Mental Health in Scotland: Improving the Physical Health and Well Being of those Experiencing Mental Illness

Performance Management and Delivery

Current performance management arrangements are producing data generated from NHS Boards and CHPs using established QOF and primary care systems. This is being reinforced and built on by the following range of initiatives:

• The Mental Health Collaborative;
• The Standards for Integrated Care Pathways;
• Mental Health Benchmarking;
• Developing the psychological therapies infrastructure;
• Scottish Patients at Risk of Readmission and Admission ( SPARRA);
• The infrastructure to support the implementation of the Mental Health Nursing Review; and
• The Mental Health Leadership Programme - Leading for Change.

The Single Outcome Agreements offer the opportunity for exploring and expanding information sharing and service improvement across NHS Boards and Local Authorities.

Further work is required on improving electronic recording and sharing of information.

For their part NHS Boards will be expected to demonstrate:

• Priority given to health improvement initiatives for hard to reach care populations, particularly those with mental health problems and those service users with a co-occurring condition e.g. sensory loss, alcohol, or substance issues;
• Ongoing collaboration between primary and secondary care for appropriate coverage for this care population;
• Ongoing liaison with local health improvement practitioners to facilitate and/or design evidence based health improvement interventions for this care population;
• Evidence in secondary care, of a physical health assessment as outlined in the standards for ICPs or confirmation that a review in primary care under QOF is adequate for individual needs;
• Evidence in inpatient care that the same standards are met for those in hospital for more than 12 months and more frequently where the care or other need so indicates;
• That consideration has been given to the QOF exclusion and exception reporting data available from ISD⁵⁷ to review practice performance as well as to ensure that appropriate high quality care is being delivered; and
• Evidence of the use of audit or other initiatives at a local level to help reduce the health inequalities described in this group.