Dr Shanaya Rathod DM MRCPsych Consultant Psychiatrist Southern

Dr Shanaya Rathod, DM, MRCPsych Consultant Psychiatrist, Southern Health NHS Foundation Trust Mental health Clinical lead: Wessex AHSN /1

Agenda 1. Objectives and approach 2. Our progress so far 3. Emerging outputs 4. Next steps and questions

1. Objective and approach: To take the principles of the stroke pathway and apply it to improve the Psychosis pathway in Wessex

First principle behind our approach: Involve service users in the development of the new pathway /4

Second principle behind our approach: Establish a ‘bottom-up’ understanding of priorities specific to Wessex /5

Third principle behind our approach: Encourage creative collaboration between service users, carers and professionals /6

Fourth principle behind our approach: Seek Solutions from people who are experts by lived experience /7

2. Progress to date: We are now in the process of running a series of co-productions workshops across Wessex

Progress to date We completed our first workshop in Southampton last month 20 Service Users from across Hampshire 3 Carers 5 Healthcare Professionals 4 Hours /9

Progress to date Rather than start with our assumptions, we let participants define what was important to them first, and then built from there identify common needs across different settings invent a game with an object Warm-up share a personal experience Discover y Theming Prioritising vote for what’s most important /10

Progress to date Service Users, Carers and Professionals collectively wrote almost 100 postcards relating their personal experiences of care in Wessex /11

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3. Emerging outputs: The process is incomplete, but here a few examples of what we’ve found out so far

Emerging outputs Experiences in different settings revealed a number of common needs Settings in the community I want resources focused on… at home I want to access services… at the GP or clinic I want to be treated… at the hospital I want to experience services… I want to services to be… Needs /14

Emerging outputs Example experience and possible implication for Wessex Setting At the GP / Clinic Implication for the Wessex pathway Personal experience How can we help GPs and other clinicians build more trusting relationships with service users? I want to be treated… Need /16

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Emerging outputs Example experience and possible implication for Wessex Setting in the community Implication for the Wessex pathway Personal experience What can we do to reduce the turnover of carers and healthcare professionals in community settings? I want to experience services… Need /18

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Emerging outputs Example experience, early intervention and possible implication for Wessex Setting Implication for the Wessex pathway Personal experience at the hospital How can we learn from the approach taken by the early intervention team and apply it to access and crisis care? I want to access services… Need /20

Emerging outputs Example experience and possible implication for Wessex Setting Personal experience in the community Implication for the Wessex pathway How can we ensure that interventions are delivered in a timely fashion? I want to services to be… Need /23

Emerging outputs Example experience and possible implication for Wessex Setting Personal experience in the community Implication for the Wessex pathway How can we invest more in housing improvement and employment opportunities? I want resources to be focused on… Need /25

Emerging outputs Example experience and possible implication for Wessex Setting at home Implication for the Wessex pathway Personal experience How can we train staff who manage supported accommodation to better empathise with service users? I want to be treated… Need /27

Emerging outputs Example experience and possible implication for Wessex Setting at the hospital Implication for the Wessex pathway Personal experience How can we be more responsive with our resources when service users are in crisis? I want to services to be… Need /29

Emerging outputs Example experience and possible implication for Wessex Setting At the GP / Clinic Implication for the Wessex pathway Personal experience How can we make physical health more integrated into the ongoing care process? I want to access services… Need /31

4. Next Steps an invitation to participate

WESSEX PSYCHOSIS PATHWAY sic n y re Fo thwa pa Reh abil pat itatio hwa n y Acute care pathway EIP pathway Pre-psychosis Early psychosis Assertive outreach pathway Community mental health pathway Persistent psychosis H Recovery 33

x WESSEX PSYCHO PATH 34

Time to reflect in Groups • Does the data reflect your experience? • What is/isn’t acceptable? • What are the key areas for change? • What are the challenges and opportunities? • Competition