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Appendix B – Mental health action plan

Action Performance and progress update Lead Responsibility

1. Raise whole population mental health awareness and reduce stigma.

Run an annual programme around set dates. Currently suggested World Mental Health day, Movember, & Mental Health Awareness Week.

Ongoing series of events in settings including particular employers and schools but also particular communities at higher risk of mental ill health.

Number of page views across all partner web sites (SGC, CCG, AWP & Wellaware)

Only SGC figures but in the 6 month period 7484 views up 324% compared to the previous year

Number of contacts at events and number of people signposted

589 contacts across 20 different events

Public Health MH Programme area/Partnerships and Commissioning

2. Increase involvement of local people with lived experience of mental ill health in awareness campaigns.

 

Involve people with lived experience in both planning and delivery of events. Include people who are able to talk about the positive aspects of how they manage their mental health.

Develop some talking heads with people talking about their experiences

Encourage people with lived experience to contribute via social media and linking message to Twitter, Facebook accounts etc.

Number of people with lived experience (including carers) involved in awareness campaigns.

6 mental health champions and 12 members of the service user and carer forum involved in planning and delivering event. These included the 1 in 1 festival and World Mental Health day event.

Number of you tube views for films

0 as no films currently on the SGC website they are currently in editing.

Number of people sharing mental health messages

Targeted Facebook and Twitter Campaign in May 2017 produced 363 shares and 844 likes with 2520 pages years in just one week.

Public Health MH Programme area/Partnerships and Commissioning

And Health Watch

3.  Reduce institutional stigma in local organisations and GP practices, via workforce training, mental health campaigns and workplaces signing up to a mental health charter. (TTC or Mindful Employer) 

Identify key institutions in which to address institutional stigma. (Merlin, JCP, Police, Workplaces via Business West).

GP surgeries identified as an issue in terms of parity of esteem but also staff wellbeing.

Number of institutions signing up to a pledge and undertaking an audit

Ministry of Defence and SGC both achieved Time to Change Accreditation. Rolls Royce, GKN, Merlin and Paragon have all undertaken staff wellbeing sessions but not full TTC. The CCG has signed up to undergo the process. We may make mental health in the workplace a priority for 2018.

Number of GP surgeries signing up to a pledge and undertaking an audit

0 work with GP surgeries is a challenge and needs to be taken back to the Mental Health Partnership for discussion

Public Health MH Programme area

 

4. Develop high quality local information about services and how they can be accessed

Improve information that’s available at GPs, Libraries, Pharmacies, shopping centres, community groups etc.

Improve access to IAPT and information on self-referral

Mapping what’s available in our communities and identify the gaps

 Hard copy versions (MH offer) available for selected settings and client groups

New local offer leaflet, mental health postcard and Wellbeing College Programmes produced in hard copy and available in public spaces

IAPT and other core services clearly communicated in simplified MH offer

Offer leaflet produced and displayed in public spaces

The production of a programme of wellbeing activities covering the whole geography of South Gloucestershire

Wellbeing College and Community Connectors are working to map local provision and then to address any gaps

Public Health MH Programme area

And Community Connectors

5. Promote individual resilience, self-management and positive mental health including the 5 ways to wellbeing. 

Promote awareness with public and specialist staff abut the 5 ways and their benefits.

Linking with key partners who promote the 5 Ways such as community learning, sports development, volunteer centres

Investigate the viability of a recovery college with community learning, AWP and VCSE partners.

Look into models of adult resilience courses that could be rolled out in South Gloucestershire

Number of people attending PPMH course that includes a section on the 5 ways & number of people attending events promoting the 5 ways. 

Number of joint initiative with other key partners (community learning, sports development etc.) promoting the 5 ways.

Work with Sports Dev to recruit more people with mental ill health to sports pound sessions. 

Next target it to better co-ordinate the community learning and WBC programmes

Pilot adult resilience sessions

Adult Resilience Course Piloted by June 2016 and Take 5 course now an established part of the Wellbeing College Programme

Initial work to assess the viability of Recovery/Well Being College from late 2015.

6. Provide a broad range of training to develop Mental health skills and confidence for both specialist (MH) and non-specialist workforces 

Develop and market a local training offer

Evaluate the offers effectiveness

Involve people with lived experience in development and delivery of the offer

Number of people accessing the offer

Offer in place and overseen by MH Workforce development group. Last year 1,647 people took part in 121 courses

Number of people reporting increased skills and confidence after receiving training

We do not have an entirely consistent approach to measuring outcome but it is on the agenda for 2018 sub group meetings

Number of people with lived experience involved in developing or delivering training

Only one person so far and this is something we want to develop over the next 12 months including some WBC sessions and linking with Health Champions

Mental Health Workforce development group
7. Develop a cohort of local mental health champions in senior public roles. 

  • Recruit elected members and senior officers and leaders to become Mental Health Champions

Recruit a local celebrity to become a MH Champion (Marcus Tresthcothik, Lee Haskins, Nathan Filer, Geoff Twentyman)

Number of mental health champions recruited/Clear job description in place 

20 SGC mental health champions recruited including two elected councillors but no mapping of other public sector bodies such as police and ambulance service etc.

No local celebrity recruited and no obvious route to do this at present.

Annual infographic capturing impact

Not entirely clear how we show the impact of the Champions

Public Health MH Programme area/Partnerships and Commissioning

And Health Watch

8. Work in partnership to influence wider determinants of mental health and wellbeing e.g. housing, transport, schools and colleges. 

Proactively work to get mental health onto the agenda for key linked areas

Recruit a mental health champion from each key linked area

Number of meetings attended

Meetings with UWE, SGSCOL, Schools forum, CASCADE, Debt and Welfare advice group, Learning Difficulties Forum, LGBTQ+, Carers Advisory Panel, Hate Crime Partnership, West of England Works and JCP,

Number of MH Champions recruited

None formally recruited.

Public Health MH Programme area

Public Health Inequalities Partnership Officer

9. Increase feedback opportunities for service users, carers and parents on local services and ensure that feedback is acted on. 

  • Support the User and Carer involvement group to give a voice to people with lived experience
  • Work with Healthwatch to consult with communities more likely to experience mental ill health
  • Work with BIMHN to assess the viability of a South Gloucestershire Group
  • Hold focus groups with key service providers such as SBCP, DHI and Second Step, CAP, Housing providers etc.

Number of carers and service users giving feedback and involved in the development of local services.

Group up and running but how do we monitor impact

Number of service users and carers feeling their views are valued and acted on.

How do we know this? 

Decision on local IMHN

Current discussion but not involved SGC to my knowledge

Work via Healthwatch and other existing network and partnerships to gather feedback from a broad range of our local community.

Not happened to my knowledge

Public Health MH Programme area/Partnerships and Commissioning

And Health Watch

10. Promote joined up working so that mental health is included in strategies and action plans for the previously listed vulnerable groups.

  • Ensure MH is included in key related strategies

Work with vulnerable group leads to make sure that MH is included in action plans.

Complete audit of key forums and strategies and ensure MH is considered

Not happened

Explore possible partnership working with each agency identify key contact or forum for each linked agenda and ensure link to MH partnership.

Not in a formal plan

Public Health MH Programme area

Public Health Inequalities Partnership Officer

11. Work with employers and workplaces to support current and potential employees who are experiencing mental ill health via an MH workplace offer. 

Target big employers

Specific training for middle managers and HR professionals

Target professions more likely to be stressful (Doctors, social workers, teachers, police, hospital staff)

Number of workplaces taking up part of the mental health offer/Number of individual staff supported

Ministry of Defence and SGC both achieved Time to Change Accreditation. Rolls Royce, GKN, Merlin and Paragon have all undertaken staff wellbeing sessions but not full TTC. The CCG has signed up to undergo the process. We may make mental health in the workplace a priority for 2018.

Number of managers and HR staff receiving MH training.

Not recorded

Public Health MH Programme area

 

12. Work with schools and colleges to raise awareness of mental health issues. 

Support schools to sign up to Time to Change pledge

Develop a MH training offer for school staff to better support CYP

Produce high quality information to enable young people and parents to promote positive mental health

Develop a programme of supports for school staff

Number of schools signed up to pledge

None to our knowledge but now developing an approach jointly with Healthy schools programme which will aim to support 6 schools a year to write whole school plans for mental health

Number of staff receiving MH training

849

Web views and qualitative feedback for CYP mental health information

1002 but Mind You to be launched in Feb 2018

Number of staff receiving advice to better manage their own mental health

156

Public Health MH Programme area

Public Health Partnership officer Healthy Schools

13. Proactively work with communities likely to be at higher risk of mental ill health in South Gloucestershire

Ensure each PN group has a MH target on their themed meetings

Run targeted workshops and recruit MH Champions for specific groups.

Number of partner meetings including MH on the agenda

Run targeted sessions to specific groups

Ensure MH is an annual agenda item at PN meetings

No PN meetings attended yet

Number of Champions attending training

No targeted MH Champions recruited yet

Ensure MH is an annual agenda item at key themed meeting to include GPs, DAAT, Hate Crime

Meetings only attended ad hoc

Number of sessions provided to targeted groups.

Sessions delivered to BASS, Over 50s Forum, JCP, Age UK plus planned with MS Centre and Parent Carers Forum

Public Health MH Programme area

Public Health Inequalities Partnership Officer

14. Focus on co-production of services with service users, carers and the VCSE sector.

Facilitate bringing the VSCE groups together to jointly bid for resources.

Support organisations to bid for money from other sources

Co-production session held and evaluated for effectiveness (11th Dec)

The Wellbeing College and Community Connector programmes along with CVS are the main focal point for this and this includes grant writing resources and a small grants programme.

Number of organisations who have been supported and successful in gaining grants.

Approach successfully piloted with Bluebell and will be further developed via the Wellbeing College

Public Health MH Programme area/Partnerships and Commissioning

CCG

CVS and Care Forum

 

15. Support VSCE organisations to build and sustain capacity in mental health and wellbeing services building on an asset based approach.

Fund projects for a longer timeframe to enable providers to set up services that meet people’s needs.

Review community work before funding ceases

Work to a standard approach of funding for a minimum of 2 years

This has been our aspiration but very difficult in the current climate. We are working to sustain funding and give VCSE partners as much notice as possible on decisions.

Have a process for all funded projects to be audited for sustainability 6 months before funding ends.

Probably most applicable to WBC and Community Connectors. WBC partners given regular updates re the funding position. Need to find out the same for Community Connectors.

Public Health MH Programme area/Partnerships and Commissioning

CCG

CVS and Care Forum

16. Develop a more co-ordinated approach to commissioning services which impact on mental health and wellbeing at all tiers and levels of the care pathway.

Develop a common measuring and assessment tool to ensure that all services are being evaluated the same.

Fund projects together

Agree key MH indicator set and then ensure all partners know about it.

An overall system scorecard has been developed, the next step is to see how easy it is to populate. Funded VCSE partners are all using the same indicators

Ensure all key commissioners coordinate funding and where possible joint fund (JCG)

Primary mental health offer of IAPT, Community Connectors and WBC is somewhat co-ordinated and although the joint commissioning is limited the overall primary mental health offer is jointly funded.

Public Health MH Programme area/Partnerships & Commissioning

CCG

CVS and Care Forum

17. Support mental health service users to access preventative services such as exercise on prescription, smoking cessation and substance misuse services.

Produce advice literature detailing what preventative services exist and how to access them. Have a professional and public version

Improve partnership working between MH services and Public Health and Wellbeing section

Have a guide to physical health preventative services and then promote to MH service users. Health checks may have something that can be built upon.

No such guide exists but the new integrated healthy lifestyle service planned for April 2019 will address this.

Audit current joint working between MH and other PHWB programme areas.

No audit has taken place

Public Health Sirona/AWP/GPs

 

18. Support the development of more peer support groups within the community.

Increase the number of community led, peer support groups

Work with community connectors & WBC to sustain/train peer support groups.

Number of peer support groups (generic or communities of interest specific) plus numbers of people those groups support.

We now have peer support groups in Kingswood, Yate and Patchway plus the Wellbeing Café at Emerson’s Green Library. Additional peer support groups may set up in Staple Hill and Filton

Number of people with lived experience co facilitating peer support groups

Health Champions have an involvement in groups but numbers of people with lived experience involved is not yet recorded.

Public Health MH Programme area/Partnerships and Commissioning

And Health Watch

WBC/Community Connectors

19. Develop a suicide prevention strategy.

Strategy to be shared with MH strategy group

Share CCG crisis concordat report and ensure it’s reflected in prevention strategy.

Asist suicide prevention training rolled out across SG via public health

Suicide Prevention strategy an annual agenda item at MH partnership

The suicide prevention group is now linked to the MH Partnership meetings

Crisis Concordat annual agenda item at MH partnership

Not yet established

Numbers attending Asist suicide prevention training across SG via public health

100 staff have attended across six, 2 day courses. Another three courses booked for 2018 with a target of another 50 attendees.

Public Health/CCG