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

7 SLP Provider Collaboratives Forensic (Adult Secure) New LDA Oak Ward: We invested in the first dedicated inpatient facilities in south London for Learning Disability (LDA) patients, so we can provide quicker access and admission, closer to home. The 12-bed Oak Ward, based at SWLStG’s Springfield Hospital site, provides specialist care and supports progressive moves to lower levels of security and community settings. We are also working to develop new LDA step-down community accommodation so patients previously placed out of area can benefit from a progressive, joined- up south London pathway – giving them more independence, including appropriate supported community living. Ongoing pathway and service developments: we worked to further develop and progress more innovative models to support highly specialist patient cohorts during the year. • A n expanded Forensic Intellectual and Neurodevelopmental Disabilities (FIND) Community service is being developed to enable more proactive care, risk management, recovery and quicker, safe step-down to less restrictive accommodation and discharge to specialist community care, while also reducing risk of admission and readmission or contact with the criminal justice system • W e are exploring potential for a new consultation service to support patients with a personality disorder diagnosis, who are typically in independent sector placements at present • O ur Clinical Decisions Unit (CDU) service continues to support patients referred directly from prisons through an 12-week intensive multi-disciplinary team assessment and brief treatment to agree each patient’s specific current and future treatment needs, and appropriate pathway. 18% of patients were suitable for remission back to prison, and then return to community living. The remainder required care in a medium secure Forensic inpatient setting Continued transformation of patient outcomes and experience: Since launch in 2017, we have reduced overall out of area placements by 60%. In successfully moving more care to less restrictive, community-based environments, south London inpatient bed use has been reduced by some 24%. A further 37 patients were repatriated during the year. As highlighted in this review, we have made a significant impact on reducing inequalities particularly prevalent in south London. Far fewer ethnic minority patients are now cared for out of area, and we’ve invested to deliver better, tailored care for LDA patients. CAMHS (Tier 4) New CAMHS Eating Disorders Integrated Outreach Team: We launched this new service, with colleagues embedded in existing community teams to provide additional and joined-up specialist community-based care and support Improving care and experience in NHS Acute Trusts: Together we developed and delivered a new, standardised support and training package to all south London’s Acute trusts, helping improve how children and young people are supported in Acute settings such as Emergency Departments and on general paediatric wards. New Family Ambassadors programme: Our innovative Family Ambassadors programme saw teams including people with lived experience actively work with 73 families to better understand how CAMHS services work, what to expect, and to support clinical-family liaison. A successful pilot involved some 900 hours’ contact time in pilot, and the highly positive evaluation means we have now established these as permanent roles.