Adult Community Mental Health Services Review

We are currently looking at how we improve our Adult Community Mental Health Services so that we:

  • Better meet the needs of our service users
  • Improve relationships with primary care and work more closely with GPs
  • Improve the way primary and secondary care work together
  • Make sure we are meeting the overall needs of the population of Manchester
  • Make sure resources are in the right areas to meet the needs of the different areas of the city
  • Support staff of all disciplines to utilise their skills to the maximum benefit of service users

To find out more, please read the engagement document.

The Adult Community Services Review (CSR) will benefit our key stakeholders in the following ways:

For service users:

  • Services will be better focused on service user need
  • There will be dedicated Consultant time for each community team
  • The review will allow us to provide best practice care in our services
  • The introduction of a stepped care model ensures people get the right care at the right time in the right place

For our staff:

  • Staff of all disciplines will be better supported to use their skills to the maximum benefit of service users
  • There will be the development of a Modern Matron-like role drawn from all disciplines to ensure consistent quality of service in Community Mental Health Services across the city

For the city's GPs:

  • Relationships with primary care will be improved with better access for referrers
  • We will work more closely with GPs by organising services to support a specific geographic area
  • We will improve the way primary and secondary care work together in the interest of service users.

As part of the key improvements in the way we provide services, we are considering the use of a Gateway role within the primary care service.  If established this role would assist service users and referrers by ensuring that service users are seen by the most suitable service for their needs in a timely manner. It would also provide support to a small cluster of GPs and will oversee the transfer of service users to and from primary care and other pathways.

The following questions and answers give more information on how we plan to improve our Adult Community Mental Health Services.

1. How can care be improved? It does not say in the review

Care will be improved by removing organisational and administrative barriers which currently prevent service users from receiving appropriate care at the right time and to meet their changing needs. The Community Services Review aims to achieve this by bringing primary and secondary mental health staff together under clear, community based management arrangements. This will ensure a patient is seen by the most appropriate professional for assessment, to meet their changing or on-going needs and who will help their journey to recovery. This community based system will prevent a patient needing to be assessed by different people in different services within the Trust and through the implementation of the proposed 'stepped care' model, will ensure a service user always receives the care they need at the time they need it.

2. What response have you had back from GPs, MPs and City Councillors?

GPs, MPs and Councillors have been engaged within this Community Services Review process and are aware of these proposals. Feedback is being received from them as individuals as well as collectively, and all of these will be considered at the end of the engagement period. It is only once the responses have been considered that the Trust will start to develop an implementation plan.

These proposals aim to rectify exactly this issue raised by LINk, by service users, carers and GP's. We plan to ensure all community teams are linked into individual GPs, their practices and commissioning groups to ensure a GP is able to access advice/help and/or support for their patients affected by mental health issues in a timely way - directly improving the quality of service the service users and GP's receive from the Trust.

The Trust is already a major provider of high quality and highly regarded mental health education and training. We would willingly work with GP's, practice nurses and any other professionals to offer increased training and education around mental health and are keen to do so.

3. GPs are currently frustrated with the referrals system. It will be helpful to work with the primary care teams (as laid out in the document) but not sure how

The proposals aim to make access to appropriate services easier - for GPs making referrals and for service users needing support from services. We are planning to remove whole tiers of internal referral and assessment processes that are frustrating for all involved, and create delays that result in waiting lists.

4. There are already concerns over waiting times as blocks are in place at all stages of the system. How will these be reduced if you are reducing staffing levels?

The key to these changes as stressed previously is in how the system becomes more efficient to ensure service users get the correct care for their needs at the earliest possible opportunity. By reducing the blocks in the system, we create a more streamlined and efficient service which therefore enables us to make some savings. We aim to increase quality, efficiency and at the same time, reduce cost.

5. Too many service users are currently in the Community Mental Health teams (CMHTs) and assertive outreach teams. The three year aim to step down in the model will not benefit most people in that system. They will either remain within the workers' already stretched caseload or be discharged and then be re-referred within six months

The proposals will ensure all service users have their care reviewed regularly to ensure they are receiving support appropriate to their needs. If people need ongoing care they will receive this. If they can be better supported by other parts of the mental health pathway, they can step up or step down within the services we provide. There will always be a checking process to ensure people are getting the right care at the right time.

The overall resource proposals have been sized to take account of the current demand on secondary care services.

6. Another concern is with people displaying their first psychotic episode. Under the new model it will take too long to refer people to the level they need.

We propose to develop a Gateway Worker role whose primary role will be to work closely with GPs to ensure referrals go to the right part of the service first time, every time. This will include Early Intervention Services (there are no changes to the current Early Intervention Service which is provided by Rotherham Doncaster and South Humber NHS Foundation Trust (RDASH) and not Manchester Mental Health and Social Care Trust although we work very closely together) as well as other primary and secondary services and should improve our response times.

The planned Gateway Worker role would have a positive impact on this.

7. There are also massive pressures on beds, and this will not be going away. The new system will put a further squeeze on inpatients and there is nothing within the proposals that will address this.

The proposals explain how the Trust will ensure people get the service they need quickly if their needs are changing. This includes ensuring people are supported earlier, and therefore without the need for an inpatient bed in some cases, if they begin to show early warning signs that their mental health may be deteriorating. There is nothing in these proposals which would increase demands for inpatient admission.

Improved community service provision will reduce pressure on inpatient beds by preventing some patient's health from deteriorating to the point an inpatient bed is needed.

These services will also be able to facilitate people's discharge from inpatient wards by ensuring that work on, for example, accommodation issues is undertaken early to ensure it does not lead to unnecessary delays in discharge.

8. Regarding the Gateway Worker, I'm concerned that they may stop people getting from primary care to secondary care services.

The role of the Gateway Worker will be to liaise with GPs to ensure referrals go to the right part of the service to prevent delays and ensure people get the right service quickly. These roles will be regularly reviewed and assessed to ensure they are adding value to the whole mental health pathway and do not prevent access to the appropriate level of service provision. This includes direct informed referral to secondary care following initial assessment.

9.Service users are confused at about suggestions to changes to CMHTs following on very soon after changes within North Manchester. The feeling is that this should be managed better.

The Trust accepted that some service users in the north of the city may have had notification about 18 months ago about possible changes to their care co-ordinator when teams merged. This only affected the north service users and although we acknowledge that there may be some potential for confusion, we believe it is important to inform all service users about the proposed community services review.

10. Emphasis is being put on third and voluntary sector services picking up need where it is less severe. However, the Trust needs to make sure that they are not considering their changes in isolation. Large cuts to Adult Social Care funding mean that current third and voluntary sector organisations are either going to cease existing or significantly reduce the services that they provided.

The Trust is aware of the situation in Adult Social Care and does not expect or plan to make any changes in isolation or without clear plans to mitigate impact on service users. However, we also hope that changes in Adult Social Care will not be made without considering the impact on the mental health and wellbeing of service users in Manchester and we will continue to engage with all our partners to ensure any proposals are assessed collectively.

We are already lead provider for third sector organisations who offer improved access to psychological therapies proving this is the area we expect to focus this issue.

We engaged with staff and service users in November and we have responded to their comments through a leaflet sent out in December 2011. Click here to read the leaflet.

A specific date for implementation is yet to be set but it is likely to begin in early-2012.

If you have any comments please e-mail communityservicesreview@mhsc.nhs.uk .

You can also find out more or share your feedback by contacting the Adult Mental Health Care Group General Manager Mike Sinnott by telephone on 0161 291 6924 or by e-mail at mike.sinnott@mhsc.nhs.uk.