Transformation of Community Mental Health Services

In response to the NHS England Long-Term Plan, which tasked health and social care to develop new, more joined-up, ways of delivering care in the community for people with severe mental illnesses, the community transformation will bring local services in Sussex together, including mental health, partners from social care, primary care, local authority, and voluntary community and social enterprise services (VCSE).

The new services will be designed around the needs of the local community and developed in collaboration with the people who will use and work in them.

Patient outcomes and experience will improve; patients will be in charge of their own care and will be offered a personalised package of support based on what they need at that time, which could include for example, psychological therapies, physical health checks, peer support, social activities, or support for employment, housing, or finance. By services working together as one multidisciplinary team, communication and information sharing will progress, duplication of assessments and other processes will be minimised, and the resources available in services will be utilised more effectively.

Staff satisfaction and retention will increase; staff will be empowered to work with more autonomy, will have access to additional resources, a more manageable workload, as well as clear opportunities for training and development.

There will be efficiencies and collaborative working across the system; patients will be treated in the right place at the right time, people will be supported to stay well in their own homes, and pressure and reliance on crisis and acute services will be reduced. Primary care, secondary care, VCSE and social care will come together to provide holistic care.

 

Community mental health services for adults and older adults with severe mental illness will be transformed; designed around the needs of the local community and developed in collaboration with the people who will use and work in them.

Care will no longer be disconnected between different organisations and services; patients will be treated to meet their care needs as a whole. This joined-up support will help them to recover and improve their overall quality of life.

Patients will be in charge of their own care and will be offered a package of support based on what they need at that time, which could include psychological therapies, loneliness services, or support for employment, housing, or debt.

The offer of what is available will be clear, and support will be easy to access and delivered in a range of welcoming, convenient and therapeutic environments that are as close to home as possible, to ensure everyone has access to the mental health services and support that they need when they need it.

The transformation will also give a renewed focus to people who are living with a range of long-term severe mental illnesses, and will address the current gaps in services for people who are deemed too unwell for support through their GP, but not unwell enough to meet the criteria for specialist mental health services. 

Latest news

Place based workshops

Two workshops took place with invited guests from the local health and care sectors in Crawley and Brighton & Hove. Building on the priorities identified in the system model workshops in August, the groups worked together to agree what the local areas could start to do to transform their local community mental health services.

System model workshops

People from across the health and care system, including senior leads from across the primary, statutory and VCSE health and care system, people with lived experience and experts by experience of accessing mental health services, and carers, attended workshops at University of Sussex in August, to establish what needs to happen for community mental health services to be transformed, future models, improved ways of working together and local priorities. The workshops were a significant milestone in the programme so far, which initiated a collaboration of people who will use and work in the services. 

Launch of wave 1 integration sites

Wave 1 integration sites will go live in October 2022. This will be the first-time services have worked together in this new way and the first step towards transformed services.

The sites will be located in Crawley (West Sussex), High Weald, Lewes and Havens (East Sussex) and Brighton & Hove.

The feedback and learnings from the integration sites will be crucial in informing the next steps in the transformation programme. 

Emotional Wellbeing Services (EWS)

Emotional Wellbeing Services are to be expanded to further primary care networks (PCN's) across Sussex. The service provides mental health support in GP surgeries for patients with complex mental health issues who would not usually be able to access Improving Access to Psychological Therapies (IAPT) services, or meet the criteria for referral to specialist mental health services.

The number of clinical and non-clinical Mental Health Practitioners in Emotional Wellbeing Services will have doubled by April 2023. 

 

Coming soon...

The Enhanced Community Rehabilitation Service will provide intensive community treatment and will have the ability to intervene earlier than current Assessment and Treatment Services. For example, they would be able to monitor adherence and work more intensively with housing providers to maintain tenancies.

The Enhanced Community Rehabilitation Service will work closely with community inpatient rehabilitation services to reduce length of stay and improve patient outcomes in the community regarding recovery, and social and occupational functioning.

Offering an alternative pathway to this cohort of complex high-need service users will also reduce demand on Assessment and Treatment Services, allowing them to focus on and be more responsive to other high need service user groups.

 

The transformation will develop an all-age service for eating disorders, increasing capacity, shortening waiting times for support, and removing the barriers that are currently in place to access services. 

The community transformation will give a renewed focus to people living with a range of long-term severe mental illnesses, including complex emotional needs associated with a diagnosis of personality disorder. 

Want to get involved in the community transformation, share your views and ideas, and be part of this exciting transformation?

