No Theme Objective Action / data collection Progress to date Timescale Led By Outcomes RAG 1. Access and promotion Equality Assurance. All user groups have access to services. Equality issues – access for BME groups. Provide self-help guides and other practical resources. Signpost people to related services. Number of referrals. No. of service users supported. No. of people whose WEMWBS score improves whilst engaged with Community Development Worker (CDW) service. From 1st July – 30th September 2015: 351 resources and self-help guides distributed to individuals and groups (these include translated documents into Punjabi, Urdu, Arabic, Chinese, Polish, Czech, Hindi, Guajarati and Hungarian) 25 individuals signposted to Trust and other statutory services. 49 referrals received by the Walsall CDW team. 24 individuals supported. 8 WEMWBS scores collated. April – Sept 2015 Paul Singh Community Development Workers Team, Dudley & Walsall Mental Health Partnership Trust Pat Nye Walsall Service User Empowerment Ensure access to all service provision is equitable for whole community. Success criteria measured against % of staff employed from hard to reach groups against % of population. G
Recovery star model developed. 7 individuals completed recovery star showing a positive improvement with mental health and recovery. 2. Access and promotion Deliver promotional material and training for local community, including mental health awareness. Signposting people to local expert patient programme, mental health first aid, services at the recovery college, expert carers programme. Carers are routinely referred for or signposted to appropriate programmes at duty points or following carers assessments. (Stats required) April – July 2015 Paul Calder Dudley & Walsall Mental Health Partnership Trust Angela Aitken Public Health Department Increased awareness of mental health symptoms and support available across the borough A
3. Access and promotion Mental Health First Aid (MHFA) Delivery Target Carers. Target GP’s. Target Ambulance personnel and A&E staff. Target Police personnel. Target Housing Officers. General Mental Health training for all services, e.g. mental health first aid (MHFA), understanding Identify who MHFA is KPI’s - Evidence of effectiveness to be collated through feedback forms. Promotion to the target areas stated above and collate uptake. Targeting of MHFA delivery to those who will most benefit. Lifestyle services provide four training sessions for adult MHFA and three sessions for youth MHFA, details attached. The sessions would be continuing, with a view to integrating them into the workplace. This may link with the Suicide Prevention Strategy. Target Carers – details sent to mental health carers’ support team and EPP Target GP’s – not currently specifically targeted to GP practices. Target Ambulance personnel and A&E staff – no contacts for ambulance personnel. A&E April – September 2015 Angela Aitken Public Health Department Walsall Council Vicki Fox Kaleidoscope Plus Group Anne Pledger Lifestyle Services Participants will have: increased knowledge of different mental health issues. increased confidence in supporting those in distress resulting in less restrictive interventions. increased awareness of how to support, and improve their own mental well-being. greater understanding of support networks in the area and who the current referral agencies are. Avert a crisis. A
telecare/health packages as a result of this activity. 5. Access and promotion Improve access to talking therapies for hard to reach groups. Improve access to IAPT Service. Maintain/improve referral rates for different BME groups. Increase referral rates for older persons. Delivered through promotion and engagement in community settings. Current baseline for over 65’s is 7% of the 15% population. Target 10% by June 2015. Gather % of team, from hard to reach groups and speech and language skills. Access for BME groups increased form 20% Q1 in to 22.3% in Q2. 16% of staff from BME background (1 tempt staff member) 13% of staff can speak other languages. (1 temp staff member). Older adult access rate = 7%. target= 10% Q1 referrals = 134 Q2 referrals = 158 Number of referrals in Q2 has increased for all age groups access rate decreased to 5.3% despite more 65+ being seen. Numbers of 65+ increase for completing treatment Q1 = 4.1% Q2 7.3%. April – June 2015 Jacky O’Sullivan/Lesley Burton Dudley & Walsall Mental Health Partnership Trust Enable greater access for those under represented within the service. Explore Business case for additional funding to improve access/increase treatments, for older peoples’ service. A
8a. Service development and improvement Improve user experience of younger adults’ Mental Health Liaison Team Mental Health data collection. Analysis over a 2 month sample period – Number of referrals. Waiting times. Appropriateness. Intervention required. Service required post treatment. Outcome of assessment. Group to identify themes and possible earlier interventions. Potential reduction of further A+E admissions. Audit has been completed by DWMH and results will be shared with CCG in due course April 2015 Bev Williams /Jacky O’Sullivan Dudley & Walsall Mental Health Partnership Trust Identify gaps and weaknesses within current arrangements. Group to identify themes and possible earlier interventions. Reduce demand within acute setting through utilising preventative services. A
