Choosing Hope Recovery, Self-Determination, and Peer Support
Hope – Recovery – Opportunity. New Dawn – Purpose Hope Recovery Opportunity.
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Transcript of Hope – Recovery – Opportunity. New Dawn – Purpose Hope Recovery Opportunity.
![Page 1: Hope – Recovery – Opportunity. New Dawn – Purpose Hope Recovery Opportunity.](https://reader035.fdocuments.in/reader035/viewer/2022062423/56649e365503460f94b265e7/html5/thumbnails/1.jpg)
Hope – Recovery – Opportunity
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New Dawn – Purpose
Hope
Recovery
Opportunity
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Why change? Service users and carers say…
• Help in a crisis• Help close to home – and in good time• Involvement – understanding the
problem and finding a solution• Interventions – skilled, engaging staff• To be understood “as a person” • Hope • To live their life – recovery
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Why change? Staff say…
• More time with service users and carers• Opportunities for developing skills• Work in partnership• Given resources to do the job• Do their best and feel appreciated
and recognised
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Why change? Stakeholders and partners say…
• Routes for better information sharing
• Opportunities for better collaboration
• Joint skills training• Sharing resources
Don’t know how best to
work with you
Very clinical and traditional
What about excluded groups?
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Approach
Engagement – started December 2014• Service users and carers • Staff (over 2000)• Partners and stakeholders
We are continuing to and improving how we:• Work collaboratively• Work to co-produce• Work to innovate
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Approach
• Moving on from the National Service Framework (NSF)• It’s not just about the interventions• “It is about what happens in the room”• New Dawn – a whole different conversation • One part of a whole system – physical & mental health,
social and wellbeing
New Dawn is not a change programme…
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…it’s innovation
We have a track record of innovation and implementation of new ideas...• Crisis intervention and home treatment
pioneered in Birmingham• NSF – including AOT, EIS etc. based on
Birmingham model • RAID • Street Triage• Psychiatric Decisions Unit
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OutcomesService user and carer
Everyone with their own front
door
Access – appointment in 4 weeks maximum
Opportunity for education,
employment, community
engagement
Family and carers
Best interventions, on clear care
pathwaysRelationships –
stay close, stay connected
Choices and alternatives
Better physical health
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Staff
• Right skills• Best teams• Support and supervision• Training and development• Well-led• Time to do the best job
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What’s new?Primary care
• Specialist interventions in primary care• Support back in primary care or re-access • Services in GP practices (e.g. dementia
diagnosis or specialist psychological assessment) previously only available in secondary care
• Locally tailored and reflecting the community• Collaborative partnerships
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What’s new?Community hubs
• Close working and integration with primary care • Collaborative working - all aspects of health for all over 25• Most experienced clinicians at the frontline assessments• Change the way work to meet needs e.g. appointments • Planning for crisis - written by service users,
their network and the service • Planning for discharge/moving on (ANP role)• Rapid re-access • Staff and partnerships reflecting and
working with local community
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What’s new?Urgent care
• 24/7 crisis access within 4 hours• Range of options – to be in the right place • Partnerships now – police, ambulance,
acute hospitals, carers – leaders in the crisis concordat• Partnerships for future – peer support/crisis house• Crisis planning
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What’s new?Acute care
• Organise services to respond to crisis• Home treatment for 25+ • Intensive holistic support• 7 day week recovery hub• A bed as close to home as possible• No stand alone acute wards• New roles e.g. peer support in all teams and wards• Discharge link workers – in partnership• Proactive and transparent performance to
support the pathway
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What’s new?Rehabilitation & AOT
• Single assessment process for all units• Skills for assertive outreach, skills for
rehabilitation and recovery• Change building - improved facilities for
independent living where possible• Recovery – hope and opportunity ethos throughout• Clear link to outcomes and establishing the evidence
base via assessment suite• Partnerships – support for living fulfilling lives
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Walking through a pathway
Now• Waiting time • Repeated assessments• Care plan written by services
and not always shared• Focus on illnesses • Purpose of interventions not NICE or clear• Whole person needs and goals not prioritised• Pathways vary
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Walking through a pathway
New Dawn• Guaranteed response time• One assessment• Personal recovery plan written by
service user and/or co-produced • Focus on the person and their network• Interventions to meet goals and evidence-based• Focus on goals and outcomes for living life• Options outside BSMHFT
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What would success look like?
• People who use our services have their own front door
• Service users have opportunities for education,work, living meaningful lives for as long as possible
• NICE compliance evidenced throughout• Patient surveys with performance in top 20%• Staff survey in top 20%• New partnerships established with a range of organisations
and communities• Different roles in the Trust – new workforce• Excellent stakeholder feedback
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Questions for the panel