• Delivering mental health services in Bristol– working in partnership with the NHS

• March 2015

Aileen Edwards Carol MettersChief Executive Chief ExecutiveSecond Step Missing Link

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Leading and Facilitating VCS and public sector through tendering

process and implementation

Our Approach

Approached local VCS agencies to build partnership in 2012

Agencies complementary to ours ( not in competition)

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Our Approach

Developed our ‘offer’: what we are good at and where we could add value

Assessed potential NHS Trusts to see who we could partner with

Discussed with potential Trusts to gauge their values and appetite for new ways of working

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Created a new partnership

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Our Offer

Looked at what we do:

Recovery approach

Social interventions

Holistic assessment and approach

Co-production and involvement

Complementing clinical roles

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NHS provider

Negotiated from a position of strength and knowledge

Built on partnerships and good working relationships

Worked hard together on tender and implementation

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Successful bids

Community mental health services (Lot 1):

NHS (AWP) lead

Community rehabilitation service (Lot 2):

Second Step lead

AWP clinical services, Missing Link partner

Phased start – from October 2014 onwards

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Challenges Clear Governance structures and leadership

essential

Integrated teams : need for common culture, which takes time

Setting up and new ways of working requires resources

Valuing Professional roles/VCS roles

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Integration agenda and new ways of working, new roles

Potential for real change

VCS/NHS partnership

Opportunities

Where we are now?

Assertive Engagement

Service

(LOT 6)

Bristol Sanctuary

(LOT 7)

Employment Service

(LOT 4)

Inpatient Services

Women's Crisis House &

Men's Crisis House

Community Rehabilitation

Service

(LOT 2)

Bristol Wellbeing Therapies

Service(IAPT)

Dementia Wellbeing

Service

(LOT 3)

Community Access Support

(LOT 5)

System LeadershipBHM 17 (LOT 1)

PRIMARYCARE

PRACTICES

(GPs)

Part of 2014 recommission

ing

Key:

Existing contracts

APRIL 2015

APRIL 2015APRIL 2015

Assessment and Recovery

ServiceCrisis Service

Early Intervention in

Psychosis

Complex Psychological Interventions

Service

Community Mental Health Services(LOT 1)

OCT 2014 - APRIL 2015

JAN 2015

OCT 2014

OCT 2014

Bristol Mental Health

Bristol Mental Health

Community Mental Health

Services

Community Mental Health

Services

Community Access Support

Community Access Support

Community Rehabilitation

Services

Community Rehabilitation

Services

Wellbeing Therapies

Wellbeing Therapies

SanctuarySanctuary

Dementia Services

Dementia Services

Employment Services

Employment Services

Men's Crisis

Houses

Men's Crisis

HousesWomen’s

Crisis Houses

Women’s Crisis

Houses

Assertive Engagement

Assertive Engagement

Inpatient Services

Inpatient Services

AWPAWPSecond

Step

Second Step

Missing Link

Missing LinkSARISARI

BrunelCare

BrunelCareWellspringWellspring

NilaariNilaariOff The Record

Off The Record

KWHP

KWHP

Southmead Develop.

Southmead Develop.

DevonDevon

Missing Link

Missing Link

Second Step

Second Step

AWPAWP

Alzheimer Society

Alzheimer Society

Richmond Fellowship

Richmond Fellowship

MH Matters

MH Matters

Windmill Hill CF

Windmill Hill CF

Somali Resource

Somali Resource

SARISARI

WellspringWellspring

KWHP

KWHP

St Mungos Broadway

St Mungos Broadway

One 25

One 25

St Mungos Broadway

St Mungos Broadway

AWP LIFT

AWP LIFT

13 AQP….

13 AQP….

AWPAWP

St Mungos Broadway

St Mungos Broadway

Missing Link

Missing Link

Lead organisation

Partner Organisation

Southmead Develop.

Southmead Develop.

Community Mental Health Services

Started October 2014 to transition:•New Roles:

– Recovery Navigators – 65 appointed– Mental Health Crisis Workers – building up team– Peer Roles – building up team– Early Intervention posts – in post

•Team bases•Culture of 4 Pillars •Integrated management•Recovery College

BRISTOL MENTAL HEALTHService Commencement

Partnership

System Leadership

October ‘14 January ‘15 April ‘15

Crisis

Assessment & Recovery

Early Intervention in Psychosis

Complex Psychological Interventions

Recovery Bristol Partnership

Community Rehabilitation ServiceSecond Step

Dementia Wellbeing ServiceBristol Dementia Partnership

Mental Health Employment ServiceRichmond Fellowship

Community Access SupportThe healthy living consortium

Assertive Engagement ServiceSt Mungo’s Broadway

Phased introduction of Crisis& A&R services

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