Prevention of Mental Ill Health
How do we prevent the development of mental health problems and get help earlier for people starting to suffer poor mental wellbeing?  

Ideas (Mental Health: recovery, crisis and prevention)

Innovation 'Elevator Pitch':
This is an online toolkit developed specifically for primary care multi-disciplinary teams to assess for potential learning or development in relation to mental health needs of their patients.
Overview of Innovation:
This product identifies confidence levels amongst primary care teams with regard to the recognition, intervention and support of people with mental health wellbeing and illnesses.  Evaluation of the findings will assist in the development of a potential action plan to address learning needs on both an individual and team level.  It can assist in assessing confidence and raising self-awareness of staff skills and knowledge in the overall management of people with mental illness.  The tool can also be used for revalidation, supervision and appraisal purposes.
The tool is designed for all the whole team. For example receptionists, health care assistants, practice nurses, physician associates, advanced nurse practitioners, allied health professionals, pharmacists and general practitioners. 
If embedded within an individuals or team’s learning and development strategy it has the potential to improve the quality of care offered to people to manage their mental health wellbeing and illness. 
The Mental Health Learning Needs Analysis tool is ready to be used for further evaluation and feedback.  
Stage of Development:
Evaluation stage - Representative model or prototype system developed and can be effectively evaluated
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Education, training and future workforce / Person centred care
Benefit to NHS:
This tool has the potential to assist users in identifying learning and development needs to improve the early recognition and interventions for mental health illnesses.  
Initial Review Rating
4.20 (1 ratings)
Benefit to WM population:
This tool has the potential to impact on the early detection, management and interventions to improve mental health wellbeing and care for primary care populations.
Current and planned activity: 
Health Education England (working with West Midlands) have provided funding to evaluate this tool within a GP practice and with student practice nurses.  
What is the intellectual property status of your innovation?:
Health Education England are the owners of all IP created and the toolkit will be made available on their public use website.
Return on Investment (£ Value): 
medium
Return on Investment (Timescale): 
3 years +
Ease of scalability: 
Simple
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Sue Shortland 14/02/2017 - 13:03 Archived 1 comment
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Innovation 'Elevator Pitch':
Using and testing an IPS model in a secure forensic setting to support service users back into work and ultimately preventing readmission through enhanced support to recovery.
Overview of Innovation:
People with mental health problems often want to be working but don't know how to go about it or need support to make it happen. If they do want to work, then the most effective method of helping them to do so is Individual Placement and Support (IPS).
 
Occupational Psychology consultancy enables the development of capability to ensure placements and outcome data is maximised by optimising the skills assessment and cognitive processing assessments, match to job skill sets required or are dominant features. The preparation phases of developing service is also enhanced through advisory input from the occupational psychology to enhance the team development and skills base in delivering a finely tuned approach to individual skills and talents in the patient population.  The occupational psychology input, would advise on tools in liaison with occupational therapists, who are delivering the pre employment preparation and assessment in the IPS  and IPS+ services, currently.
 
Physiotherapists will screen for long term conditions and physical endurance and functional capability to perform the tasks necessary to working employed roles. Some service users may need conditioning and education in self management of chronic conditions such as COPD, back pain and poor exercise tolerance.
 
Other regions such a as Nottingham have been trialling IPS in secure services, and have published the methodology, however, is yet to report outcomes. Nationally outcomes run at between 28-56% success rate, for people without offending histories and the level of disability and acuity. This enhanced IPS model will give outputs which can be compared to the traditional IPS model from the Nottingham feasibility study located in secure services and ultimately lead to improved outcomes in the West Midlands.

BSMHFT works with other partners such as BITA pathways and APM in delivering this activity, so there are also learning and work pathways, for people who are not ready or able to experience IPS OR IPS+ owing to their level of disability or treatment resistance. Some people will have just too many risks to allow them into the IPS programme, however, it is important that there is something for everyone relative to supporting employment or working in any sense.
 
