Investing in the future of our NHS

Ensuring the long term, sustainable funding of our NHS is one of the most pressing and potent political issues facing the country. Demand for NHS and care services only continues to rise as our population changes, as we live longer and new treatments and technologies are developed. 

The Government has worked closely with the NHS to agree a five-year plan of increased funding, with agreed additional investment of at least £8 billion in real terms throughout this Parliament. In addition, the Government has now announced that it will invest a further £20 billion by 2023/24 to transform health and social care so it can improve treatment and deliver better care for patients. 

More money than ever before is being spent on mental health services. I have worked alongside our local NHS to secure investment for a new specialist inpatient unit in Bodmin which is now under construction. This will mean that children and young people do not need to travel out of the county to receive vital care. 

Following the death of two students on the Penryn Campus who took their own lives after their battles with mental health issues, I have secured assurances from the Cornwall Partnership NHS Foundation Trust and local Clinical Commissioning Group that they will work with the University to provide more support to students who are experiencing mental illness. 

While investing more money into the NHS and securing Cornwall’s fair share is important, so too is ensuring it is spent wisely. So, I was pleased that the Government has recently set out plans to enable the NHS to make significant improvements in technology and purchasing. 

A new NHS app will be piloted in 5 areas in England from next month, ahead of a planned national roll-out in December. Patients will be able to download a test version of the app, allowing access to booking GP appointments, ordering repeat prescriptions, access to their medical record, 111 online access for urgent medical queries, data sharing preferences, organ donation preferences and end of life care preferences. 

More than £200 million will also be invested to make a group of NHS trusts into internationally recognised centres for technological and digital innovation. The funding will support new Global Digital Exemplars in acute, mental health, community and ambulance trusts in England to set a gold standard of innovation for other services to follow. 

A new HealthTech Advisory Board, chaired by Dr Ben Goldacre, will highlight where change needs to happen, where best practice isn’t being followed, and will be an ideas hub for how to improve patient outcomes and experience and make the lives of NHS staff easier. 

Our hospitals operate dozens of systems each that don’t talk to each other. GPs, social care, pharmacies and community care are on different systems. Systems crashing is a regular occurrence. The social care system is not at all integrated, when its integration is vital. 

The generic technology available outside the NHS is a million times better. Now is the moment to put the failures of the past behind us, and set our sights on the NHS being the most cutting-edge system in the world for the use of technology to improve our health, make our lives easier, and make money go further. 

A modern health service shouldn’t involve 234 separate trusts spending time and money negotiating different contracts and prices for the same thing. An example of this price variation includes the lowest priced 12-pack of rubber gloves costing 35p, while the highest priced cost £16.47. That’s why the Government’s work to centralise how the NHS buys goods and services is crucial. 

By streamlining the process and freeing trusts up from having to do this, we will save staff valuable time, save huge amounts of money and be able to reinvest the savings into patient care and frontline services 

The Department of Health and Social Care anticipates the new supply chain will generate savings of £2.4 billion over a 5-year period, all to be ploughed back into frontline services. 

 First published in the Falmouth Wave October edition

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Making mental health a priority makes good business sense

An estimated 300,000 people lose their job every year because of a mental health problem. Many might have remained in employment had they been given the right support.

Earlier this week I spoke at a CBI event to welcome the launch of Front of Mind, their new good practice guidance which helps employers improve health and wellbeing in the workplace.

People with mental health conditions can make a valuable contribution in the workplace. We need real cultural change in every workplace across the country to prevent valued colleagues leaving a job they love because of mental health problems.

For employers this can feel daunting. Mental health charity Mind found that while employers want to make mental health a priority, a third don’t know where to go for information or guidance.

That’s exactly why practical resources like Front of Mind are so important. Highlighting examples from UK employers that are already leading the way, the guidance shows that successful businesses are taking key three steps: prioritising health and wellbeing from the top, targeting action towards early interventions and embedding good health and wellbeing in workplace culture.

Not only does Front of Mind offer practical tips for employers, it also demonstrates the business case for making progress on workplace mental health.

