Long Term Plan Greater Manchester Mental Health Services Report

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Summary of report content

The 10 local Healthwatch in the Greater Manchester area engaged 45 people who gave feedback on mental health services. This was part of the network-wide NHS Long Term Plan (LTP) project. 

Healthwatch asked people to comment on waiting times, overall experience and suggested improvements at two separate points in their patient journey;
• From first presentation to diagnosis
• From diagnosis to commencement of support
They also asked people to tell them about the support they currently receive, support they would like to receive or would be interested to try. Finally, they asked those who had multiple conditions to what extent they felt that those other conditions were taken into account in their treatment or support.

The report found the most commonly mentioned issue, in terms of prevention / early intervention, was waiting times to access services. In particular people talked about the lack of support or even basic contact between assessment and referral. For most people this was a period of many weeks. People described feeling forgotten and abandoned by services during this period. The weight of the comments around personalisation suggest that some people feel that their problems have not always been treated holistically. A number of people report inappropriate initial diagnosis later rectified when full life story histories have been taken, for example. This report seems to show that people with mental health conditions are not routinely offered support options that involve technology or social prescribing. The report also seems to suggest an appetite from mental health patients engage with these forms of support.

The Greater Manchester Health and Social Care (GMHSC) Partnership responded to this report. 

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General details

Report title 
Long Term Plan Greater Manchester Mental Health Services Report
Local Healthwatch 
Healthwatch Bolton
Healthwatch Bury
Healthwatch Manchester
Healthwatch Oldham
Healthwatch Rochdale
Healthwatch Salford
Healthwatch Stockport
Healthwatch Tameside
Healthwatch Trafford
Healthwatch Wigan
Date of publication 
Tuesday, 21 May, 2019
Date evidence capture began 
Monday, 4 March, 2019
Date evidence capture finished 
Friday, 26 April, 2019
Type of report 
Report
Key themes 
Access
Administration
Booking appointments
Communication between staff and patients
Diagnosis
Digitalisation of services
Engagement
Health protection
Holistic support
Information providing
Integration of services
Lifestyle and wellbeing
Quality of appointment
Quality of care
Referrals
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Support
Waiting time to be seen once arrived at appointment
Waiting times and lists for treatment
Healthwatch reference number 
LTP-24

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
Other government body
Primary research method used 
Focus group
Survey
How was the information collected? 
Research
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Mental health services 
Child and adolescent mental health services (CAMHS)
Community mental health team (CMHT)
Mental health crisis service
Mental health recovery service
Older peoples mental health community service
Psychiatry / mental health (other services)

Details of people who shared their views

Number of people who shared their views 
45
Age group 
All
Gender 
All
Ethnicity 
All
Specific ethnicity if known 
All
Sexual orientation 
NA
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
No
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Negative

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
No
What type of impact was determined? 
Implied Impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.