Mental Health Services Model of care Emerging options 1 February - - PowerPoint PPT Presentation

Mental Health Services Model of care Emerging options

1 February 2011

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Why do we need to change the way services are delivered?

• We need to provide services that are evidence based, value for

money and are able to respond to changing national and local policies.

• Nationally the NHS is being asked to do ‘more for less’ i.e. providing

better quality services using fewer resources. This national imperative is reflected locally in north Staffordshire.

• We also need to ensure that our services continue to meet the

changing needs and expectation of the population we serve.

• We need to respond to expected local demographic pressures.
• We need to resolve isolation; condition and quality issues

relating to services on the Bucknall site.

• The way mental health services are delivered is constantly

evolving – we need to ensure that local people continue to receive services which are evidenced based and based on latest best practice.

• We need to take into account the views of service users and

carers.

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What are we proposing?

• Firstly we want to engage with you to understand your

aspirations for the service and to help us to further develop our emerging options.

• We have drafted four emerging options, including option 1,

do nothing.

• Options 2, 3 and 4 all involve changes to the way services

are delivered and the location of some services.

• We intend to launch a public consultation on our proposals

in collaboration with our commissioners, in the spring.

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Emerging options

• Four emerging options:
• Option one (do nothing).
• Option two.
• Option three.
• Option four.
• Future public consultation to incorporate adult and older

people’s elements of all four options.

• The future public consultation will also cover the potential

closure of the Bucknall site which could be a consequence of changes to clinical services.

• Learning disabilities (LD) elements of each option will be

consulted upon separately at a later date, if applicable.

• Each emerging option also includes changes to non-clinical

services which do not require public consultation, but which are included for completeness.

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Emerging option two bed/place numbers (1)

Service Current beds/places Proposed beds/places Notes Dependency Adult acute incl

Psychiatric Intensive Care Unit / High Dependency Unit

60 46 Ward 1 converts to day service. PICU/HDU move to ward 2/3 Creation of acute day service Acute day service 20 Created on Harplands ward 1 Closure of ward 1 beds Mental Health Resource Centres 32 Two bedded facilities reused – see below. Other MHRC community service functions retained. Establishment of care pathways Rehab beds 18 18 Ward 6 (10 beds) moves to Lymebrook MHRC (8 beds). +2 beds at Summerview

• 1. Establishment
• f care pathways
• 2. Closure of

Lymebrook beds Step-down/respite 7 (5 step-down 2 respite) Sutherland MHRC beds reused for step- down tenancies via social landlord

• 1. Establishment
• f care pathways
• 2. Closure of

Sutherland beds

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Likely to require consultation

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Emerging option two bed/place numbers (2)

Service Current beds/places Proposed beds/places Notes Dependency Older People’s Mental Health complex needs & assessment (Aspen & Meadowcroft) 30 15 Moves to ward 6 Requires expansion of ward 6 from 10 to 15 beds

• 1. Establishment
• f care pathways
• 2. Closure of

Lymebrook beds

• 3. Transfer of

ward 6 rehab to Lymebrook OPMH functional/organic 20 20 Opportunity to fully separate functional from organic None OPMH functional/organic 20 20 Opportunity to fully separate functional from organic None OPMH day service 94 (50 SoT, 44 New + Moor) over 4 locations 94 (50 SoT, 44 New + Moor) over 2 locations Consolidate from four sites to two Enhancements to OPMH community teams

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Emerging option two bed/place numbers (3)

Service Current beds/places Proposed beds/places Notes Dependency Parent & baby n/a n/a Moves to Bradwell Creation of space at Bradwell Psychology n/a n/a n/a as absorbed into teams to deliver care clusters absorbed into teams None Bucknall based teams n/a n/a Move to Hope Centre and Hillcreast Securing lease on the Hope Centre

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Emerging option three bed/place numbers (1)

Service Current beds/places Proposed beds/places Notes Dependency Adult acute incl PICU/HDU 60 46 Ward 1 converts to OPMHS complex needs None Acute day service Not required n/a MHRCs 32 16 Bennett and Ashcombe beds split between psychotic and non- psychotic patients. Sutherland beds re-used. Other community service functions retained. Establishment of care pathways Rehab beds 18 18 Ward 6 moves to Sutherland MHRC. +2 beds at Summerview 1. Establishment of care pathways 2. Closure of Sutherland beds Step-down n/a OPMH complex needs & assessment (Aspen & Meadowcroft) 30 15 Moves to ward 1 Option to expand beds Closure of ward 1

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Emerging option three bed/place numbers (2)

Service Current beds/places Proposed beds/places Notes Dependency OPMH functional/organic 20 20 Opportunity to fully separate functional from organic None OPMH day service 94 (50 SoT, 44 New + Moor) over 4 sites 94 (50 SoT, 44 New + Moor) over 3 sites Consolidate from four sites to three Enhancements to OPMH community teams

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Emerging option three bed/place numbers (3)

Service Current beds/places Proposed beds/places Notes Dependency Parent & baby n/a n/a Moves to Bradwell Creation of space at Bradwell Psychology n/a n/a n/a as absorbed into teams to deliver care clusters None Bucknall based teams n/a n/a Move to Hope Centre & Hillcreast Securing lease on the Hope Centre Estates n/a n/a Outsourced Post-Bucknall closure IT Mainframe & Training n/a n/a Moves to Heron House Secure lease on space in Heron Central therapies n/a n/a Absorbed into acute wards None

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Emerging option four bed/place numbers (1)

Service Current beds/places Proposed beds/places Notes Dependency Adult acute incl PICU/HDU 60 52 Ward 1 converts to OPMHS complex needs 8 extra beds on ward 2/3 in zoned areas incl PICU/HDU None Acute day service n/a MHRCs 32 8 Ashcombe beds remain, Sutherland re-used. Other community service functions retained. Establishment of care pathways Rehab beds 18 18 Ward 6 moves to Sutherland

• MHRC. +2 beds at

Summerview 1. Establishment of care pathways 2. Closure of Sutherland beds Step-down n/a OPMH complex needs & assessment (Aspen & Meadowcroft) 30 15 Moves to ward 1 Ward 1 closure

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Emerging option four bed/place numbers (2)

Service Current beds/places Proposed beds/places Notes Dependency

OPMH functional/organic 20 20 Potential to separate functional from

• rganic

None OPMH functional/organic 20 20 Potential to separate functional from

• rganic

None OPMH day service 94 (50 SoT, 44 New + Moor) over 4 sites 94 (50 SoT, 44 New + Moor) over 3 sites Consolidate from four sites to three Enhancements to OPMH community teams

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Emerging option four bed/place numbers (3)

Service Current beds/places Proposed beds/places Notes Dependency Parent & baby n/a n/a Moves to Bradwell Creation of space at Bradwell Psychology n/a n/a n/a as absorbed into teams to deliver care clusters None Bucknall based teams n/a n/a Move to Hope Centre & Hillcreast Securing lease on the Hope Centre Estates n/a n/a Outsourced Post-Bucknall closure IM&T n/a n/a Moves to Heron House Secure lease on space in Heron Central therapies n/a n/a Absorbed into acute wards None

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