Think Local Act Personal (TLAP_ and National Voices have
launched a new resource to describe what personalised, coordinated
care and support should look like for people with mental health
'No Assumptions - A Narrative for Personalised, Coordinated Care
and Support in Mental Health' describes the critical outcomes and
success factors in the care, support and treatment of people who
use mental health from their perspective.
The narrative will help NHS and council commissioners and
providers of services to organise person-centred care and
recovery-oriented support for mental and physical health and to
know when they are achieving it.
It was commissioned and endorsed by NHS England, and will be
shared with the 13 other national system-leading organisations in
the integrated care and support collaborative, including the
Department of Health, ADASS, LGA and the health and social care
No Assumptions has been co-produced with people who have lived
experience of mental illness from TLAP's National Co-production
Advisory Group, together with organisations including the National
Survivor User Network, Mind, Rethink Mental Illness and Certitude.
It includes a number of case studies that show how good
personalised, coordinated care in mental health services can be
achieved around England.
National Clinical Director for mental health Geraldine Strathdee
says:"I very much welcome the launch of this new programme, which
is a 'must read' for anyone commissioning and delivering mental
health services. People with lived experience of mental ill health
tell us what fundamentally matters to them, and the type of
collaborative, empowering, effective and safe care they want. As we
have seen this past year, there is no more powerful advocacy for
mental health care in England, than the voice of users telling us
about their experiences and how they manage full lives while living
with mental health conditions. This resource also provides examples
of 'what good looks like' in practice and how services can
reach the NICE quality standard for user experience. I very much
look forward to hearing more from patient voice to help us realise
our new ambition which is to provide integrated physical and mental
health care in settings and conditions."
Sarah Norman, joint chair of the Association of Directors of
Adult Social Services (ADASS) mental health network says: "ADASS
fully supports No Assumptions and the aims it has for improving the
lives of people with mental health issues. Both the guidelines and
case studies will be really useful in helping commissioners,
service managers and mental health professionals make sure that
services are more responsive to the concerns and aspirations of
people with mental health needs."
Geoff Heyes, Policy and Campaigns Manager at Mind, said: "Mind
welcomes the publication of these two important documents which
illustrate what good quality joined up care looks like for those
experiencing mental health problems. We are proud to have been
involved in the development of these tools and our engagement with
those we represent has allowed us to offer valuable insight into
some of the problems people with lived experience encounter with
mental health services.
"Too often we hear from people who experience disjointed care
across primary, secondary mental and physical health services and
social care. Facing multiple assessments with different health
professionals can be very disruptive and negatively impact an
individual's mental health. Through these publications we hope that
service providers and commissioners will be better able to
commission high quality, coordinated services in consultation with
service users, ensuring their individual needs are taken into
Think Local Act Personal (TLAP) Director Sam Bennett says:
"People using mental health services, their families and carers
need to be sure their care will be effective and delivered in a way
that meets all their mental and physical health needs in a joined
up way. No Assumptions will help those who work in health and care
to commission and deliver personalised, coordinated care and
support based on what people with lived experience of mental
illness say is important to them."
National Voices' Director of Policy Don Redding says: "Through
this resource, people who use services are saying they want
flexible, responsive care and support which includes peer support
and the involvement of users in services; works with them to
anticipate and prevent crises; and helps deal with their physical
and mental health in an integrated way."
National Coproduction Advisory Group member and TLAP co-chair
Clenton Farquharson says: "People are the best integrators of their
care and support but they can often feel that the divisions between
health and social care negatively impact their experience. It is
vital health and social care organisations work together to deliver
a seamless, person-centred service directed by the individual and
No Assumptions can help with this."
The resource is an extension of the
Narrative for Person Centred Coordinated Care launched in 2013.
It offers a definition of personalised, coordinated care in mental
health, agreed by people who use mental health services and people
who work in health and social care; a series of "I" statements
expressing what personalised, coordinated care looks and feels
like; and case studies of personalised, coordinated care in
practice. It complements TLAP's
Making it Real programme which encourages care and health
organisations to publicly declare how they will work in more
People using mental health services under the Care Programme
Approach have also been included in the first wave of the
Integrated Personal Commissioning Programme announced by NHS
England in July 2014.
The resource can be downloaded from TLAP's