3 Integrate the work of the Crisis Care Concordat into a Mental Health Strategy Strategy to be completed by beginning of April 2016 MH The Mental Health Working Group will take forward this work stream ensuring it is integrated also with wider strategic partners such as Public Health, Police Primary Care, Community and Acute Hospital services New Board has met to set parameters for strategy development. New Executive also to meet in August. Whilst governance arrangements in transition Crisis Care Concordat Working Group will convene to ensure action plan continues to be driven forward. 4 MH Criminal Justice Liaison On Police and CCG Leads required A phone point of contact in each area to support service users and redirect to support services at an early stage to reduce crisis point presentations Redirect to support services at an stage to reduce crisis point presentations. MH Criminal Justice Liaison 24/7 Telephone SPOC- will also help reduce section 136 requirements Ensuring the right numbers of high quality staff 1 Reviewing impact of Winter Resilience additional funding into Liaison function across MH services. April 2015 Bromley CCG / Oxleas Review lessons learned from increased capacity and further reviews on options of future service structure. We are conducting annual detailed analysis of MH A&E performance, and organisations achieving and sustaining key national and local targets relating to mental health urgent care performance measures Conducting a detailed diagnostic / scoping review of Borough wide service provision to generate a clear understanding of existing practice, workforce establishment, barriers, bottlenecks and enablers to delivering a high quality, safe and sustainable urgent care system for people in a mental health crisis. All of which will inform future planning 2 Drafting of Recruitment and Retention Plan for AMHPs June 2015 Oxleas & LBB All services are appropriately staffed. Is monitored as part of contract management Improved partnership working in Bromley locality
No. Action Timescale Led By Outcomes Summary progress against actions (include outcome measures where relevant) (RAG) Improve access to support via primary care 1 Community Mental Health with a focus on increased support to Primary Care October 2015 Bromley CCG / Oxleas New service model in place locally, providing improved responsiveness to Primary Care. The new Primary Care Plus service is now operational 2 Reviewing IAPT service model to ensure appropriate support into primary care. On-Going Bromley CCG / Bromley IAPT Increased support available within Primary Care and self-referral into services at point of crisis. We have continued to incrementally improve access and recovery outcomes by; Improving data management Increasing multiple points of (stratified approach) getting people to the appropriate step first time of asking Improving Clinical leadership Delivering services at and places most convenient to patients (clients) Un-stigmatised environments Social Marketing / Branding of the service Support and training to GP’s (improving accuracy of referrals) 3 The role of the mental health link worker is to be reviewed and clarified in SDIP March 2016 Oxleas and Bromley CCG Part of Service Development and Improvement Plan On – Going Up date required Improve access to and experience of mental health services 1 Extend CPN pilot into integrated April 2015 Bromley CCG Mental health Workers embedded into physical healthcare integrated teams. Early identification of mental health Need an update
Emergency Department services response and identifies frequent attendees Referrals to community services promptly will reduce risk of Understanding patient’s patterns will help development of pathway for better management to prevent attendance Nurses etc. All contributing to the ability to continually reduce A/E attendance and resultant Hospital admissions. 2 Thorough routine review of incidents, accidents and complaints through CQRG to identify and reduce patterns / areas of prevalence From April 2015 CCG Oxleas NHS FT All Providers Reduction in the number of incidents, SUI’s and reportable events across all providers Improvement in service quality will lead to reduced vulnerability of patients and more effective interventions Better use of advocacy services by patients and carers will help inform service improvement Being effectively contract monitored and managed Staff safety 1 Thorough routine review of incidents, accidents and complaints through Contract Management Board to identify and reduce patterns / areas of prevalence From April 2015 CCG Oxleas NHS FT All Providers Reduction in the number of incidents, SUI’s and reportable events across all providers Improvement in service quality will lead to reduced vulnerability of staff and more effective interventions effectively contract monitored and managed Primary care response
3 Ensure that development of local services have fully integrated with mental/physical health/social care services Ongoing CCG / LBB / Oxleas NHS FT / Voluntary Providers Joint multi-agency work and evidence of multi-agency working in services to address health as well as factors. Update needed 4 Crisis care planning for those who regularly present at ED. 2016 with mid-year review in Q2/3. Oxleas FT Frequent attender reports and plans reviewed and updated, and made accessible to ED staff Being monitored through contract reviews 5 Increase the awareness and use of personal health budgets for those with long term mental health needs 2016 with mid-year review in Q2/3. Oxleas FT and LBB Increased awareness of the use of personal health budgets amongst people with long term mental health needs and providing them with greater choice and control over the support they access to manage their mental health. monitored through contract reviews 6 Encourage routine discharge planning meetings in community recovery services 2016 with mid-year review in Q2/3. Oxleas FT Discharge plans are regularly reviewed to ensure plans are effective and facilitates the recovery and wellbeing of service users and carers. We are currently developing MH Shared Care Pathway for patients moving from secondary to primary care. This will entail; Clear Criteria (suitability) Protocols (medication / prescribing) Care Navigation Discharge Planning After Care arrangements Fast Tracking patients when in crisis In addition to this the soon to be commissioned Prevention Employment Recovery service will provide much needed sustained aftercare and recovery opportunities