Mental health in Hertfordshire, workshop for third sector agencies

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Third Sector Public Health
Workshop
…Mental Health

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Third Sector Public
Health Workshop...Mental
Health
18th March 2014
Jim McManus, Director of Public Health
Thanks to Jo Mackenzie, Stephany Villanueva, Raj Nagaraj,
Mark Jordan and Joel Bonnet for developing these slides

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Background
• Voluntary groups make an important contribution to
improving and protecting the health of the population –
from targeted work with vulnerable people to self-
management and direct interventions. Public Health skills
and capacity, joined with the voluntary sector’s
connections and “can do” mindset could produce a major
improvement in the health of Hertfordshire and also help
integrate care for people across all sectors.
• The workshops will be an excellent opportunity for the
voluntary sector to contribute to policy development, build
relationships, and discuss new commissioning
arrangements.

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About the workshops
• four workshops to explore the role the voluntary
sector can play influencing the development of
public health policy and delivering services.
– Wednesday, 26 February, 14:00 – 16:30: Public Health and
Younger People
– Thursday, 6 March, 09:30 – 12:00: Public Health and Older
People
– Tuesday, 11 March, 14:00 – 16:30: Public Health and Long
Term Conditions
– Tuesday, 18 March, 09:30 – 12:00: Public Health and Mental
Health

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Workshop Questions
• Each workshop will consider four questions:
– What is the scope of public health, and what contribution can
the voluntary sector make to service delivery, policy
development, campaigning and tackling health inequalities?
– How can the voluntary sector help improve resilience, self-
management and secondary prevention, and so help reduce
unnecessary hospital admissions?
– How can the voluntary sector be better commissioned to
deliver public health interventions? How can relationships
between the voluntary sector and commissioners (DH, local
public health commissioners, GPs, and others) be improved?
– What scope is there to apply commissioning innovations such
as payment by results or a Total Place approach to public
health commissioning?

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Deprivation

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Population
Estimated Population of Hertfordshire:
2012:
18-64 693,000
65+ 182,000
2020:
18-64 726,000
65+ 210,600
18-64
5% increase
65+
16% increase

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Depression prevalence in Hertfordshire
Prevalence of depression diagnosis, all ages, in Hertfordshire
101884 109492
0
2
4
6
8
10
12
2010/11 2011/12 2010/11 2011/12
England Hertfordshire
Percentage
Source: HSCIC Compendium of Population Health Indicators
(Quality and Outcomes Framew ork, QMAS database)
Numbers indicate how many people are affected

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Dementia prevalence in Hertfordshire
Dementia prevalence in Hertfordshire, all ages
5319
5566
0.0
0.1
0.2
0.3
0.4
0.5
0.6
2010/11 2011/12 2010/11 2011/12
England Hertfordshire
Percentage
Source: HSCIC Compendium of Population Health Indicators (Quality and
Outcomes Framew ork, QMAS database)
Numbers indicate how many people are affected

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Dementia
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
2012 2014 2016 2018 2020
Numberofpeople
Year
People aged 65 and over predicted to have dementia, by
age, projected to 2020, Hertfordshire
90+
85-89
80-84
75-79
70-74
65-69
Source: www.poppi.org.uk

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Dementia -projections
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
2012 2014 2016 2018 2020
Numberofpeople
Year
People aged 65 and over predicted to have dementia, by
age, projected to 2020, Hertfordshire
90+
85-89
80-84
75-79
70-74
65-69
Source: www.poppi.org.uk

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Further information
• http://jsna.hertslis.org- Health and Wellbeing in
Hertfordshire
• http://www.hertlis.org- Local Information System
• http://www.nepho.org.uk/cmhp/ - Community
Mental Health Profiles 2013, created by Public
Health England

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Where to from here?
What can 3rd
sector do?
What can we do
together?
What can PH do,
What can CCGs,
HCS?