Additionally, the trust has funded part of this innovation by supporting a bid to strengthen the model by funding additional specialist OT input to liaise with employers and support work placements once people are into a work role.
Stage of Development:
Trial stage - Trial stage to prove that the idea actually works as intended
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Education, training and future workforce / Wealth creation / Innovation and adoption / Person centred care
Benefit to NHS:
Employment is an important part of developing normal routines and sense of purpose. It also enables people to experience a wider peer group, preventing isolation and encouraging hope for personal autonomy. The benefits of an enhanced model, rather than the standard model will identify employment choices which will be more sustained, tailoring the skills set and intellectual capability of patients to job roles, if patients feel they have the skills and strengths to deliver in employed roles effectively, will  enable career development and play to their strengths and abilities. Also, after sustained secure residency (generally 1-5 years), some people will decline in their exercise tolerance especially if there are pre existing long term conditions. Enhancing the input to support self management and improved work conditioning, we postulate will enhance the job outcomes.  Ultimately the implementation of this model will lead to the prevention of readmission through enhanced support to recovery.
Initial Review Rating
4.20 (1 ratings)
Benefit to WM population:
Increased economic activity and tax revenue from working populations, can only enhance wealth generation across the region. Also, relapse prevention from forensic service users, will reduce crime and the use of expensive services into the future. Community integration and participation in working roles, will impact on service users having a stake in their communities and having a key part of their on going successful rehabilitation. This will enhance well being and sense of personal autonomy of service users.
Current and planned activity: 
A basic IPS model is being delivered and trialed within the secure services setting and community at the acute end of the service. We require support to expand delivery of a enhanced IPS model, in a medium secure setting, answering the question;  does IPS + model of delivery, enhance the outcomes of sustained employment beyond 26 weeks in a comparable population group, and does it reduce relapse rates compared to the standard IPS model of delivery. Support required includes:
  • Access to an occupational psychologist to design/refine assessment tools and advise on preparation phases- 0.4 WTE for 6 months (consultancy basis)
  • Project manager/coordinator and data analysis research assistant band 8a) 0.5 wte
  • Physiotherapy time ( 0.5 wte band 6)which will enable screening for long term conditions and review functional capability from an endurance and work tolerance perspective. They will also be part of developing self- management and monitoring of long term conditions for service users.
What is the intellectual property status of your innovation?:
This is a proven model globally, and government backed. There is no intellectual property to IPS, however, the enhancement does provide some unique features in overcoming offending histories and enabling employers to be supported in picking up forensic patients into the work place. Employers are frequently anxious about employing offenders, let alone those with mental health problems, the need for employer support, education and outreach is pivotal.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
Simple
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Sue Coffee 12/10/2016 - 16:51 Archived 1 comment
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Innovation 'Elevator Pitch':
Using Sport to Talk, targeting men by accessing local sporting events, and providing information on why it’s important to reach out about feelings. 
Overview of Innovation:
(On behalf of Marie Nicholls, Coventry and Warwickshire Partnership NHS Trust Lead for Clinical Risk and Suicide Prevention)

Suicide is the biggest killer of men under 35 in the UK. 3/4 suicide fatalities are male.
 
Suicide is complex and there is not one single cause of it, however evidence shows that men who are traditionally less likely to discuss feelings and concerns may benefit from reaching out, from talking about how they feel.
 
‘Balls to Talk’ is a project directed at men and the people who care about them, promoting that it is ok for men to reach out, to talk about how they feel, and to be a listening mate via sporting events across Coventry and Warwickshire.
 
Partners in this scheme include: WASPS rugby League Club; Coventry City Football Club; Coventry Blaze Ice Hockey; and various other local sports teams and clubs.
 
We are also working with Time to Change, Mind and the Samaritans. Large local employers who have high numbers of male staff including Jaguar – Landover and Unite the Union are also committed to the project.

Press release - https://www.covwarkpt.nhs.uk/our-news/it-takes-balls-to-talk--923 
Stage of Development:
Evaluation stage - Representative model or prototype system developed and can be effectively evaluated
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Patient and medicines safety
Benefit to NHS:
Suicide has traumatic effects for everyone, not only for those personally involved, but for professionals as well.
 
Suicide touches the lives of many people, and the impact on the NHS is significant in regard to the cost of trying to prevent suicide, supporting those bereaved, and the NHS' reputation.
 
Suicide is preventable and yet investment in programmes to prevent it are not well resourced or popular. This needs to change, as it is simply not acceptable that suicide kills more men in the UK under 35 than accident, illness and injury.
 
 It is well evidenced that men don’t talk about their feelings and suicidologists have surmised that not reaching out and not talking is a significant risk factor to someone ending their life by suicide.
 
 
Large numbers of men like to attend sporting events and follow local teams (we know women do too, but larger numbers of men). We feel that these events and venues allow access to large groups of men, and that by targeting these events, we can effectively tackle the stigma and myths around mental health and wellbeing. We want to tell men that it’s ok to talk, it’s actually a sign of strength to do so, and that it can make a difference.
Benefit to WM population:
The West Midlands has the third-highest suicide mortality rate across England and Wales at 11.6 deaths per 100,000 population, and the second-highest rate of male suicide, with a rate of 18.5 deaths per 100,000 population. Moreover, the suicide rate had the biggest percentage increase between 2013 and 2014, rising from 9.8 deaths per 100,000 population to 11.6. 

Currently planned activity is centred around Coventry and Warwickshire sports teams and matches. Our initial aim is to reach out to men around the West Midlands through these matches, in order to tackle the high rates of male suicide in the area. Ideally, we are hoping the campaign will be influential and start a conversation amongst men across the West Midlands, stretching out not only to male sports fans but their friends and colleagues as well.

On 12/09/16, the Coventry and Warwickshire Partnership NHS Trust Suicide Prevention Team was interviewed about the campaign by Jo Cameron on Radio Plus, a Christian community radio station that covers Coventry. 
Current and planned activity: 
The launch of the project was International Suicide Awareness Day (10 Sept).

