New Mental
Health Services
for Bristol
Melanie Corish, Programme Director,
Modernising Mental Health
Modernising Mental Health Services in Bristol
2010
Engagement
2011 - 2013
Procurement
Transition
Implementation
timeline
Co-design
May 2013
May –
Oct 2014
Autumn
2014
Mental health challenges in Bristol
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Unmet need - access for a diverse population
Historic legacy of poor services
Poor patient experience
Disillusioned staff – poor staff satisfaction scores
Long waiting times
High access criteria
Overstretched crisis services
High caseloads
Over utilisation of inpatient bed capacity
Inpatient rehabilitation model
Mental health challenges in Bristol
• Developing recovery focussed model
• Addressing holistic needs of individuals with mental
health issues
• Putting resources in the right parts of the system
• Early intervention
• Collaboration with the patient
• Collaboration with other services
• Harnessing the skills and reach of the third sector
Values and Principles
• Work with patients to promote resilience and wellbeing
and service design and delivery
• Be inclusive
• Be locally accountable and Bristol focussed
• Meet the diverse needs of Bristol’s population
• Deliver high quality services regardless of age
• Consider the wider context of the patient
• Recognise and deal with safeguarding issues
• Focus on patient outcomes rather than activity (i.e. results
rather than numbers)
Key themes
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Responsiveness
Prevention, early intervention, effective care and
management
Supporting recovery
Effective emergency care, rapid response, preventing
admission and deterioration
People who are known to services have:
• A point of contact within their local team
• An understanding of how to manage their mental
wellbeing and when to seek help
• A recovery plan that they were involved in developing
and that matches their aspirations
• An up to date crisis plan
The service feels positive, optimistic, caring, supportive,
accessible, responsive, personal
Employment Service
BMH 13
LOT 4 – RICHMOND
FELLOWSHIP
Bristol Wellbeing
Therapies Service
(available now)
PRIMARY CARE
PRACTICES (GPs)
Assertive Engagement
Service
BMH 07
LOT 6 – ST MUNGO’S
BROADWAY
Bristol
Sanctuary
BMH 15
Assessment and
Recovery Service
Crisis Service
BMH 01
BMH 03
Complex
Psychological
Interventions Service
BMH 04
Early Intervention
in Psychosis
Service
BMH 02
System Leader
BMH 17
Social
Prescribing
BMH 16
LOT 1 – MENTAL HEALTH BRISTOL
PARTNERSHIP
Community
Access Support
BMH 14
LOT 5
Dementia Wellbeing Service
BMH 05
LOT 3 – BRISTOL DEMENTIA
PARTNERSHIP
Community
Rehabilitation Service
BMH 06
LOT 2 – MENTAL
HEALTH BRISTOL
PARTNERSHIP
Mens Crisis House
Womens Crisis
House (available
now)
Inpatient
Services
BMH 20
Bristol Mental Health System Providers
Key features of the new system
• Collaborative, integrated system of specialist providers
• System leadership model
• Increased resources at the front end:
– Assessment and Recovery service, 8am – 8pm 7 days a week with
standard appointments within 3 days and same day urgent
appointments
– Holistic social model
– 24-7 Crisis and intensive home treatment service, with single point
of access
– Psychologically informed throughout the system
• New Crisis Sanctuary
– For people in emotional crisis and pre crisis
• Existing crisis houses
• Inpatient redesign
– reducing over-utilisation of bed capacity
– Implementing best practice
Key features of the new system
• Community rehabilitation model
– Hub and spoke, residential and community support
• Mental health employment service
– IPS model, prioritising job retention, finding employment and
working with employers
• Assertive Engagement service
– Working with the most vulnerable in society
– Case finding and supporting access to mainstream mental health
services
• Community Access Support Service
– Engaging with diverse Bristol communities, through community
groups faith groups etc
– Increasing mental health awareness and sharing how to access
services
• Primary care based dementia wellbeing service
– Enabling people in Bristol to live well with dementia from
diagnosis to end of life
Modernising Mental Health Services in Bristol
2010
Engagement
2011 - 2013
Procurement
Transition
Implementation
timeline
Co-design
May 2013
May –
Oct 2014
Autumn
2014