1. The Inner Sydney Urban Partnership (UP)
Coalition of inner city providers
SVHNS
CESPHN
FACS
22 NGOs
Consumer and Carer peak bodies
Aim
To develop and deliver an enhanced, comprehensive, highly efficient and effective spectrum of integrated, person centred care for vulnerable people living in inner city Sydney
Levels of membership
Sponsors (Leadership and Governance Group)
Partners
Members
Affiliates

2. Challenges
Dealing safely and effectively with high volume/high acuity complex presentations through ED and other services including >60% from out of area
Meeting NEAT targets when patient flows highest through the smallest number of beds in NSW
130 separations/mth, ALOS 10 days, PECC and Caritas ~ 4pts/bed/ mth cf peers 2.5
Keeping services safe and person focused, trauma informed and recovery oriented
Lack of community based accommodation options
Differing governance, business models, culture and language of MHS, ADS, NGOs and GPs
IT and Privacy challenges
Discontinuity between Federal, State and LHD funding systems
Adaptation to new funding systems NDIS, PHN, ABF, Social Impact Bonds
Collaborative vs competitive incentives

3. Target Population
Vulnerable people residing in inner city Sydney with persistent mental illnesses, co-existing disorders and who often suffer homelessness and other social adversities

4. Governance structure Sponsors Group Advisory Group Working Group
CESPHN
FACs
SVHNS
Key NGOs
Consumers and carer advocates
Advisory Group
Working Group

5. Initiatives
Integrated Care Network based on “Collective Impact” principles
Inner City Map of services ~ MH Atlas (UoS)
Clarification and implementation of mutual care pathways
Develop overall inner city health and social services community plan
Shared care with NGOs and GPs
Consortia bids ~ MOH Innovation funding and Social Impact Bonds
Community Hub*
Network wide recovery/resilience framework
Education and training – Professor of Mental Health
Research and development (CRUfAD, Urban MH and Well-being Centre)

6. Progress Membership agreed SVHA support for establishment
MH Atlas initial survey completed
Funding submission for MOH Innovation and Social impact funding bids submitted
Governance arrangements and initial Network Model of Care being finalised