National Programme
for Mental Health
WHAT IS CLINICAL GOVERNANCE?
Clinical governance is a framework through which healthcare teams
are accountable for the quality, safety and satisfaction of
patients in the care they deliver. It is built on the model of the chief
executive officer/general manager or equivalent working in
partnership with the clinical director, director of nursing/midwifery
and service/professional leads. A key characteristic of clincial
governance is a culture and commitment to agreed service levels
and quality of care to be provided.
National Mental Health
Programme
Interventional
Partnerships
Early
Intervention
Evidence
Based Practice
Positive
Outcomes
Four Principles for New Service Development
Three ‘Strands’ of Care
SMI / Psychoses
Common MH Problems
Complex MH Conditions
The First Three
Programmes
• Early Intervention in Psychosis
• Early Intervention in Eating Disorders
• The Management of Self Harm Presenting
to Emergency Departments
“Specialist within
Generalist” Teams
EARLY DETECTION
Recognising that a problem exists
Education of Primary Care Teams
Rapid access to an assessment
↓
REFERRAL/RAPID ASSESSMENT
Linking individuals to care providers
Ready access to screening with 72
hours
Streamlining the referral process
Immediate take up of those at risk
↓
TREATMENT and
INTERVENTIONS
Phase specific interventions
including
Collaborative treatment planning
Family Psycho education
Cognitive behavioural therapy
Supported employment/ education
EIP
IMPROVED
OUTCOMES
Continuous
quality
improvement
Interventions
and
partnerships for
enhanced
social
functioning
Measuring
individual
clinical and
social
functioning
Outcomes
Measuring
service user
experience
Measuring
programme
targets
MONITORING AND EVUALATION
Ensuring clinical programme success
Implementing standards and guidelines
National Clinical and Academic network
IT infrastructure in place
Service user and carer evaluations
Consultation Feedback
• Primary Care inclusion
• Recovery and Values Based Care
Key Factors for Better
Services
•
•
•
•
Community Mental Health Teams
Local leadership
National clinical and academic leadership
Broad based outcomes measurement
including service user satisfaction
• IT
• Role of Service User
Patient and Public
Involvement in Healthcare
• SUs -
as patients
as consumers
as ‘survivors’
as providers
Together (founded 1879)
• …people experiencing mental distress
can direct their own journey towards
improved mental health and to living
independent, fulfilling lives.
How Service User
Involvement Operates
• The interaction between service
users and in self help
• The interaction between service
users and mental health professionals
working with them
• The management of local services
• The planning of overall services
Values-Based Practice
… the theory and practice of effective
healthcare decision-making where
legitimately different (and sometimes
conflicting) values are in play.
The Guiding Principles as a Framework
of Values
The National Mental
Health Programme will….
• Promote SU representation on CMHTs
• Support the primacy of SUs as directors of care
plans
• Develop a broad range of outcome measures
directed towards real world SU issues
• Include satisfaction as a core outcome measure
• Promote the development of Values Based
services