Delivering mental health services in Bristol– working in partnership with the NHS March 2015 Aileen Edwards Carol MettersChief Executive Second StepMissing Link 1

Leading and Facilitating VCS and public sector through tendering process and implementation

Our Approach  Approached local VCS agencies to build partnership in 2012  Agencies complementary to ours ( not in competition) 3

Our Approach  Developed our ‘offer’: what we are good at and where we could add value  Assessed potential NHS Trusts to see who we could partner with  Discussed with potential Trusts to gauge their values and appetite for new ways of working 4

Created a new partnership 5

Our Offer Looked at what we do:  Recovery approach  Social interventions  Holistic assessment and approach  Co-production and involvement  Complementing clinical roles 6

NHS provider  Negotiated from a position of strength and knowledge  Built on partnerships and good working relationships  Worked hard together on tender and implementation 7

Successful bids Community mental health services (Lot 1):  NHS (AWP) lead Community rehabilitation service (Lot 2):  Second Step lead  AWP clinical services, Missing Link partner Phased start – from October 2014 onwards 8

9 Challenges  Clear Governance structures and leadership essential  Integrated teams : need for common culture, which takes time  Setting up and new ways of working requires resources  Valuing Professional roles/VCS roles

10  Integration agenda and new ways of working, new roles  Potential for real change  VCS/NHS partnership Opportunities

Where we are now?

Assertive Engagement Service (LOT 6) Bristol Sanctuary (LOT 7) Employment Service (LOT 4) Inpatient Services Women's Crisis House & Men's Crisis House Community Rehabilitation Service (LOT 2) Bristol Wellbeing Therapies Service (IAPT) Dementia Wellbeing Service (LOT 3) Community Access Support (LOT 5) System Leadership BHM 17 (LOT 1) PRIMARY CARE PRACTICES (GPs) Part of 2014 recommissio ning Key: Existing contracts APRIL 2015 Assessment and Recovery Service Crisis Service Early Intervention in Psychosis Complex Psychological Interventions Service Community Mental Health Services (LOT 1) OCT APRIL 2015 JAN 2015 OCT 2014

Bristol Mental Health Community Mental Health Services Community Access Support Community Rehabilitation Services Wellbeing Therapies Sanctuary Dementia Services Employment Services Men's Crisis Houses Women’s Crisis Houses Assertive Engagement Inpatient Services AWP Second Step Missing Link SARI Brunel Care Brunel Care Wellspring Nilaari Off The Record KW HP Southmead Develop. Devon Missing Link Second Step AWP Alzheimer Society Richmond Fellowship MH Matters Windmill Hill CF Somali Resource SARI Wellspring KW HP St Mungos Broadway One 25 St Mungos Broadway AWP LIFT 13 AQP …. AWP St Mungos Broadway Missing Link Lead organisation Partner Organisation Southmead Develop.

Community Mental Health Services Started October 2014 to transition: New Roles: – Recovery Navigators – 65 appointed – Mental Health Crisis Workers – building up team – Peer Roles – building up team – Early Intervention posts – in post Team bases Culture of 4 Pillars Integrated management Recovery College

BRISTOL MENTAL HEALTH Service Commencement Partnership System Leadership October ‘14 January ‘15April ‘15 Crisis Assessment & Recovery Early Intervention in Psychosis Complex Psychological Interventions Recovery Bristol Partnership Community Rehabilitation Service Second Step Dementia Wellbeing Service Bristol Dementia Partnership Mental Health Employment Service Richmond Fellowship Community Access Support The healthy living consortium Assertive Engagement Service St Mungo’s Broadway Phased introduction of Crisis & A&R services 15