8b. Service development and improvement Improve user experience of Older People’s Mental Health Liaison Team Mental Health data collection. Analysis over a 2 month sample period – Number of referrals. Waiting times. Appropriateness. Intervention required. Service required post treatment. Outcome of assessment. Group to identify themes and possible earlier interventions. Potential reduction of further A+E admissions. Awaiting information December 15 – May 16 Debbie Shaw, Walsall Healthcare NHS Trust/ Michael Hurt, Walsall CCG Identify gaps and weaknesses within current arrangements. Group to identify themes and possible earlier interventions. Reduce demand within acute setting through utilising preventative services. A
11. Service development and improvement Deliver alternative emergency/crisis solutions to those suffering with mental ill health. Monitor Street Triage Crisis Care pilot service effectiveness. Street Triage Crisis Care. Collection of various data sets. Including use of s136 suite, avoidance of A+E admissions, avoidance of use of police/ambulance service time, outcomes such as prevention of suicide etc. April 2015 115 incidents dealt with by triage: 74 Male, 41 Female 89 from Police, 26 from Ambulance 27 in public place, 88 in private, 4 detentions under s.136, 8 prevented s.136 detentions. May 2015 83 incidents dealt with by triage: 38 male, 45 female 52 from police, 31 from ambulance, 14 in public place, 69 in private, 2 detentions under s.136, 3 prevented s.136 detentions. June 2015 74 incidents dealt with by triage: 33 male, 41 female April – September 2015 Inspector Amanda McPhee West Midlands Police Collection of data to enable a business case to commissioning crisis car on a longer term basis. Ensure a fast multi-disciplinary response to mental health crisis situations in the community and avoidance of hospital treatment. Deliver more effective and appropriate solutions to user needs. G
14. Service development and improvement Increase with partners to deliver improved outcomes for those misusing alcohol and substances Explore the substance misuse pathway and identify potential barriers or improve connections to services. There was a substance misuse drug and alcohol needs assessment in place. There were no specific barriers at present. Toxic Trio (MH, substance misuse and domestic violence)– ML now chairing a sub group to evidence MH users who could benefit from Toxic Trio work. April – October 2015 Patrick Duffy Public Health Department Marcus Law Joint Commissioning, Walsall Council/Walsall Clinical Commissioning Group. Identify gaps or barriers between services Identify gaps or barriers between services and link with children services A 15. Service development and improvement Assess potential for improvements to early intervention In first episode psychosis service. Measure against standards, 2 week referral to treatment. Early Intervention linked to CQUIN 2014/15. 1. Review of Pathways to Care. Measurement of Duration of Untreated Psychosis (DUP) Identify areas of high DUP. Develop and implement plan to reduce DUP DUP and 2 week RTT are 2 separate actions. DUP is the measurement of untreated psychosis which was a CQUIN for 2014/15. The Trust monitors this internally and is reducing DUPS by conducting joint April – September 2015 Jacky O’Sullivan Dudley & Walsall Mental Health Partnership Trust Early identification and treatment for those suffering with first episode psychosis. Develop support network for carers. A
18. Service development and improvement Identify improvement in provision for those with learning disabilities and autism and their access to mental health services Gather information on barriers to access and appropriateness of service delivery. Accessibility is linked to implementation of the Green Light Toolkit across mental health services. Green Light Toolkit implementation. Equality Delivery System Plan. Green Light Toolkit implemented within Dudley & Walsall Mental Health Trust – policy written and being used by Trust Staff. Audit will be undertaken to monitor usage of policy and access of the service. April – August 2015 Jacky O’Sullivan Dudley & Walsall Mental Health Partnership Trust Ian Staples/ Mandeep Jandu Joint Commissioning, Walsall Council/Walsall Clinical Commissioning Group Deliver services that are timely, appropriate, and effective. A
19. Service development and improvement Identify any potential issues that exist in Adult Mental Health Practitioner (AMHP) response times. Gather data on response times of AMHP’s and medical professionals and ascertain if any concerns exist. Average response times for first quarter 2015 is 3.5hrs. This is within the guidelines. There are extremes outside of this at times which have exception reports attached. April – June 2015 Paul Calder Dudley & Walsall Mental Health Partnership Trust Ensure those requiring assessment are assessed timely and appropriately. G 20. Service development and improvement Gather information from items on action plan and decide if service changes are required that require amended/new specifications. Amend any relevant specifications/SLA’s, within the third sector, DWMHPT and the council. Information gathering in progress. - Rehab pathway redesign. April 2015 – March 2016 Marcus Law Joint Commissioning, Walsall Council/Walsall Clinical Commissioning Group. Design fit for purpose services to meet users’ needs. A Appendix 1: Action Plan: West Midlands Ambulance Service NHS Foundation Trust