Funding gained from:
Coventry MIND
Coventry Samaritans
Unite the Union


Events planned for the week 8-16 October (World Mental Health Day, 10 Oct):
Matches

We have gained access to Coventry City Football Club and WASPS matches. We have pages in the programmes of both to promote 'Balls to Talk''. We expect that the CCFC / WASPS / Blaze games will reach approx. 20,000 men.
Coventry City Football Club
Nuneaton Borough
Leamington RFC
Coventry Blaze Ice Hockey
WASPS
(and numerous other local matches)

Other
Design of Infinity Cards (50,000 ordered)
Posters
T shirts
Volunteers from CWPT to hand out information at games
Linking in with IAPT (CWPT)
Time to Change to provide volunteer training and evaluation of the project.
Packs made up for other sporting clubs to distribute among fans / team.
Possible stakeholder event at Ricoh Arena on 10 October (well known sporting name linked with mental health and wellbeing to be in attendance)
What is the intellectual property status of your innovation?:
Website addresses regarding 'Balls to Talk' purchased. 
Return on Investment (£ Value): 
medium
Return on Investment (Timescale): 
N/A
Ease of scalability: 
Simple
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Sam Ingrams 12/09/2016 - 12:34 Sign Posted Login or Register to post comments
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Innovation 'Elevator Pitch':
A two tiered awareness training aimed at raising awareness of the risk of ligatures and hanging, what to do in ligature scenarios, and raising awareness of suicide risk.
Overview of Innovation:
(On behalf of Marie Nicholls, CWPT Lead for Clinical Risk and Suicide Prevention)

Hanging is the most prevalent suicide method for men and women in the UK. In Coventry & Warwickshire Partnership Trust, ligature related incidents have risen over the past two years.

In response to this, a two fold awareness programme has been developed around ligature/hanging risks. Firstly a basic awareness for all Trust staff (including non-mental health colleagues), which is an overall suicide prevention message; and secondly an enhanced training, which includes a film showing the use of ligature cutters in practice with staff testimonials and advice on supporting staff.

We are hoping to market this programme to other Trusts and health and social care providers. We are currently investigating methods of distribution and delivery, and whether we might be able to get this programme accredited by an organisation such as NICE. 
Stage of Development:
Evaluation stage - Representative model or prototype system developed and can be effectively evaluated
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Education, training and future workforce / Wealth creation / Patient and medicines safety
Benefit to NHS:
Suicide has traumatic effects for everyone, not only for those personally involved, but for professionals as well. Suicide touches the lives of many people, and the impact on the NHS is significant in regard to the cost of trying to prevent suicide, supporting those bereaved, and the NHS' reputation.

Suicide is preventable, and yet investments into programmes to prevent it are not well resourced or popular. This needs to change; it is simply not acceptable that suicide kills more men in the UK under 35 than accident, illness and injury. Hanging is a significant risk and probably the hardest suicide method to restrict.

This is why this awareness programme is hitting this risk head on by telling NHS staff, many of whom don’t work with mental health services, about ligatures and where the risks of ligatures are greatest. It also raises awareness- this programme links into overall suicide prevention. Someone who has the ligature awareness session may just think about a neighbour or friend and recognise that there may be a risk.

The training is split into both basic and enhanced training, so that it can be applicable to as many people as possible. Basic ligature awareness training is now included in Coventry & Warwickshire Partnership NHS Trust’s Statutory and Mandatory training, and will hopefully lead to a point where all staff in the Trust (whether they work in inpatient areas or not) will have a degree of awareness about ligatures, ligature points, and what to do if they suspect a suicide risk or encounter a live ligature emergency, even outside of the Trust.

Prevention is key for NHS services and this project is about just that.
Benefit to WM population:
The training packages will be first delivered to staff within Coventry and Warwickshire Partnership NHS Trust. We are primarily a mental health Trust that operates across Coventry and Warwickshire.

The West Midlands has the third-highest suicide mortality rate across England and Wales at 11.6 deaths per 100,000 population, and the second-highest rate of male suicide, with a rate of 18.5 deaths per 100,000 population. Moreover, the suicide rate had the biggest percentage increase between 2013 and 2014, rising from 9.8 deaths per 100,000 population to 11.6. Over half of all suicides in the UK are by hanging or ligatures.

The Ligature Awareness Training packages we have developed have a clear benefit to the West Midlands population when viewed in light of these figures. Training staff that work with vulnerable people to react appropriately in ligature emergency situations, and to be aware of where ligature cutters are kept and how to use them, will mean that many potentially fatal situations can be avoided in inpatient areas.

The benefit can spread even further- as all staff in Coventry and Warwickshire Partnership NHS Trust will be given the training as part of their Statutory and Mandatory training, the chances of them recognising risks outside of the Trust are greatly increased as well, whether they work in inpatient areas or not.

