OPMH Conference

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OPMH Conference

• West Kent and Medway

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West Kent4 Trusts into 2 into 1.

• North Kent.
• Thames Link.
• Weald of Kent.
• Invicta.
• Although merged have continued to function
  independently

• Thames Gateway
• Invicta
• Although merged managerially now function along 5
  PCT boundaries.

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Background

• 5 PCTs
• Swale pop 15,000
• Medway pop 36,000
• Dartford 36,000
• S W Kent 31,500
• Maidstone 38,500

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Background.

• 5 Commissioners.
• 5 Joint Commissioning or Partnership Boards.
• 3 Whole System Groups.
• Beds subject to Block contract but considered as
  locality resource.

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Background

• 9 CMHTs.
• 7 Day Therapy Centres.
• 126 Acute Beds.
• 56 NHS Continuing Care.

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Dartford Gravesend and Swanley

• Mental Health Services for Older People

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Resources

• Two CMHTs acting as single point of entry,
  delivering Intake and Enhanced care functions.
• Two day therapy units for both functional and
  organic interventions.
• Three In-patient units providing functional and
  organic assessment and NHS continuing care.

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Jasmine Unit

• All dementia services under one roof.
• Redesigned service delivering the secondary care
  services agreed through the Whole System Dementia
  Care Pathway.
• Memory Clinics.
• Follow Up including nurse prescribing.
• Admiral nursing.
• Continuing Care Dementia Liaison Nurse.
• Respite Day Care.

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CMHTs and Birch Ward

• Dementia developments have enabled CMHT to
  deliver screening for dementia while focusing on
  enhanced work with functional mental health.
• Additional benefit has led to significantly
  shorter length of stay.

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Next Steps

• Development of multi-disciplinary community
  services especially Psychology for Gravesend and
  occupational therapy.
• Development of comprehensive spoke function of
  day therapy in young onset dementia strategy.

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Medway

• Mental health services for Older People

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Resources

• Two virtual fully integrated Health and social
  care CMHTs acting as single point of entry
  operating from three adult bases.
• Medway East.
• Medway West.
• 24 bedded In patient Unit (Robert Browning)
  access to 8 beds in Swale.
• Day Therapy services.

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Service Developments

• Well developed Early Onset Dementia Service.
• Memory Clinics.
• Single Point of Entry for CMHTs.
• Whole system joint commissioning between Medway
  PCT and Medway Council.
• GP Training scheme.

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Next Steps

• Obtain approval for the two consultant job
  descriptions.
• Redesign of in-patient unit to provide needs led
  services and access to crises services.
• Pilot an integrated model of social care and care
  management
• Collaborate with council on Health and Well being
  centres at Woodlands and Shawswood for CMHT
  bases.

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Swale

• Mental Health Services for Older People

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Resources

• A locality based service in Sittingbourne
  consisting of
• A CMHT.
• A day therapy service.
• 16 In-Patient beds.

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Service Developments

• Integrating community and Day therapy for a one
  stop shop/service.
• Development of a local whole system dementia care
  pathway.
• Memory clinics.
• GP Training.

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Next Steps and Challenges

• Implement the dementia care pathway to enable
  needs led services.
• Integrate a dementia crises service with the
  intermediate care team.
• Improved access to crises services.
• Develop relationship with PCT to disinvest in
  beds and develop community services.

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South West Kent (Sevenoaks / Tonbridge /
Tunbridge Wells)

• Mental Health Service for Older People.

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Resources

• Two Locality based services in Tunbridge Wells
  and Sevenoaks consisting of
• CMHT
• Day therapy
• In patient assessment and continuing care.
• Services include an integrated social work post
  and co located care management.

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New Innovations

• Early Onset Dementia Care Service
• STISS Short Term Intensive Support Service in
  partnership with Alzheimer's society.
• Psychiatric liaison service working with
  Hospital Avoidance Team KS Hospital.
• Coffee Shop Project.
• Dementia Care Pathway Group

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Future Plans

• Provision of 24hr dementia support
• Provision of local dementia service directory
• Provision of ageless service in partnership with
  CRHT _at_ The Springs.
• Provision of more community support groups.
• Appointment of Early Onset Dementia Lead Nurse.

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Maidstone

• Mental health Services for Older People

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Resources

• Two Locality based services in Maidstone North
  and South consisting of
• CMHT with day therapy
• Day therapy
• In patient assessment and continuing care.
• Services include an integrated social work post
  and co located care management.

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Dementia Service Provision

• Whole system dementia care pathway planning group
• Well established memory clinics.
• Pre and post diagnostic counselling.
• Patient and Carer education.
• Cognitive rehabilitation.
• Memory groups and carer support.
• Liaison service to nursing and residential homes.
• Specialist physiotherapy team.

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Psychosocial interventions and access developments

• Therapy developments
• Psychodynamic therapy
• CBT
• Counselling
• Fast Track Clinics
• Developing relationship with CRHT and DSH teams.

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Next Steps

• Disinvest from beds to provide more community
  services including.
• A collaborative and proactive DGH liaison
  service.
• With other agencies develop (a) crisis home
  treatment service for organic brain disorder and
  (b) extended community service.
• Development of locality spoke within Kent wide
  young onset dementia strategy.