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New Mental H ealth S ervices for Bristol. Melanie Corish, Programme Director, Modernising Mental Health. Modernising Mental Health Services in Bristol. timeline. 2010. 2011 - 2013. May 2013. May – Oct 2014. Autumn 2014. Mental health challenges in Bristol.

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Melanie Corish, Programme Director, Modernising Mental Health

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New Mental Health Services for Bristol

Melanie Corish, Programme Director,

Modernising Mental Health

Modernising Mental Health Services in Bristol



2011 - 2013

May 2013

May – Oct 2014

Autumn 2014

Mental health challenges in Bristol

  • Unmet need - access for a diverse population

  • Historic legacy of poor services

  • Poor patient experience

  • Disillusioned staff – poor staff satisfaction scores

  • Long waiting times

  • High access criteria

  • Overstretched crisis services

  • High caseloads

  • Over utilisation of inpatient bed capacity

  • Inpatient rehabilitation model

Mental health challenges in Bristol

  • Developing recovery focussed model

  • Addressing holistic needs of individuals with mental health issues

  • Putting resources in the right parts of the system

  • Early intervention

  • Collaboration with the patient

  • Collaboration with other services

  • Harnessing the skills and reach of the third sector

Values and Principles

  • Work with patients to promote resilience and wellbeing and service design and delivery

  • Be inclusive

  • Be locally accountable and Bristol focussed

  • Meet the diverse needs of Bristol’s population

  • Deliver high quality services regardless of age

  • Consider the wider context of the patient

  • Recognise and deal with safeguarding issues

  • Focus on patient outcomes rather than activity (i.e. results rather than numbers)

Key themes

  • Responsiveness

  • Prevention, early intervention, effective care and management

  • Supporting recovery

  • Effective emergency care, rapid response, preventing admission and deterioration

    People who are known to services have:

  • A point of contact within their local team

  • An understanding of how to manage their mental wellbeing and when to seek help

  • A recovery plan that they were involved in developing and that matches their aspirations

  • An up to date crisis plan

    The service feels positive, optimistic, caring, supportive,

    accessible, responsive, personal

Bristol Mental Health System Providers

Key features of the new system

  • Collaborative, integrated system of specialist providers

  • System leadership model

  • Increased resources at the front end:

    • Assessment and Recovery service, 8am – 8pm 7 days a week with standard appointments within 3 days and same day urgent appointments

    • Holistic social model

    • 24-7 Crisis and intensive home treatment service, with single point of access

    • Psychologically informed throughout the system

  • New Crisis Sanctuary

    • For people in emotional crisis and pre crisis

  • Existing crisis houses

  • Inpatient redesign

    • reducing over-utilisation of bed capacity

    • Implementing best practice

Key features of the new system

  • Community rehabilitation model

    • Hub and spoke, residential and community support

  • Mental health employment service

    • IPS model, prioritising job retention, finding employment and working with employers

  • Assertive Engagement service

    • Working with the most vulnerable in society

    • Case finding and supporting access to mainstream mental health services

  • Community Access Support Service

    • Engaging with diverse Bristol communities, through community groups faith groups etc

    • Increasing mental health awareness and sharing how to access services

  • Primary care based dementia wellbeing service

    • Enabling people in Bristol to live well with dementia from diagnosis to end of life

Modernising Mental Health Services in Bristol



2011 - 2013

May 2013

May – Oct 2014

Autumn 2014

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