New Savoy Psychological Therapies 2018
News from the 11th Annual New Savoy Conference Psychological Therapies in the NHS: A new deal for Depression, bringing together psychologists, psychiatrists and counsellors to challenge the boundaries through lively debate, and help shape the future of Psychological Therapies and IAPT.
CONFERENCE OVERVIEW AND NEWS
Jeremy Clarke CBE opened the conference and updated delegates on the NICE guidelines for Depression with a quote from NICE
"NICE recognises the importance of the guideline on depression, and aims to publish the updated version as soon as possible. We want to ensure it is actively put into practice, and that any potential barriers to implementation are addressed both by commissioners and providers. We are very happy to work with the New Savoy conference to support a subsequent implementation event that looks at these issues when the new guideline is published." Sir Andrew Dillon, Chief Executive & Professor Gillian Leng CBE, Deputy Chief Executive, NICE
Jeremy who is a member of the NICE working group on the Depression guideline stated that the publication of the guideline is going to be delayed. We will organise an event with NICE to launch the Guideline when it is published. We don't as yet have a publication date.
Jeremy went on to discuss the new millenium declaration consensus statement which will be discussed at lunchtime today and again tomorrow.
Mark Easton BBC Home Editor opened the Question Time session which focused on Children and Young People. On the panel is Anne Longfield OBE, Children's Commissioner and Paul Scates, Senior Peer Specialist.
Anne Longfield discussed current issues in children's mental health and focused particularly on the issue of social media,and social validity, and the impact this has on children's mental health. Anne also focuses on the transition to secondary school which creates an "avalanche of pressure". Anne also discussed the role of psychological therapies and IAPT in improving children's mental health, Anne said "its a starting point". Anne said the Green Paper is a useful development that would be great if it could be implemented fully. Where it works well in a school and the whole school embraces it it works well. Anne said there have to be good partnerships with health. However this is only part of the answer, what I'm asking is that urgency is recognised and the good practice is captured with determination, shouted about and shared.
Paul Scates, Peer Campaigner discussed his own experience of lived experience and of working with school. Paul said the teachers are expected to pick up really traumatic issues with little support. Paul discussed some innovative projects dealing with sports for example, recovery workbooks and the need to work WITH people.
The second session of the day focuses on the Psychological Therapies workforce
Chaired by Paul Farmer CBE, CEO at Mind, Claire Murdoch National Mental Health Director at NHS England opened the session saying; "if we want to get into the wellness, resilience, prevention agenda you need a psychology minded, mental health informed workforce." Claire said the first step is to tackle chronic underinvestment in this area. She went on to outline clear commitments in the mental health 5 year forward view specifically in health but stating that there's a need for joined up multidisicplinary working with social care and the community. Commitments include:
- 70000 more children will access evidence based mental health care interventions, 1 in 3 instead of 1 in 4. There is also a focus on what can be done for children in the scholl space.
- Home treatment
- Perinatal Menta Health
- Reduction in suicide
- Access to psychological therapies
- Treatment and support for Severe Mental Illness
On IAPT Claire said there has been a reduction in poorly performing IAPT services, and stepped care psyhchological therapy services have been establisehd in ever area in England. She saidy recovery is steadily improving with the recovery rate target of at least 50% being met. She said the workforce is being expanded by 50-60%
Lisa Cameron MP, Chair of the All Party Parliamentary Group for Psychology spoke next about the future of the Psychological Therapy workforce.
The next session discussed the results of the annual NSP/BSP Psychological Staff Wellbeing Survey as described in the following press release:
21.3.18 Psychological therapy services, staff wellbeing, and the current target culture: Results of the annual staff wellbeing survey conducted together with the British Psychological Society and in response to the Charter for Staff Wellbeing supported by NHS England, Health Education England and Public Health England and Wales find many services compromised by capacity and retention issues. Conference chair, Jeremy Clarke CBE, calls for The Department of Health and Social Care to take urgent action to ensure NHS England re-sets a safer, more sustainable balance. View the press release here.
The final session discussed Human Rights and Compulsory Treatment in mental health - dilemmas for the Wessley Review of the Mental Health Act
Slides available here
The evening session welcomed guest speakers Paul Scates and Rt.Hon Norman Lamb MP. Norman discussed his own experience and compared the treatment for psychological therapies with that for cancer, stated that if cancer patients were only offered half their chemotherapy there would be uproar but this is not the case in mental health.
Jeremy Clarke CBE opened Day 2 with a summary of yesterdays key points and learning and ended with a call to action particularly with regard to the results of the Wellbeing Survey announced yesterday. Simon Mundie gave a brief introduction with regard to his lived experience setting the scene for the day.
The Opening Plenary Panel led by Prof Paul Burstow asked the question with regard to the Depression Guideline Review: Does NICE need to change its methodology.
Gill Leng Deputy Chief Executive from NICE agreed that yes NICE does need to continually change and improve its methodology and emphasised how they are learning from the Depression consultation.
