Time to Change is a four-year campaign to end mental health discrimination. Partnership has rolled out Time to Change across Sussex to highlight issues faced by people with mental health problems. This is the Brighton launch of Time to Change with Trust Chair John Bacon CB (front left) and Chief Executive Lisa Rodrigues (second row, second from right) with people who use mental health services, Trust Governors, staff, local MP and partners from local agencies. 2 Contents

1. Foreword ...... 4

2. Introduction ...... 5

3. Our vision, values and aims ...... 8

4. Better by Design: our services ...... 10 Open access services ...... 12 Community services ...... 14 Day hospital and intermediate services ...... 16 Residential services ...... 17 Hospital services ...... 17 Specialist services ...... 18

5. Better by Design: Sussex Partnership ...... 22 Supporting staff ...... 22 Research and learning ...... 24 The estate ...... 27 The organisation ...... 28

Facts and figures ...... 30

Governance ...... 32

3 Better by Design 2010 – 2014 Strategic programme for mental health, learning disability and substance misuse services 1 Foreword

This document sets out our long term strategic John Bacon CB direction of travel on which our detailed Chair of Sussex Partnership programmes for the coming five years will be NHS Foundation Trust based. These programmes will be developed, agreed and published by the Trust’s Board of Directors and Council of Governors year by year, taking account of the opportunities that we know Sussex Partnership NHS Foundation Trust (Sussex will arise and responding to changes quickly, Partnership) provides specialist mental health, flexibly, and successfully. learning disability and substance misuse services. During the life of this programme public finances We are an integral part of the health and social will be under pressure. We have taken this as an care network for the people of Sussex. There is opportunity to deliver the promise we made when no health without mental health. we became an NHS Foundation Trust in 2008: to innovate, to ensure consistent standards and This strategic programme, adopted by the Trust equity across our services, and to provide care in Board, sets out our plans and the targets against more efficient and better ways. which we will be measured. Our job is to help the most vulnerable people in It will deliver services that are better by design in society towards recovery and independence. terms of their provision, the estate and the skills We have set our sights high on their behalf. of our workforce.

4 through innovation “ “we will improve the 2 quality of our services Introduction

I Continuously growing, refining and Lisa Rodrigues, developing so that we can attract and keep Chief Executive, the very best people. Sussex Partnership NHS Foundation Trust This strategic programme is based on sound financial and business assumptions which recognise the certainty of public sector constraints in the Sussex Partnership aims to provide services that coming years. At the time of writing all we can be are better by design. By this we mean: sure of is that public sector finances will be under I Delivering the very best possible services that increased pressure from 2010 onwards. We have are completely focussed on the people who made plans on this basis. use them, that offer real choice and that put We have an excellent track record of operating them in the driving seat within our means and we are currently rated I Being as good as the very best providers of Excellent by the independent regulator, the Care similar services Quality Commission, for the way in which we I Delivering services that are externally measured use our resources. This experience will guide us as being of outstanding quality, supported by and enable us to continue as a strong, well- high standards of professional practice governed and sustainable organisation I Measuring our own performance so that we throughout the life of this programme. know how well each element of the Trust is performing, and so that we can make changes where necessary

5

Better by Design 2010 – 2014

Strategic programme for mental health, learning disability and substance misuse services we are investing “ “ proportionally more each year in research

As an NHS Foundation Trust we are required to It sits within a framework of national policy generate a surplus year on year. Currently this is including New Horizons, towards a shared two percent of our annual turnover. We will vision of mental health (Department of Mental reinvest this to pump-prime essential developments. Health December 2009); Valuing People Now (Department of Health January 2009); and of We have adopted a business culture based on annually set priorities including the Operating performance, evaluation and resilience to support Framework for the NHS issued by the Department the delivery of this programme. of Health and priorities set by the South East We are investing proportionally more each year in Coast Strategic Health Authority. research to consolidate our position as a national This programme is ambitious and achievable. centre of academic excellence. We will develop Through innovation we will improve the quality of our clinicians and leaders and introduce new our services for those who use them and the working methods to realise the full potential of efficiency with which we provide them: we will do our skilled, flexible workforce. more with less. We will deliver services that are Better by Design has been developed from measurably better by design. discussions with our partners in the NHS and primary care, local authorities and voluntary organisations; our own staff and, through our Council of Governors, representatives of those who use our services.

