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

8 Continued transformation of patient outcomes and experience: Our work to move care outside hospital settings meant in south London there were fewer admissions and beds used by 0-19 year olds (per 1 million population) in our area than in the rest of London, and the England average. Children and young people are rarely cared for outside our area – with a 50% reduction in such placements since launching in 2017-18 Adult Eating Disorders Enhanced Treatment Team (ETT): We completed the first full year of this pioneering community based, outreach service, which provides an alternative to admission and hospital-based care, often with high lengths of stay (LOS). Significant patient outcomes and experience included improvements in BMI, reduced Average LOS from 120-180 to 99.5 days, and a massive 60% reduction in admissions for this cohort of patients. The service was Highly Commended in the Mental Health Innovation of the Year category of the prestigious HSJ Awards, The innovative First Episode Rapid Early Intervention in Eating Disorders (FREED) care model for young people was rolled out in south west London, with 130 patients across five boroughs all assessed within the two weeks target during the year Service Users at the centre: • W e further embedded a joint AED Service User and Carer Group (SUCAG) across all three Trusts, which works together in areas such as our new model for inpatient service quality reviews, and has two representatives on the AED Programme Partnership Group (senior level programme governance) • W e co-produced a specialist AED module, delivered in the SWLStG Recovery College by staff and service users together Continued transformation of patient outcomes and experience: Fewer south London patients are now treated in hospital - improving their quality of life, experience and recovery. We have reduced overall bed usage by some 31%. No south London patients are cared for in beds outside our area. Perinatal Our three Trusts formed this new Provider Collaborative and made strong progress in establishing new cross-sector partnership working based on clear objectives. Key areas of focus and aims include: • E nsuring Length of Stay (LOS) is in line with or below the London Mother and Baby Unit (MBU) median • I ntegrated inpatient and community pathway to support earlier discharge • R educe Out of Area Placements to support treatment closer to home • P roviding a consistent Inpatients therapeutic offer on the ward • E nsure the four groups most at risk of health inequalities (ethnic minorities, young mothers, deprivation, learning disability and/or autism) receive an equitable service • R educe referral to admission waiting times to provide timely access to treatment • I mproving staff recruitment and retention rates • I mproving clinical outcomes A new Perinatal Network was set up, with some 17 different organisations across the NHS, our two ICBs, and various local third sector organisations coming together to start developing evidence-led, service-user informed improvements to pathways and services for women and their families. Themed workshops have included inpatients, community services, workforce and health inequalities. As well as being an opportunity to share learning and progress, insights from attendees including service users and colleagues from a wide range of professions are helping inform the Network’s direction and priorities. Specific workstreams were established with collaborative teams starting work rapidly across: Community, Inpatients (MBU), Workforce, Training and Education, and Maternal Mental Health.