Agenda item

The Board received a presentation on the Locality Partnership Update from Eva Dietrich, Pip Martin, India Barrett and Neil Turney who made the following points:

·       The purpose of this project was to improve access to mental health and well being through greater collaboration of work and by focusing on patients’ needs

·       Approximately 1000 people were involved in providing appropriate intervention at a local level

·       Details were provided of the Integrated Community Teams – there were 6 throughout the region with 3 across Bristol.

·       MINTs (Mental Health and Well Being Integrated Network Teams) engaged with mental health and were tailored to meet the population needs. Their work included support for various disorders (such as eating and personality disorders) and addressing health inequalities. Key goals were the development of work on people with lived experience and to ensure improved outcomes for those who currently had the poorest access to services

·       Rapid Early Intervention Disorder (FREED) could help to reduce problems by up to 50% and provided support on a primary level

·       Sequioa Tree – This project would go live next year and would align with the Integrated Teams. It was expected that there would be a huge number of referrals for this scheme and therefore training was currently under way to create awareness for it.

·       One main area of focus would be for those people who were long-standing patients in locked rehabilitation units and to bring them back in the community by improving rehabilitation within the community service area. It was estimated that approximately 45% could be brought back into the community with 20% not being able to fully recover and requiring bespoke packages of care. The Board noted that work was taking place with housing providers on this project but that if a provider was unable to meet the required standard they could withdraw.

·       Physical Health – life expectancy was approximately 20 years lower for those with mental health problems. Lifestyle interventions significantly increased this

·       Integrated Access Partnership – if you call 111, you can now ask for Mental Health Services to provide an assessment and if this was urgent you could call 999. The introduction of this service had decreased the numbers in the Emergency Health Services and referrals to GPs, as well as a reduction of 60% of ambulance call-outs

·       CAMHS – groups such as the Unplugged Care Team, Student Liaison Service were brought together to create specialist pathways

·       The purpose was to provide practical social and emotional support to focus on addressing health and equalities through MINTs through the creation of a One Stop Shop involving faith groups, families and the community sector which would be trauma informed

·       There were 6 MINTs across Bristol and South Gloucestershire made up of staff from different organisations including the voluntary sector. Key roles associated with this included the Hub Manager, Clinical Psychologist, Team Administrator, Recovery Navigators, Social Care Leads and VCSEs/Wider Networks. These groups would be collaborative and bring together people with different expertise

·       The cohort was for adults aged 18 or over with more complex cases requiring multi agency support. The different groups involved included NHS Talking Therapies, Social Care, Primary Care, Community Development, AWP, VCSE, a Navigator/Link Workers and partnership working

·       South Bristol MINT Mobilisation – this involved shared case reviews, recruitment, communications, estates and digital elements, a triage service for communications, talking therapies and a fortnightly case review. The Hub Manager and Hub Administrator were now in place and engagement was already taking place with other agencies that might be needed if relevant. Core membership included the AWP, VCSE, Adult Social Care Team, NHS Talking Therapies and General Practice

·       ICE MINT Update – details were provided

·       North and West Bristol – whilst these were overall less deprived areas of the cities, they were high in certain areas. Shirehampton Health Centre would act as the base for MINT and would work with the Northern PCNs to create a Well Being Hub to provide social prescribing support

·       Reflections showed that shared care reviews were beneficial, it was good to have multi-disciplinary partners involved, as well as dedicated mental health colleagues, consistent language and appropriate governance in instances involving a range of different statutory organisations

In response to issues and questions raised by Board Members, the following points were made:

·       This was a superb piece of work which would interface well with student Mental Health Work. There was a need to ensure the drug and alcohol services were more closely aligned with this area of work. Links with the MINT team could help in the current work to search for a new provider

·       Dialogue Plus was a supportive conversation tool to discuss all aspects of a person’s life and which could be used to obtain support across the BNSSG in a more efficient way and provide further information for assessments and referrals

·       MINT teams would become gradually embedded and outcomes assessment would analyse which approaches proved worthwhile

·       The measurement of outcomes would help assess which destinations people needed to be subscribed to avoid waiting lists and to help obtain pockets of new investment. This could lead to alternative services meeting the needs of individuals and reduce the pressures of waiting lists

·       This service was working extremely well and seemed a very good shift in service provision

The Board noted that THRIVE Bristol provided a link between financial issues and mental health. If this work helped to fill the gap of hard pressed advice services, this would help.