To consider the report of the Cheshire and Wirral Partnership NHS Foundation Trust (CWP)

The Committee considered two reports from the Cheshire and Wirral Partnership NHS Foundation Trust (CWP) providing an update on the outcome and implementation in relation to the Community Mental Health and Learning Disability Service Redesign.

In relation to the Community Mental Health Service and following a period of consultation on the proposed changes the agreed model (StAR) was implemented on 29 May 2013. The report indicated that the agreed changes had been supported by detailed transition, implementation and evaluation plans, which were monitored within the CWP’s governance framework, with a detailed report to be completed 12 months post implementation.

The identified benefits of the model were to:

·  Improve access to services

·  Enhance the focus on recovery

·  Make more effective use of staff resources

The Community Mental Health Teams would continue to operate within the Care Programme Approach (CPA).

The report was introduced by Dr Mahesh Odiyoor, Clinical Director who in response to Members indicated that plans were in place to meet the savings targets set.

In terms of the waiting lists, Dr Odiyoor reported that most patients were seen within 24 hours and those with complex needs within four weeks.

Suzanne Edwards, General Manager and Rashmi Parhee Clinical Director introduced the report in relation to the Learning Disability Service. The report detailed feedback received from the public consultation, the results of which had been shared and approved by the Trust Board on 26 June 2013. The feedback received was both informative and extremely supportive of:

·  Adopting a care pathway based model;

·  Enhancing community services:

·  Reducing reliance on inpatient  assessment and treatment beds (closure of Kent House)

In addition, changes to the staff resource levels and skill mix had been made following internal learning to ensure safe and high quality inpatient assessment and treatment services.

Details of the concerns raised were detailed within the report along with assurances from the CWP.

The report concluded by detailing plans for implementation.

In response to Members it was reported that in relation to the closure to Kent House other facilities were available to service users and the Community Team had been increased to manage the required needs and offer support to service users and their families and carers.

In terms of the evaluation of the re-design it was reported that each pathway had a crisis team who would be regularly reviewing and monitoring service provision and pathways would be enhanced or reviewed if necessary.

Mr Graham Hodkinson, Director of Adult Social Services reported that both the Local Authority and the Clinical Commissioning Group had seen an increase in demand and that the level of need was quite high especially in those with complex needs.

In response, Rashmi Parhee indicated that discussions had been held with the Local Authority assisting in the re-design of a service that would support those with complex needs within their own homes the service would comprise of a team that would be based within the community providing support. It was reported that the CWP were working with the Local Authority, the CCG, Mental Health teams, carers and service users on a variety of options to enable the effective delivery of services to suit all needs.

RESOLVED:

That the update reports be noted