Agenda item

Agenda item

Improving mental health and wellbeing of adults

To consider a report detailing why Central Bedfordshire is behind benchmark and the actions in place to address this.

Minutes:

 

The Board considered a report which detailed the actions in place to improve the position in relation to the three Mental Health indicators, as follows, that were behind benchmark:

·        the proportion of people with anxiety and/or depression who receive psychological therapies (IAPT – improving access to psychological therapies)

·        proportion of people with mental illness in settled accommodation

·        proportion of people with mental illness in paid employment

 

The report had been requested by the Board at their meeting held on 21 March 2013 (Minute No. SHWB/12/56 refers).

 

The Clinical Director, Bedfordshire Clinical Commissioning Group (BCCG) explained that the Department of Health (DoH) had set a two year national target to increase access to psychological therapies to 15% of the population with depression and anxiety by March 2015.  As at March 2013, Bedfordshire was at 4.1% (13,090 people).  BCCG had approved a two year plan which would increase access to 10% by March 2014 and 15% by March 2015.  to date:

 

·        Step by Step had achieved 4.1% access rate.  The BCCG would be monitoring the service closely and following additional investment in the pathway would deliver 8.8% access rate by March 2014.

·        Improving access to psychological therapies (IAPT) historically the counsellors had not been ‘IAPT accredited’ thus their activity could not be included in the IAPT data return.  BCCG had arranged for a course to be held in July which will gain accreditation for the counsellors’ work.  There would also be Information Technology (IT) course.  These measures would deliver a 6.5% access rate.

 

By the end of the year, the total increases outlined above would be 15.3%.

 

The Head of Contracts, Social Care, Health and Housing Commissioning explained the two performance indicators were part of the Adult Social Care Outcomes Framework (ASCOF):

·        Proportion of adults in contact with secondary mental health services in paid employment (ASCOF – IF measure)

·        Proportion of adults with secondary mental health services living independently, with or without support (ASCOF – IH measure)

 

The information for both indicators is collected through the social worker assessment or review of the individual.

 

The 2012 – 2013 data were being moderated at the time of the agenda being issued but were provided as follows:

 

2011/12  ASCOF – IF 5.4%

2012/13  ASCOF – IF 11.8%

2011/12 ASCOF – IH 53.1%

2012/13 ASCOF – IH 78.2%

 

The increases in the performance indicators was due to better recording of the data.  It was noted that South Essex Partnership Trust (SEPT) had been asked to provide data on a number of areas to aid monitoring and enable a focus on improvement.

 

The Interim Assistant Director, Social Care, Health and Housing explained that both Central Bedfordshire Council and the Bedfordshire Clinical Commissioning Group needed to review the information and determine the way forward.

 

Mr Granger, a member of the public and user of the services, expressed his concerns about the service.

 

It was requested that a report be brought to the 7 November Board meeting to review all of the outcomes and the progress against each.

 

RESOLVED

 

  1. that the actions being taken to address decrease in performance in three key mental health outcome measures be noted.

 

  1. that a report be brought to the November Board meeting to provide progress against all outcomes.

 

  1. that the additional areas of work on Mental Health Performance Management, which could be looked at in more detail to get a better feel for customer and carer experience of mental health services, be supported.

 

 

Supporting documents: