Address a health and social care policy that you believe to have produced transformational change in the delivery of service to patients or clients?

Address a health and social care policy that you believe to have produced transformational change in the delivery of service to patients or clients?

The Choosing Health (DoH 2004) new approach to public health backed by the public will deliver a sustained improvement to the health of the people of England. It will do so by responding to people’s concerns about their health with practical support on their own terms and by providing an environment needed to make real progress.

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Recent years have seen significant changes to policy and services in the commissioning and delivery of mental health services. The National Service Framework for Mental Health (NSF) has delivered sustained development and improvement across England.

Reflecting on the past decade, the transformation in the range and quality of services is there for all to see, in real services, new buildings and improved outcomes for patients. These developments have taken place across the health, social care and the third sectors. They have been achieved by organisations working together in partnership and in many cases, integrating service delivery and commissioning.

Putting People First: is a shared vision and commitment to the mental health transformation of adult social care and under this programme, councils must transform their adult social care systems by March 2011. The programme is funded by a £525 million social care reform grant – available from 2008-2011. Much of the focus is on personalisation; giving more choice over services and control over decision making to individual service users. This policy allows personal budgets allocated to users on the basis of need, from which they will fund care services. The policy also is a strategic shift from reaction to prevention, promoting independence for the mental, older and disabled people. The policy set up information and advice services to be available to all users and care.

Government White Paper – Our Health, Our Care, Our Say

In April 2006, the Government published the White Paper “Our Health, Our Care, Our Say”. Its publication followed the largest public consultation in England concerning the future direction of healthcare. The White Paper recognised the ongoing challenges faced in this country as a consequence of increasing rates of obesity, diabetes, cardio-vascular disease, and the impact of mental illness, with estimates of around 15 million people now suffering from these types of long term conditions.

Around 5 million people were recorded to be suffering from work-related stress, with a ratio one to six adults considered to suffer mental health problems ‘at any one time’, One out of four patients consults their GPs concerning their mental health, and mental ill health is reported to the key reason for 865, 900 adults to be dependent on Incapacity Benefit in England (DOH, 2007b). Around 5 million people were recorded to be suffering from work-related stress, with a ratio one to six adults considered to suffer mental health problems ‘at any one time’, One out of four patients consults their GPs concerning their mental health, and mental ill health is reported to the key reason for 865, 900 adults to be dependent on Incapacity Benefit in England (DOH, 2007b).

The goals of Our Health, Our Care, Our Say: are expected to be achieved through,

practice based commissioning, shifting resources into prevention, More care undertaken outside hospital and in the home, better joining up of services at the local level, encouraging innovation , allowing different providers to compete for services

The nature of provision has also been altered with the advent of Foundation Trusts and the greater engagement of the independent and voluntary sector in the provision of services.

The environment in which commissioners and providers operate is now one that is more fluid and dynamic than ever before. It is an opportune time to consider what can be learnt from the experience of integration and what role it will need to play in the future commissioning and delivery of mental health services.

Integration describes the coordinated commissioning and delivery of services and support to individuals in a way that enables them to maximise their independence, health and wellbeing. Coordination of this type is especially important for people with mental health problems who often require support from a variety of organisations or individual care workers. The delivery of integrated care is influenced by the practice of staff, the systems they work within, how users are engaged and the structure of organisations. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAn

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Putting People First: A shared vision and commitment to t

The National Service Framework for Mental Health was published in October 1999. It is a 10-year plan for the modernisation of mental health services, and sits alongside the NHS Plan.

The main provisions of the Mental Health Act 2007 came into effect on 3 November

2008. The direction of travel for health care services in broad terms and can be characterised by a renewed focus on primary care and prevention rather than just curative and reactive interventions

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dGuidance/DH_4009598) .

Mental Health is recorded to be the second prime cause of death in men between ages 14 to 44 through suicide, and the prime cause of suicide among young men .The cost to society in human, social and economic terms is significant; poor mental health is the cause of increase in health-related benefit claiming productio………………………………