people with mental time as physical health •More health problems will recover. issues (parity of esteem) people with mental •More health problems will have good Challenges: physical health. Prescribing accountabilities people will have a •More Adaptation of the model positive experience of care and from a primarily GP support. referral based system to an open access people will suffer •Fewer model. avoidable harm. Delivering sustainable people will experience service delivery within stigma and discrimination. an open access model Team work closely with other health, social care providers and third sector. Court Assessment and Service in situ since 2007 but Across the whole service, Impact: Commissioned by Referral Service expanded considerably in 2014 that includes B&NES: specialist commissioning Improved and timelier (CARS) team in the context of Lord Bradley’s (NHS England). Team leader. outcomes for people report. Function is to assess with mental health and Funding also gratefully the mental health and learning Administration. learning disability needs received from B&NES disability needs of those involved in the criminal CCG coming into contact with the 2 children and young justice system criminal justice system across people nurses band 6. NHS England contract regardless of age. Avon and Wiltshire, regardless due for review 2017. of age, with a view to diverting 1 learning disability nurse Reduction in clients those appropriate for diversion, band 6. being remanded into out of the criminal justice custody for want of 6 mental health nurses system and liaising with the appropriate diversion. band 6 criminal justice system Reduction in need for (assuming capacitated client
•More people with mental health problems will recover. •More people with mental health problems will have good physical health. •More people will have a positive experience of care and support. •Fewer people will suffer avoidable harm. people will experience stigma and discrimination. Team work closely with other health, social care providers and third sector. time as physical health issues (parity of esteem) Challenges: 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 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 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 Commissioned by specialist commissioning (NHS England). Funding also gratefully received from B&NES CCG NHS England contract due for review 2017.
BNES-MH-Actn-Pln-June-2016.docx