1. Improving Access To Mental Health Support For Individuals With Multiple Complex Needs : Nottingham City Primary Care Mental Health Service
Vicki Adshead, Clinical Lead & Non-Medical Prescriber Stephen Hall, Acting Team Leader

2. Primary Care Mental Health Service
Service offer
Short term supportive Mental Health treatment interventions in Primary Care
Delivered in Primary Care venues and patient homes
Expert Mental Health advice and support to Primary Care Practitioners
Target patient group
Not ready for/or excluded from IAPT service offer.
Complex and chaotic (e.g. if experiencing significant levels of distress and instability, misusing drugs or alcohol) .
Do not meet the threshold for secondary care Mental Health services.
Team
Manager
Clinical Lead & Non-medical prescriber
7 Band 6 Mental Health Nurses
1 Band 5 Mental Health Nurse
2 Peer Support Workers

3. IMPROVING PATHWAYS Service Design
Referrals can be made directly from Opportunity Nottingham via instead of going through SPA.
Allocated clinician each day to respond to Opportunity Nottingham referrals – contact to be made with the Opportunity Nottingham worker within 2 days.
Flexibility in where and how individuals are seen – community locations / home visits if applicable.
All referrals accepted for assessment – unless otherwise open to another secondary care team
Beneficiaries of Opportunity Nottingham allocated to one clinician for consistency.
Staff at PCMH service have access to INFORM – to allow information sharing
Service has NMP to improve access to pharmacological interventions

4. Progress to date PCMHS began operating in Jan 17
We’ve had 40 referrals from Opportunity Nottingham
Seeing Beneficarieis in flexible locations – Home visits/GP Practices/Val Roberts House
Providing quick response and crisis support.

5. Challenges Promoting system change: - accessible locations
- referral onto other services
Staff attitudes/different ways of working
- Staff expectations of a PCMHS
- 2 different systems
Service challenges