Gloucestershire Partnership NHS Trust

1
Gloucestershire Partnership NHS Trust

• AGM
• 25TH September 2006

2
Child Adolescent Mental Health, Older Peoples
Mental Health and Learning Disabilities
ServicesDirectorate

• Service Re-Design
• Ted Quinn, Service Director

3
Child Adolescent Mental Health Services

• Current
• Widely varying local provision and practice
• Proposed
• Greater efficiency
• Reduced waiting times
• Improved case management
• Suspend out of hours consultant on-call (24hour
  cover)
• Improved Partnerships
• Choice
• Transition
• Specialist role within Comprehensive CAHMS
  network
• Care pathway development
• Eligibility
• Primary Mental Health Care Workers
• Skill mix Review

4
Child Adolescent Mental Health Services
Choice and Partnership Approach Pilot
5
Older Peoples Mental Health Inpatient Services

• Current
• 80 beds in 5 units on 4 sites
• Falling admissions and occupied bed days
• Delayed transfers of care
• Isolated units
• Generic provision
• Inefficient use of estate
• High Reference Costs
• Proposed
• 65 beds in 4 wards on 1 site (Charlton Lane
  Hospital)
• Greater specialisation

6
Older Peoples Mental Health Community Services

• Current
• Widely varying local provision and practice
• Proposed
• The right care in the right care setting
• Clear remits and effective partnerships
• Severe and complex clinical need prioritised
• Reduce unnecessary 2nd.care contact
• More robust multi-agency community provision
• Improved integration co-location
• Community/day assessment treatment
• Other care groups and agencies
• Multi-agency care pathways

7
Older Peoples Mental Health Services

• Consultation Response
• General
• Save Weavers Colliers
• Alternatives
• Social Enterprise Scheme proposals
• Local beds with centralised back up
• Health Overview Scrutiny Committee
• Pace of Change
• Travel implications
• Prefer multiple inpatient sites
• Request review of Board decision

8
Older Peoples Mental Health Services

• Board Decision
• 65 beds on one site
• Subject to Commissioners support
• Possible HOSC referral to Secretary of State
• Integrated Community/Day Assessment and Treatment
  
• Provided in all localities
• End day-care provision

9
Learning Disabilities Services

• Inpatient Services
• Current
• Wide ranging changes over last six years
• Re-provision in the community near completion
• Unit, site and bed reduction
• Development of specialist services
• Increased activity and improved outcomes
• Proposed
• Reduce number of sites
• Windrush closure
• Review of PMLD, Elderly and Low Secure
  requirements
• Cornwall Report Review

10
Learning Disabilities Services

• Community Teams
• Reviews of function, number and skill-mix
• Opportunities for co-location and integration
• Other care groups Social Services
• Health Facilitation
• Information systems
• Residential Services
• Transfer of Staff to Brandon Trust completed

11
Summary

• Services which more closely reflect National
  Guidance
• Services that are consistent across the county
• Services which work well with partners
• Service costs that are consistent with national
  resource norms
• Services which increase the capacity to provide
  specialist mental health care and improve outcomes