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John Short
- 1. Improving Secure Care Pathways And Services – Towards Partnership And Accountable Care Arrangements John Short Chief Executive Birmingham and Solihull Mental Health NHS Foundation Trust
- 2. The National Context • Five Year Forward View for Mental Health. • Delivering the Forward View: NHS Planning Guidance. • NHS England set out intention to trial ‘secondary mental health providers managing care budgets for tertiary mental health services’.
- 3. National Priorities • Prevent avoidable admissions • Reduce lengths of stay • Eliminate clinically inappropriate out of area admissions • Reinvent in community services
- 4. Six Pilot Sites • Six pilot sites – West Midlands: Birmingham and Solihull FT (with South Staffordshire & Shropshire Healthcare NHS FT and St Andrews). – South London Partnership: Oxleas NHS FT (with South London and Maudsley FT, SW London and St George’s NHS Trust, NHSE London Region Specialised Commissioning). – Thames Valley and Wessex: Oxford Health FT (with Berkshire FT, Dorset FT, Central and North West London FT, Solent NHS Trust, Southern Health FT, Isle of Wight NHS Trust, Response). – South West: Devon Partnership NHS Trust (with Avon and Wiltshire FT, Cornwall FT, Dorset FT, 2gether FT, Cygnet, Partnerships in Care, Livewell, Somerset Partnership FT). – West London: West London NHS Trust (with Central & North West London NHS FT, Priory and Like Minded). – North East and North Yorkshire: Tees, Esk and Wear Valley FT.
- 5. The Local Context • West Midlands total population of 5.6 million. • More than circa 580 people from the West Midlands currently in medium or low secure care. • Around 40% in units outside of the region. • 442 inpatient beds across three providers. • Limited forensic outreach services. • Total budget £110m
- 6. About Reach Out • Three core partners from the NHS and charitable sector: – Birmingham and Solihull Mental Health NHS Foundation Trust – South Staffordshire and Shropshire Healthcare NHS Foundation Trust – St Andrew’s Healthcare • Working together with NHS England specialised commissioning team. • Currently provide all adult secure inpatient services in the region. • Supported by a range of NHS, charitable and private sector providers in areas such as housing, employment, family and community support.
- 7. REACH OUT • Improved and consistent clinical model to provide community recovery through FIRST service. • Three trusts with different areas and expertise now in partnership. • Seeking to take on the accountable care functions in partnership with NHSE.
- 8. Challenges • Providers in partnership - NHS and non NHS working together. • Clinical engagement alongside governance requirements in Provider Trusts. • Breaking down traditional commissioner and provider barriers. • Creating new accountable care arrangements.
- 9. Benefits • Clinical involvement, engagement and leadership in change. • Improved care pathways and service user involvement • Service innovation. • Partnership working between providers and creating more visible accountability.