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