Melanie Corish, Programme Director, Modernising Mental Health

1. New Mental Health Services for Bristol Melanie Corish, Programme Director, Modernising Mental Health

2. Modernising Mental Health Services in Bristol timeline 2010 2011 - 2013 May 2013 May – Oct 2014 Autumn 2014

3. 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

4. Mental health challenges in Bristol • 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

5. 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)

6. 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

8. Bristol Mental Health System Providers

9. 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

10. Key features of the new system • 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

11. Modernising Mental Health Services in Bristol timeline 2010 2011 - 2013 May 2013 May – Oct 2014 Autumn 2014