Currently, there are not many well-resourced or popular programmes to tackle the prevalence of preventable suicide risks. Through this training package and video, we hope to not only raise awareness of ligature risks, feeding into a larger suicide prevention initiative, but also provide an efficient, inexpensive and effective method for health and social care workers to be properly briefed on how to handle situations around ligatures and to mitigate ligature risks. 
Current and planned activity: 
The basic awareness session has been launched and is currently being delivered to 4,500 staff as part of Statutory and Mandatory training.

The enhanced training including the film is about to be shown to around 1,000 appropriate staff.  Evaluation of the basic awareness is good, and this is being collected via the training.

Evaluation of the film will be completed once delivered and will be encompassed in the Trust's commitment to the zero suicide agenda.
What is the intellectual property status of your innovation?:
Training film watermarked. Copyright held on basic awareness training. 
Return on Investment (£ Value): 
medium
Return on Investment (Timescale): 
N/A
Ease of scalability: 
Simple
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Sam Ingrams 31/08/2016 - 16:09 Sign Posted Login or Register to post comments
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Innovation 'Elevator Pitch':
A free interactive website that allows community members to take control of wellness by creating then managing a personal wellness plan, assisted as necessary by link workers and service providers.
Overview of Innovation:
In 2014 the Chief Economist of the Bank of England released figures showing that the total amount of volunteering in the UK is equivalent to 10% of all paid hours worked, which has an economic and social value of at least £100 billion per year. However, community groups struggle to engage with public services, with each other, and with the public. Councils could mitigate the impact of austerity by helping their communities release more value from volunteering. Even for a small community, just a small improvement in the effectiveness of volunteering is worth millions of pounds per year - and can make a huge difference to local wellness.

Town Digital Hub (TDH) is "a uniquely holistic approach to social prescribing", Dr Richard Kimberlee, South West Lead, Social Prescribing Network.

Wellness plans are based on usage of community assets, which link workers curate for quality of care, promote to clients, and help develop in collaboration with the community.  Details of your wellness plan can be shared with provider organisations of your choice, which puts an end to silo working by multiple agencies.  Wellness plans remove technical and administrative overheads from social prescribing, allowing link workers to operate with maximum efficiency and effectiveness.

Link workers address wellness issues before demand hits the NHS by reaching out to the community not only at GP practices but also at permanent/popup hubs in supermarkets, town centres, libraries, schools, bus/train stations, community centres, and more.  Link workers give each client ongoing support at a level matched to their needs, but also encourage them to become more self-reliant, mentoring them where appropriate to become volunteer link workers via TDH.  This allows social prescribing services to be expanded without cost, scaling easily to many thousands of people.
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Person centred care
Benefit to NHS:
Evidence shows that social prescribing typically reduces GP demand by 28% and A&E attendance by 24%.  The mean Social Return on Investment is £2.3 per £1 invested, although some schemes deliver £6-7 and with the aid a tool such as TDH this higher level of benefit or even more can be expected.

TDH allows mental health triage to be conducted by link workers, and since their core focus is supporting the use and development of community assets, the approach reduces as far as possible the increase in mental health demand exhibited by some social prescribing schemes while still maintaining statutory responsibilities.  Further, TDH allows triage to become on-going as part of lifelong wellness planning using self-driven/guided assessment tools.  These tools provide a battery of tests from GAD and PHQ through all the IAPT measures and more.  Mental health providers can access test data to identify people in the community with an emerging need for their services - in other words, regularly triage potential clients for high risk.

As well as your personal demographics and standard outcome measures, a wellness plan in WellBrum includes the community assets you are using, why you are using them, and your judgement of their impact on your own wellness.  This provides local authorities and other social investors with a unique form of data that enables identification of gaps/overlaps in wellness provision and the management of community assets so as to reduce health inequalities and improve cost benefit of investment.  Data can be linked by NHS number to data collected by public services providers, enabling correlation of wellness planning data with GP appointment demand, non-elective hospital attendance, A&E pressure, antidepressant usage, and so on.  Further, since people provide data of their own accord, so this is achieved without either clients or providers suffering the burden of repeated questionnaires.
Online Discussion Rating
6.00 (2 ratings)
Initial Review Rating
4.20 (2 ratings)
Benefit to WM population:
Increasing wellness saves money for public sector organisations including not only health and social care but also police, justice, education and more. Further, it has a major impact on local regeneration and resilience. TDH helps provide a safety net for austerity by unlocking the massive value of community initiatives and integrating them together with NHS and other local government services into holistic personal wellness plans, allowing people to improve their own quality of life preventatively.
Current and planned activity: 
An initial deployment of WellBrum was sponsored in Feb 2016 by NHS South Central Birmingham, for a single Issue (Activity) in the districts of Ladywood and Edgbaston.  In 2017 WellBrum was deployed by the Living Well Consortium of 40+ mental health providers, via a lottery-funded social prescribing project.
What is the intellectual property status of your innovation?:
All IPR are held by the social enterprise Role Modellers Ltd.
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
3 years +
Ease of scalability: 
Simple
Regulatory Approvals:
Regulatory approvals are not required since the platform does not provide healthcare services but rather enables holistic usage of cross-sector resources from multiple providers as part of personal wellness plans.