The impact of mental health issues costs UK employers between £33 billion and £42 billion every year. Clearly, making mental health a priority in your workplace is not just the right thing to do – it also makes good business sense.

We don’t expect employers to do this on their own. Government has an important role to play in supporting people with a mental health condition. We’ve made good progress, with a range of support on offer. Spending on mental health increased to a record £11.86 billion last year, with a further investment of £1 billion by 2020/21.

On employment support, we’re investing £115 million in partnership with the NHS, more than doubling the number of Employment Advisers in Improving Access to Psychological Therapies Services. Our new Work and Health Programme is investing £500 million in tailored employment support, helping disabled people and those with health conditions into a job. And our Access to Work scheme has a specialised mental health support service, which has supported over 12,000 people. More than 90% of people who have used the service were still in their job after six months.

I want to encourage senior managers and business leaders to make a real, tangible commitment to improving workplace culture around mental health. This isn’t an issue for other businesses to deal with, or something we can leave HR to worry about. The leaders of any organisation are pivotal in shaping its culture, and exemplary behaviour has to start at the top.

My vision is of a society where everyone has the opportunity to fulfil their potential and no one loses their job because of poor mental health. It’s now time for every leader in every sector to take responsibility for creating an environment in which people feel able to talk about their mental health condition and get the help they need to thrive at work.

First published in Business Voice

Improving Local Mental Health Services

Last October, in this column, I asked local organisations to work together and consider applying to the new Beyond Places of Safety Fund.

Applications had just been opened for a new £15 million fund to improve support for people who experience a range of mental health conditions that put them at risk of an acute mental health crisis.

The Beyond Places of Safety fund is the successor to the original Places of Safety programme which was established, alongside the Crisis Care Concordat, to confront one of the quiet scandals within mental health system – namely the thousands of people left in a police cell following a detention under the Mental Health Act.

The new funding for the Places of Safety Programme, coupled with the ingenuity and partnerships forged between statutory and voluntary organisations under local Crisis Care agreements, has seen the number detained in police custody following a mental health crisis drop by over 80% over the last five years. New regulations have also come into effect to ensure that police custody is only used in exceptional circumstances under careful medical and police supervision. No young person can be held in custody.

Having spent time with Cornwall Resus and Street Pastors in our local towns on a Saturday night, as well as shadowing staff at A&E at Treliske, I am aware of the challenges that our front line public service professionals are facing with people in crisis.

I listened carefully to their opinions which informed my actions when I was Chair of the National Crisis Concordat, a role I held when I was the Home Office Minister responsible for vulnerable people, domestic violence, drug and alcohol strategy, amongst other matters. I have seen at first hand the difference that funding common sense innovations – driven by passionate third sector organisations, working in partnership with the NHS – are making to how people are treated when they become acutely unwell.

I am delighted that Cornwall is benefitting from the new Beyond Places of Safety Fund.  £1.5 million will be invested in the new hub at Treliske which will enable partners, including Addaction, to ensure that local people have the wrapped around care they need.  Support that not only treats the symptoms but also tackles the root cause of their crisis which can include a wide range of issues from sexual abuse, domestic abuse, and substance misuse to homelessness. Treating the whole person rather than just their mental health crisis should lead to better outcomes for the people concerned as well as reducing demand for emergency care at Treliske.

There may be no magic bullet to stem the rising tide of mental ill health – but innovative community initiatives can make a make a real difference to keeping people safe.

Along with plans to train a million people in basic mental health first aid skills – the first country in the world to have this scale of ambition – we will continue to invest in NHS mental health services, training more professionals, and aiming to treat more people than ever before.

First published in the West Briton 31/05/18

Rising Living Standards and Wellbeing

How does a country measure its success? The most reported measure of success is economic with gross domestic product (GDP) probably most often quoted. Of course ensuring people have the opportunity to reach their potential in their chosen occupation is important and this week’s good news of record levels of people from all backgrounds and ages in employment and growing wages is welcome. More of our children and young people are receiving a good education compared to 2010 and average life expectancy continues to rise. All these measure progress.

