MODERNISATION OF CITY COMMUNITY ADULT MENTAL HEALTH SERVICES JANE MARLOW CITY SERVICE MANAGER COMMUNITY AND RESID

1.  MODERNISATION OF CITY COMMUNITY ADULT MENTAL HEALTH SERVICES JANE MARLOW CITY SERVICE MANAGER COMMUNITY AND RESIDENTAL SERVICES SUE THORNTON GENERAL MANAGERTRACEY TAYLOR PROJECT MANAGER

4. ADULT MENTAL HEALTH – ACUTE SERVICES

5. NATIONAL SERVICE FRAMEWORK DEVELOPMENT OF FUNCTIONAL COMMUNITY MENTAL HEALTH SERVICES POLICY GUIDANCE AND LEGISLATION HIGHLIGHTED GAPS IN SERVICES The lack of integrated and effective crisis management The problem of people with severe and enduring mental illness who failed to engage and slipped through the cracks in the system A need for an adequately resourced best practice approach to managing psychosis during the critical early phase The lack of appropriate skills and resources to manage common mental health problems in primary care and inefficient filtering at the secondary care interface. DEVELOPMENT OF: CRISIS RESOLUTION AND HOME TREATMENT EARLY INTERVENTION IN PSYCHOSIS ASSERTIVE OUTREACH

6. NATIONAL SERVICE FRAMEWORK GUIDANCE ON COMMUNITY MENTAL HEALTH SERVICES NOTTINGHAM REVIEW AND RECONFIGURATION OF CMHT’s DEVELOPMENT OF: COMMUNITY ASSESSMENT AND TREATMENT SERVICES REHABILITATION AND RECOVERY SERVICES REVIEW OF INTEGRATED HEALTH AND SOCIAL CARE MANAGEMENT

7. SINGLE POINT OF ACCESS Commenced 1st October 2008 For all GP referrals (Phone/Choose and Book/Letter/Fax) One Phone number (0300 300 10) One Fax (0300 300 12) One Address/base at Highbury Hospital (Moorgreen) SPA@nottshc.nhs.uk / Chooseandbook@nhs.net 8.00am to 6.30pm Monday to Friday

8. DEVELOPMENT OF CITY COMMUNITY ASSESSMENT AND TREATMENT SERVICE Time limited disorders. Any disorder where there is a significant risk of self harm or harm to others (excluding Psychosis) Where the level of support required is more that primary care can offer. Disorders will include persistent: Depression Anxiety Panic Disorders Social Care Assessments Mental Health Act Assessments Specialist Mental Health advice to Primary Care Services Single point of entry for Specialist Services.

9. REFERRAL PATHWAY TO ADULT MENTAL HEALTH SERVICES

10. DEVELOPMENT OF RECOVERY SERVICE Severe and persistent mental disorders with significant disability (Psychoses – Schizophrenia / Bipolar Disorder). Longer term disorders of lesser severity characterised by poor treatment adherence requiring proactive follow –up. Complex cases requiring management and engagement such as requiring interventions under Mental Health Act. Severe disorders of personality – where these are shown to benefit by continued contact and support. Disorders requiring skilled or intensive treatments (CBT, Vocational Rehabilitation. Medication Maintenance). Any disorder where there is significant risk of self harm or harm to others (Psychosis).

11. NOTTINGHAMSHIRE HEALTHCARE NHS TRUST POLICY DRIVERS FOR RECONFIGURATION OF COMMUNITY ADULT MENTAL HEALTH SERVICES IMPLEMENTATION OF DOH GUIDANCE ON CMHT’S REVIEW OF ALL ADULT MENTAL HEALTH SERVICE SERVICES AND FUNCTIONS - PID

