Mental Health: We want your views
27 June 2018
NHS Wirral Clinical Commissioning Group (CCG) is a statutory public service organisation. We commission (buy) health and social care services on behalf of the people of Wirral.
Our vision is to improve the health of the people of Wirral, reduce health inequalities and ensure NHS services are fit for the future.
The current contract term for Primary Care Mental Health - IAPT (Improving Access to Psychological Therapies) is coming to an end in March 2019.
Wirral CCG is taking this opportunity to re-design and re-procure a Primary Care Mental Health - IAPT service for the people of Wirral, to support people to access the right levels of support as required and ensure sustainability for the future. The service will include community counselling and bereavement support. Before we re-commission this service we want to understand your views on what the future service should look like.
What is IAPT?
IAPT is a national programme to support people from the age of 16 who are experiencing low mood, anxiety and depression, stress, excessive worry or difficulties controlling emotions. These therapies, that include ‘talking therapies’, typically involve treatments such as cognitive behavioural therapies, mindfulness, bereavement support, groups and courses to help people better understand and improve their mental health.
IAPT is a service that many Wirral residents may have accessed or perhaps will access at some point to support their emotional health and wellbeing.
IAPT does not offer support for mental health emergencies. If you need to talk to someone urgently, you can find information on the CWP website http://www.cwp.nhs.uk/crisis/ or call 111.
Referrals into the IAPT service are made through GP Practices, mental health professionals or people can self-refer.
There are national quality standards for IAPT, in relation to access and recovery times. These standards are outlined in the NHS Five year Forward View for Mental Health and include:
- 75% of people access treatment within six weeks
- 95% within 18 weeks
- and at least 50% achieve recovery across the adult age group
Our current IAPT provision
Historically, and in recent times, we are aware that people have experienced long waits to access IAPT services. Waiting time has also impacted on referrals into the service. Going forward we want to ensure we develop a high quality, accessible service, which is inclusive of all members of our community and that we meet national standards.
What could a future IAPT service look like?
As well as meeting national standards and delivering treatments in line with recommended care guidelines, the new service should place IAPT treatments into a wider social, cultural and economic context and connect people with other support available in the local area.
We understand that poor mental health can be caused or worsened by other issues in people’s lives such as unemployment, poverty, debt, social isolation, lack of friendships/relationships, poor housing, domestic violence, bereavement, poor physical health/wellbeing, being inactive or having a long-term health condition. These are all factors which have a big impact on mental health and people’s need for IAPT. We want to ensure that those people entering Primary Care Mental Health services have their wider needs considered.
Future service will address this through connecting with existing services that work in these areas. These services include: Primary Care (GPs), Secondary Care (including Specialist Mental Health Services) Community Services (including third and voluntary sector.)
We also want to enable more people within our community to access therapies, specifically:
- our BAME population
- patients with psychological needs as a result of long term conditions such as diabetes, arthritis and COPD (Chronic Obstructive Pulmonary Disease)
- over 65 population
Our aim is to commission a Primary Care Mental Health service, with a clear point of access, to get people the right care, in the right place, at the right time, with the right connections into other appropriate services as required.
Next steps, including how to share your views
From 1st April 2019 we want to commission a Primary Care Mental Health Service (IAPT) which:
- Improves access, with specific focus on the holistic support (i.e. thinking about the whole person including physical and mental needs)
- Develop joined up working across services (primary, secondary and community)
- Have services which deliver across our whole population including long term conditions and within appropriate settings
Before recommissioning the service, we want to get your views on what you think the future service should look like, to ensure that the model is accessible and meets local needs.