There is a growing recognition that how we are doing as a nation is at least as much about people’s well-being as it is about the country’s economic health.

In November 2010, David Cameron established the Measuring National Well-being (MNW) programme. The aim was to monitor and report “how the UK is doing” by producing accepted and trusted measures of the well-being of the nation. Twice a year the independent Office for National Statistics report progress against a set of headline indicators covering areas of our lives including our health, natural environment, personal finances and crime.

The measures include both objective data (unemployment rate) and subjective data (satisfaction with job) to provide a more complete view of the nation’s progress than economic measures can do alone.

The latest update of the Measuring of National Well-being programme published in April provides a broadly positive picture of life in the UK, with most indicators either improving or staying the same over the short-term (one year) and long-term (five years). It shows the strengths and challenges of different age groups in society. These insights can help target services where they are most needed and can have the best impact.

This programme has led to significant positive changes in the development of policy, particularly the promotion of good mental health and a very welcome focus on understanding and treating mental ill health. We changed the law so that mental health is taken as seriously as physical health.

The fastest growing NHS spending is on mental health £11.86 billion last year, with further growth committed.  Spending by local GP NHS Commissioners on children and young people’s mental health services grew by £103 million between 2015/16 and 2016/17, up to £619 million. This is a 20 per cent increase year on year. I am pleased that our new residential children and young people’s mental health service in Bodmin is underway.

Last week, I visited Roseland Community College, an outstanding local school, and listened to children and staff who are participating in HeadStart Kernow. It’s a partnership between Cornwall Council, our local NHS, schools, voluntary sector organisations and the National Lottery. It aims to build resilience and mental wellbeing for children and young people and from what I heard is doing a good job. This vital prevention work matters to children now and in the future as the causes of mental ill health in adults often starts in childhood.

First published in the West Briton 17/05/18

In too many workplaces, mental health remains the last taboo – and this needs to change

Abraham Lincoln, Charles Darwin, Virginia Woolf. These are some of history’s greatest names, best-known for their genius and creativity. And rightfully so.

What many people might not know is that they battled with poor mental health at various points in their lives. The taboo of mental ill health kept these struggles from the history books.

I’m heartened to see that in my lifetime we are much more open and willing to talk about mental ill health, with Mental Health Awareness week an opportunity to turn up the volume on these conversations.

But in too many workplaces it remains the last taboo – and this needs to change.

There is a growing body of evidence that good work is good for our health and that being out of work can have a detrimental effect on our health and wellbeing.

The latest employment figures show that there are now 32.3 million people in work – including more than 3.5 million disabled people. There are opportunities for everyone to enjoy the benefits of employment if they are well enough to do so, including those with mental health conditions.

But if we are to feel those benefits, what is equally important is that our workplace provides an environment that supports good mental health.

The theme of this week’s Mental Health Awareness Week is stress. The latest figures from the Health and Safety Executive show that 12.5 million working days were lost due to work-related stress, depression or anxiety, affecting 526,000 workers.

Failure to address poor mental health costs employers between £33 billion and £42 billion a year – that’s a cost of between £1,205 and £1,560 per employee. This is something which cannot be ignored, and it’s essential that Government and businesses join forces to tackle this taboo.

Already, we’re taking innovative action across employment and health services to ensure support is joined up around people so they get the best possible chance to succeed in work.

We’re more than doubling the number of employment advisers working in the NHS 2019, enabling greater provision of integrated psychological treatment and employment support. And we’re at the forefront in testing different models to join up health and employment support in a range of healthcare settings, for example in GP surgeries and Improving Access to Psychological Therapies (IAPT) services.

On top of this, our Access to Work scheme provides personalised support for people whose disability or health condition affects them in the workplace and can include assistive technology, interpreters and our Mental Health Support Service. This week we reached a milestone of helping 11,000 people. The support helps provide people with tailored employment support and has an extraordinary success rate with 93% of people who have used the service still in their jobs after six months. We’ve developed an enhanced mental health training programme for Jobcentre Plus work coaches too.