Slides from speakers available here
6.3.18 The Care Quality Commission (CQC) has found that some patients who are subject to the Mental Health Act continue to experience care that does not fully protect their rights or ensure their wellbeing.
Does this open the door to a law suit? If so, who should be held liable under our current system of fragmented accountability? More fundamentally, does our current system systematically discriminate against the human rights of people with serious mental illness by design, or is it failing to protect their rights by default, primarily as a result of under-funding?
Either way, says CQC’s report the situation is not improving. The Department of Health and Social Care has accepted CQC’s recommendations. But NHS England said implementing them will cost money they do not have.
CQC’s report comes as an independent review of the Mental Health Act is underway, led by Professor Sir Simon Wessely, which must try to find answers to some serious and pressing dilemmas.
Dr Paul Lelliott, deputy chief inspector of hospitals (lead for mental health) at the Care Quality Commission, said: “We welcome the fact that his review will also consider the wider practice and service factors that might underpin some of our findings. This is quite likely to be a ‘once in a generation’ review … .”
Human Rights and Mental Health Act Reform: Perspectives on the Wessely Review will be our closing plenary on day 1 at the 11th Annual New Savoy Conference Psychological Therapies in the NHS. Danielle Hamm, Chair, Mental Health Policy Group & Associate Director of Campaigns and Policy, Rethink Mental Illness, will chair a distinguished panel of speakers. Professor George Szmukler will make the case that the current Mental Health Act is discriminatory, and will explore the idea of “fusion legislation” as a fix. Dr Gareth Owen, who leads the Mental Health and Justice Project will respond. Professor Wayne Martin will then discuss the Impasse in Geneva over whether coercive psychiatry can ever be compliant with international human rights standards. Professor Genevra Richardson, who led the government’s previous review of the mental health act will respond. Together they will set the scene for our delegates to consider this most serious set of dilemmas: where now for the Wessely review and compulsory treatment?
This plenary will be preceded by a workshop led by Professor Martin aimed at mental health practitioners who must deal with these dilemmas now: Practicable Support for Decision-Making: The Orphan Principle of the Mental Capacity Act. It will offer an opportunity for delegates to consider what we could and should be doing now in response to CQC’s report, as well as how we could reform our roles, responsibilities and practice for the future.
6.3.18 Paul Farmer, CEO, MIND
Hear Paul Farmer, CEO, MIND speaking ahead of the conference on workforce funding and ensuring therapists have the right level of skills and capacity to do their job https://soundcloud.com/national-elf-service/paul-farmer?in=national-elf-service/sets/new-savoy-2018.
27.2.18 New data published by NHS Digital on the use of IAPT services in England.
NHS Digital has published new data showing; “a record number of people made a recovery from mental ill health, due to NHS talking therapies last year. The annual report on NHS England’s Improving Access to Talking Therapies (IAPT) programme, shows that half of people completing a course of treatment for conditions including depression and anxiety, recovered from their condition.” View the Psychological Therapies: Annual report on the use of IAPT services England, further analyses on 2016-17
Commenting on the report Claire Murdoch, NHS England’s National Mental Health Director, said: “The NHS is reversing years of under-investment in mental health, with £1.6 billion extra funding going into local services since 2013. Putting mental health on a level footing with physical care remains a priority for NHS England, and from April this year every part of the country will be required to increase the share of their budgets going towards mental health care. No one would claim that the transformation we all want to see will happen overnight, but with a rising number of people getting successful treatment for common conditions like depression and anxiety, it’s clear that we are making important progress.” https://www.england.nhs.uk/2018/02/mental-illness-recovery/
Claire Murdoch will be discussing funding and delivering workforce expansion in talking therapies at the New Savoy Conference Psychological Therapies in the NHS.
20.2.18 Interview with Andy Bell Deputy Chief Exec from the Centre for Mental Health.
Is cross-party consensus possible on how best to support people with mental health issues to be able to return to work?
In this interview with Andre Tomlin from The National Elf Service, Andy Bell Deputy Chief Exec at The Centre for Mental Health talks about developing services in primary and secondary care to improve support for the 1 million people currently out of work and experiencing difficulty with mental health. On cross party consensus he said most of the political parties have signed up to the 5 year forward view and the way forward is now; “to look to the wider world….having the principle that mental health is an issue across government and all government departments and every major social policy alt to come with a mental health impact assessment.”
Hear the full interview at https://soundcloud.com/national-elf-service/andy-bel
Future related events:
Depression in Adults: Looking forward to the NICE 2018 Guidance on Treatment and Management
Implementing the NICE Quality Standard for Eating Disorders
Psychological Therapies for Severe Mental Illness: Recovery through Early Interventions
IAPT: Improving Psychological Therapies for Older People
Masterclass: Expert Assessment Skills for the Family Court
New Savoy Conferences presents Disrupting IAPT: can digital pathways 'change the game'?
Download: Conference brochure21 March 2018