12. AMH PROJECT INITIATION DOCUMENT The aims of the project:- To review resources within City Adult Mental Health Service Reconfigure them to ensure efficient and cost effective. Achieve a service model which matches the clinical needs of the population Release any possible revenue savings. To develop and maintain a workforce which meets the needs of the service and effectively achieves its business objectives. To deliver improved clinical and cost effective services and care pathways, whilst promoting the continuation of high quality and safe patient services. To assist the service in achieving financial balance whilst maintaining and improving clinical performance and the patient experience. Preparing the service for the new business environment of payment by results, patient choice, world class commissioning and foundation trust equivalent status. Supporting delivery of the Trust’s vision and demonstrate the commitment of the service to securing change and service improvement and achieving its financial status. March 2009

13. PROJECT WORKSTREAMS FLOW BASED FINANCE AND ACTIVITY – Dr. BERT PARK SERVICE REVIEW AND BASELINE – SUE THORNTON MANAGEMENT AND ADMINISTRATION REVIEW – DAVID RAMAGE MEDICAL STAFF BUDGETS AND ACTIVITY – Dr. IAN MEDLEY ACUTE IN-PATIENT STAFFING – GARRY BEVIS COMMUNITY TEAM MODEL – JANE MARLOW

14. AMH PID HEADLINERS FOR COMMUNITY SERVICES COST IMPROVEMENT PROGRAMME ESTATES RATIONALISATION OF BASES SKILLS MIX 70/30

15. COMMUNITY PROJECT BRIEF ESTABLISH CLIENT ALLOCATION TO CAT AND RECOVERY WORKFORCE ESTABLISHMENTS OF HEALTH STAFF ACROSS COMMUNITY TEAMS WORKFORCE ESTABLISHMENTS OF SOCIAL CARE STAFF ACROSS COMMUITY TEAMS RE-VISIT STAFF PREFERENCE EXERCISE ESTABLISH ESTATES REQUIREMENTS FOR NEW TEAMS DEVELOP SMART WORKING SYSTEMS WORKING WITH CITY LA TO SUPPORT THE DEVELOPMENT OF SDS AND PERSONALISATION ACROSS SERVICES IMPLEMENTATION OF RECOVERY STRATEGY ACROSS TEAMS CLARIFYING ROLES AND RESPONSIBILITIES OF INTEGRATED MANAGEMENT STRUCTURE

16. STAGES OF COMMUNITY MODERNISATION APPOINTMENT OF PROJECT MANAGER CREATION OF STEERING GROUP WORKING WITH CITY COMMISSIONERS INVOLVEMENT OF USERS AND CARERS INVOLVEMENT OF CITY AMH STAFF TEAMS

17. New Service Model for Referral to Adult Mental Health Services

18. TEAM BASES EIP – STONEBRIDGE CENTRE AO – STONEBRIDGE CENTRE RECOVERY – STONEBRIDGE CENTRE CATS – HIGHBURY HOSPITAL DEAF SERVICES – STONEBRIDGE CARERS SUPPORT SERVICE – STONEBRIDGE APNI ZINDAGI – STONEBRIDGE CENTRE

19. STAFF RELATED STAFFING ESTABLISHMENTS ALLOCATION OF HEALTH AND SOCIAL CARE STAFF CATS RECOVERY EIP AO

20. CLIENT PLANNING INDIVIDUAL PLAN FOR EACH CLIENT WHICH TEAM (RECOVERY/CATS/AO)? HOW MANY CLIENTS REQUIRE CHANGE? CONSULTANT CARE CO-ORDINATOR MEDICATION CLINIC OPA/REVIEWS - WHICH CLINIC

21. SERVICE DELIVERY INCREASE IN OPA CLINIC SPACE INCREASE IN MEDICATION CLINIC SPACE DEVELOPMENT OF SMART WORKING DEVELOPMENT OF NEW RECOVERY PRACTICES DEVELOPMENT OF TREATMENT OPTIONS FOR CATS DEVELOPMENT OF CARE PATHWAYS FOR PBR PLANNING

22. ADULT MENTAL HEALTH – CITY SERVICES NEW INTEGRATED MANAGEMENT STRUCTURE

23. THANK-YOU ANY QUESTIONS?