Melanie Corish, Programme Director, Modernising Mental Health New Mental Health Services for Bristol

Modernising Mental Health Services in Bristol Engagement Co-design Procurement Transition Implementation timeline 2010 May 2013 May – Oct 2014 Autumn

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

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 Mental health challenges in Bristol

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

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 Key features of the new system

Modernising Mental Health Services in Bristol Engagement Co-design Procurement Transition Implementation timeline 2010 May 2013 May – Oct 2014 Autumn