The technology uses a highly secure database hosted on a market leading Platform-as-a-Service.  All Web pages are encrypted via SSL and sophisticated security controls built into the site at every level.
Commercial information:
Town Digital Hub is available to all communities nationally and internationally for free.  The social enterprise Role Modellers Ltd sustains it at cost by providing optional support services, charging £500 per day and using whatever is left after labour and overheads to host, maintain and enhance the website.  Support services include training, configuration, cleansing and bulk upload of data, correction of data errors, search engine optimisation, hub/issue management, usage monitoring, creation of customised pages, provision of extracts for reporting purposes, and other services as required.  As an example, provision of support services to a medium-sized town might take 1-2 days per month.
Investment activity:
Initial investment to enable creation of the platform included £1800 from the Royal Society of Arts, £10000 from Frome Town Council and £10000 from NHS Birrmingham South Central CCG.
Regional Scalability:
Town Digital Hub has been deployed to communities of population 220,000 in Birmingham and 90,000 in Somerset.  The website scales by design to communities of any size in the UK and internationally.
Measures:
Town Digital Hub allows each community member to manage their personal wellness journey by recording the perceived impact on their wellness of each asset they use as well as by taking standard outcome assessments.  Taken together, this approach transforms evidence gathering from pull to push - in order to monitor their own wellness, people proactively provide data, which is then available automatically to providers.  Individuals no longer have to suffer the intrusion of repeated questionnaires, and the administration overhead for providers is massively reduced.

By tracking the purpose for which assets are being used, alongside user demographics, the website helps investors into community infrastructure identify provision gaps/overlaps. Providers can also enter details of their costs which enables value for money assessment.  It becomes possible to manage community asset provision both effectively (to reduce inequalities) and efficiently (cost against outcome).

NHS providers can linked this information by NHS number to NHS data so as to correlate wellness data with GP/A&E/MH demand, non-elective hospital attendance, antidepressant usage, and medically unexplained symptoms, enabling uniquely holistic assessment of impacts/outcomes.
Adoption target:
The immediate adoption target is all 28 parliamentary constituencies in West Midlands.  Minimum viability is the 10 parliamentary constituencies in Birmingham.
Investment sought:
See attached document, "Town Digital Hub Investment Proposal to WMAHSN"
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Keith Harrison-Broninski 06/08/2016 - 13:18 Archived 3 comments
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Innovation 'Elevator Pitch':
HeadGym coaching is a one to one flexible service providing innovative self help techniqes for adults and children that enable clients with mental health challenges to develop mental resilience and manage their own mental health. 
Overview of Innovation:
HeadGym services are preventative and for those experiencing crisis; we believe in helping the client to help themselves. Many clients we see have undertaken short term interventions over many years which have been inaffective in the long term, creating a revolving door of services and/or becoming dependent on medication.
We address this issue and provide a long term flexible service built around a goals framework, it is about the client having the ability to take control of their own mind and body and finding the solutions to do so. The coach ensures clients are supported in developing their own goals and steps to achieving them meaning that aspirations are built around what the client wants and not a service providers desired outcomes. The ownership of these goals has shown to make a huge difference in clients motivation and success rates are high, inevitably service providers desired outcomes are met anyway. We provide clients with some simple tools, techniques and strategies based around the findings of neuroplasticy using Neuro Linguistic Programming, Cognitive Behaviour Therapy  and other methods. Areas of progress have been: self esteem, mental health, self confidence, self worth, weight loss, nutrition, exercise, career, addictions, volunteering, coming off benefits and re-engaging with education.  A Coach is encouraging and guiding throughout the process, they highlight the positive achievements in an individual’s progress. HeadGym helps a person to identify strengths and provides long term support to enable people to make positive changes. Appointments can go from fortnightly to 3,6, or 12 monthly or longer with the option for a person to alter the regularity of sessions and return to more frequent appointments should their needs change. Sessions can be held face to face, via email, facetime, Skype, Google hangouts and other platforms, this enables us to reach out to more isolated people and to be very flexible and is particular popular with young people.
Using this mechanism people have progressed to manage their mental health and in turn make progress in other areas of life, such as gaining employment, losing weight, starting volunteer work. We have been monitored by referring agents, case studies have been conducted independetly and WEMWEB self assessments have been completed by clients, all of which validate the HeadGym approach.
Due to the proven success of our project we now want to train more Headgym coaches and reach more people.
 
