1. /1 Dr Shanaya Rathod, DM, MRCPsych Consultant Psychiatrist, Southern Health NHS Foundation Trust Mental health Clinical lead: Wessex AHSN

2. Agenda 1.Objectives and approach 2.Our progress so far 3.Emerging outputs 4.Next steps and questions

3. 1.Objective and approach: To take the principles of the stroke pathway and apply it to improve the Psychosis pathway in Wessex

4. First principle behind our approach: Involve service users in the development of the new pathway /4

5. Second principle behind our approach: Establish a ‘bottom-up’ understanding of priorities specific to Wessex /5

6. Third principle behind our approach: Encourage creative collaboration between service users, carers and professionals /6

7. Fourth principle behind our approach: Seek Solutions from people who are experts by lived experience /7

8. 2. Progress to date: We are now in the process of running a series of co-productions workshops across Wessex

9. /9 20 Service Users from across Hampshire 3 Carers 5 Healthcare Professionals 4 Hours Progress to date We completed our first workshop in Southampton last month

10. /10 Progress to date Rather than start with our assumptions, we let participants define what was important to them first, and then built from there Warm-up Discover y ThemingPrioritising invent a game with an object share a personal experience identify common needs across different settings vote for what’s most important

11. /11 Progress to date Service Users, Carers and Professionals collectively wrote almost 100 postcards relating their personal experiences of care in Wessex

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13. 3. Emerging outputs: The process is incomplete, but here are a few examples of what we’ve found out so far

14. /14 Emerging outputs Experiences in different settings revealed a number of common needs in the communit y at the hospital Settings Needs at home at the GP or clinic I want resources focused on… I want to access services… I want to be treated… I want to experience services… I want to services to be…

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16. /16 How can we help GPs and other clinicians build more trusting relationships with service users? Emerging outputs Example experience and possible implication for Wessex At the GP / Clinic I want to be treated… Setting Need Personal experience Implication for the Wessex pathway

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18. /18 What can we do to reduce the turnover of carers and healthcare professionals in community settings? Emerging outputs Example experience and possible implication for Wessex in the community I want to experience services… Setting Need Personal experience Implication for the Wessex pathway

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20. /20 How can we learn from the approach taken by the early intervention team and apply it to access and crisis care? Emerging outputs Example experience, early intervention and possible implication for Wessex at the hospital I want to access services… Setting Need Personal experience Implication for the Wessex pathway

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23. /23 How can we ensure that interventions are delivered in a timely fashion? Emerging outputs Example experience and possible implication for Wessex in the community I want to services to be… Setting Need Personal experience Implication for the Wessex pathway

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25. /25 How can we invest more in housing improvement and employment opportunities? Emerging outputs Example experience and possible implication for Wessex in the community I want resources to be focused on … Setting Need Personal experience Implication for the Wessex pathway

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27. /27 How can we train staff who manage supported accommodation to better empathise with service users? Emerging outputs Example experience and possible implication for Wessex at home Setting Need Personal experience Implication for the Wessex pathway I want to be treated …

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29. /29 How can we be more responsive with our resources when service users are in crisis? Emerging outputs Example experience and possible implication for Wessex Need Personal experience Implication for the Wessex pathway at the hospital Setting I want to services to be…

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31. /31 How can we make physical health more integrated into the ongoing care process? Emerging outputs Example experience and possible implication for Wessex Setting Need Personal experience Implication for the Wessex pathway At the GP / Clinic I want to access services…

32. 4. Next Steps an invitation to participate

33. WESSEX PSYCHOSIS PATHWAY 33 Pre-psychosis Early psychosis Persistent psychosis Recovery Acute care pathway Rehabilitation pathway Forensic pathway H EIP pathway Assertive outreach pathway Community mental health pathway

34. WESSEX PSYCHO PATH 34

35. Time to reflect in Groups Does the data reflect your experience? What is/isn’t acceptable? What are the key areas for change? What are the challenges and opportunities? Competition