THE MENTAL HEALTH PACE Setter AWARD

THE PACE Setter AWARD FOR NHS PRIMARY CARE WHAT IS THE PACE Setter AWARD? The Mental Health (MH) PACE Setter Award is an initiative, which has been funded by Health Education England and developed through a partnership between and Coastal West Sussex Mind. Based on the award-winning Children and Young People PACE Setter, the MH PACE Setter is a development programme for primary care to lead the way in changing culture and improving services around mental health in practices. It is for practices who: Are committed to improving the experience of patients with mental health problems Want to engage their patients in a positive and constructive way Want to talk about and support their staff around mental well-being Want to be an innovator, developing services and sharing their learning with other practices It is a great reassurance to know that there is someone who is prepared to listen on the occasions when I need to use the practice. Andrew, patient with mental health problems, Rustington - about his GP TO APPLY Patients with mental health problems have repeatedly told us the things that can make the biggest difference to their care can be around customer service, practice ethos and a cohesive team approach. These core elements are brought together in the PACE Setter framework which is easy to use, paperwork light and based on the practice s own needs. Come and join us and be a pioneer Mental Health PACE Setter practice! Dr Sue Torry GP Clinical Lead for Mental Health, CWS CCG For further details about the Mental Health PACE Setter Award contact Anne Johnson at Mind on: 01903 277008, mhpacesetter@coastalwestsussexmind.org Version 1 COULD YOU BE A PACE Setter?

WHAT DO PRACTICE TEAMS HAVE TO DO? PACE Setter refers to the acronym PACE, consisting of four elements that provide a clear and standardised structure to review and refresh their services to people with mental health problems. The four PACE Setter elements are: Patient and staff engagement, Accessing services, Clinical best practice and care, and Educating and equipping. PATIENT AND STAFF ENGAGEMENT THE PACE ELEMENTS ACCESSING SERVICES EDUCATING AND EQUIPPING CLINICAL BEST PRACTICE AND CARE ALL TEAMS MUST COMPLETE FIVE KEY ACTIVITIES (INCLUDING TWO CORE ACTIVITIES). THE CORE ACTIVITIES ARE: 1. A self-assessment audit of their safeguarding procedures (all ages) 2. An engagement exercise comprising two parts: a. to engage with at least 1% of their (target) population/carers of people with mental health difficulties and; b. to engage with at least half of their staff team around the well-being of staff. From these exercises, three additional activities based on the four PACE Setter elements (one of which must be around staff well-being) must be chosen and implemented to complete the application process. Practices will receive a 1,000 contribution to help them achieve the award. Successful MH PACE Setter organisations will be expected to share their lessons learned with others to celebrate their success. The award logo can be used widely on noticeboards, websites, letterheads and included as evidence for CQC inspections to highlight and promote the high-quality care provided. The award will remain current for three years, after which we would encourage award holders to reapply. 02

THE PACE Setter AWARD PATIENT AND STAFF ENGAGEMENT Listening and learning in partnership is the single most important activity in working towards the MH PACE Setter Award. It is the process that ensures MH PACE Setter practices design and develop their services around the needs of their local population. ENGAGING STAFF Gauging staff experience around their own mental health and well-being is challenging and brave but we believe it will reap rewards in happier, healthier, and more motivated staff. The use of the well validated NHS Staff Survey questions would be a good place to start: www.nhsstaffsurveys.com/page/1058/surveydocuments/survey-documents/ PATIENT ENGAGEMENT There are lots of innovative and effective ways to engage: Patient surveys Coffee mornings Focus groups Patient forums 1:1 interviews Mystery shoppers You may decide to engage a specific group of patients with mental health needs rather than the whole group. At least 1 in 4 of your adult patients and 1 in 10 of your children and young people will have some kind of mental health problem. If you need help, CWSX Mind can offer you a skilled facilitator to support the development and delivery of your engagement activities, particularly if you are running a focus group or a forum with patients. There is also a NEW sample patient survey which has been developed specifically with the involvement of local patients with mental health problems which you can use or develop by clicking this link: www.coastalwestsussexmind.org/mental-healthtraining/pace-setter National Mind s 2016 Find the Words report which looks at mental health support in primary care highlights that around 1 in 3 GP appointments involve a mental health component. Access the full report at: www.mind.org.uk/media/5063246/find-the-words report-better-equipped-better-care.pdf 03

ACCESSING SERVICES Improving access to services and support for patients with mental health problems and also for staff who need support around their mental health well-being is vital. Here are some ideas of areas you can work on: WEBSITE A section of the practice website which is easy to find and provides links to information about mental health and mental health services (eg voluntary and NHS) would be an extremely useful resource for both clinicians and patients alike. Knowing what services there are available, eligibility and opening times in a simple format can take a lot of thought, consultation, and consideration in conjunction with service users but will be a most valuable resource. THERE ARE LOTS OF USEFUL RESOURCES THAT CAN BE LINKED TO A WEB-PAGE INCLUDING: NHS Choices information about mental health www.nhs.uk/livewell/mentalhealth/pages/ Mentalhealthhome.aspx National Mind s information pages www.mind.org.uk/information-support/ National Mind s Find the Words guide for patients www.mind.org.uk/media/4554937/find-the-words_ english_download.pdf Locally developed tips for people with mental health difficulties for getting the most out of your GP and practice www.coastalwestsussexccg.nhs.uk/mental-healthresources 04