6 Sussex Partnership’s hospital at Mill View, Hove, serves the city of Brighton and Hove and also provides inpatient detoxification services for a wider catchment area. 7 Better by Design 2010 – 2014 Strategic programme for mental health, learning disability and substance misuse services 3 Our vision, values and aims

The vision of Sussex Partnership is to realise the We have set ourselves five strategic aims: potential of everyone who uses our services, I High quality care for all people using Sussex and to help our staff to do a great job. Partnership services Our values are to: I Employer of empowered, engaged, well I Challenge stigma and discrimination whilst trained and motivated staff promoting equality and positive attitudes I A leading teaching and research mental I Work in new ways and develop new services health trust I Put the human rights of the people who use I A well-governed sustainable organisation our services at the centre of everything we do I A growing organisation that invests in I Work in partnership with others improved services I Be a creative force and lead by example

8 Our staff do a great job. These are some of our winners at the 2009 staff awards. 9 Better by Design 2010 – 2014 Strategic programme for mental health, learning disability and substance misuse services 4 Better by Design: our services

Sussex Partnership provides a comprehensive and Our care groups: developing range of mental health and related I Child and adolescent mental health services, services as follows: including support to families I Open access services I Working age mental health services I Community services I Older people’s mental health services I Day hospital and intermediate services I Secure and forensic mental health services I Residential services I Substance misuse services I Hospital care, and I Learning disability services I Specialist services We also provide mental health into primary care These services are managed in six care groups and services (GPs and their teams at local surgeries) across six local communities covering Brighton and and psychological therapies such as cognitive Hove, and , and to people behavioural therapy (CBT) where the Trust is living on our borders in Hampshire and Surrey. leading the way nationally.

Our local communities: I Brighton and Hove I Eastbourne, and Wealden I and Rother I Crawley, and Mid Sussex I and Adur I , Bognor and

10 One to one therapy and treatment is at the centre of much of the Trust’s work. 11 Better by Design 2010 – 2014 Strategic programme for mental health, learning disability and substance misuse services

we will enable people to “maintain mental well-being, “ stay at work and avoid the need for more specialist care

This section outlines our main service Open access services developments in the Better by Design programme. By 2014 we will: Sussex Partnership is developing a new range of open access services, which are largely separate I Invest further in specialist services outside from our specialist mental health services. hospitals, increasing our capacity to support people at home. We will concentrate our Open access services will support people who have hospital services on providing expert high-level mild to moderate depression, stress or anxiety. care to the relatively small number of people who need this most specialist support. This These services will be available close to people’s means we will need fewer hospital beds. homes and will have strong links with local GPs. Contacting and making use of them will be simple I Continue to develop a range of specialist services and quick. not previously available on the NHS across Sussex I Double the number of assessments for They are aimed at people who do not require people suffering from dementia as we deliver specialist support from the Trust’s community or new services to implement the national inpatient services, and who might not think about dementia strategy using traditional mental health services. I Double our secure and forensic mental health The new approach has grown out of work in 2008 service to support people who are in contact to launch a £33 million national service, Improving with the criminal justice system and whose Access to Psychological Therapies (IAPT). We behaviour is challenging to themselves or others successfully bid to provide the service in two of the I Create new partnerships to provide new first national sites, Brighton and Hove and East services, especially in substance misuse, alcohol Sussex. As part of the IAPT programme we have misuse and psychological therapies recruited an additional 120 therapists. I Deliver a £50 million estates strategy to deliver Using this experience we have now combined services from fewer, better buildings. psychological therapies with a wider range of

12 support to provide comprehensive mental health services in primary care alongside GPs and voluntary organisations agencies in local communities.

From April 2010 this enhanced model will be launched across East Sussex as a partnership between the Trust and the national charity Turning Point in the form of a completely new service called Health in Mind.

By providing information to support personal choice and self-help, and offering a range of talking therapies including peer support, Health in Mind will enable people to maintain mental well- being, stay at work and avoid the need for more specialist mental health care.

