Mental health strategic influencing in Scotland
Scottish Government Research Advisory Group on Mental Health
The Research Advisory Group on Mental Health was pivotal during the early days of COVID response. It maintained data to provide Scottish Government with insight into the mental health impact of lockdowns and restrictions were affecting people.
Moving on from this the data has been used to refresh The Mental Health and Wellbeing Strategy. To assist with the consultation on this a dedicated diverse experiences panel was established with Carers Trust as partners.
Diverse Experiences Advisory Panel
Carers Trust are a recognised partner in the setting up of Diverse Experiences Advisory Panel with Mental Health Foundation, Voices of Lived Experience and Health and Social Care Alliance. The panel consists of unpaid carers from diverse communities and areas of Scotland as well as those with direct lived experience of mental health issues.
Initially the panel will focus on informing and advising the Government on the following areas:
- Delivery of Scotland’s Mental Health Transition and Recovery Plan
- Review and refresh of Scotland’s Mental Health Strategy: 2017-2027
- How Government should engage people with lived experience to advise, inform and shape mental health policy
Over time, the panel may be asked to or may choose to engage with wider policy issues and areas that related to mental health.
Scottish Government Mental Health Quality and Safety Advisory Board
The purpose of the Mental Health Quality and Safety Board is to provide advice on the development and implementation of policy in relation to safe, effective and quality mental health services in Scotland. Importantly, the voices and experiences of those with lived experience including unpaid carers, and a rights’ based approach, as enshrined in mental health legislation, will be at the centre.
The Board has an advisory function in relation to the following issues:
- Patient Safety and Care
- Quality Standards
- Scrutiny and Assurance
Mental Health Estates Short Life Working Group
The purpose of the Mental Health Estates Short Life Working Group is to provide clinical expertise and governance to ensure the high quality and timely development of a tool to assess the quality and safety of mental health estates in Scotland. This work is led by NHS Assure and Carers Trust is an active member.
This group is accountable to Scottish Government Mental Health Quality and Safety Advisory Board.
Mental Welfare Commission for Scotland Carers Advisory Board
Established by Executive of Mental Welfare Commission this advisory group comprises of carers and carer organisations. It provides feedback to Commission on issues concerning carers as well as feedback about work of Commission and its strategies going forward each year.
Scottish Mental Health Law Review
This is a review of the Mental Health (Care & Treatment) (Scotland) Act 2003, Adults with Incapacity (Scotland) Act 2000 and Adult Support and Protection (Scotland) Act 2007 pieces of legislation which was set up by Minister for Mental Health in Scottish Government in 2019. The Review is set to publish its recommendations in 2022 and Carers Trust Scotland has represented the interests of National Carer Organisations and unpaid carers over the course of the Review
Carers have played an integral part of the advisory groups to the Executive and have been supported in this by ourselves.
This is a national network across all forensic mental health estates in Scotland, from high secure to Intensive Psychiatric Care Units. Part of the Forensic Network is the Carer Coordinator’s Network. This group oversees the implementation of Triangle of Care and carer engagement strategies across forensic services in partnership with Carers Trust Scotland to influence the delivery of services and raise the voice of unpaid forensic carers.
Personality Disorder Improvement Programme Expert Reference Group
The Personality Disorder Improvement Programme (PDIP) Expert Reference Group will support and provide advice on the first phase of the Personality Disorder Improvement Programme, as outlined in the commission from Scottish Government. This group will provide an advisory and consultative support.
The expert reference group will provide advice based on their knowledge and experience in relation to all aspects of a diagnosis of a personality disorder. This will extend to the following areas of work:
- Understanding of the local personality disorder services
- Evidence of best practice for development of personality disorder services
- Supporting the development of an effective learning system for personality disorder
- Ensuring that people with lived experience, including unpaid carers are central to this work including areas highlighted above.
Early Intervention in Psychosis Lived Experience Reference Group
This is a national group of people with lived experience of psychosis, their carers and organisations who represent people with lived experience of psychosis. It was set up following the announcement by Scottish Government in 2018 that “people presenting for the first time with psychosis anywhere in Scotland will have timely access to effective care and treatment, with early intervention and a focus on recovery”
The Lived Experience Reference Group is part of the National Early Intervention in Psychosis Improvement Network and is co-chaired between Healthcare Improvement Scotland and Support in Mind Scotland. Carers Trust Scotland represent the National Carer Organisations and gathers experience of carers of people with psychosis who may not want to sit on this group but who do want to contribute to the further development of early intervention services.
NHS Dumfries & Galloway and NHS Tayside Early Intervention in Psychosis Lived Experience Reference Groups
The Scottish Government, in 2021, set up 2 pilot pathfinder sites to trial early intervention in psychosis, one in a rural setting and one in a mixture of rural and urban. Carers Trust Scotland supports the development of Lived Experience Reference Group for each pilot area ensuring people with lived experience, including unpaid carers, are at the heart of designing and developing services.
Read about our Mental Health Development Coordinator’s involvement.
Scottish Mental Health Advisory Group
Set up by NHS Healthcare Improvement Scotland with the following remit:
- To provide Healthcare Improvement Scotland with strategic advice on the focus, design and delivery of its work to enable better quality mental health service.
- ·To represent and communicate the views of key stakeholders and ensure these are considered throughout the design and delivery of programmes, thereby enabling Healthcare Improvement Scotland to maximise the impact of its work in mental health.
- To provide subject matter expertise and advice to HIS mental health work programmes.
Carers Trust represents National Carer Organisations and unpaid carers on this group.
National Rural Mental Health Forum
Set up as a collaborative of all agencies and bodies working in remote and rural parts of Scotland. Carers Trust became members in 2018 to provide the voice of remote and rural carers of all ages and local carer services. Our role involves attending forum meetings and disseminating relevant information; hosting learning exchanges with Forum members; participating in key policy discussions and consultations which are likely to impact the lives of unpaid carers.
Triangle of Care
This is an alliance between service user, mental health staff and unpaid carers in an attempt to ensure clear and consistent communication and information is provided across all mental health services. The resource is based on six self-assessments for services to complete and produce action plans against. This ensures that:
- carers (of all ages) are identified and supported;
- staff are ‘carer aware’ in engaging and working with carers in partnership;
- protocols for sharing information and dealing with confidentiality are in place;
- a staff lead is responsible for ensuring carers are communicated with;
- carers receive information at relevant points in a patient’s journey towards recovery; and that
- mental health staff are aware of carer services within the community and online so they can signpost and/or refer a carer to an appropriate place of help/advice/support.