Outcome 1

We will improve the lives of 100,000 people impacted by poor mental health.

Why it’s important

What we’ve been doing

What are we going to do

How we’ll measure progress

Why it’s important

Mental health is everyone’s business.

Our mental health is always important throughout our entire lives, from when we are born until the end of our lives. It is our responsibility to create communities where people can promote wellness and receive the support they need to thrive. To make a positive change, we need to shift the culture to create environments that enable good mental health. Early intervention and involving families are crucial in providing the right support at the right time.

By doing this, we can make sure that everyone has an opportunity to maintain good mental health. Engaging with businesses and providing them with support is essential for building resilient communities. When businesses thrive, they create opportunities for people and communities to reach their full potential. When businesses succeed, they contribute to the economic growth of the community, which in turn leads to an improved quality of life for people.

There are many factors that affect our mental health, and it is important to work together to make positive changes. We need to focus on helping people feel good and cope with mental health challenges, encouraging physical activity, making sure there are helpful services in our communities, supporting parents and families, making sure children get the help they need through early years settings, pre-schools, and schools, eating healthy food to feel good and stay well, and looking after both our bodies and minds. By focusing on these areas, we can create a better environment for everyone’s wellbeing.

In England, one in four people will experience a mental health problem each year, and one in six will experience a common mental health problem, like anxiety or depression, in any given week. If no action is taken, we could see 17% of the population experiencing depression by 2028. The financial cost of mental ill health in the UK is around £118 billion, which is 5% of GDP. For Dorset, this is about £1.4 billion.

Sometimes people need extra help, especially children and young people. Unfortunately, waiting times for this help are longer than they should be. Only a small number of people are offered an appointment within four weeks, which is much lower than the national target. We also see a lot of young people going to the hospital because they have harmed themselves, and more and more children with autism are experiencing mental health difficulties.

In Dorset, if someone is going through a tough time with their mental health, they might not be sure where to go for help. There are different places they can turn to such as their GP surgery, local emergency department, local community health team and community groups. It is important to know that there are options available, but it can be confusing to know which is the right choice.

What we’ve been doing

We want to make sure our children, young people, and their families get help for their mental health as soon as possible. We have a plan called the Emotional Wellbeing and Mental Health Strategy for Children and Young People to help us to do this. We have used a model called ‘THRIVE’ to change how we work so all children have the best chance to be happy and well.

We have also improved specialist help for parents who may have mental health difficulties during pregnancy or after having a baby. We know dads and partners need help too, so we have something called DadPad to give them support.

Community support is important to help you stay well. We now have more people called ‘social prescribers’ who help through GP practices. They can listen and support you to identify what is important to you, make changes in your life and connect you with things happening in your local area.

We have a special group made up of different organisations working together to prevent suicides. We have a plan to make sure we take action and help people when they need it most. We have been working hard to improve the services for those in crisis and need more support with their mental health and emotions. For university students in Bournemouth, we have created a special place called the ‘University Retreat’. It is a safe place where students can go when they need help and support. It is important that they know they are not alone and that there are people who care about their wellbeing.

Sometimes it can be difficult to get all the different services running together smoothly. We have been working hard to make this better, especially in primary care. We want to make sure everyone gets the help they need. For example, we have been focusing on making sure people with a serious mental illness go for a yearly health check. This helps people stay healthy and get the right support. We also have a programme called LiveWell Dorset. It helps people make positive changes in their lives to become healthier both physically and mentally.

We have a group called the Health Inequalities Group (HIG) focusing on making sure everyone has a fair chance at being healthy. The HIG brings together people from a wide range of organisations to reduce health inequalities for people of all ages. The HIG works with the Community Conversations programme to understand what is important for people from different communities and to find ways to tackle the barriers to being healthy.

Looking after our staff who deliver services is important too. We have a number of staff wellbeing offers including an enhanced service through Here for Each Other and projects to help our staff to stay active.

What we are going to do

We know taking care of our mental health is important. That’s why we have a programme called ‘Your mind, your say’ to help children and young people with their emotional health. We want to make sure all our children feel strong and happy. We will provide support to help them build resilience and cope with their feelings. We will also make sure early years and pre-schools are places where children can learn and grow while feeling good about themselves.

It is important our children and young people have someone to talk to and get the help they need. We will train teachers and staff to have conversations with children and young people about their emotions.

We know sometimes people need a little more help. We will be looking at the support we can provide if things get really tough and more specialist support is needed.

We are developing integrated community care for mental health. It will be based in communities offering a range of services to support your mental health needs. This will include access to psychological therapies, improved physical health care, employment support, personalised and trauma-informed care, medicines management, and support for self-harm and substance use. This includes looking at services for people with the most complex needs.

Some people might feel different or have changes in their feelings during and after pregnancy. In fact, one in five people might have a mental health condition during this time. That’s why we want to make it easier for those who need it to get help. By helping parents and improving their mental wellbeing we will also be helping children and young people.

We will continue our work to better support people with dementia and their families. This includes a memory assessment, employing more staff and provide training and development so staff have the right skills. Having staff with different skills means we will be able to diagnose dementia earlier and provide the support needed. We will use our Population Health Management tools (Dorset Insights and Intelligence Service (DiiS) to make sure we understand where we need to focus our support, and we will target areas where we have lower than expected rates of dementia so we can diagnose people earlier and help people live well with dementia. We will also continue to reduce the waiting times within our memory assessment service.

We continue to work closely with our local councils to plan and deliver services for people with learning disabilities and/ or autism. We want to make sure people have the right care and support to help people with learning disabilities live their best life. We have plans in place to increase the number of children and young people accessing annual health checks to help us find any problems early, help people to stay healthy, and make sure the right care is being given. We want to make sure all our children, young people, and adults with learning disabilities and or autism get the care they need in the right place.

We will reduce the number of people being cared for in hospital settings, unless necessary. We will support them to have different care in the community, however when people need to go into hospital, we will make sure they do not stay longer than they need to.

We are also reviewing our neurodiversity services. This includes learning difficulties, attention deficit hyperactivity disorder (ADHD), and autism. From this we will better understand the need and any gaps, and develop plans to improve the services.

How we are going to measure progress

We have a number of measures that we will monitor which will tell us if we are helping you to access the services you need in the right place.

You will see:

  • More children and young people accessing mental health services when they need it. This includes access to children and young people’s mental health services and eating disorders services

  • More children who have a learning disability receiving an annual health check

  • Fewer children who have a learning disability and/or autism receiving their care in a hospital setting where this is not needed

  • More adults and older people getting quicker access to psychological therapies when they need it

  • Fewer adults experiencing a mental health condition  cared for outside of Dorset

  • More people diagnosed with Dementia and getting the care and support they need

  • People who are suffering from severe mental illness getting an annual health check and care to support them

  • More people accessing perinatal mental health services when they need it