Health in Mind won the service against competitive tender and has the support of East Sussex GPs and NHS commissioners. It is an example of how NHS Foundation Trust status enables Sussex Partnership to create new opportunities in the health and social care market.

Sussex Partnership will use this approach to develop similar bids across Sussex and further Telephone advice and counselling afield where this clearly brings value to the people is an important and growing using the service and is in line the Trust’s priorities. element in open access services.

13

Better by Design 2010 – 2014

Strategic programme for mental health, learning disability and substance misuse services we will help people “ “in times of crisis

They will help people in times of crisis and provide We are introducing a set of common outreach and out of hours support, developing standards for waiting times, quality our 24-hour crisis services through the use of and equity so that the experience will specialist practitioners. be the same wherever people live and regardless of their age, ethnic origin, By 2014 we will establish our network of gender, faith, sexual orientation community services in fewer, better buildings, or disability. reducing our footprint by 30 percent.

We will also expand our community services for Within these standards the services will older people, re-investing into new community develop in different ways, depending liaison services. We will provide more information on people’s individual needs. and support to carers.

Our staff will continue to develop support for Community services people who have learning disabilities and who Community services are the bedrock of Sussex live independently. We will develop models such Partnership’s specialist services. They will serve as our specialist liaison nursing team in Brighton local communities and reach out to people in their and Hove who work in partnership with general homes. These skilled teams will work closely with hospital services and social services to make sure GPs to deliver a common core of services. that people receive the treatment they need, and the Total Communications programme in East They will support people with conditions such as Sussex, a partnership with the County Council and severe depression, schizophrenia, bi-polar and voluntary organisations which gives people with similar disorders, avoiding the need for hospital learning disabilities a stronger voice. admission and helping them to build the necessary resilience for their recovery.

14 Community and crisis services enable people to stay in their own homes and avoid hospital admissions. 15

Better by Design 2010 – 2014

Strategic programme for mental health, learning disability and substance misuse services by 2014 the balance of our “ “ hospital services will change

Day hospital and Sussex Partnership has empowered intermediate services people with learning disabilities to provide training to GPs. The results of By 2014 we will transform our current range this programme demonstrate the of day hospitals. They will become specialist value of assessing the general health therapy centres delivering evidence-based, quality needs of people with learning care to support people in their recovery, and a disabilities quickly within primary focus of support for people in crisis seven days a care, both improving the quality of week and during evenings. their health and avoiding unnecessary We will develop these services to provide specialist hospital admissions. support to people with more complex needs, such as eating disorders and personality disorders.

For older people, we are establishing specialist memory clinics, using the model of our existing service in East Sussex; and extra care and treatment within people’s homes, building on our good practice currently in Chichester and Brighton and Hove.

As more people take up self-directed care, our current rehabilitation service will increasingly provide specialist support to a more defined group of people , working in partnership with third sector providers.

16 Our services support recovery and independent living.

Residential services Hospital services

Today some people with learning disabilities are Sussex Partnership provides highly specialised still living as NHS inpatients , while for others access hospital services for those few people who have to mainstream services is not consistent. By 2014 the most complex needs. that will change. We have opened two flagship mental health Sussex Partnership is working with West Sussex hospitals, at Langley Green, Crawley, for adults County Council to develop independent packages and Chalkhill, Haywards Heath, for children and of care for NHS patients with learning disabilities. young people. Our other main hospitals are This programme will be completed in 2010 when currently in Chichester, Hailsham, Hastings, Hove, the final 56 patients are discharged from the care Eastbourne and Worthing. of Sussex Partnership into homes of their own. By 2014 the balance of our hospital services Some older people with long-term mental health will change. conditions have very specialist needs which will be difficult to provide for in a mainstream setting. The As we develop our community services, the need expertise within Sussex Partnership will enable us for acute mental hospital beds will fall. to develop very specialist care for this small but We will also expect to support people to leave important group of extremely vulnerable people. hospital sooner: the national average for mental health hospital stays is 28 days and we aim to achieve better and shorter stays than this.

These two factors will enable us to reduce the number of beds we require by 20 percent.

