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 (Wellness and prevention of illness)

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':
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':
TPT is a new delivery platform for CBT offering easily accessible pre-recorded therapy sessions using a customised interactive phone system. Patients call TPT free - anytime, anywhere. Healthcare providers reduce treatment costs & cut waiting lists
Overview of Innovation:
TPT is a personalised, guided self-help psychological therapy delivered over the telephone in a range of pre-recorded modules for the treatment of mild to moderate anxiety-based mental health problems. It uses modern telephone technology to achieve vastly reduced costs with no waiting lists and is designed for use in NHS primary or secondary care settings.

Easy to prescribe, easy to use
TPT is available 'on prescription' to patients from their GP or other healthcare provider. The therapy can then be regularly accessed by the service-user making a simple free telephone call. An interactive, intelligent computer controlled telephone system using voice recordings of therapeutic scripts and questionnaires will then guide the service-user through a psycho-education, treatment and recovery programme that is responsive to the patient's individual presentation and circumstances. Patients will typically complete the programme in 8 to 12 weeks.
Instant access
Psycho-education, guidance and structured self-help for managing their condition are available to service-users wherever they are and at all times of the day and night. This immediacy of access is of particular benefit to patients with conditions that require help managing situational responses to emotional and environmental triggers or developing and maintaining impulse control strategies.
 
Choice of treatment modules for different presentations
A range of TPT modules is available for the treatment of different mild to moderate anxiety-based mental health problems such as generalised anxiety disorder, OCD and agoraphobia. Although each module is written with the specific presentation in mind there is a broad commonality of structure. A typical TPT module will have some of the following elements delivered by spoken scripts and using targeted questionnaires:
  • Introduction to anxiety and its effects
  • Description of the symptoms and causes
  • Psycho educational quizzes and self assessment measures
  • A range of anxiety management strategies
  • Instant-access session for managing acute symptoms
  • Cognitive techniques for overcoming negative thinking
  • Text messages which are sent to service-users to give feedback, reinforcement and reminders
  • Tailored sessions to inform and support friends and family
For a quick introduction to TPT, its operation and its benefits visit our 3 minute video at: https://vimeo.com/145905041
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: 
Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Wealth creation / Clinical trials and evidence / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
Lower costs
  • TPT costs are 80% less than the cost of a course of therapy by a psychological wellbeing practitioner
  • No need for staff training or regular patient supervision by a therapist
  • No extra capital investment
  • Secondary prevention reduces need for further treatment
  • Reduction in demand for consultations by 'revolving door' patients
Instant access
  • Presenting service-users can leave the consulting room with a prescription giving immediate access to a suitable treatment offered in the 'language of their thoughts'.
  • Ease of use – familiar telephone dial in system for patients to access the session they require.
  • Help is available 24/7 whenever the patient needs support
Cuts waiting lists
  • High-level IAPT and secondary care services are freed up for more seriously ill service-users
Reduced dependency
  • Opportunity to reduce risk and cost of service-user dependency on prescription drugs
Reduced benefits bill
  • Patients can get back to work without deteriorating on a waiting list for other treatments
Fully translatable for the BAME community:
  • TPT modules can be translated once and used by many, reducing the cost for conventional translators
Meeting the Government agenda
In the face of growing numbers of people with common mental health problems and in an environment of increasing costs and reduced budgets the Government is directing commissioners to look for new ways of improving accessibility to treatment. TPT falls in line with many of these objectives, such as:
  • Cost reductions in the NHS
  • Increased patient choice
  • Flexible delivery of services
  • Access by minority groups
  • Use of new technology
  • Innovation programmes
Quality Assurance
The Cognitive Behavioural Therapy delivered by TPT is well researched, evidence-based, and commonly practiced in the NHS. The therapy scripts have been peer reviewed. The technology of the delivery platform has been exhaustively tested to ensure reliable operation in the face of intensive and unpredictable use.

Performance metrics
Standard reports showing patient outcome and experience measures are available from the database which manages TPT. Healthcare providers can monitor their consumption of TPT licences. Cornard Healthcare is happy to work with clients on their reporting requirements in the light of user experience.
Initial Review Rating
4.20 (1 ratings)
Benefit to WM population:
Prevention of Mental Health Problems
We believe that TPT can address the needs identified under the ‘Prevention of Mental Health Problems’ campaign. It is a simple, easy-to-use delivery platform which gives patients with mild to moderate mental health problems instant access to CBT and gives healthcare providers a cost-effective and flexible treatment option.
TPT is designed to teach people coping strategies for mild to moderate mental health problems. This, in turn, will improve the lives of the friends and family who are supporting them.
Using TPT in a primary care setting such as the Sandwell Model will reduce the burden on GPs and, by improving access to cost-effective treatment, will improve the mental health of the population. With only a few mouse-clicks during a consultation, GPs and other healthcare professionals log in online, prescribe a unit of TPT and print a simple two-page user-guide for the patient to take away.
The modular nature of TPT means it can be tailored to the needs of the population across the West Midlands, thus reducing the number of people directly and indirectly affected by mental health problems. Cornard Healthcare can work with healthcare providers and with commissioners to develop modules to best address the specific needs of the region.
The confidentiality of the TPT delivery platform for CBT and its ready translatability make it specially well suited to the diverse multi-ethnic and multi-cultural population groups in the West Midlands where language barriers and the stigma associated with mental health problems can prevent  patients from accessing the services they need.
Patient data protection
There is no personal data stored within the system as all patients are only referenced via their unique ID number.
Delivery Costs
The cost to the prescribing healthcare organisation is in two parts:
  • The prescribing licence for the organisation
  • A service-user licence for each 12 week course of treatment. These are pre-purchased in blocks by healthcare organisations.
Cornard Healthcare is happy to discuss favourable terms for early-adoption sites.
Patient Cost - None
TPT is free at the point of use. There is no cost to the patient as this covered by the service-user licence, so those on low income or benefits do not need to use valuable mobile credit or incur large telephone bills.
Current and planned activity: 
Cornard Healthcare is currently working with MIND in Suffolk who are using the TPT system to help their clients. The pilot study has already shown the system to be easily accepted and used by patients, popular with clinicians and reliable in use.

Required activity:
  • Procurement / Adoption of TPT across the West Midlands Trusts within both primary and secondary care settings
  • Feedback from clinicians and patients on how to develop the service to best suit the needs of patients and providers


 
What is the intellectual property status of your innovation?:
IP held and owned by Cornard Healthcare Limited.
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
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Alan Conochie 21/07/2016 - 15:50 Archived 2 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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