But there is more to do. We know that poor mental health affects people of all ages, genders and backgrounds. It doesn’t discriminate, and affects around one in four across their lifetime. That’s why this Government has put improving mental health at the heart of our plans to improve wellbeing, and that’s why we are working with employers to get the support right.

First published on Politics Home 17/05/18
https://www.politicshome.com/news/uk/health-and-care/illnesstreatments/opinion/house-commons/95217/sarah-newton-mp-too-many

NHS Update – Going Forward

Thank you to the many people who have responded to the NHS England consultation on a new model for radiotherapy services in England. Radiotherapy is a core part of modern cancer treatment. It can cure cancers, can assist in alleviating symptoms and is second only to surgery in its effectiveness. The development of the proposed service specification sits alongside NHS England’s £130 million investment in radiotherapy equipment which was announced last year.

The consultation ends on 24 January. You can email: england.npoc-cancer@nhs.net or write to:   Radiotherapy Consultation, NHS England, Floor 3B, Skipton House, 80 London Road, London, SE1 6LH.

Sadly, some time ago my mum died of cancer. I know how important access to high quality cancer services are to families living in the Duchy. I remember the strain on my mum and dad, having to travel to Plymouth for some of her radiotherapy treatment. My father starts radiotherapy at Treliske soon so like every local family I want to see local cancer services move forward not backwards.

Like many families we helped raise the funds to build the Sunrise Rise Centre at Treliske. While NHS England’s proposals won’t affect the majority of cancer patients, they might affect approximately 300 patients with rarer forms of cancer as well as the professional development of our local oncologists and radiographers. So please if you haven’t already done so, consider responding to the NHS England consultation.

Last week along with my colleagues, at one of our regular meetings, I met with leaders of our local NHS services to discuss progress improving health and care outcomes for local people. I was pleased to learn that the recent transfer of the 111 non-emergency phone service, out of hours GP service and ambulance service to the control of our local GPs has gone well. I am also really pleased that GP appointments were available over the holiday period. It is good to see our local NHS clinicians lead and commission more of our local NHS and care services.

As you are aware our local health and care system is in “special measures” and is receiving extra support from NHS England to improve outcomes for local people. New senior managers are being funded in both Cornwall Council and the NHS to enable more effective joint working. The long awaited joined up commissioning of adult social care should start later this year.

Regular readers of this column will know of my work since being elected in 2010 to bring more mental health services into Cornwall. So, I was pleased to learn that the ground should be broken on the new Adolescent Residential Mental Health Unit at Bodmin in April. I worked very closely with our local NHS leaders to secure the majority of the funding for this new service. I am also pleased that funding has been secured to extend the number of beds for adults at Longreach. This will prevent local people having to leave the county to receive residential mental health services.

First published in the West Briton 18/01/18

Celebrating World Mental Health Day

Last week, I joined World Mental Health Day, in a global expression of how far we have come in understanding mental illness and breaking down stigma.

Last week it was reported that Local Clinical Commissioners spent £9.7 billion on mental health this year – £574 million more than last year.

The Cabinet also discussed plans to train a million people in basic mental health first aid skills – the first country in the world to have this scale of ambition. We will continue to invest in NHS mental health services, training more professionals, aiming to treat more people.

Applications were also opened for a new £15 million fund to improve support for people who experience a range of mental health conditions that put them at risk of experiencing an acute mental health crisis.

The Beyond Places of Safety fund is the successor to the original Places of Safety programme, which was established, alongside the Crisis Care Concordat, to confront one of the quiet scandals within mental health system – namely the thousands of people left in a police cell following a detention under the Mental Health Act.

Since then, the ingenuity and partnerships forged between statutory and voluntary organisations under local Crisis Care agreements has seen the number detained in police custody following a mental health crisis drop by over 80 per cent over the last five years.

Simple innovations – driven by passionate voluntary sector organisations, working in partnership with the NHS – are making a huge difference to how people are treated when they become acutely unwell. I hope that local organisations will work together and consider applying to the new Beyond Places of Safety Fund.

There may be no magic bullet to stem the rising tide of mental ill health – but innovative community initiatives can make a make a real difference to keeping people safe.

First published in the West Briton