17

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4 1 0 2 – 0 1 0 2 n g i s e D y b r e t t e B In the grounds of Chalkhill.

Chalkhill is a nationally-recognised 16-bed centre Chalkhill is supported by a range of other services. for children and young people. It provides We know that many children and young people specialised services for young people including do not make use of mental health services at the severe depression, eating disorders, schizophrenia, earliest opportunity. So we will provide more phobias and mood disorders. support directly, close to homes and schools, working in partnership with other agencies and Sussex Partnership was a leader in developing with GPs. We will rely less on community clinics these services at Chalkhill, with support from NHS for this group. From 2010 we will develop on-line commissioners. Its opening in 2009 meant that information to young people, developed with very vulnerable children and young people can be input from young people who use our services helped in Sussex instead of having to be admitted and in partnership with MIND. to other hospitals far from home.

Chalkhill includes a school so that the young people’s education needs can continue to be met during their stay. 19

Better by Design 2010 – 2014

Strategic programme for mental health, learning disability and substance misuse services by 2014 we will double “ “our capacity for secure and forensic services

Learning disability services Sussex Partnership will create new inpatient Most people with a learning disability are able to facilities for this group of clients. We will establish live independently, with individual packages of local facilities for up to 40 people in secure support from health and social services. accommodation, including specialist facilities for women. There is a very small number of people whose behaviour is challenging to such an extent that The first of these will be a 10-place unit at Middle they cannot use mainstream services. Hill, Swandean, Worthing, opening in 2010. Other sites across Sussex are being explored.

Sussex Partnership provides highly Secure and forensic services specialised inpatient substance A growing number of people require a secure misuse services for the people of hospital environment because of their complex Sussex. This includes detoxification mental health needs and because of their and stabilisation for clients who have involvement with the criminal justice system. long and deep-rooted addictions. Today there is insufficient capacity within Sussex to provide this care for all who need it. By 2014 A feature of this service is the emphasis we will double our capacity for secure and on high quality medically-managed forensic services to 120 places through a £15 safe care: detoxification, especially million investment programme. for alcohol dependency, requires close monitoring and the ability to This includes extending our well-established manage significant physical risks. and accredited regional medium-secure unit at Ashen Hill, Hellingly, near Hailsham. This will provide 45 beds for men and a new 15-bed unit for women.

20 Southview, part of our secure and forensic accommodation at Hellingly, East Sussex.

We will also provide 60 low secure places for men and general mental health services. The prison and women, in part by extending our existing population is likely to increase by at least 25 services. Together, this increase in capacity will percent over the next decade. enable the NHS to bring people back to Sussex We will introduce prison in-reach services and from distant, often very expensive, placements. evaluate and extend initiatives such as the Mental The 2009 Bradley Report into mental health, Health Courts pilot scheme, launched by Sussex learning disability and the criminal justice system Partnership and the Ministry of Justice in Brighton called for a renewed focus on the links between in 2009. criminal justice settings, forensic mental health

21 Better by Design 2010 – 2014 Strategic programme for mental health, learning disability and substance misuse services 5 Better by Design: Sussex Partnership

Supporting staff

Excellent services require excellent staff. Sussex Each employee has a yearly individual performance Partnership employs 4,800 people; each one review and development plan. This keeps the adds to the therapeutic experience of those who focus on performance, quality and putting the use our services. Receptionists, caterers and people who use our services at the centre of cleaners are very important and support the everything we do. work of our doctors, nurses, therapists As we implement the Better by Design programme and social workers. our staff will work in new ways. They will be more

We equally value our estates, support and mobile, make greater use of technology and come

corporate staff for the difference they make. together for supervision and meetings in new team facilities. we are developing “ “as a psychologically- minded organisation

22 Everyone plays their part in the therapeutic experience of patients – this is Dave, one of our domestic team at Centurion Mental Health Centre, Chichester, West Sussex. 23

Better by Design 2010 – 2014

Strategic programme for mental health, learning disability and substance misuse services we will be a nationally “ “recognised centre for research and learning

Sussex Partnership will increase the number of Research and learning staff who have experience of using mental health services. In 2008 we launched the first programme Sussex Partnership will use its teaching status in England to train people with these experiences to be a nationally recognised centre for research as peer support specialists. Since then we have and learning. Our research directorate at the run this programme annually. By 2013 we expect Sussex Education Centre, Mill View Hospital, Hove, 25 percent of our staff will disclose their experience will develop research partnerships locally with the of using mental health services. In so doing they , Brighton University and the will demonstrate the independence which is at Brighton & Sussex Medical School, and nationally the heart of our philosophy, and provide a clear with the Institute of Psychiatry and the National challenge to stigma and discrimination. Institute for Health Research.

