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Completed Projects 

Since the Service Transformation Programme began a number of successful projects have been undertaken. The learning and benefits delivered by the projects have been transferred into the day to day running of the Trust and have helped to improve the services that are provided. 

Primary Mental Health Services 

Traditionally the trust’s core business has focused on providing secondary, specialist mental health services. In some parts of Lancashire the trust also provides primary mental health services. These services address mental health problems which are often described as more common and less severe and make up the majority of treatment episodes. Click here to download a diagram that describes the difference between primary and secondary mental health services. 

This work stream explored the potential of expanding the primary mental health services provided by the trust due to the introduction of practice based commissioning. This is an arrangement whereby frontline clinicians, for example GPs, are responsible for choosing providers to offer treatment to their patients. This means that in the future the trust could be bidding for contracts to provide primary care mental health services. 

A guide has been developed to assist trust managers in producing a tender application to win contracts for providing primary care mental health services. 

Social Inclusion 

The development of community services has resulted in many people with more serious mental health problems living within the community. However in many cases they still remain socially isolated and excluded from the communities in which they live.

'Fewer than two in ten people with severe mental health problems are in employment. Research has consistently shown that between 60 - 90% of people who suffer from periods of mental ill health would like to work and that diagnosis or severity of illness are not predictors of employability'. (Sainsbury Centre for Mental Health - June 2008.)

The trust and Lancashire County Council and its other social care partners worked together to make social inclusion for people with mental health problems everybody's business and ensure that it is embedded in practice. The work focused on: 

• Accommodation - To review residential and rehabilitation units to identify how they can best support recovery and social inclusion.
• Assertive Outreach Teams - To develop a consistent approach to service delivery by establishing a common core operational policy that can be locally modified. In addition the workstream looked at the pathways between AOT teams and the wider services, and explored opportunities for closer links with local community facilities to provide a more socially inclusive service. An audit of the effectiveness of Assertive Outreach services was carried out to share good practice and highlight areas for improvement.
• Day Services - This focused on enabling people with mental health problems to access opportunities alongside other members of the community.

Discussion with service users and carers suggest that there are things that help and things that hinder when it comes to recovery and social inclusion. Click here to download their comments. Thank you to Kelvin Pinder for producing this useful document. 

Leadership 

This workstream focused on developing a 21st Century leadership strategy for our trust. It addressed how our organisation's culture recognises, supports and releases leadership potential at all levels and in all circumstances.

This workstream's tasks recognised that the NHS increasingly requires its staff to be innovative, flexible and proactive in finding daily solutions to the challenges faced. It aimed to ensure that we have in place the understanding and the means to support a skilled and adaptive wokforce, which is well motivated because it is effectively led at all levels - from bottom to top and back.

 

 

Electronic Ordering of Tests and Results 

This work stream served to ensure that good physical health is an essential component of wellbeing and an essential part of the delivery of care in mental health services by supporting clinicians to organise and monitor physical care checks.