hope – recovery – opportunity. new dawn – purpose hope recovery opportunity
TRANSCRIPT
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