The culture of Sussex Partnership is defined by the Through leadership and participation in research Staff Compact, established in July 2009. and by attracting public sector and commercial This describes the expectations of all staff sponsorship the directorate’s income will more and introduces an essential requirement of than double from £720,000 in 2010 to over empowerment and personal resilience in order to £1.6 million by 2012 (from 0.5 per cent to 0.75 embrace and respond to change. percent of turnover). By 2013 the directorate will be a net generator of income. We are developing as a psychologically-minded organisation. We understand that working in our Sussex Partnership is a leader in research into kind of services can be emotionally challenging. dementia care and we are contributing to We want to support our staff to develop skills to make Sussex a centre of excellence in dementia recognise and manage their feelings. We expect research and care. We will use our knowledge and them to act in ways that support their colleagues experience to develop this research programme. in an environment of flexible working and continual We will provide expert advice and training, and we adjustment to new ways of providing care. will enhance our partnerships with academic institutions in the south east to become a recognised centre for dementia care and research.

24 Sussex Partnership’s research library at the Sussex Education Centre, Hove. 25 Better by Design 2010 – 2014

Strategic programme for mental health, learning disability and substance misuse services we will provide learning “ “ opportunities for our staff

We have research programmes under way in all Sussex Partnership invests £1.5 million a year in care groups. learning and development for staff of which two thirds is generated from external sources including In substance misuse our specialist work is helping the Department of Health. to shape national policy. We were selected to be one of three national centres to pilot the use of We will provide learning opportunities for our staff, injectable heroin (diamorphine) in a research trial including pre- and post-registration training, and which concluded in 2009: the results indicated commission our own diploma and Masters and that this approach makes a significant difference Doctorate programmes where this is more to a small group of users for whom all other cost-effective. treatment options have failed.

26 Sussex Partnership built and opened Langley Green Hospital, Crawley, in 2008. The hospital won the 2009 Building Better Healthcare award for ‘Best External Space.’

The estate When Sussex Partnership was established, we The community units will enable staff to work inherited 200 buildings on 120 sites. Owning and from fewer, better team bases which use maintaining them cost around 8 percent modern approaches to flexible working, of the Trust’s annual spend. enabling the buildings to be in use all day, in the evenings and at weekends, so improving access The Trust has embarked on a £50 million and reducing costs. programme to modernise our estate. By 2014 this programme will be complete. Every major scheme will be planned, costed and approved at Board level, developed with input The Trust will provide services from a range of from the people who use our services and new or refurbished hospitals and community designed to be efficient, green and a positive units. The hospital developments include plans for environment in which to receive and provide care. improved facilities in Brighton and Hove and East Sussex, and for the major expansion of the secure and forensic service at Hellingly.

27

Better by Design 2010 – 2014

Strategic programme for mental health, learning disability and substance misuse services people who use services, a“ nd “ their carers, help us measure the quality of services

The organisation

In September 2009 Sussex Partnership launched The way Sussex Partnership takes decisions reflects an internal programme, We Mean Business, to our business-like culture. As an NHS Foundation deliver the necessary infrastructure to support our Trust we are accountable, through the Council of Better by Design strategy. Governors, to our members who represent the people and communities of Sussex. The Council We are establishing a culture based on holds the Trust Board of Directors to account and performance and achievement, with systems meets regularly in public. incentivised to support best practice and the removal of any activity that does not provide or In September 2009 Sussex Partnership signed support therapeutic value. By the end of 2011 we up our 10,000th member. By 2013 we aim to have will review all our internal policies, procedure s and 15,000 public members of whom 9,000 will reporting systems as part of this programme. members of the general public, another 4,500 will choose to identify themselves as service users and Sussex Partnership is led by 150 senior health and 1,500 will identify themselves as carers. In social care professionals and senior managers. addition, our staff are also members of the Trust. From 2010 this leadership group is working to the principles of We Mean Business and setting targets We use feedback from people who use our based on that approach for the team leaders in services and their carers to help us measure the front line services. quality of services, to suggest improvements and to develop new services. Each development programme is scrutinised by an equality and human rights impact assessment – Sussex Partnership was the first mental health trust

