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Achieving Suicide Safer Communities Accreditation using SLI
Presented by Eileen O’Meara Director of Public Health and Public Protection – Halton BC
26th May 2016
Champs Collaborative Overview
• The Collaborative is made of many members and partners
• We seek to improve health and wellbeing using a population approach
• Collaborating for over 12 years
• Led by the 9 DsPH and reports to LA CEOS
• Facilitated by a Support Team (hosted by Wirral Council)
Champs Collaborative Aims
• Improve the health and wellbeing of local people
• Influence as system leaders
• Increase local impact by working together
• Build a coalition of enthusiastic “upstreamists”
• Maximise economies of scale and reduce duplication of effort
• Share specialist expertise
• Innovate and learn together
• Enable peer support
Champs SLI Principles The Champs approach to improvement is based on a culture of collaborative working, sharing good practice, constructive peer support, challenge and learning.
Under the Champs SLI framework, in each project, each Local Authority Public Health team in Cheshire and Merseyside has the opportunity to:
• Receive an up to date summary of the latest available evidence and/or guidance
• Have current performance (and cost where available and appropriate) benchmarked against nearby and statistically similar areas
• Learn from the challenges and feedback, provided by a panel of local colleagues and/or external experts
• Share best practice, and ‘what works’ with other C&M PH teams
• Participate in a cross-C&M learning network, designed to disseminate local, national, and international research and expertise.
SLI Project – Suicide Safer Communities
• Aim - Cheshire and Merseyside will be the first region in the UK to gain Suicide Safer Communities Designation
• To do this we will use SLI to enable all 9 LAs to gain accreditation from recognised Canadian organisation, LivingWorks
Suicide in Cheshire & Merseyside
National data - 2014 • 248 deaths in Cheshire and
Merseyside is highest since 2002
• England and NW numbers also highest since 2002
Recent Insight from the C&M Suicide Audit
• Three out of four deaths in the audit were male
• Majority aged 25-64 (76%)
• 38% of cases had a previous suicide attempt recorded
• Only three in ten were employed
• Financial problems were recorded in 23% of cases
• Three in ten had alcohol or substance misuse history
• Relationship problems (30%) and Domestic violence (15%) also
recorded
Male, 60-69 years, Liverpool “Last saw GP 1 week prior, tearful. Ref to psych appt. Received letter one day prior to death indicating that he was to be interviewed re bedroom tax.”
Recent Insight - Health and Healthcare • 49% had physical health problem • 56% had MH diagnosis • 22% receiving care from MH
services • 29% had depression recorded in
open text
Within the previous year: • 67% had visited their GP • 37% had visited MH services
30% of all people in the audit had specifically visited their GP for a mental health reason in the three months before they died.
Key Actions & Dates for the Project
• September 2015 The 9 Pillars of the ‘Suicide Safer Community’ model utilised for a benchmarking exercise undertaken across 9 local authorities
• October 2015 Peer to Peer Review held with Forward For Life, Birmingham
• December 2015 Letter of intent submitted to Living Works, Canada
• March 10th 2016 SLI Workshop for Operational Group
• June/July 2016 Second SLI Workshop (Peer challenge session)
• March 2017 Target date of completion
Baseline Accreditation Position by Area
Suicide rate per 100,000 2011-13 England 8.8
Sefton Liverpool Knowsley Halton St Helens Warrington Wirral Cheshire West
Cheshire East
9.7 9.5 11.1 9.6 11.9 9.2 8.0 8.9 7.9 1. Establish a Suicide-Safer
Community committee Part of MH Steering Group
1. Establish the population size of your community (audit 2014)
1. Identify organisations representing your committee
1. Create and agree an action plan or strategy with identified priorities
1. Support and commission accessible suicide intervention services
MCC* MCC* MCC* CCC** MCC* CCC** MCC* CCC** CCC**
1. Support and commission accessible suicide bereavement support
AMPARO
AMPARO
AMPARO
AMPARO
AMPARO
AMPARO
AMPARO
AMPARO
1. Support and commission promotion of mental health and wellness activities
1. Support and commission proactive suicide prevention activities
CALM CALM CALM CALM CALM CALM CALM CALM
1. Establish a pool of formally trained gatekeepers
1. Participate in World Suicide Prevention Day
Badges and promotions
Local
presentation Cycle Event
Training Event
PH Suicide Prevention Lead Steve
Gowland Sue Neely
Jane Case/ Richard Holford
Elspeth Anwar
Sue Forster Katie
Donnelly Steven Gavin
Amy Gouldstone
Sheila Woolstencroft
Table 1: Suicide Safer Community in Cheshire & Merseyside Correct as of February 2016 Red Nothing in place and no plans Amber In development or partially established Green Fully established
SLI Project – Suicide Safer Communities
• All 9 areas will need to satisfy all LivingWorks’ 9 Pillars to gain accreditation for the region
• First SLI workshop held March 2016 to discuss baseline position (previous slide) and next steps
• Next workshop planned for June/July 2016 which will focus on areas identified for improvement
• Representatives from each LA and external experts will focus on gaps in baseline in group work
• Examples of good practice will be shared and areas for improvement constructively challenged
• Resulting locally-owned action plans will be the basis for each area to fulfil the model by March 2017
Thank you – Any questions?
www.champspublichealth.com
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