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North West London

North West London Mental Health Urgent Assessment & Care Pathway setting standards, simplifying access, improving care. Dr Beverley McDonald , GP, Urgent Care Clinical Lead North West London Mental Health Programme Board. NWL Mental Health Programme Board.

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North West London

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  1. North West London Mental Health Urgent Assessment & Care Pathwaysetting standards, simplifying access, improving care Dr Beverley McDonald, GP, Urgent Care Clinical Lead North West London Mental Health Programme Board

  2. NWL Mental Health Programme Board • 8 CCGs, 2 Mental Health Trusts, Local Authorities, 3rd sector partners, Services User & Carer, • Population of c2.2m. • Budgetof c£400m. • Multi-agency Transformation Boards for WLMHT and CNWLFT to drive change and delivery. • NWL Mental Health Strategy ‘Shaping Healthier Lives’ • Urgent Assessment & Care Workstream

  3. Why transform NWL Mental Health Crisis Care? • Variations in Quality, Practice and Response • Service User & Carer feedback re challenges accessing MH crisis support outside 9-5 M-F • Increasing pressure on MH inpatient services • Increasing pressure on A&E and GP out of hours • Increasing pressure on Police /Custody • Commitment to improve crisis prevention, deliver earlier intervention, and improved ‘staying well’. • Choice, Expert patient, Recovery model

  4. Delivering Change– process overview • Mid 2013 – multiagency workshops • Late 2013 - Co-Production Teams. • NWL Wide Access Standards • NWL Widepaperwork – Whole Pathway. • NWL Wide shared care principles for communication at each stage of Pathway • UA&C Expert Reference Group • Concordat Proof Cross-Agency Delivery Plan • High level pathway developed

  5. NWL Mental Health Urgent Access & Care Standards • Assessment (face to face) • < 1 hour Emergency (A&E Liaison) • < 4 hours Emergency (Community/Ward) • < 24 hours Urgent • < 7 days Routine Plus • < 4 weeks Routine

  6. Delivering Change– Next Steps • Development of a co-produced delivery model and business case, per CCG, by end Q1 for the: • implementation of a Single Point of Access per CCG area to provide a central point for referrals and assessment; • extension of operational hours in the home crisis/urgent assessment and initial crisis resolution service to operate 24 hours per day, 7 days per week, 365 days per year, by March 2015. • requirements for each CCG area; plans for efficiency improvement to maximise clinical Face to face time and milestones for implementation.

  7. NWL Mental Health Urgent Access & Care Pathway

  8. NWL Mental Health Urgent Access & Care SPA

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