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Education, training and future workforce / Innovation and adoption
Benefit to NHS:
Due to our long term more flexible approach we have seen that as HeadGym begin appointments other service provider interventions drop off; this varies from client to client, however the lessening dependency upon other services clearly has a benefit to the NHS in terms of cost and time. Clients are no longer repeating short term interventions over and over and start to make progress in all areas of their life, for example relationships, family, work, education and physical health.
Some of the outcomes that we have seen are improved diet, less GP appointments, reduction of dependencies (prescribed medication, alcohol, drugs etc) and therfore reduces the cost of future interventions and treatments.
Psycological interventions for issues such as suicide attempts, self harm, eating disorders are also avoided as clients build mental resiliance. Our approach also recognises the impact on the whole family and potential future generational problems, we have developed techniques for all age groups from age 3 upwards, this negates future requirement for intervention across whole families and generations. The cost saving is difficult to measure and potentialy could be huge not just for the NHS but also for social services, police, probation, courts, schools etc. 

Please see the link to a video of a client explaining her experience of HeadGym the sound quality is poor but the content is useful https://www.youtube.com/watch?v=J9AeJ7dCuYI
Online Discussion Rating
5.76 (33 ratings)
Initial Review Rating
3.00 (1 ratings)
Benefit to WM population:
The benefits to the WM population will be huge, we intend to roll out the HeadGym programme across the whole of the WM as an 'accessible to all' service by a variety of platforms using SKYPE, Google, email and welcome any innovative future platforms that may come along making access easier.

We recognise that mental health difficulties are not exclusive to people claiming benefits, we also recognise that many of the existing short term services are provided in the day when people may be working and are free only to benefits claimants. HeadGym want our service open to all. We are also advocates of a well being at work policy and provide mental health awareness training days for professional organisations, as well as 'in work' coaching for those experiencing mental health difficulties. This would also be encouraged across organisations, companies and statutory bodies throughout the WM area.

The HeadGym philosophy is to work with body and mind as one; therefore as people improve mental health they improve physical health and visa versa. This has an impact on the people around them and creates positive role models within families and for future parents.

Using the HeadGym goals process people using our existing service have made progress with education, volunteer work career development and peer support, in turn this has helped improve self esteem, confidence and creates a sense of purpose within the local area. I believe that replicating our success on a larger scale will have a positive impact upon the WM population. 
Current and planned activity: 
HeadGym currently work closely with the local authority, also  many of our clients have attended CAMHS support or psycological services provided by Hillcrest Hospital, we are in discussion with the CCG and will be providing HeadGym through the new well being hub.

We have integrated a webinar into our website to provide online training and discussions for coaches and are developing a series of  quick and easy videos to help clients. (see link)https://www.youtube.com/watch?v=S9PtKDN9Z24

We have a young persons peer support group in the early stages of development, which will also have a online group.

All HeadGym coaches have professional support/supervison and feedback sessions to evaluate and improve the service.
At present we are using WEMWEB and case studies to evaluate the service and would welcome any alternative evaluation tools. 
We would benefit from:
Financial investment to set up and create a sustainable business model.
Assistance with evaluation on social return.
What is the intellectual property status of your innovation?:
HeadGym does not have intellectual property status or trademark, we operate as a limited company.
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
1 year
Ease of scalability: 
2
Regional Scalability:
We intend to scale up in the same way we have done in Redditch and Bromsgrove. With our licensing model and online service we feel we could expand one area at a time taking care to retain quality of service. The model we have developed is a sustainable business model which ensures that income is generated from licensing training and ongoing coaching and expansion of existing income streams as previously mentioned.
Measures:
We will ensure that we are following the NICE guidelines as well as following the policies and procedures we have already adopted such as safeguarding CPD and DBS. With funding we will engage an independent evaluation and research agency who will provide full ongoing evaluation of the economic impact we are making and ensure a high quality of service in line with NICE guidance. We aim to have a sustainable business model that continues to achieve the outcomes we have made in the past and improve on them having independent evaluations and case studies.
Adoption target:
We aim to take a phased approach by licensing to operate our service one area at a time, rolling out across the West Midlands over the next 3 years, until fully adopted. We feel that retaining the quality of service is paramount to the success  therefore a well structured phased approach will enable thorough monitoring and evaluation.
Rejection Reason:
Further development required
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Neil 07/03/2016 - 19:39 Rejected 27 comments
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Innovation 'Elevator Pitch':
Headsted's on-line interventions are an evidence-based, flexible and cost-effective alternative to face-to-face psychotherapy for low mood, anxiety and stress, which can help people in distress without delay, and reduce budget pressure for the NHS.
Overview of Innovation:
Headsted's offerings are an innovative implementation of Acceptance and Commitment Therapy (ACT). Over a period of 5-7 weeks (varies by the solution) users learn to combat low mood, anxiety or stress through interactive exercises (including audio and video), and develop prevention strategies to protect themselves in the future.

ACT belongs to the family of third-wave cognitive behavioural therapies, and its roots are in research on human language and cognition. The aim of ACT is to learn to resist experiential avoidance: the unwillingness to experience negative emotions, feelings and thoughts. This skill, which allows a person to accept discomfort and commit valued actions, is called psychological flexibility.

ACT is a form of cognitive behavioural therapy (CBT) but it has three distinctive characteristics.

