South London Mental Health and Community Partnership Annual Review 2023/24

4 We manage some £180 million annual commissioning budgets. This year we strengthened our capacity by establishing the pioneering new SLP Commissioning Hub - enabling our three Trusts’ clinicians, operational and corporate teams and vitally services users to come together and better understand, plan and develop new pathways based on local systems and place needs. With partners including south east London and south west London ICBs, NHS England, our 12 Local Authorities and the third sector all involved, it has created a unique specialist centre of expertise and focus. We have already built on areas such as our quality monitoring and assurance function. We will further develop capabilities including data and insight, ensuring we are increasingly effective in commissioning for Population Health outcomes. It has been central in continuing to improve patient outcomes and value for the NHS. This collaborative culture, and our focus on patient outcomes, has meant that even in challenging times for the NHS, we have continued to increase the proportion of community-based care for complex and challenging specialist cohorts of patients, closer to home. More change is on the way. We’re working alongside our two ICBs to support delegation of NHSE specialist services commissioning budgets to system level. A considerable challenge is to balance inpatient demand with capacity to ensure we can continue the trajectory of successfully moving more specialist care outside hospitals and closer to patients’ homes. During the year, NHSE, including at Board level, focussed on the need to change hospital care models, and support more people with serious mental illness (SMI) in community via personalised, community-based services. It’s a continued direction of travel, kickstarted particularly by Long Term Plan investment, and for specialist services, by the delegation of budgets to local areas and expertise. We are proud to have transformed so many of the most vulnerable, complex and challenging mental health patients’ experience of healthcare, boosting their recovery and rehabilitation, and moving them from highly restrictive settings to more independent living and a better quality of life. During 2023-24 we published our Five Year Impact Report (www.slpmentalhealth.com/FiveYearImpactReport ) - a unique document for Provider Collaboratives. Our innovative new care models make a real difference to reducing health inequalities experienced by people with Serious Mental Illnesses (SMIs) and many specific, traditionally underserved patient cohorts – identified as a core element of improving population health in south London. Please read on to see how we have invested to create new local specialist facilities and pathways for Forensic patients with Learning Disability and/ or Autism (LDA). We have reversed the unequal proportion of ethnic minority Forensic patients who were cared for outside our area. Our pioneering work to support frontline Police Officers’ decision- making with specialist clinical advice reduced the number of people detained under Section 136 significantly during its first six months. This means vulnerable people are no longer criminalised for what are, in essence, serious mental health conditions. We are committed to building on this work and delivering even more for the people we serve over the coming years - through collaboration, not competition. Dr Ify Okocha Chief Executive Oxleas NHS Foundation Trust David Bradley Chief Executive South London and Maudsley NHS Foundation Trust Vanessa Ford Chief Executive South West London and St. George’s Mental Health NHS Trust