Transcript Document

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 whether there 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?