Melanie Corish, Programme Director, Modernising Mental Health
New Mental Health Services for Bristol
Modernising Mental Health Services in Bristol
Engagement
Co-design
Procurement
Transition
Implementation
timel
ine
2010
May 2013
May – Oct 2014
Autumn 2014
2011 - 2013
Mental health challenges in Bristol
• Unmet need - access for a diverse population• Historic legacy of poor services• Poor patient experience• Disillusioned staff – poor staff satisfaction scores• Long waiting times• High access criteria• Overstretched crisis services• High caseloads• Over utilisation of inpatient bed capacity• Inpatient rehabilitation model
• Developing recovery focussed model• Addressing holistic needs of individuals with mental
health issues• Putting resources in the right parts of the system• Early intervention • Collaboration with the patient• Collaboration with other services• Harnessing the skills and reach of the third sector
Mental health challenges in Bristol
Values and Principles
• Work with patients to promote resilience and wellbeing and service design and delivery
• Be inclusive• Be locally accountable and Bristol focussed• Meet the diverse needs of Bristol’s population• Deliver high quality services regardless of age• Consider the wider context of the patient• Recognise and deal with safeguarding issues• Focus on patient outcomes rather than activity (i.e. results
rather than numbers)
Key themes
• Responsiveness• Prevention, early intervention, effective care and management• Supporting recovery• Effective emergency care, rapid response, preventing admission and deterioration
People who are known to services have:• A point of contact within their local team• An understanding of how to manage their mental wellbeing and when to seek help• A recovery plan that they were involved in developing and that matches their
aspirations• An up to date crisis plan
The service feels positive, optimistic, caring, supportive, accessible, responsive, personal
PRIMARY CARE PRACTICES (GPs)
Bristol Wellbeing Therapies Service
(available now)
Community Access Support
BMH 14LOT 5
Employment ServiceBMH 13
LOT 4 – RICHMOND FELLOWSHIP
Assertive Engagement ServiceBMH 07
LOT 6 – ST MUNGO’S BROADWAY
Inpatient ServicesBMH 20
Assessment and Recovery Service
BMH 01
Crisis Service
BMH 03
Community Rehabilitation Service
BMH 06LOT 2 – MENTAL
HEALTH BRISTOL PARTNERSHIP
Complex Psychological
Interventions ServiceBMH 04
Social Prescribing
BMH 16
Bristol SanctuaryBMH 15
Early Intervention in Psychosis
ServiceBMH 02
Dementia Wellbeing ServiceBMH 05
LOT 3 – BRISTOL DEMENTIA PARTNERSHIP
Mens Crisis HouseWomens Crisis
House (available now)
System LeaderBMH 17
LOT 1 – MENTAL HEALTH BRISTOL PARTNERSHIP
Bristol Mental Health System Providers
Key features of the new system• Collaborative, integrated system of specialist providers• System leadership model • Increased resources at the front end:
– Assessment and Recovery service, 8am – 8pm 7 days a week with standard appointments within 3 days and same day urgent appointments
– Holistic social model– 24-7 Crisis and intensive home treatment service, with single point of
access– Psychologically informed throughout the system
• New Crisis Sanctuary– For people in emotional crisis and pre crisis
• Existing crisis houses• Inpatient redesign
– reducing over-utilisation of bed capacity– Implementing best practice
• Community rehabilitation model– Hub and spoke, residential and community support
• Mental health employment service– IPS model, prioritising job retention, finding employment and working
with employers• Assertive Engagement service
– Working with the most vulnerable in society– Case finding and supporting access to mainstream mental health services
• Community Access Support Service– Engaging with diverse Bristol communities, through community groups
faith groups etc– Increasing mental health awareness and sharing how to access services
• Primary care based dementia wellbeing service– Enabling people in Bristol to live well with dementia from diagnosis
to end of life
Key features of the new system
Modernising Mental Health Services in Bristol
Engagement
Co-design
Procurement
Transition
Implementation
timel
ine
2010
May 2013
May – Oct 2014
Autumn 2014
2011 - 2013