Primary Mental Health Care
and Wellbeing Service
Gordon King - Mental Health Commissioner
Strategic Context
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No Health Without Mental Health
Care and Support Bill 2013
Healthier Northamptonshire
Better Care Fund
Think Local Act Personal (TLAP)
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Mental Health Services in Scope
• Emerging Primary Mental Health integrated SPoA
• Primary Care Liaison function
• Improving Access to Psychological Therapies
including assessment, support, advice and brief
therapy based interventions as part of PMH and WB
• Mental Health Reablement/Prevention Services
including short-term counselling, listening ear,
short-term goal focused work, work experience and
volunteering , low level supported accommodation.
• Intermediate Support
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Design Principles
• To design and model a recovery based model of care
which fully utilises and encompasses community assets.
• To develop, implement and evaluate a clear and safe
pathway for people transferring from secondary to
primary care and vice versa.
• To deliver quality outcomes for service users and carers.
• To enable more people to be managed in a Primary Care
setting.
• To provide increased education for both people and their
carers and health professionals around managing
wellbeing
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Emerging Model Primary MH
GP/Practice team Treatment
GP or Self Referral
Urgent
Care/
Crisis
PCLW
IAPT
Secondary
MH
Social
Care
Step 0-1
Step 2
Step 3
Non-clinical
signposting &
support
Bridging
Interventions
IAPT
Specialist
CBT/IAPT
Care Navigators
Peer Support
Emotional
Regulation
Social Care
Mindfulness
Learn2B
Groups /
Individuals
Specialist Peer
Support (lived
experience to
model recovery)
Social Care
Recovery college
Peer Support
Community
Resources
Social Care
Time Bank
Psychiatrist /
Nurse Prescriber
for medication
review
Service Description
• Single Point of Access for Primary MH based on
locality model in community hubs
• Mental Health promotion, information and
signposting as part of wider hub/service
• Assessment, problem identification and goal setting
• Short-term support to address clear outcomes
• Gatekeeping , referral and liaison with secondary
mental health services
• Enhanced Primary Care Psychological Therapies
(based on NICE approach)
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Expectations of Services
• Integrated working across a wide range of agencies
• Working in a flexible way to meet the needs of the
individual ( Person centred)
• Locality based and community focused working
within the community hubs
• Improved access and response for individuals
accessing support at the closest point to people’s
homes.
• Reduce duplication of service delivery
• Fully integrate with primary care and demonstrable
link to secondary care
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Outcomes for Individuals
• A one stop local, accessible advice and support service
that prevents needs escalating .
• Increased improvement in mental wellbeing, resilience
and recovery
• Increased social participation and community integration
• Increased choice in how to meet personalised outcomes
• Increase in accessing training, volunteering and
employment opportunities
• Improvement in physical health.
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