Party Parliamentary Group for Complex Needs
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All Party Parliamentary Group for Complex Needs Inaugural meeting for the 2017 Parliament 4pm, 13th September 2017 Room 12 (TV interview room), House of Lords Minutes of the meeting 1. Attendance In attendance at the meeting were: Lord Victor Adebowale (chair) Thangam Debbonaire MP Baroness Armstrong of Hill Top Lord Stone of Blackheath Lord Harris of Haringey 2. Report of activity from the previous parliament and briefing on current project – social action and complex needs Attendees were provided with a report on the APPG’s work during the previous parliament, the current project on complex needs and a proposed programme of events for the coming year (attached to the minutes). 3. Election of officers The following officers were elected 2017 parliament Luciana Berger MP (co-chair) Lord Victor Adebowale (co-chair) Johnny Mercer MP (vice chair) Steve Reed MP (officer) Baroness Gardner (officer) Baroness Jolly (officer) Baroness Armstrong of Hill Top (officer) All-Party Parliamentary Group on Complex Needs & Dual Diagnosis Activity during 2016-2017 About the APPG The All-Party Parliamentary Group (APPG) on complex needs and dual diagnosis was established in 2007 in recognition of the fact that people seeking help often have a number of over-lapping needs including problems around access to housing, social care, unemployment services, mental health provision or substance misuse support. In most cases each service is administered by separate service providers. The result is that people with multiple or complex needs fall through the gaps in service provision. Providers recognise that the best model for helping those individuals with a dual diagnosis or complex needs is through an integrated service that aims to address all of the issues they face. Secretariat is provided by Turning Point, a large social enterprise which specialises in working with people with complex needs. The APPG has a network of nearly 300 members including the VCSE, academia, local government, the NHS, regulatory bodies and individual service users/family members. The work of the APPG is diverse and has covered issues such as mental health and the criminal justice system; looked after children and care leavers; sex workers; legal highs; veterans and joining up policy on multiple needs from the perspective of those on the frontline. The group undertakes inquiries into key topics, gathering written and oral evidence from the network and undertaking surveys of service users and professionals. Complex needs & dual diagnosis key facts Research suggests that up to 70% of people in drug services and 86% of alcohol services users experienced mental health problems (Public Health England, 2014). Over half (55%) of an estimated 58,000 people nationally experiencing severe and multiple disadvantages including substance misuse, also have a diagnosed mental health condition (Lankelly Chase Foundation, 2015). Four out of five prisoners who are drug dependent have two additional mental health problems (NHS Confederation, 2009). The cost to society of those with severe and multiple disadvantages in life, such as drug misuse combined with homelessness, could be in the region of more than £10bn a year (Lankelly Chase Foundation, 2015). Mental health and substance misuse issues are high among the homeless population. 12% have both a mental health and substance misuse problem, while 41% of homeless people surveyed by Homeless Link said that they used alcohol or drugs to cope with their mental health issues (Homeless Link, 2014). More than half (54%) of suicides occur among patients with a history of alcohol or drug misuse (or both). Alcohol abuse is also a key predictor of suicide/premature death (National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, 2015). Between 22 and 44% of adult psychiatric inpatients in England also have a substance misuse problem (NHS Confederation, 2011). People with serious mental health problems live 15 to 20 years less than the rest of the population (Wahlbeck et al, 2011). The figure is nine to 17 years less in those who misuse alcohol and drugs. Reports during the last parliament (May 2015 – June 2017) Report Dual Dilemma http://www.turning-point.co.uk/media/1138757/dual_dilemma.pdf Briefing on older people with complex needs http://www.turning- point.co.uk/media/1138454/appg_older_people_update_july_2016_v2.pdf Meeting held during the last parliament (May 2015 - June 2017) 3rd November 2015 – Looked After Children and Care Leavers Presentations from: Sharon Hodgson MP - Shadow Children’s Minister Sarah Brennan - CEO of YoungMinds Lois Dugmore - Dual Diagnosis Consultant Nurse at the Leicestershire Partnership NHS Trust 2nd February 2016 – Making Every Adult Matter (MEAM) Coalition Presentations from: Sam Thomas – Manager of Voices from the Frontline, MEAM Nicola Drinkwater – Policy Officer for Voices from the Frontline, Clinks and MEAM Sandra Morgan – Beneficiary Ambassador, Opportunity Nottingham Steve Reed MP – Member of Parliament for Croydon North and Shadow Minister for Communities and Local Government 14th January 2016 – Veterans Presentations from: Prof Neil Greenberg - Professor of Defence Mental Health, speaking on behalf of Help for Heroes Wing Commander (Retired) Dr Walter Busuttil – Medical Director and Consultant Psychiatrist, Combat Stress Maj Gen (Rtd) Nick Caplin – CEO, Blind Veterans Kevin Lowe – 1 st Batallion, Royal Regiment of Wales, British Army (served between 1998- 2002) Bill Nevill – Royal Engineers, British Army (served 1969 and 1981) 12th July 2016 – Older people with complex needs Presentations from: Dr Tony Rao - Visiting Researcher at the Institute of Psychiatry (Mental health of older adults) at KCL, Substance misuse in Older People Working Group at RCPsych, Dementia Clinical Academic Group Lead for Dual Diagnosis and Consultant Old Age Psychiatrist at South London and Maudsley NHS Foundation Trust Dr Karla Greenberg - Consultant Psychiatrist in Older Person’s mental health and Clinical Director of March on Stress 19th October 2016 – Women with Complex Needs Presentations from Katherine Sacks-Jones - Director of Agenda, the alliance for women and girls at risk. Jennifer Holly - Project Coordinator, AVA (Against Violence and Abuse) Prof. Sarah Johnsen - Professorial Fellow in the Institute for Social Policy, Environment and Real Estate at Heriot-Watt University Ian Hamilton- Lecturer in Mental Health in the Department of Health Sciences at the University of York Lisa Dando - Director of Brighton Women’s Centre and a professionally qualified psychotherapist and clinical supervisor Polly Neate - Chief Executive Officer of Women’s Aid, attending on behalf of the APPG on Domestic Violence 15th June 2017 - Complex Needs and Social Action Presentations from Sarah Robinson - Research Manager, CFE Research Lee Orrell - Opportunity Nottingham Andy Wilding - Inspiring Change Manchester Paula Harriott - Head of Involvement, Revolving Doors Tim Sampey - CEO Build on Belief Dr Michael Taylor MEAM and partners The APPG Network The APPG has a highly engaged network of nearly 300 expert members including frontline workers, VCSE organisations, academia, police, local government, the NHS, regulatory bodies and individual service users/family members. Organisations represented include: Council for Disabled Children Mental Health Act Commission Coventry City Council Mental Health Foundation Abingdon Hospital Middlesex University Action on Addiction Mind Addaction Mind Brighton and Hove Addicts 4 Addicts NACRO Adfam National Appropriate Adult Network Advance UK National Federation of Women's Institutes Agenda National Probation Service Angelus Foundation National Voices Single Homelessness Project NCVO Association of Mental Health Providers Nelson Trust Association for Young Peoples Health NHS Central Manchester CCG AVA Project NHS Confederation BAC O’Connor Centre NHS South West/DH South West Barnet, Enfield and Haringey Mental Health NICE Trust Beresford Project Norfolk Fire & Rescue Service Big Lottery Fund North Staffordshire Combined Healthcare Blenheim Opportunity Nottingham Blind Veterans Oxford Brookes University BMA Oxleas NHS Foundation Trust Bradford District CCG Passage Brent Council Pathway Broadway Lodge PHE London Build on Belief PHE West Midlands CAIS Wales Phoenix Futures Camden & Islington Mental Health Foundation Policy Exchange Trust Camden and Islington Foundation Trust PORSCH Carers in Hertfordshire Public Health England Castle Craig Hospital RCPsych Centre for Better Health Real Insight Centre for Mental Health Recovery Focus Centrepoint Rehabilitation for Addicted Prisoners Trust Clinks Research Assistant to Professor Charlie Brooker/PhD student CNWL Foundation Trust Responsible Gambling Strategy Board Coaching Inside and Out Rethink Mental Illness COBSEO Revolving Doors Collaborate RMBI Care Collective Voice Royal British Legion Combat Stress Royal College of Speech and Language Therapists Community Links Shared Lives Plus Contact a Family South London and Maudsley NHS Foundation Trust CQC Southampton University Crisis St Giles Trust DASCT/NHS Bolton St Mungo’s DCLG St Mungos Broadway Demos Standing Together Department of Health Step Together Volunteering Devon and Cornwall Police Stockton Borough Council Disability Rights UK Stonewall Drug & Alcohol Findings Substance Misuse Solutions Drugscope Surrey County Council Dual Diagnosis Anonymous UK Sussex Oakleaf Dual Diagnosis Journal Sutton Council Electoral Reform Society Thames