A Prevention and Early intervention A1 Access to advice and information Dudley library services online information and Dudley Plus advice centre both up and running Access to more specialist mental health, dementia advice and advocacy through Dudley Mind, Rethink, Alzheimer Society, Dudley Advocacy, Voiceability and Age UK. Telephone support service for emotional health, wellbeing and mental health 16 plus. Rethink Telephone support and advice for young people and children. Kooth Online specialist mental health information advice and support. BWW Third sector mental health information, advice and low level support providers now formally linked to local health and wellbeing information systems Gateway system within Dudley MBC to ensure timely information regarding capacity Introduction of PSIAMs for use by 3rd sector providers. Heavily advertised access to BWW via self-referral Plan to work in partnership with Dudley MBC Children services to develop an early access children and families well being hub Completed Completed Completed Completed Service specified and implementation scheduled this financial year Dudley MBC MH Commissioner Both I will have access to appropriate information, advice, advocacy and support to help me to remain independent and enable me to play a more active role in finding my own solutions and/or support me in my caring roles. I will have more involvement in planning my own support. I will feel less isolated and vulnerable and more connected with my local community. A2 Access to peer support Dudley Mind Drop in Service Dudley Mind Horticulture Service Dudley Mind peer support groups Dove House, Dudley Mind Alzheimer Society Memory Cafes Alzheimer Society Dementia Cafes To continue to encourage the development of peer support opportunities within Dudley- building on what is already available and maximising the opportunities afforded. Independent advocacy commissioned by Dudley MBC to meet Care Act requirements M H Commissioners And Dudley MIND Commissioner for Integration Independent Advocacy I will be able to talk to someone who understands my condition, is tolerant, flexible, patient and persistent and who will help me to understand my strengths and my opportunities for amore fulfilled life. I will feel empowered to take responsibility for my own recovery. I will have the opportunity to use the expertise that I have gained in managing my own mental illness to help others and I know that this could lead to formal training and future employment opportunities if I so chose.
A3 Access to social prescribing Social prescribing linked to GP Practices in the Borough. To encourage the use of social prescribing in the support of people with mental health needs. To roll out Social Prescribing to be Borough wide. To ensure that social prescribing is formally aligned to the MH pathway. 2015 On-going Senior Specialist in Public Health. MH and Integration Commissioners. My GP will recognise the impact that my social needs are having on my health and wellbeing. I will have access to a holistic assessment of my health and social care needs and I will be encouraged to look at opportunities that will help me to address the issues that are negatively impacting on my wellbeing. I will have confidence that if I am becoming mentally unwell that any support organisation will know how to get me the help that I require. A4 Access to a single point of access to a multi-disciplinary team DWMHPT implemented an Early Access service as the single point of access in April 2012. Early Access Service to all DWMHT services established in April 2013. Patient journey currently evaluation. . On Decision to prioritise development of a MASH (Multi Agency Safeguarding Hub) Implementing 24/7 access and assessment 31/03/16 DWMHT& Commissioners All stakeholders DWMHT& Commissioners My GP only has to tome to EAS which will significantly reduce the risk of my referral going to the wrong service or team and delaying me getting the help that I require. I can be confident that EAS will have sufficient information about me to enable them to identify the most appropriate team or service to meet my presenting needs and to determine how quickly I need to be seen. I can be confident that if I am in crisis or at risk of moving to crisis that services will respond within agreed timescales. I can be confident that if I am assessed as not requiring secondary care MH services that EAS will make contact with other agencies and/or services that are better placed to meet my needs.
Across Dudley we want to ensure that all services are appropriate for all people who use them and that no groups will be left behind in terms of health improvement and reduced health inequalities. We want a workforce across Dudley that welcomes, values and promotes diversity and is competent in advancing equality and tackling discrimination both within and outside of their own organisations. We want to ensure that all premises out of which services are delivered meet the needs of all staff and visitors. Mental Health and drug and Alcohol Abuse. Mental health urgent care centre available out of hours and weekends pilot until 1st May 2015 All contracts and specifications require providers to ensure that services reflect cultural differences to support and encourage access into their services. The development of the web-portal and information and advice services running out of local neighbourhood hubs including libraries, will support the engagement of local communities and support the signposting of people to services and support that can address any issues they have in a timely manner. • Access to MH advocacy services • Access to interpreters protected characteristics under the Equalities Act. Ensure that services commissioned can deliver a range of care options that meet a diverse range of needs. Empower people with protected characteristics by providing appropriate information, access to advocacy services, and ensuring that they are engaged in, and have control over, their care and treatment. Expect that commissioners and providers meet with community leaders to understand any barriers that may get in the way of people accessing the help that they need. Invite community leaders to view services and meet staff so that they better understand what services deliver and feel able to encourage people from their communities to access MH services when they have need of them. Ask Health watch to support us in getting a better understanding of the experiences of accessing MH services for groups with protected characteristics and identify what we need to do to improve. Review service access data against demographic and prevalence data to identify gaps in access rates for people with protected characteristics. On-going On-going On-going On-going On-going On-going During 2015 By end March 2015 MH commissioner empowered to influence the of MH services within Dudley. All involved in the commissioning and provision of MH services will into my community to try and tackle any stigma and discrimination that may be a barrier to me accessing the help and support that I need. will be accessible information and advice to help me navigate my way through to the services and support that I require. All services providing crisis care will ensure that my care and support is delivered in accordance with my protected characteristics.
from the community to an NHS facility will be conveyed in a safe, appropriate and timely way. Where secure and escorted patient transfer is required to a different hospital, services such as Rapid and Secure are commissioned. This is currently on a spot purchase basis. Transfers to the POS service located in Dudley will either be via the street triage car or via ambulance in line with agreed conveyance policy. and identify the number of times that police cars are being used. To review the Conveyance Protocol with WMAS. To review commissioning of patient transport between inpatient units. B13 People in crisis who are detained under S136 powers can expect that they will be conveyed by emergency transport from the community to a health based place of safety in a safe, timely and appropriate way. The Street triage car will convey those who require transfer who they have assessed. Conveyance policy agreed in support of S136 policy with WMAS – 20 minute response time in operation. Review that our local S136 ambulance protocol is in line with the National Protocol issued April 2014. Completed Police I can be confident that I will at all times be transported safely and in an appropriate non stigmatising vehicle. Quality of treatment and care when in crisis C1 People in crisis should expect local MH services to meet their needs Psychiatric Liaison operates 24/7 within the hospital 7 days a week within Dudley The team has established pathways for onward referral Psychiatric Liaison Services to operate out of all sites. Model to be reviewed based on patient demographics to ensure that it tailored to presenting On-going SRG I will get the most appropriate of crisis intervention at the first point of service.
Fast track entry back into services agreed as part of the new MH pathway. CRI team provide dual diagnosis training. CRI works in partnership DWMHT and 3rd sector providers so that MH, substance and social needs of clients can be well supported. Dudley Mind provide MH drop in services (including out of hours and weekends) and also provide advocates to help access MH services. Access to social prescribing to help people become more connected with their local communities, stay well and preventing future crises. Information and advice centres helping people to address social issues that may be having a negative impact on their mental health. Access to wider support via the information and advice within Dudley MH Information, Advice and Crisis Line linked to 111 Social Prescribing Employment support services Mental Health Drop in Services To continue to monitor the effectiveness of the above and the capacity required within these services to ensure effective support to people to keep them well and maintain their recovery. To ensure that all providers of mental health services and support are linked to the MH Pathway. To deliver as part of the MH Re-design within Dudley person and not just see me as my illness. I know how to access support that will help me to address issues in my life impacting on my mental health. KEY Achieved In action Pending