The 3D strategy is the most significant transformation of our
services since the Trust came into being in 2002 and its
realisation will enable us to be one of the best performing mental
and physical health and wellbeing service providers in the
country.
- There are 22 projects (the 'cornerstone tasks') now underway,
working to transform all areas of service.
- Most projects are still in the first stage of design, with
members looking at how we ensure we capture best practice in our
trust as well as others. As the design phase closes, we will
ask for your ideas and feedback to support the development
process.
- Recovery will be at the core of all we do.
The 3D Strategy (looking at the Design,
Development and Delivery of
services for years to come) is a wide-ranging review which will
touch every part of the service we provide from primary care to
inpatient services. It will enable us to adopt best practice and
integrate clinical pathways between primary care, community, social
care services and hospital care. 3D has the full support of
clinical staff and is an integral part of improving the care for
vulnerable people in our city.
Inpatient and acute services will be reorganised and consolidated
onto two sites (the IPR project) so that we can implement best
practice clinical models at ward level with dedicated
consultant-led teams and revised gateway processes for admission.
As part of IPR we have just openeda new all-male rehabilitation
unit - Acacia - at Park House, which will give additional support
to service users to move back into their community and reconnect
with their social networks. See our leaflet with more
information. The 22 cornerstone tasks are:
Acute and urgent mental health care
- Delivery of services from 2 inpatient sites (instead of 3)
- Development of an effective urgent care service, including
provision of a "ward in the community" 24/7 and consideration of an
urgent care "hub"
- Integrated acute liaison service (adults and later life)
- Separation of inpatient and community psychiatry (medical
staffing) in services for adults of working age
- Introduction of a dedicated rehabilitation ward, within the
current bed complement
- Improvements to the therapeutic milieu
- Improving coherent approaches to multidisciplinary practice,
including management of leave, AWOLs, care planning, discharge
planning
Community mental health care
- Development of a stepped care model, incorporating efficient
and evidence based care pathways for each of: primary care mental
health services; intake and treatment services; longer term
community care.
- Design and implementation of a structured network of community
teams to best enable delivery of the service model teams and
services.
- Equitable distribution of community mental health resources,
allowing for variations in need, demand & Commissioner
expectations.
- Personalisation and recovery-focussed services across the
Trust.
- Development of primary care mental health services as part of a
stepped care model.
Prison, Alcohol and Wellbeing
- Development of a community health and wellbeing approach across
the communities of Manchester
- Provision of integrated general and mental healthcare in
prison
- Development of an effective healthcare approach to alcohol
misuse
Specialist mental health services
- Management of business and market development beyond the City
of Manchester
Research, development, and training
- Improving integration of research findings into practice
change, and practice problems' influence on research
activities
- Ensuring service changes maintain compliance with contracts for
both undergraduate and postgraduate education
- Reducing reliance on junior doctors and improving their
training experience
- Systematic evaluation of outcomes and of significant service
change
HoNOS PbR
- Care clustering, as a means of understanding caseload
distributions, and of managing unjustifiable variance in
practice
General and underpinning tasks
- Reducing unjustified variation in clinical models and
approaches across the City
Projects under 3D