Service Transformation

Engagement Event

Glyn Shaw Chairman

Welcome

Wendy Pugh Director of Operation and Nursing

Background

Service Transformation Engagement Event

• Background

• Service Model

• Year 1 implementation plans

• Year 2 and 3 implementation plans

• Q & A

• Closure

2 years ago we defined our journey as…

FT Status

2. Absolute clarity of current position

3.Our Change plans.

1. Define the end goal or at least a strategic “compass bearing”

• Crisis Resolution / Home Treatment becomes part of the Acute model working closely with inpatient units inline with Accreditation for Inpatient Mental Health Services (AIMS)

• Crisis Resolution / Home Treatment operates 24hrs/7 days a week

• Home Treatment carries a caseload of 40-50 service users

• All patients are individually zoned according to risk to determine intensity of Home Treatment visits

• Crisis Resolution / Home Treatment patient contactsDudley – 1673 per annumWalsall – 1109 per annum

Progress to dateWe defined our vision as …

Collective vision in a nutshell (2013+)

• Service user and patient focused

• High quality services

• User and carer at the heart

• Locally agreed clinical plans

• New services

• Strong partnerships

• Financially robust organisation

• Commercial and business like

• Truly Dudley and Walsall

• A new culture and approach

The CR/HT service covers;

- Provides intense Home Treatment support as alternative to hospital admission

- Facilitates early discharge from hospital

- Interface and signpost with secondary and primary care services

- Gate keeps inpatient beds

- Bed manages

- Assessments of s136 (Mental Health Act)

- Out of hours Accident & Emergency assessments

Progress we have made…

Strategically

• Board Diagnostic

• “Better Together” Board

• Defined our 3 strategic objectives

Operationally• Services understood +

improving (quality maintained)

• One Trust

• Key issues now understood– Corporate services

restructure– Management restructure

Jacky O’SullivanService Transformation Programme Director

Engagement

• Overview & Scrutiny Committee • Service Users and Carers Forums • GP Consortia Boards • Local Authority Management Teams• Mental Health Programme Board • DWMH Trust Board • Staff Road shows • Team Brief • Management Executive Team • Service Transformation Programme Board

Benefits of the Model

• Complies with Age Equality Duty

• Provides single point of access into secondary care

• Removes multiple assessments

• Highly skilled clinicians at front end

• Improves Referral to Treatment Time

Benefits of the Model

• Increased focus on treatment and recovery

• Fully integrated teams

• Congruent with Care Clusters

• Opportunities for short term treatments with EAT

• Standardisation of practice

• Following a similar model to many other mental health trusts

Karen Williams Associate Director of Community Services

Directorate

Dr Bill ConlonMedical Director and

Executive Lead for Service Transformation

2011/12 Implementation

• Enhanced Primary Care

• Psychiatric Liaison service

• Memory Service

• Early Access Teams

• Community and Recovery Teams

• Transition Team

Enhanced Primary Care

• Integrated model with primary care mental health & IAPT

• Walsall – began January 2011

• Dudley – ongoing consultation, commencing this year

Psychiatric Liaison

• Provides Psychiatric Liaison service to acute hospitals

• Well established service at Walsall Manor Hospital

• Dudley service commenced at Russell’s Hall Hospital July 2011

Memory Service

• Commissioned in the Walsall borough

• Issues with capacity, location, adherence to protocol

(prescribing)

Action plan in place & work has progressed with commissioners

Early Access Team• 24/7 service

• Single point of entry into secondary care

• Robust assessment

• Consistent approach

• Highly skilled professionals

• Phased implementation

Community and Recovery Teams

• Treatment & recovery focused

• Aligned to care clusters (PbR)

• Standardising practice

• Developing personalisation and choice

Transition Team• Step down approach for discharge back to primary care

• Training remit for primary care

• Working with services users, carers, GPs and primary care teams to ensure effective discharge package:-

• Medication

• Risk

• Relapse prevention

• Early warning signs

• Benefits

• Access back to services

• Community networks

Jacky O’SullivanService Transformation Programme Director

Overview of Year 2 & 3 implementation plans• 2011/12

• Review all remaining services

• 2012/13• Acute

• Inpatients • Home Treatment • ECT • Bank• MHAA

• Rehabilitation Inpatient unit • Day services, vocational and employment services

Overview of year 2 & 3 implementation plans

• 2013/14

• Dementia Services

• CAMHS

• Criminal Justice

• Borderline Personality Disorder

• Eating Disorder

• Carers