Improving Access To Mental Health Support For Individuals

Primary Care Mental Health Service § Service offer ○ Short term supportive Mental Health

IMPROVING PATHWAYS Service Design § Referrals can be made directly from Opportunity Nottingham via

Progress to date § PCMHS began operating in Jan 17 § We’ve had 40

Challenges § Promoting system change: - accessible locations - referral onto other services §

Slides: 5

Improving Access To Mental Health Support For Individuals With Multiple Complex Needs : Nottingham City Primary Care Mental Health Service Vicki Adshead, Clinical Lead & Non-Medical Prescriber Stephen Hall, Acting Team Leader 1

Primary Care Mental Health Service § Service offer ○ Short term supportive Mental Health treatment interventions in Primary Care ○ Delivered in Primary Care venues and patient homes ○ Expert Mental Health advice and support to Primary Care Practitioners § Target patient group ○ Not ready for/or excluded from IAPT service offer. ○ Complex and chaotic (e. g. if experiencing significant levels of distress and instability, misusing drugs or alcohol). ○ Do not meet the threshold for secondary care Mental Health services. § Team ○ ○ ○ Manager Clinical Lead & Non-medical prescriber 7 Band 6 Mental Health Nurses 1 Band 5 Mental Health Nurse 2 Peer Support Workers 2

IMPROVING PATHWAYS Service Design § Referrals can be made directly from Opportunity Nottingham via Email instead of going through SPA. § Allocated clinician each day to respond to Opportunity Nottingham referrals – contact to be made with the Opportunity Nottingham worker within 2 days. § Flexibility in where and how individuals are seen – community locations / home visits if applicable. § All referrals accepted for assessment – unless otherwise open to another secondary care team § Beneficiaries of Opportunity Nottingham allocated to one clinician for consistency. § Staff at PCMH service have access to INFORM – to allow information sharing § Service has NMP to improve access to pharmacological interventions 3

Progress to date § PCMHS began operating in Jan 17 § We’ve had 40 referrals from Opportunity Nottingham § Seeing Beneficarieis in flexible locations – Home visits/GP Practices/Val Roberts House § Providing quick response and crisis support. 4

Challenges § Promoting system change: - accessible locations - referral onto other services § Staff attitudes/different ways of working - Staff expectations of a PCMHS - 2 different systems § Service challenges 5