12 Increase Home From Dec 2014 Oxleas NHS FT Recruit 2 band 6 CPN / social workers to Recruitment Monitor the outcome of the Treatment Team to increase crisis care capacity to avoid completed MH re-design during 2016/17 – Capacity March 2015 admissions and also to increase in reach improvements were to evidence and map to the wards to facilitate early discharge. evidenced during the improvements in community Extend capacity out of working hours to winter pressures provision. improve access to crisis need to include period as an outcome evenings and weekends of the additional Ensure Primary care has immediate resources. access to making referrals to these resources Social services’ contribution to mental health crisis services 13 Increase support to From Dec 2014 LBB Additional resource from NHS Bexley Work completed MHG Placements and adults with enduring to CCG transferred to brokerage service to during the winter Advisory Panel will continue mental health living in March 2015 MCCH provide additional support to adults in pressures period. to engage health and social the community to the community Some evidence to care through integrated prevent relapse and Reduction of crisis referrals show positive commissioning to maximise avoid crisis and Reduction of admission to bed based outcomes and reduced the resources available to admission services and / or crisis beds use of crisis beds those in crisis and avoid admissions. Improved quality of response when people are detained under Section 135 and 136 of the Mental Health Act 1983 No. Action Timescale Led By Outcomes Actions to Date Follow up RAG 14 Consider the From Feb 2015 Oxleas NHS FT Ensure parity of the provision of an MH re-design Need to review requirements opportunities for a appropriate provision underway during during 2016/17. detention suite to be Reduction of Out of Borough admissions 2015/16 established within and associated costs to the CCG and LBB Currently, capacity is meeting Bexley at the economy demand for services without a Woodlands Site Improved timely access to local services service in Borough however and reduced transfers of care across continued monitoring will geographical boundaries help inform need. 15 Ensure all Approved From April 2015 Oxleas NHS FT All Approved Mental Health Development is Ongoing monitoring will be Mental Health Professionals meet the legal undertaken in line devolved to local managers Professionals maintain LBB competency requirements with personal within health and social care.
12 Increase Home Treatment Team Capacity From Dec 2014 to March 2015 Oxleas NHS FT Recruit 2 band 6 CPN / social workers to increase crisis care capacity to avoid admissions and also to increase in reach to the wards to facilitate early discharge. Extend capacity out of working hours to improve access to crisis need to include evenings and weekends Ensure Primary care has immediate access to making referrals to these resources Recruitment completed – improvements were evidenced during the winter pressures period as an outcome of the additional resources. Monitor the outcome of the MH re-design during 2016/17 to evidence and map improvements in community provision. Social services’ contribution to mental health crisis services 13 Increase support to adults with enduring mental health living in the community to prevent relapse and avoid crisis and admission From Dec 2014 to March 2015 LBB MCCH Additional resource from NHS Bexley CCG transferred to brokerage service to provide additional support to adults in the community Reduction of crisis referrals Reduction of admission to bed based services and / or crisis beds Work completed during the winter pressures period. Some evidence to show positive outcomes and reduced use of crisis beds MHG Placements and Advisory Panel will continue to engage health and social care through integrated commissioning to maximise the resources available to those in crisis and avoid admissions. Improved quality of response when people are detained under Section 135 and 136 of the Mental Health Act 1983 No. Action Timescale Led By Outcomes Actions to Date Follow up RAG 14 Consider the opportunities for a detention suite to be established within Bexley at the Woodlands Site From Feb 2015 Oxleas NHS FT Ensure parity of the provision of an appropriate provision Reduction of Out of Borough admissions and associated costs to the CCG and LBB economy Improved timely access to local services and reduced transfers of care across geographical boundaries MH re-design underway during 2015/16 Need to review requirements during 2016/17. Currently, capacity is meeting demand for services without a service in Borough however continued monitoring will help inform need. 15 Ensure all Approved Mental Health Professionals maintain From April 2015 Oxleas NHS FT LBB All Approved Mental Health Professionals meet the legal competency requirements Development is undertaken in line with personal Ongoing monitoring will be devolved to local managers within health and social care.
2014-2016-Bexley-MH-Crisis-Care-Action-Plan-October-2015-Update.docx