1. Reducing Delayed Transfers of Care (DToC) in Mental Health
- a System success story

2. BNSSG CCG/STP Geography

3. Local Mental Health Landscape
Inpatient Mental Health services from AWP
DToC mainly in Psychiatric Intensive Care & Later Life beds
Complex landscape - three local authorities

4. The challenges
High level of Out of Area placements – financial impact on Provider and Commissioner
Mental Health - National target to reduce MH DToC to 3.5% by April 2018
Insufficient data relating to DToC prior to November 2017
Better value – Out of Area

5. Key issues caused by DToC

6. MH Enabling Discharge Programme
Set up in November 2017
Three Working Groups to address various issues causing delays in discharge:
Operational Standard & Coding Working Group Market
Management Working Group
Partnership Working T&F Group

7. DToC Performance November 2017- June 2018

8. Achievements – System Benefits
Financial benefits
Pro-active approach through a system ‘solution’ and pathway mapping
Integrated Discharge Services
Improved Provider Management
Improved parity between physical & mental health in the management of DToC
Improved recording and reporting of DToC
Aligning MH with physical acute practice
Consistent approach to managing DToC

9. Lessons Learnt Persistent focus on reducing DTOCs
Early engagement with external partners
Development of system wide SOPs (DToC Calls, Brokerage Teams, Managing Expectations etc.)
Alignment of consistent physical & mental health practice in DToC

10. Ongoing challenges Summer impact of holiday cover amongst partners
Renew skill base and train staff
New funding structure for placements by one of the Local Authorities

11. Any questions?