28 in England to adopt such a comprehensive assessment tool – which is included in our Single Equality Scheme. The Scheme provides assurance that our services meet the diverse needs and human rights of those who use our services: a duty enshrined in law and one that also makes excellent commercial business sense.

The major elements of this strategic programme will each be supported by a business plan approved by the Board of Directors. Each plan includes a risk analysis across a range of indicators and is only approved where there is a clear demonstration that the service benefits are affordable and achievable.

We will review cost-effectiveness in all services to ensure that the price commissioners pay covers the costs of provision and enables the Trust to provide a quality service. We will also prepare for the introduction of payment by results into NHS mental health services.

Celebrating success – the staff awards 2009. 29 Better by Design 2010 – 2014 Strategic programme for mental health, learning disability and substance misuse services

Facts and figures

Sussex Partnership NHS Foundation Trust:

Established: Services: In 2009-10 the Trust provides services in six care groups: I as Sussex Partnership NHS Trust, April 2006. I as Sussex Partnership NHS Foundation Trust I Child and adolescent mental health services with teaching status, August 2008. I Working age mental health services I Older people’s mental health services Core catchment population: 1.5 million people in Brighton and Hove, East Sussex and West I Secure and forensic mental health services Sussex. The Sussex population is predicted to I Substance misuse services grow by around 3.5 percent over the next 10 I Learning disability services years. Within this, the number of people aged 65 and in six local communities: and older will increase by 13 percent, 20 to 64 year olds by 4 percent and young people, 0 to 19, I Brighton and Hove will fall by 4 percent. I Eastbourne, Lewes and Wealden I Staff: 4,800 staff, of whom 54 percent are Hastings and Rother nurses, six per cent are doctors and 15 percent I Crawley, Horsham and Mid Sussex are psychologists, therapists and other clinical I Worthing and Adur staff. This includes the 300 social care staff who I Chichester, Bognor and Littlehampton are linked to Sussex Partnership through our local authority partnerships. Fifteen percent of Sussex Partnership currently operates from 120 sites. our staff are in our estates and facilities Our services are delivered by community teams, and directorates providing catering, cleaning and by specialist hospital services. Our main hospitals are maintenance services and 10 percent deliver our in Chichester, Crawley, Haywards Heath, Hailsham, essential finance, human resources and Hastings, Hove, Eastbourne and Worthing. administrative functions. Our turnover for 2009-10 is £230.1 million.

30 Volume of activity: We record our activity by the I Appointments with hospital emergency number of individual contacts we have with the departments for psychiatric liaison and people who use our services, not by the number assessment: of people we treat. I people of working age: 4,250 We see many people more than once a year in I older people: 1,900 the course of their treatment with us, so the I Appointments with crisis resolution teams to number of contacts is higher than the number of support people at home and help prevent people who see us. hospital admissions (especially in the evenings and at weekends): 51,500 These are the headline figures for the volume of work performed by Sussex Partnership staff, Inpatient services are recorded by adding together based on our planned activity in 2009-10. the number of days each hospital bed is in use. I Appointments with community teams These are the headline totals for inpatient services.