1.     ACT does not attempt to change the content of thoughts and beliefs, because the role of the context of a behaviour is more important in determining how to influence it.
2.     ACT's model of psychopathology emphasizes the importance of cognitive defusion skills, that is, the ability to distance oneself from thoughts that are not beneficial.
3.     ACT focuses on the person's relationship to experiences instead of the content of the experiences. This allows people to free themselves from the grip of their painful memories and assumptions.

ACT uses metaphors and experiential exercises to aid you in gaining distance from persistent thoughts and emotions, and in experiencing awareness of the present moment. ACT involves mindfulness exercises and emphasizes values clarification and living life according to one’s values.

"Passengers on a Bus" is one of the metaphors used in ACT. Negative thoughts are often a significant cause of low mood, anxiety, and similar issues. They may manifest themselves like annoying passengers on a bus.  (See below for video).

ACT lends itself well to implementation on online and mobile platforms thanks to its structured approach and reliance on experiential exercises.

Company website: https://headsted.co.uk

Association for Contextual Behavioural Science, Analysis of studies comparing ACT and CBT  - https://contextualscience.org/are_there_advantages_of_act_as_compared_to_traditional_cbt

Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Wellness and prevention of illness / Digital health
Benefit to NHS:
By adopting Headsted's online solutions, the NHS can benefit in three ways:

1. The numerous people in psychological distress currently on a waiting list to see a therapist or counsellor could be given immediate and effective help.
2. For many people with relatively mild symptoms, the online solution may be sufficient, and further face-to-face therapy may no longer be necessary. This represents a significant budgetary gain, since the cost of Headsted's solutions is a fraction of face-to-face therapy.
3. Offering Headsted's solutions to their own staff involved in mental health will help care providers cope better with the pressures and stresses of their job, reduce sickness absence and improve staff engagement and morale.

Headsted's solutions are efficacious and evidence-based, built on Acceptance and Commitment Therapy (ACT). ACT has been shown to have positive effects on a wide range of conditions and behaviours, including depression, anxiety disorders, work stress, chronic pain, substance abuse, weight maintenance and general well-being. Psychological flexibility has been found to be related to good job performance and it has even been proposed to be a fundamental aspect of health. Studies on work stress interventions utilizing ACT (in the occupational context, “Acceptance and Commitment Training”) have resulted in reduced work stress and increased well-being and job performance.

Specifically, ACT appears to be effective in reducing anxiety in social situations (Bluett et al., 2014; Swain et al., 2013; Sharp, 2012). ACT encourages the person to confront one's fears to do valued actions and accept unwanted feelings and thoughts.

Benefits of ACT
Positive: aims to create a rich and fulfilling life, not to get rid of negative feelings
Transferable: builds basic skills to deal with any negative feelings, thoughts and experiences
Flexible: can be used individually, in pairs or groups, and with varying timespans
Easy-to-use: focuses on reflecting and experiencing rather than self-tracking
Progressive: develops along with research on underlying processes
Online Discussion Rating
5.67 (3 ratings)
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
As a West Midlands based SME, adoption of Headsted's solutions within the region will allow the company to grow and take on additional staff.

Headsted’s offerings provide a cost-effective complement or alternative to psychotherapy in many situations. Patients on a waiting list to see a psychotherapist could be offered effective help much earlier, and for the many patients with relatively mild symptoms web-based interventions might be sufficient to provide the necessary relief, thereby reducing pressure on the scarce financial and human resources.

The flexible nature of our online solutions means patients would not need to travel (thus reducing pressure on the region’s transport infrastructure).
Current and planned activity: 
Headsted's solutions are currently used by Pennine Care NHS Foundation Trust, both for staff and for clients, and by Selfhelp Services, a third sector provider in Manchester offering IAPT services on behalf of the NHS.
We are now gradually approaching other NHS trusts and third providers.
What is the intellectual property status of your innovation?:
All IP is owned by the company.
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
Commercial information:
The Headsted programmes are made available to clients through IAPT providers, or through their employers. They can also be ordered directly by individuals.
Regional Scalability:
Our programmes can easily be scaled across the WM region, since they are online offerings. They are currently being deployed in the Northwest of England.
Measures:
Our programmes aim to deliver lasting improvement in the mental wellbeing of our users. We are using widely adopted measures to establish the efficacy, including the Mini-Spin Social Phobia Inventory, the PHQ-9 questionnaire for depression, the GAD-7 questionnaire for anxiety, and the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS).
Adoption target:
We aim to have at least one of our offerings adopted by 25% of IAPT providers in the WM region and by at least one large public or private sector employers in the region by end-2016; and by at least 50% of WM region IAPT providers and three large public or private sector employers.
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Koen Smets 01/03/2016 - 15:10 Archived Login or Register to post comments
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Innovation 'Elevator Pitch':
The FearFighter Treatment is an evidence-based online program for an Anxiety Treatment.  Brave designed for Children and Adolescents experiencing Anxiety Disorders Social & Specific Phobias - Available 24/7/365 from any computer or mobile device
Overview of Innovation:
FearFighter is an online program for the treatment of panic and phobia. It is based on the evidence based approach known as Cognitive Behavioural Therapy, or CBT for short. Thousands of people have used this programme to help them overcome their fears and lead a more normal life.

