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

Outcomes Service user and carer Access – appointment in 4 weeks maximum Best interventions, on clear care pathways Choices and alternatives Better physical health Everyone with their own front door Opportunity for education, employment, community engagement Relationships – stay close, stay connected Family and carers 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 pathways Relationships – 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