I people of working age: 209,800 I People of working age: 96,000 I older people: 152,700 I Older people: 64,750 I children and young people: 37,500 I Secure and forensic services: 23,000 I Appointments with early intervention services I Psychiatric intensive care for people of (helping to prevent hospital admissions in working age: 5,100 younger adults): 10,000 I Children and young people: 3,460

31 Better by Design 2010 – 2014 Strategic programme for mental health, learning disability and substance misuse services

Governance

Sussex Partnership is accountable through a Board The Council of Governors is made up of 41 of Directors and a Council of Governors. The chair Governors, 27 elected and 14 appointed. The of the Trust is John Bacon CB. He is chair of the council provides the link between the directors Board of Directors and the Council of Governors. and local communities and keeps an eye on the performance of the Board. The Board of Directors as at December 2009 is John Bacon CB (Chair), Lisa Rodrigues (Chief The majority of the council are publicly- Executive), Mike Viggers (Deputy Chair), Julie elected governors: Walker (Senior Independent Director), Karen Representing people who use services: Bridgman (Non Executive Director), Mike Geerts Brighton and Hove (3), East Sussex (4), (Non Executive Director), Pam Oates (Non West Sussex (5) Executive Director), Professor Helen Smith (Non Representing carers (3) Executive Director), Sally Flint (Executive Director of Finance and Information), Richard Ford Representing the general public: (Executive Commercial Director), Helen Greatorex Brighton and Hove (2), East Sussex (2), (Executive Director of Nursing), Tim Ojo (Acting West Sussex (2) Executive Medical Director) , Sue Morris, (Executive Director of Corporate Services), Lorraine Reid There are six elected staff governors. (Chief Operating Officer). The remaining governors are appointed from Ann Merricks (Assistant Chief Executive) performs partner organisations: the role of Company Secretary. Primary care trusts (4), local authorities (3), voluntary sector (3), Universities (1), local business sector (1), (1), NHS Acute Trust (1).

32 The context Estimates put the full economic cost of mental Each year in England and Wales, an estimated health problems in England at around £77 billion, 2,000 deaths are caused by illegal drug abuse. mostly due to lost productivity. About two per cent of the population has a The NHS spends 14 per cent of its annual budget learning disability. Of these, about half also suffer on mental health services. from mental health problems and around one quarter have a severe or profound disability. One in six adults will have a mental health problem at any one time and for half of these Some local examples people the problem will last longer than a year. I Brighton and Hove has one of the highest Women are more likely to experience common death rates for substance misuse in the country. mental health problems such as depression and I Figures published in October 2009 by the UK anxiety – around 20 percent of women at any one Statistics Authority show that Brighton and time compared with 12.5 per cent of men. Hove has the second highest suicide rate in the country: between 2005 and 2008 an average People with severe mental health problems die of 18 people in every 100,000 in the city took younger than other people. About one per cent their own lives (only Blackpool, at 21 in every of the population will experience severe mental 100,000, had a higher rating). illness at least once in their lives. I By 2012 the number of people in Sussex with There are between 130,000 and 200,000 dementia will rise to 17,000 based on national problematic drug users in the UK. The number of estimates, an increase of almost one-third from people receiving treatment for drug misuse has 2007. The population of East Sussex in particular more than doubled since 1998. is older than the national average and as a result has one of the highest rates of dementia 33 percent of men and 16 percent of women in the country. drink alcohol at levels that put their health at risk. I West Sussex will see a significant rise of 1,400 In 2007 there were 863,000 admissions to people aged over 90 by 2011, especially in hospital in England due to alcohol abuse and Arun and Worthing districts, reflecting the 6,541 deaths directly related to alcohol abuse. existing age profile of the county. Nearly one person in four aged 80 and over I The rate of hospital admissions for alcohol- suffers from dementia. This rises to one in two by related harm has almost doubled: in West the age of 90. Sussex the rate has increased from 657 per 100,000 in 2002 – 03 to 1,189 per 100,000 The information in this section is taken from publications in 2007 – 08. issued by the Department of Health, the Home Office, UK Statistics Authority, NHS Choices, the Royal College of Psychiatrists, MENCAP and the Mental Health Foundation 33 Langley Green Hospital, Crawley, opened by Sussex Partnership in 2008.

Published by; Sussex Partnership NHS Foundation Trust, Swandean, Arundel Road, Worthing, West Sussex, BN13 3EP

Main switchboard: 01903 843000 Web: www.sussexpartnership.nhs.uk Email: [email protected]

Produced by Marketing and Communications, Sussex Partnership, December 2009

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Pictures: all pictures by Jim Holden except page 27, courtesy Devereux Architects Ltd