The programme teaches patients how to tackle their thoughts and challenge avoidance behaviours that characterise panic and phobia. They can print out worksheets for activities, monitor their own progress and receive emails with further tips at the end of each step. Most sessions last about 50 minutes.  It is recommended that patients do one session a week.

FearFighter has undergone extensive testing & trial pilots involving 700 patients and has received an endorsement by the NICE as being proven to be clinically & cost effective.  In the NICE Final Appraisal Determination (FAD), FearFighter has been recommended as an option for delivering CBT in the management of panic & phobia. FearFighter has since been implemented in many NHS regions as well as being adopted in other countries as a recognised standard form of treatment.
 
BraveOnline
BRAVE-ONLINE utilises the technology and learnings from  FeaFigther to design a treatment specicifically for children and adolescents who experiencs Separation Anxiety Disorders, Social and Specific Phobias and other Generalised Anxiety Disorders. The treatment can be tailored by the therapist to meet the needs of the individual young person.

Parent sessions are designed to accompany the material covered in the child and teen program. Sessions focus on strategies such as psychoeducation about child anxiety, contingency management, relaxation training, and information about cognitive restructuring, graded exposure and problem solving. As such, the parent receives training in anxiety management strategies and is empowered to help their child acquire and use the skills learned in the program, and to manage situations in which their child becomes anxious. Both mothers and fathers are able to complete the parent sessions together or independently.

FearFighter and associated programs
  • NICE approved
  • UK National Health Service (NHS) recognised as a standard form of treatment for anxiety and phobia disorders
  • Evidence-based & extensively tested
  • Available to patients 24/7/365
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Wealth creation / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
FearFighter:
  • Our latest data shows recovery rates of 48.2% this compares to the national recovery rate in 2015 of 38.4%
  • Research from trials shows dropout rates are not significantly different to face to face therapy.
  • Trials showed that clinician time per patient was reduced by 73%
  • The NICE Endorsement was for clinical and cost effectiveness with financial savings up to 70% compared to conventional therapy
  • The programme is available on desktop and mobile compliant devices and are available 24/7 thereby making access easier for a patient.
  • Reporting analytics are compatible with NHS requirements and the back office is simple to use
Quote from Mary ‘To date I’ve travelled on the underground train without a twinge of anxiety – I still can’t believe it! FearFighter has surpassed all my expectations’.Fear Fighter

NB: Specific Data for Brave Online is being compiled
Initial Review Rating
5.00 (1 ratings)
Online Discussion Rating
3.67 (3 ratings)
Benefit to WM population:
NHS Benefits
Reduction in the demand on therapist time means more patients can be treated with improved recovery rates and reduced waiting lists
  • It provides greater choice of treatment to both the clinician and patient.
  • Evidence proves that the treatments work.
  • The product should provide direct financial savings.

Patients Benefits
Patients are able to self-manage their condition and thus not have to rely on or need psychological interventions and can also reduce or remove the dependence on medication.
The programmes help people to understand themselves better and to recognise and change unhelpful habits and thinking patterns.
The tracking system helps users review their progress throughout the programme using simple, scientifically validated questionnaires.

Company
A wider adoption of our CCBT technology and FearFighter would allow our West Midlands based company to expand its activities within the UK and overseas and thus take on additional staff to support clinicians and users / patients.
It would also facilitate us to develop a broad portfolio of treatments we have in the pipeline.
Current and planned activity: 
Birmingham and Solihull Mental Health NHS FT has been our client since May 2013 to date during which time that have used our FearFighter, MoodCalmer and OCFighter programmes and they are currently piloting both our Shade (Drug & Alcohol addiction) and Restore (Insomnia & Sleep disorders) programmes
 
Dudley and Walsall Mental Health Partnership NHS Trust currently in discussion with the trust to adopt our platform for are evidence based programmes for people with anxiety (FearFighter™), depression (MoodCalmer™), OCD (OCFighter™), addiction (SHADE™), sleep disorders (RESTORE™)

Required
  • Procurement / Adoption of: -  Require increased sales and access to market our products to CCGs and Trusts Mental Health teams.
  • Awareness / Profile Raising Greater awareness of our products and the conditions it can address
  • Project Assistance required - We are interested in locating possible clinical / academic collaborators and pilot sites for new Online mental health tools.
What is the intellectual property status of your innovation?:
All IP is owned by CCBT Ltd.

All our products are NHS information Governance Toolkit (IGT) and Interoperability Toolkit (ITK) compliant and our secure socket layer (SSL) and database encryption technologies have been enhanced to keep up with the ever changing requirements for web security and NHS informational governance standards and is integrated with IAPTUS and PCMIS. IE11, Chrome or Firefox are recommended
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
Simple
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Tim O’Connell 01/03/2016 - 13:08 Archived Login or Register to post comments
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