare.

l New models of care for tertiary mental health will deliver quality care close to home, reduced inpatient spend, and increased community provision, including for children and young people.

DIMHN President, Joe Forster, introduced the second day keynote speaker, Professor Tim Kendall, to the stage.

l There will be ‘the right number of CAMHS Tier 4 beds in the right place’, reducing the number of inappropriate out-of-area placements for children and young people.


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