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