Mental health services look to support those suffering from mental health difficulties, such as depression, suicidal thoughts and dementia. Learning disability services look to support those with learning disabilities, such as autism, attention deficit hyperactivity disorder and others.
A sample of what people told us
"The number of mental health beds across all areas is too few. They need to either be increased, or better bed management solutions put in place to prevent MH patients being inappropriately treated in acute medical beds"
"IAPT is a very good service, but appears under resourced. Increase overall in resource to work with dementia diagnosis at an earlier stage to maximise chance to use compensatory techniques for longer and look at assistive tech options"
"More knowledge and training on how these disabilities affect a patient and the impact of a hospital visit/stay can have on that patient. How to support those patients with identified difficulties. Sensitivity and understanding of diversity through training is needed for all staff"
"Increased awareness and training in Primary Care of signs and symptoms of early psychosis. Training and resource support for GPs to diagnosis dementia in uncomplicated dementia, AND support for ongoing aftercare, medication etc. Secondary care mental health workers working in cluster hubs, providing a faster and more pro-active support for patients with less severe illness, who may otherwise have to wait 6 months for an appointment through the SPE"
"People in MH crisis need better support OOH - how many end up in ED unnecessarily because of the lack of support OOH? As an ambulance clinician I see these cases regularly and they take time to resolve, usually ending up in taking them to ED!"
"Put more support into schools as adolescents are most vulnerable and mental ill health often starts at puberty"
What we know
- We need to improve diagnosis rates for people with dementia
- We know people with a mental illness have a poorer quality of life
- Too many people with leaning disability and/or autism are in mental health hospital provision
What we are trying to achieve
A proactive and preventative approach, which looks to provide help sooner and before people have a mental health crisis, to reduce the long term impact for people experiencing mental health problems and support individuals and families to manage their mental health and wellbeing.
- Increase dementia diagnosis rate
- Increase number of people accessing talking therapies
- Improves services for people experiencing first episode of psychosis
- Reduction in out of area mental health and learning disability placements
- Improve the system’s response for children and young people in crisis
- Continue to reduce hospitalisation of people with a learning disability and/or autism
What we have done so far
We identified that, across Coventry and Warwickshire, local Children and Adolescent Mental Health Services were disjointed, impacting on the mental health and wellbeing of looked after children. In 2017/18 we worked to commission a single services and treatment pathway to support looked after children, with the aim of improving their mental health and wellbeing.
The CCG is working in partnership with local authorities, other CCGs, NHS England, providers and the voluntary sector to ensure patients are provided with appropriate information and support following a diagnosis of dementia. Particular effort has been made in identifying local communities and establishing key information to reduce inequalities, particularly with BAME groups e.g. local community leaders and where/when they meet, understanding both visible and invisible barriers to access, pooling resources, conducting outreach and consultation work to understand what has already been done and linking with liaison nurses and dementia nurse specialists to address gaps in service provision for hard-to-reach groups within the local population This has led to developing resources for people from BAME backgrounds, including sourcing what has already been done.