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

9 Other major SLP programmes Complex Care Significant new specialist teams and services were introduced and fully embedded during the year, supporting the recovery of highly complex patients, typically with severe psychosis diagnosis and co-morbidities and who have often experienced long inpatient stays in highly restrictive environments. • C o-Occurring Mental Health Alcohol and Drug Rehabilitation Team (COMHART): a new inreach team working across our Trusts’ six rehabilitation wards to improve recovery for patients with substance use needs via a unique new integrated care model, which was co- produced with service users and is personalised to individual patients and their pathway needs • Integrated Community Rehabilitation Service (ICRS): We invested in a new 12-bed accommodation unit in partnership with a specialist third sector housing provider to step-down patients from wards to community living more quickly. A multi-disciplinary team works with individuals and has reduced their overall LOS to six to nine months • P eer Support Workers: a new trained, and paid team works across the inpatient wards, supporting patients and their families including preparing for discharge and community-based living • C omplex Emotional Needs (CEN) service: three new teams are in place, supporting CEN patients to stay well in their community environment (including those stepped-down from inpatient care), and help avoid admissions and readmissions Continued transformation of patient outcomes and experience: The ALOS for a cohort of patients once described nationally by CQC as ‘funded and forgotten’ has been reduced in south London from more than two years to 11 months. Seventy-five percent fewer patients are now cared for in private sector or out of area beds. Almost 250 people have been stepped down to less restrictive care, and accommodation allowing them to enjoy more independent living, in their local communities. The programme’s integrated, transformational approach incorporates new clinical pathways and targeted new services for patients across south London, in partnership with 11 local authorities. Since launch, we have improved commissioning value and delivered significant savings for further reinvestment locally. Acute and Urgent Care We launched two major new telephone services to significantly improve people’s experience and support at their time of greatest need – for urgent and crisis mental health care. NHS 111 for Mental Health (NHS 111 MH) is a specialist 24-7 mental health service for all ages including children and young people, across south London. It represents a significant investment by south east and south west London ICBs, and aims to get local people with urgent mental health needs the right support, advice from the right service, more quickly. The central team of mental health specialists triages callers; provide rapid, professional mental health support by phone when appropriate; or signposts or transfers people to the right service alternative service for their needs. The NHS Police Mental Health Clinical Advice Line helps more than 40,000 frontline Police officers across London when attending people experiencing mental health crises in public. Delivered jointly with North London Mental Health Partnership, it covers the Metropolitan Police, British Transport Police and City of London Police forces, operating 24-7. Officers have a dedicated, single point of contact helpline providing advice and support including clinical guidance before applying Section 136,