people will have a Prescribing •More positive experience of care accountabilities and support. Adaptation of the people will suffer model from a •Fewer avoidable harm. primarily GP referral people will based system to an •Fewer experience stigma and open access model. discrimination. Delivering sustainable Team work closely with service delivery within other health, social care an open access providers and third sector. model Court Assessment Service in situ since 2007 Across the whole Impact: Commissioned by and Referral Service but expanded considerably service, that includes Improved and timelier specialist (CARS) team in 2014 in the context of Lord B&NES: outcomes for people commissioning (NHS Bradley’s report. Function is Team leader. with mental health England). to assess the mental health Administration. and learning disability Funding also gratefully and learning disability needs 2 children and young needs involved in the received from BaNES of those coming into contact people nurses band 6. criminal justice CCG with the criminal justice 1 learning disability system regardless of NHS England contract system across Avon and nurse band 6. age. due for review 2017. Wiltshire, regardless of age, 6 mental health nurses Reduction in clients with a view to diverting those band 6 being remanded into appropriate for diversion, out 1 social worker band 6 custody for want of of the criminal justice system 7 mental health nurses appropriate diversion. and liaising with the criminal band 5 Reduction in need for justice system (assuming 1 OT band 5 mental health act capacitated client consent) 1 social worker band 5 transfers from prison. to inform that system of 2 engagement workers Criminal Justice service users assessed band 4. system (we see
•More people will have a positive experience of care and support. •Fewer people will suffer avoidable harm. •Fewer people will experience stigma and discrimination. Team work closely with other health, social care providers and third sector. Prescribing accountabilities Adaptation of the model from a primarily GP referral based system to an open access model. Delivering sustainable service delivery within an open access model Court Assessment and Referral Service (CARS) team Service in situ since 2007 but expanded considerably in 2014 in the context of Lord Bradley’s report. Function is to assess the mental health and learning disability needs of those coming into contact with the criminal justice system across Avon and Wiltshire, regardless of age, with a view to diverting those appropriate for diversion, out of the criminal justice system and liaising with the criminal justice system (assuming capacitated client consent) to inform that system of service users assessed Across the whole service, that includes B&NES: Team leader. Administration. 2 children and young people nurses band 6. 1 learning disability nurse band 6. 6 mental health nurses band 6 1 social worker band 6 7 mental health nurses band 5 1 OT band 5 1 social worker band 5 2 engagement workers band 4. Impact: Improved and timelier outcomes for people with mental health and learning disability needs involved in the criminal justice system regardless of age. Reduction in clients being remanded into custody for want of appropriate diversion. Reduction in need for mental health act transfers from prison. Criminal Justice system (we see Commissioned by specialist commissioning (NHS England). Funding also gratefully received from BaNES CCG NHS England contract due for review 2017.
20161017_mh_strategy_15-20_final.docx