An update on Bristol Mental Health Services. Dr Will Hall Consultant Psychiatrist Interim Clinical Director for System Leadership BMH

Transcription

1 An update on Bristol Mental Health Services Dr Will Hall Consultant Psychiatrist Interim Clinical Director for System Leadership BMH

2 Delivering better care together

3 Bristol Dementia Partnership

4 Our Vision Dementia is everyone s business. Our Core Principles: 1. An integrated service responding to individual need 2. Wellbeing the person lives well with dementia 3. Delivering the right service at the right time

5 What people in Bristol told us: Help us to do what we want to do for as long as possible

6 What will be different for GPs: Dementia Navigators will support GPs and Practice Nurses across the City (clusters) Staff who work closely with GPs to provide early assessment of dementia and coordinated support A service that responds to the needs of the person and their at the time they want support and diagnosis A service that supports the person for their lifetime following diagnosis People will have a wellbeing plan Single Point of Access for information and advice for all

7 Who: Staff who are proactive, positive and committed to making a difference Staff with a range of expertise including doctor s, nurses, OTs and those with a range of life experiences GPs People using the service and their carers (Peer Support) Other providers who link with the partnership to provide joined up services

8 Bristol Mental Health Employment Support

9 Key focus To retain and regain employment Primary and secondary care Throughout care pathway Employers and employment organisations improve their understanding of mental health and support people more effectively Improved understanding and delivery of employment support across Bristol Mental Health Tailored approaches to meet different communities and people s needs

10 What will be different? IPS model Integrated and embedded teams Primary and secondary care Employer engagement Service user, carer and family involvement Peer support

11 Community mental health services Phased in from 1 October 2014 to April 2015 Assessment and Recovery Service Crisis Service Early Intervention in Psychosis Complex Psychological Interventions Provided by AWP and nine VCS organisations New roles Recovery Navigators, Intensive Support Workers Community bases changing, mobile working

12 Making a difference Area working; pan-city specialist roles Shared Point of Access (SPA) for crisis and recovery Stronger connections into diverse communities Reaching people who have been excluded in the past Ageless Recovery service Psychologically informed Re-access: self referral after step down

13 Closer working with GPs GP practices clustered in geographical areas Dedicated consultant contacts Dedicated specialist practitioner link roles Shared Point of Access (SPA) Assessments within 72 hours Primary Care Agreement - closer working 8am-8pm 7 days a week

14 Crisis Service Compassionate, accessible, flexible Co-located with Recovery services : 24/7 Crisis phone line users & carers : 24/7 Clinical triage (SPA) - professionals Assessments at any location in community Mental health emergency assessment within 1 hour Gateway to home treatment and inpatient care

15 Complex Psychological Interventions Specialists embedded in teams Training across system, diverse needs of Bristol NICE recommended therapies GP Link workers - Advisory, training Primary Care lead Jennie Dickerson

16 Early Intervention in Psychosis Focus on younger people up to three years Integrated into broader youth service Off The Record Enhanced links with CAMHS

17 January Coming in the next six months Community Access Support Service provided by The Healthy Living Consortium April Community Rehabilitation Service provided by a partnership of Second Step, Missing Link and AWP Assertive Engagement Service provided by St Mungo s Broadway in partnership with One25. The Bristol Sanctuary provided by St Mungo s Broadway

18 System leadership Brings the system together - integrates care pathways, no wrong door Leads the system through collaboration Clinical leadership to drive service & system improvements Everyone has a voice, especially service users & carers Develop strategic collective working All organisations remain accountable for their own services

19 Bristol Mental Health Not just those services recently tendered All CCG commissioned mental health services in Bristol including: Wellbeing therapies Crisis houses Inpatient services Single integrated system

20 Bristol Mental Health Community Mental Health Services Community Access Support Community Rehabilitation Services Wellbeing Therapies Sanctuary Dementia Services Employment Services Men's Crisis Houses Women s Crisis Houses Assertive Engagement Inpatient Services AWP Second Step Missing Link SARI Brunel Care Wellspring Nilaari Off The Record KW HP Southmead Develop. Devon Missing Link Second Step AWP Alzheimer Society Richmond Fellowship MH Matters Windmill Hill CF Somali Resource SARI Wellspring KW HP St Mungos Broadway One 25 St Mungos Broadway AWP LIFT 13 AQP. AWP St Mungos Broadway Missing Link Lead organisation Partner Organisation Southmead Develop.

21 Questions