Sign up to receive our monthly newsletter: click here


Workshops, webinars and events

'Changing the language' project

It is really important that everyone is able to access information in a clear and easy to understand way, especially information about your care and the options available.

Following feedback, it has become clear that some of the language currently used in mental health care is not fit for purpose and in some cases, can be unhelpful to the patient and their family/carers.

We are running a series of focus groups and workshops to discuss this issue, identify what words/phrases are currently used that need replacing and most importantly, what they should be replaced with.

  • Do you have lived experience of mental health difficulties?
  • Have you accessed mental health support in Sussex?
  • Do you care for someone with a mental health condition?
  • Do you work in the health and care sector in Sussex?

Please click on the link below for the date you are looking to join, and email to register your interest.


Date

Time

Event / workshop / webinar

Location

Sign up

Wednesday 15 February 2023 12-12.45pm  Monthly webinar - topic: Working in collaboration with people with lived experience, peers and carers Virtual Click here
Friday 24 February 2023 11am-12pm 'Changing the language' focus group 1 Worthing Click here
Friday 3 March 2023 11am-12pm 'Changing the language' focus group 2 Virtual Click here
Wednesday 15 March 2023 12-12.45pm Monthly webinar - topic: The role of voluntary, community and social enterprise (VCSE) in the community mental health transformation Virtual Click here
Tuesday 28 March 2023 10am-12pm 'Changing the language' workshop 1 Virtual Click here
Wednesday 29 March 2023 10am-12pm 'Changing the language' workshop 2 Hove Click here

Co-production

Within the transformation programme there are two co-production leads, who help bring people together and support them to be able to contribute and make a difference to mental health care services. There is also the SCALE Network, which stands for Sussex Coproduction And Lived/Living Experience.

Get in touch with them to find out more about how you can get involved.

Natasha Barefield (East Sussex and Brighton & Hove): natasha@possabilitypeople.org.uk

Catherine McGill (West Sussex): catherine.mcgill@capitalproject.org


VCSE Mental Health Networks

If you are a voluntary, community or social enterprise organisation working in mental health, you may be interested in joining the network for your area, to help influence and shape the future provision of community mental health.

West Sussex: vcsementalhealthnetwork@westsussexmind.org

Brighton & Hove / East Sussex: andrea.potter@vcse-mhtransformation.org


 

There have been lots of developments and activity happening across Sussex. See the full list below:

When? What? Details
January 2023 Monthly newsletter The January edition of the community mental health transformation newsletter - download
January 2023 Monthly webinar

 

Rachel Coffey, Programme Director, provides an update on what has happened in the programme so far and the next steps for 2023.

December 2022 Monthly newsletter The December edition of the community mental health transformation newsletter - download
December 2022 Monthly webinar

Jenny Edge, General Manager for Emotional Wellbeing Service (EWS), and Anne Foster, Head of Mental Health Commissioning, provide an update on the development of the EWS and the next steps

November 2022 Monthly newsletter The November edition of the community mental health transformation newsletter - download

November 2022

Monthly webinar

Rachel Coffey, Programme Director, and Penny Fenton, Community Pathway Lead, provide a background about the transformation of community mental health services for adults and older adults in Sussex

November 2022

Place based workshops

Virtual and in-person workshops took place in East Sussex, with invited guests from the local health and care sectors. Building on the priorities identified in the system model workshops in August, the groups worked together to agree what the local area could start to do to transform their local community mental health services.
October 2022 Place based workshops

Two workshops took place with invited guests from the local health and care sectors in Crawley and Brighton & Hove. Building on the priorities identified in the system model workshops in August, the groups worked together to agree what the local areas could start to do to transform their local community mental health services.

September 2022

Partnership Matters article

The community transformation was featured in Sussex Partnership's magazine, Partnership Matters. Read the full article on page 22 here.

August 2022

System model workshops

People from across the health and care system, including senior leads from across the primary, statutory and VCSE health and care system, people with lived experience and experts by experience of accessing mental health services, and carers, attended workshops at University of Sussex in August, to establish what needs to happen for community mental health services to be transformed, future models, improved ways of working together and local priorities. The workshops were a significant milestone in the programme so far, which initiated a collaboration of people who will use and work in the services. 

 

If you have any questions or comments about the community transformation, or want to get involved, please email communitytransformation@spft.nhs.uk

And you can also follow us on social media to stay up to date with all the latest news and updates:

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Twitter: @SussexCMHT
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Padlet: padlet.com/CommunityTransformationSussex