​​​Mental Health and Wellbeing Strategy​

 

Developing our joint mental health and wellbeing strategy

NHS Southwark Clinical Commissioning Group (CCG) and Southwark Council have published our Joint Mental Health and Wellbeing Strategy.

The strategy has been shaped since October 2016 by the views of people who live and work in the borough, including: NHS organisations, the voluntary and community sector, users of services, carers and local residents.  

Through our engagement work, local people, stakeholders, service users, carers and interest groups told us it was important to improve outcomes for Southwark people in terms of health, social care, education, housing and primary and community services. Our strategy centres on how we aim to achieve this, while also focusing on offering fair and equal access to care for everyone.

In November 2018, we held a small focus group with representatives from Healthwatch Southwark, Southwark Pensioners Action Group, Community Southwark and the Forum for Equality and Human Rights in Southwark to discuss how we have started putting the strategy into action and to help us further develop our plans for taking the strategy forward. We also discussed future plans for engaging local people in this and plan to have a wider engagement event later on the year.

We plan to hold a public event in 2019 to outline our progress in delivering the strategy. We want to discuss with local people and organisations the development of our delivery programme and how we should involve local people in the implementation of strategy actions. 

You can read more about the work prior to the publication of our joint strategy, including a report of the engagement carried out and a report of the September 2017 workshop. Further engagement has take place with Healthwatch Southwark and representatives of Southwark Pensioners Action Group (SPAG) before the draft strategy was presented to the CCG's Governing Body in January 2018 for approval.  

The strategy has also been produced to reflect and support the CCG's vision: 

Our vision:

We want to:

•Support everyone in Southwark to live healthy, happy and longer lives

•Stop people from becoming unwell where possible

•Support more people in the community and at home;

•Work together to share the money that is available across health and care in Southwark; and

•Give people the skills they need to stay well and support one another.

 

In order to achieve our vision, we think we should focus on: 

•Prevention of poor health and promotion of wellbeing

•Community based care and activating communities

•Improving clinical and care services

•Improving recovery

•Improving quality and outcomes



Case Studies

 

Mark:

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Mark is an 18-year-old student and is struggling with substance abuse and self-harm. He was abused as a child and self medicates with drugs and alcohol to combat his ongoing depression. Although Mark came out as gay one year ago, his anxiety prevents him from forming meaningful relationships. He has resorted to self-harm to take his mind off dark thoughts.

Before moving to into London for university Mark had seen a number of counsellors and a GP about his problem, with varying results. He has not sought out professional help since living in Southwark, beyond a handful of calls to the Samaritans. He fears that health professionals will judge him harshly, particularly in regard to his drug use.

What services are available to Mark in Southwark that might help him overcome these issues? While registering with a GP might be a healthy first step, Mark might also consider discussing his options by a visit or call to the Southwark Wellbeing Hub, or a call to the South London and Maudsley NHS Foundation Trust (SLaM) 24-hour information line. In the case of an emergency, Mark can find his nearest A&E department.

What else is available in Southwark that could address Mark’s specific needs?

 

 Afua:

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Afua is a 48-year-old single parent living in Peckham with three children. She works two jobs to provide for them and finds no time for herself. She suffers from insomnia and has not been given the opportunity to adequately grieve after the loss of her husband.

Since her husband died in 2013 she has felt pressure to mask her grief and due to her work schedule can no longer attend Church and enjoy the comfort it provides. She is highly educated and bilingual but is unable to break free of the demands of being sole parent and provider to her three boys.

Now that her boys are acting up at home the pressure has become too much. She has taken the boys to the local A&E on occasions that she cannot secure a GP appointment. Alternatively Afua should consider discussing options by a visit or call to the Southwark Wellbeing Hub, or a call to the South London and Maudsley NHS Foundation Trust (SLaM) 24-hour information line. Also by establishing a relationship with a local GP Afua can address both her needs and the needs of her sons.

What other services might help Afua in her situation? 


Sam:

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Sam is an 87-year-old retiree living with dementia. His wife died ten years ago and while he used to live a very active life as a builder, he can no longer do many of his favourite leisure activities without becoming frustrated such as reading, gardening or going dancing.

While Sam enjoys spending time with his children and grandchildren, he is socially isolated and doesn’t feel confident to leave his home regularly. He is unable to manage his own medication with his condition and while regular visits from carers make life easier, he is unhappy with his quality of life.  

So what services in Southwark might be available to help someone like Sam? While regular contact with carers help alleviate Sam’s more immediate health risks, a visit Southwark Wellbeing Hub with his family might help them all explore further options for somebody in Sam’s condition. Through this service he may be able to revitalize his social life and lead a more active lifestyle. The South London and Maudsley NHS Foundation Trust (SLaM) is of course a useful service and his local A&E department in the case of an emergency.

Are there more ways that we can help people like Sam in the borough?


Michael: 

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Michael lives in supported accommodation and has renal failure and a long history of psychiatric illness. He is 38-years-old. He attends dialysis three times a week and has poor eyesight as well as being a clinically obese type two diabetic.

His physical ailments exacerbate his mental health problems and he occasionally suffers from lengthy panic attacks. Aside from a history of paranoid schizophrenia, Michael feels anxious about leaving his house and subsequently has a diminished social life, beyond contact with his mother and sister with whom he is very close.

Nonetheless, Michael’s confidence is gradually returning, as is his independence. The Southwark Wellbeing Hub might offer Michael a range of additional options in terms of managing his ongoing illnesses, and reconnecting him socially. The South London and Maudsley NHS Foundation Trust is always on-hand if he needs to talk to somebody.

If Michael wants to be fully independent, what other services or community activities and/or organisations in Southwark might help him achieve his goals?