Joint multi-agency work and 3 Ensure that Ongoing CCG / LBB / Update needed evidence of multi-agency development of Oxleas NHS working in services to address local services have FT / health as well as fully integrated with Voluntary factors. mental/physical Providers health/social care services 4 Crisis care planning 2016 Oxleas FT Frequent attender reports and Being monitored through contract reviews for those who with mid-year plans reviewed and updated, regularly present at review in and made accessible to ED staff ED. Q2/3. 5 Increase the 2016 Oxleas FT Increased awareness of the use of monitored through contract reviews awareness and use with mid-year and LBB personal health budgets amongst of personal health review in people with long term mental health budgets for those Q2/3. needs and providing them with greater with long term choice and control over the support mental health they access to manage their mental needs health. 6 Encourage routine 2016 Oxleas FT Discharge plans are regularly reviewed We are currently developing MH Shared Care discharge planning with mid-year to ensure plans are effective and Pathway for patients moving from secondary meetings in review in facilitates the recovery and wellbeing to primary care. community Q2/3. of service users and carers. This will entail; recovery services Clear Criteria (suitability) Protocols (medication / prescribing) Care Navigation Discharge Planning After Care arrangements Fast Tracking patients when in crisis In addition to this the soon to be commissioned Prevention Employment Recovery service will provide much needed sustained aftercare and recovery opportunities
3 Ensure that development of local services have fully integrated with mental/physical health/social care services Ongoing CCG / LBB / Oxleas NHS FT / Voluntary Providers Joint multi-agency work and evidence of multi-agency working in services to address health as well as factors. Update needed 4 Crisis care planning for those who regularly present at ED. 2016 with mid-year review in Q2/3. Oxleas FT Frequent attender reports and plans reviewed and updated, and made accessible to ED staff Being monitored through contract reviews 5 Increase the awareness and use of personal health budgets for those with long term mental health needs 2016 with mid-year review in Q2/3. Oxleas FT and LBB Increased awareness of the use of personal health budgets amongst people with long term mental health needs and providing them with greater choice and control over the support they access to manage their mental health. monitored through contract reviews 6 Encourage routine discharge planning meetings in community recovery services 2016 with mid-year review in Q2/3. Oxleas FT Discharge plans are regularly reviewed to ensure plans are effective and facilitates the recovery and wellbeing of service users and carers. We are currently developing MH Shared Care Pathway for patients moving from secondary to primary care. This will entail; Clear Criteria (suitability) Protocols (medication / prescribing) Care Navigation Discharge Planning After Care arrangements Fast Tracking patients when in crisis In addition to this the soon to be commissioned Prevention Employment Recovery service will provide much needed sustained aftercare and recovery opportunities
Bromley-Draft-CC-Action-Plan-Updated.docx