matthew boazman
TRANSCRIPT
Our Vision
To create community mental health services for children, young people and
young adults where there is more choice, more freedom and control about the
services they receive; transforming their experience and improving their life
chances
2020 Ambition
Positive experience: all CYPYA will be treated with compassion, dignity and respect and care will be tailored to their individual needs
High quality care: all CYPYA will receive evidence based care that is delivered by highly skilled staff
Safe care: more CYPYA will be protected and feel safe from physical and emotional harm
Equity: we will ensure that all CYPYA are able to effectively access care no matter what their background or situation
Overview of the partnership
Worcestershire Health and Care NHS Trust
• Provider of specialist mental health clinical
services (non-inpatient) for 16-35
• Employer of approx. 140 staff
• Responsibility for providing expertise,
contributing to adult safeguarding,
governance and assurance for AMHS with
Birmingham Children’s Hospital
Beacon UK
• Employer of access centre staff
• Management of Access Centre & case
management and data streams for FTB
• Signposting and liaison with crisis teams
Birmingham Children’s Hospital
• Provider of specialist mental health clinical
services for 0-18
• Employer of approx. 150 staff + Tier 4
• Responsibility for providing expertise on
children’s mental health and leading on
governance
The Children’s Society
• Management of city centre drop-in hub
Priory Group
• Provider of Tier 4 inpatient services for 18-
25
Prevention
Integration
Choice Inpatient Services
Intensive
Complex Interventions
Brief Interventions
Universal Plus Partnership
Universal & Health
Promotion
Rec
ove
ry B
ased
Mo
del
Flexible access to effective interventions
Six levels of careInpatient Services
Intensive Interventions
Complex Interventions
Brief Interventions
Universal Partnership
Universal and Health Promotion
Five pathways
Emotional
Behavioural
Psychosis and
BipolarEating Disorders
Neuro-
developmental
Suicidality,
Trauma and
Personality
Disorders
Core components of the FTB system
Component What happens
1. Access Centre The Access Centre is the engine of the system and the contact
point for young people, clinicians and families
2. Utilisation Management To ensure flow across the system and that all young people
are treated in the most appropriate setting
3. Intensive Case Management Risk stratifying all young people in services and offering
intensive case management support to the 100 people
identified as benefitting from it the most
4. Business Intelligence Reporting internally and externally on the performance of
Forward Thinking Birmingham. Internally service data will be
used to inform discussions about service improvement
5. Transformation Overseeing the Forward Thinking Birmingham five year
transformation programme and ensuring transformation
through partnership delivery
Managing the system to ensure that every young person is treated in the appropriate level
of care and in the least restrictive setting
Access Centre: simple and integrated approach
SINGLE POINT OF ACCESS
• Staffed by qualified clinicians
• High-tech telephony including
call recording and activity
dashboard
• Secure referral portal
• Contact Management System
• Interoperable EPR
• Service Directory
Service user, parent
or young person
seeking advice
New referral
Existing service user,
new issue
Care provider, clinical
team lead, key
worker
Issue resolved on call,
signposted or triaged.
Response time 48 hours
Appointment booked with
appropriate service within
48 hours
Feedback given to
referrer, family, or service
user within 7 working days
Closely monitored, person-
to-person handover to
crisis teams
Data intelligence: service, system and user data linked across all pathways
Forward Thinking Birmingham’s single point of access provides one route for referrers, service
users and carers to access a range of mental health needs, meaning there’s no wrong door.
Utilisation and case management
Partnership delivery model
ACCESSChoice or
Partnership
Clinical Case
Management
Non-Clinical
Case
Management
Cognitive
Therapies
Treatment
Medication
Inpatient
Services
Intensive
Interventions
Mentoring
and
Befriending
Coping
Strategies
Personal and
Social
Development
Family
Support
POSITIVE ACTIVITIES
Specialist Support Pathway
Tapered Intensive Outreach
Longer Term
Support
Longer
term
support
Integration
Re
co
very
B
ase
d
Mo
de
l
• City-centre drop-in service managed by The Children’s Society
• For children, young people and young adults aged 0-25, parents/families and
professionals
• Open 7 days a week with tailored opening hours
• Walk-in, telephone, email, social media, website
• Multidisciplinary team
• Onsite support:
o Workshops
o Unstructured interventions
o Structured interventions
Realising our ambition
Trust Respect Commitment