8. local To ensure outcome is in place. April 2015 LBC – Amy Kay LCCG – S Malusky BCCG –M Bradley BBC –Marek Zamborsky CBC – Paul Groom ELFT Contract now in place with agreed outcomes specified within the contract. All commissioned services are linked to recovery based outcomes which are measurable and monitored in accordance with agreed governance arrangements. Contracts are now in place with mental health providers which are outcome based. 9. Countywide Develop robust feedback mechanisms from partners and March 2016 Pam Garroway to lead with support from Mental Health ODG Stakeholder Event to be held in November 2015. Governance arrangements have been agreed and partners to be included in future meetings. Partners and stakeholders form an integral part of the whole commissioning cycle. A local published programme of events and forums to be held to evaluate services and ensure on going improvement of services. Commissioners must demonstrate how feedback from partners and stakeholders have made a difference. 10. local Clear reporting and monitoring of quality of care of people in crisis March 2016 ELFT – Sarah Wilson & Diane Hull New information system being implemented and rolled out across all inpatient and community services. Project is due for completion in March 2016 A local dashboard of crisis indicators available to review the quality of care across the crisis pathway across Bedfordshire and Luton as set out in the governance framework. 3. Urgent and emergency access to crisis care RAG Action Led By UPDATE NOV 2015 Outcomes Improve NHS emergency response to mental health crisis 11. local To enhance psychiatric liaison services within local Oct 2015 Luton- S Malusky Beds- M Bradley Luton CCG – Business case approved by the CCG Board and a 24/7 Liaison Psychiatry service is to commence in October 2015 Improved patient and carer experience in acute settings. People feel supported in managing their physical and mental well-being. Acute hospital staff feel supported and appropriately trained in
acute hospitals. with a full staff compliment in place by Jan 2016. Bedfordshire CCG –There is no commissioned service for Bedford Hospital, a business case has been developed and BCCG has received an allocation which will part fund a limited service in year. dealing with mental health. Reduced inpatient admissions and lengths of stay. 12. Countywide Review and transform Mental Health Criminal Justice Service in line with national model April 2016 ELFT –Sarah Wilson Work being undertaken as part of Community Service review The national model for liaison and diversion will be in place for people with mental health conditions or with a learning disability. 13. local Improve Integration of Mental Health into Urgent Care Aug 2016 Luton – Caroline Capell Beds CCG – Michelle Bradley Local Luton and Beds System Resilience Groups are taking forward Mental Health Integration in Urgent Care including the re-procurement of NHS 111 jointly across Bedfordshire. A&E attendances are minimised, reduced emergency admissions into hospitals. Patients and carers will experience improved services. Rapid access to appropriate community based services will be the norm. Ambulance and Police will divert patients to the appropriate service. Social services’ contribution to mental health crisis services 14. Local Re-modelling of the AMPH service to match capacity with demand using the ADASS toolkit. Sept 2015 ELFT – Gail Dearing Luton LA – Amy Kay BBC – Mark Harris CBC – Paul Groom Reviews have been conducted and are with local authorities for consideration. An appropriately resourced and responsive service in line with national recommendations and meeting the needs of the local population
to substance misuse and dual diagnosis. BBC & CBC – Martin Westerby Tim Archibald, Beds Police the form a lunch club for members of staff from MH services and SMS providers. There have been three meetings so far which have focussed around raising awareness of both service pathways. 6 Weekly keep in touch meetings are taking place between LBC commissioner and ELFT director. A number of projects are being established jointly. BBC and CBC: Delivery on the new Adult Integrated D&A Contract by ELFT/Path To Recovery (P2R) commenced 1 September 2016. Work on the development of clear and robust pathways is being undertaken by P2R, in collaboration with ELFT, to ensure that key partners and stakeholders are aware of the services available to achieve successful outcomes for people with a diagnosable mental health condition and at risk of harm/experiencing harm from drugs/and or alcohol. Intensive Support Contract for high intensity/criminal justice clients needs in a crisis regardless of diagnosis if a clinical intervention is required. People will get the help they need at the time they need it.
19. local Scope out the current market position including the role of the voluntary sector and the wider community in supporting people in a mental health crisis March 2016 Luton – Amy Kay CBC – Paul Groom BBC – Marek Beds CCG MB Market Position Statements being drawn up by local authorities for publication. LBC- The Market Position Statement is due to be published online in December 2015, this includes a chapter on Mental Health need and highlights the local response to crisis management. A series of 3 events have been well attended by a wide variety of stakeholders over 2015. A future event to focus on Mental health and update on progress will be held in 2016. An informed local community skilled in maintaining the well being of the local population. A community able to recognise the deterioration in the well being of individuals and to signpost them to local support agencies and services in place able to respond. 20. local Recovery services will work in integrated way with crisis and community teams to deliver streamlined services which are person centred and recovery based with emphasis on full integration back into the community. March 2016 Luton CCG – Steve Malusky Beds CCG – Michelle Bradley CCG – Review of all services to be implemented by March 2016 which will include Recovery Services. BCCG – A Recovery has been set up to implement local services An effective, time limited recovery based service which discharges people back into the community with full support. Facilitates discharge from acute inpatient settings, reduces lengths of stay and helps people reintegrate back home through proactive case management.