THE PACE Setter AWARD ACCESSING SERVICES EXAMPLE OF A NOTICE BOARD, DR ALI PARRISH, SELSEY MEDICAL PRACTICE OTHER IDEAS AROUND IMPROVING ACCESS INCLUDE: Developing and maintaining a practice noticeboard around mental health Developing a staff well-being noticeboard Developing the practice registration form to include questions around mental health Reviewing processes around first contact and triage Offering a double appointment slot and/or named GP for specific patients with MH needs would be excellent for some practices There is more information about all these ideas at: www.coastalwestsussexmind.org/ mental-health-training/pace-setter I was worried that my son would not be able to cope with a telephone appointment. The receptionist spoke to a GP and they agreed to offer him a face-to-face appointment. It was great that they listened to me and were willing to adapt their system to meet my son's needs. Health Kathy, carer, Worthing Education England When you go into the practice and see information freely available about mental health it makes you feel that you are being welcomed and it is a place where mental health problems will be understood. Health Education England Christine, patient with mental health problems, Chichester 05

CLINICAL BEST PRACTICE AND CARE Ensuring that the services provided to people with mental health problems are of the highest standard will be a key feature of every successful PACE Setter improvement programme. In addition, making sure staff have good support to ensure their own mental well-being is also a key part of the award. OTHER IDEAS AROUND IMPROVING STANDARD OF CLINICAL SERVICES AND CARE INCLUDE: SIGNPOSTING AND KNOWING WHERE TO REFER PATIENTS WITH ISSUES With so many services available and needing to keep up to date, clinicians would welcome easy signposting that they can refer to in the middle of a busy clinic this will build up their confidence and knowledge to share with patients / users of our services. Establishing links to local mental health services including the new Tier 2 Pathfinder Hubs could help with this: www.coastalwestsussexmind. org/mental-health-training/pace-setter Patients: Offering a private space in the waiting area Taking action to ensure the practice is suicide aware and thinking about suicide prevention Developing a clear process and standard around a mental health consultation Developing a clear process and standard around reviews and health-checks Staff: Building in time for staff debriefing into practice routine Using Encircle time to focus on staff well-being Promoting the GP Health Service in the practice Developing a proactive approach for patients who do not attend. My GP built up trust with me which gave me confidence to open up and be honest about my problems and take the next steps in getting help. There is more information about all these ideas at: www.coastalwestsussexmind.org/mental-healthtraining/pace-setter Tracy, patient with mental health problems, Bognor As a GP I feel there is nothing more important and rewarding than providing great patient care to people with mental health needs. Good mental health is vital for our patients, our staff and ourselves. The PACE Setter project actively develops an emotionally supportive and mental health aware working environment allowing us to thrive and give of our best to our patients. Dr Ali Parrish, Selsey Medical Practice GP Clinical Lead for Mental Health, CWS CCG 06

EDUCATING AND EQUIPPING Whole-system education provides the foundation blocks upon which PACE Setter quality improvements can be built and ultimately shared. Learning together as a team and alongside patients and carers equips an organisation to develop new skills and implement new systems. Educating and equipping is not only around working with patients, but also around ensuring that staff have the skills and resilience to manage their own health and well-being at work. OTHER IDEAS TO EDUCATE AND EQUIP STAFF INCLUDE: Job shadowing Resilience training for staff Focus on five ways to well-being as a selfmanagement tool for staff and patients Group activities for staff or patients which promote well-being, e.g. a choir or a practice garden CWSX Mind piloted a range of TRAINING for primary care practices in West Sussex between Sept 2016 and March including mental health first aid, Safe-TALK (suicide awareness), mental health friendly practice, depressed/anxious teen, communicating with children and young people in distress, self-harm, mental health and stigma for receptionists. Twenty GP practices participated in the training and 336 practice staff attended. Ideas for further training included courses for specific groups of staff, responding to mental health crises risk assessments and dealing with difficult behaviour. CWSX Mind can provide access to funded training for practices who sign up to the MH PACE Setter. There is more information about all these ideas at: www.coastalwestsussexmind.org/mental-healthtraining/pace-setter National Mind's 2016 Find the Words campaign highlights that practice nurses found 82% had responsibilities for aspects of mental health and well-being but had not had training for this and 42 % had received no training in mental health and well-being at all. In addition, the campaign highlights that out of 21 mandatory clinical modules only one module is dedicated to mental health in the GP training curriculum. It also highlights that 50% of GPs are at high risk of burnout and 16% report a significant and unmanageable amount of work related stress. Sussex Sussex 07

PACE Setter AWARD PROGRAMME STEP 1 APPLY Email or call Anne Johnson (Project Manager) at Mind: 01903 277008, mhpacesetter@coastalwestsussexmind.org STEP 2 AGREE If you apply we will come and meet with you to tell you about the MH PACE Setter Award and how it works. We will work with you to explore what makes a mentally healthy practice and to support you to generate ideas. After the introductory session we will ask you to work on and return your write-up form (usually within six weeks) which outlines what engagement activity you have undertaken and, based on this, the other three key activity areas you have decided to focus on. The award panel will review your plan and give you the go ahead to move forward with your activities. STEP 3 ACT You then undertake the activities you have agreed to do which is usually within six months. STEP 4 ACHIEVE Your Achievement Chart and evidence is sent to the award panel. STEP 5 AWARD Award decision is made by the award panel and you are invited to a celebratory event to share best practice and lessons learnt. STEP 6 APPRAISE After the MH PACE Setter has been awarded, the long-term impact, continual development and sustainability of the changes will be reviewed informally. For further details about the Mental Health PACE Setter Award contact Anne Johnson at Coastal West Sussex Mind on: 01903 277008, mhpacesetter@coastalwestsussexmind.org Sussex Sussex 08