Service Development Initiatives Adult Mental Health Learning

Service Development Initiatives, Adult Mental Health & Learning Disabilities Division January 2015

Challenges • Difficulty in providing a response in a timely manner • Use of crisis service because of lack of capacity in community mental health teams • Long waiting times • High out of area inpatient care

Aims • Better patient experience and access to service • Respond to feedback from GP’s and other stakeholders • Creating sustainable services within available resources

Trust strategic objectives A. Deliver safe, effective, patient-centred care in the top 20% of our peers B. Partner with others to deliver the right care in the right place at the right time C. Staff will be proud to work here, and we will attract and retain the best people D. Ensure sustainability

Method - Establish clinical forum (GP Mental Health Leads, LA, LPT Clinicians) - Work with Mental Health Strategy - Core of the Mental Health workstream, Better Care

AMH & LD service development initiatives • Adult mental health Community Pathway • LD Community Pathway • Adult mental health Acute Care Pathway People at the heart of service improvements

Adult mental health Acute Care Pathway Crisis Team Re-modelling - New referral criteria for SPA now in place (linked to whethere is a need to admit a patient within 24 -hours) - New service model due to be implemented 23 Feb 2015.

Adult mental health Acute Care Pathway Crisis House Development - Go-live date set for 26 January 2015 (for drop-in and telephone support element) and 23 February 2015 for residential beds

Crisis house • 6 beds • Short stay • Therapeutic environment with outdoor space • Accessed through the Crisis Response Team (CRT)

Improving patients’ flow Housing Pilot - Service live and operational as from October 2014 Step Down Beds - Service live and operational as from 3 Nov 2014

Meeting the needs of the patient in a timely manner within a service model that is sustainable - Improve access to Community Mental Health Services - Urgent referral (within 5 working days) - Freeing up consultant time to increase access by GP’s (Urgent Clinics) - Stable patients to be discharged to care of GP with quick access back if needed

LD community pathway Improving access to services and good health through better integration with primary, social and secondary care services • Establish locality team model • Re-organise the Outreach Service to provide community based enhanced crisis support • Re-organise Autism service

Questions?