Hope – Recovery – Opportunity

New Dawn – Purpose

Hope

Recovery

Opportunity

Why change? Service users and carers say…

• Help in a crisis• Help close to home – and in good time• Involvement – understanding the

problem and finding a solution• Interventions – skilled, engaging staff• To be understood “as a person” • Hope • To live their life – recovery

Why change? Staff say…

• More time with service users and carers• Opportunities for developing skills• Work in partnership• Given resources to do the job• Do their best and feel appreciated

and recognised

Why change? Stakeholders and partners say…

• Routes for better information sharing

• Opportunities for better collaboration

• Joint skills training• Sharing resources

Don’t know how best to

work with you

Very clinical and traditional

What about excluded groups?

Approach

Engagement – started December 2014• Service users and carers • Staff (over 2000)• Partners and stakeholders

We are continuing to and improving how we:• Work collaboratively• Work to co-produce• Work to innovate

Approach

• Moving on from the National Service Framework (NSF)• It’s not just about the interventions• “It is about what happens in the room”• New Dawn – a whole different conversation • One part of a whole system – physical & mental health,

social and wellbeing

New Dawn is not a change programme…

…it’s innovation

We have a track record of innovation and implementation of new ideas...• Crisis intervention and home treatment

pioneered in Birmingham• NSF – including AOT, EIS etc. based on

Birmingham model • RAID • Street Triage• Psychiatric Decisions Unit

OutcomesService user and carer

Everyone with their own front

door

Access – appointment in 4 weeks maximum

Opportunity for education,

employment, community

engagement

Family and carers

Best interventions, on clear care

pathwaysRelationships –

stay close, stay connected

Choices and alternatives

Better physical health

Staff

• Right skills• Best teams• Support and supervision• Training and development• Well-led• Time to do the best job

What’s new?Primary care

• Specialist interventions in primary care• Support back in primary care or re-access • Services in GP practices (e.g. dementia

diagnosis or specialist psychological assessment) previously only available in secondary care

• Locally tailored and reflecting the community• Collaborative partnerships

What’s new?Community hubs

• Close working and integration with primary care • Collaborative working - all aspects of health for all over 25• Most experienced clinicians at the frontline assessments• Change the way work to meet needs e.g. appointments • Planning for crisis - written by service users,

their network and the service • Planning for discharge/moving on (ANP role)• Rapid re-access • Staff and partnerships reflecting and

working with local community

What’s new?Urgent care

• 24/7 crisis access within 4 hours• Range of options – to be in the right place • Partnerships now – police, ambulance,

acute hospitals, carers – leaders in the crisis concordat• Partnerships for future – peer support/crisis house• Crisis planning

What’s new?Acute care

• Organise services to respond to crisis• Home treatment for 25+ • Intensive holistic support• 7 day week recovery hub• A bed as close to home as possible• No stand alone acute wards• New roles e.g. peer support in all teams and wards• Discharge link workers – in partnership• Proactive and transparent performance to

support the pathway

What’s new?Rehabilitation & AOT

• Single assessment process for all units• Skills for assertive outreach, skills for

rehabilitation and recovery• Change building - improved facilities for

independent living where possible• Recovery – hope and opportunity ethos throughout• Clear link to outcomes and establishing the evidence

base via assessment suite• Partnerships – support for living fulfilling lives

Walking through a pathway

Now• Waiting time • Repeated assessments• Care plan written by services

and not always shared• Focus on illnesses • Purpose of interventions not NICE or clear• Whole person needs and goals not prioritised• Pathways vary

Walking through a pathway

New Dawn• Guaranteed response time• One assessment• Personal recovery plan written by

service user and/or co-produced • Focus on the person and their network• Interventions to meet goals and evidence-based• Focus on goals and outcomes for living life• Options outside BSMHFT

What would success look like?

• People who use our services have their own front door

• Service users have opportunities for education,work, living meaningful lives for as long as possible

• NICE compliance evidenced throughout• Patient surveys with performance in top 20%• Staff survey in top 20%• New partnerships established with a range of organisations

and communities• Different roles in the Trust – new workforce• Excellent stakeholder feedback

Questions for the panel