delivering mental health services in bristol– working in partnership with the nhs march 2015...
TRANSCRIPT
• Delivering mental health services in Bristol– working in partnership with the NHS
• March 2015
Aileen Edwards Carol MettersChief Executive Chief ExecutiveSecond Step Missing Link
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Our Approach
Approached local VCS agencies to build partnership in 2012
Agencies complementary to ours ( not in competition)
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Our Approach
Developed our ‘offer’: what we are good at and where we could add value
Assessed potential NHS Trusts to see who we could partner with
Discussed with potential Trusts to gauge their values and appetite for new ways of working
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Our Offer
Looked at what we do:
Recovery approach
Social interventions
Holistic assessment and approach
Co-production and involvement
Complementing clinical roles
6
NHS provider
Negotiated from a position of strength and knowledge
Built on partnerships and good working relationships
Worked hard together on tender and implementation
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Successful bids
Community mental health services (Lot 1):
NHS (AWP) lead
Community rehabilitation service (Lot 2):
Second Step lead
AWP clinical services, Missing Link partner
Phased start – from October 2014 onwards
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Challenges Clear Governance structures and leadership
essential
Integrated teams : need for common culture, which takes time
Setting up and new ways of working requires resources
Valuing Professional roles/VCS roles
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Integration agenda and new ways of working, new roles
Potential for real change
VCS/NHS partnership
Opportunities
Assertive Engagement
Service
(LOT 6)
Bristol Sanctuary
(LOT 7)
Employment Service
(LOT 4)
Inpatient Services
Women's Crisis House &
Men's Crisis House
Community Rehabilitation
Service
(LOT 2)
Bristol Wellbeing Therapies
Service(IAPT)
Dementia Wellbeing
Service
(LOT 3)
Community Access Support
(LOT 5)
System LeadershipBHM 17 (LOT 1)
PRIMARYCARE
PRACTICES
(GPs)
Part of 2014 recommission
ing
Key:
Existing contracts
APRIL 2015
APRIL 2015APRIL 2015
Assessment and Recovery
ServiceCrisis Service
Early Intervention in
Psychosis
Complex Psychological Interventions
Service
Community Mental Health Services(LOT 1)
OCT 2014 - APRIL 2015
JAN 2015
OCT 2014
OCT 2014
Bristol Mental Health
Bristol Mental Health
Community Mental Health
Services
Community Mental Health
Services
Community Access Support
Community Access Support
Community Rehabilitation
Services
Community Rehabilitation
Services
Wellbeing Therapies
Wellbeing Therapies
SanctuarySanctuary
Dementia Services
Dementia Services
Employment Services
Employment Services
Men's Crisis
Houses
Men's Crisis
HousesWomen’s
Crisis Houses
Women’s Crisis
Houses
Assertive Engagement
Assertive Engagement
Inpatient Services
Inpatient Services
AWPAWPSecond
Step
Second Step
Missing Link
Missing LinkSARISARI
BrunelCare
BrunelCareWellspringWellspring
NilaariNilaariOff The Record
Off The Record
KWHP
KWHP
Southmead Develop.
Southmead Develop.
DevonDevon
Missing Link
Missing Link
Second Step
Second Step
AWPAWP
Alzheimer Society
Alzheimer Society
Richmond Fellowship
Richmond Fellowship
MH Matters
MH Matters
Windmill Hill CF
Windmill Hill CF
Somali Resource
Somali Resource
SARISARI
WellspringWellspring
KWHP
KWHP
St Mungos Broadway
St Mungos Broadway
One 25
One 25
St Mungos Broadway
St Mungos Broadway
AWP LIFT
AWP LIFT
13 AQP….
13 AQP….
AWPAWP
St Mungos Broadway
St Mungos Broadway
Missing Link
Missing Link
Lead organisation
Partner Organisation
Southmead Develop.
Southmead Develop.
Community Mental Health Services
Started October 2014 to transition:•New Roles:
– Recovery Navigators – 65 appointed– Mental Health Crisis Workers – building up team– Peer Roles – building up team– Early Intervention posts – in post
•Team bases•Culture of 4 Pillars •Integrated management•Recovery College
BRISTOL MENTAL HEALTHService Commencement
Partnership
System Leadership
October ‘14 January ‘15 April ‘15
Crisis
Assessment & Recovery
Early Intervention in Psychosis
Complex Psychological Interventions
Recovery Bristol Partnership
Community Rehabilitation ServiceSecond Step
Dementia Wellbeing ServiceBristol Dementia Partnership
Mental Health Employment ServiceRichmond Fellowship
Community Access SupportThe healthy living consortium
Assertive Engagement ServiceSt Mungo’s Broadway
Phased introduction of Crisis& A&R services
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