Recite Me

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introduction to services at the trust

Associate Hospital Managers

Supporting people affected by the Mental Health Act

If you are detained under one of the sections of the Mental Health Act (or are subject to a Community Treatment Order) you have the right to have your detention reviewed by Associate Hospital Managers.

Who are Associate Hospital Managers?

  • Patients who are detained under the Mental Health Act can ask for their case to be reviewed by Associate Hospital Managers. They can decide whether a patient should be discharged from detention.
  • They are independent of our Trust and of the clinical teams who assess and treat people detained under the Act.
  • The name “managers" can be confusing because it does not mean the people who run our hospitals. Associate Hospital Managers are independent volunteers and not employed by the Trust.

What is the role of Associate Hospital Managers? 

  • Associate Hospital Managers sit on panels to review the cases of patients detained under the Mental Health Act.
  • Reviews can be held at any time; however, they are usually held following an appeal by a patient or following the renewal of their detention by their responsible clinician, who is the person in charge of their care.
  • Associate Hospital Managers have the power to discharge most people detained under the Mental Health Act and anyone subject to a Community Treatment Order.
  • Their role is to ensure any detention is legal and appropriate by asking questions of the relevant clinical team to ascertain if continued detention is required and/or justified under the Mental Health Act.
  • They report any issues and/or concerns relating to patients detained under the Act via the Mental Health Law Office, which reports to the Trust Board.

How do I make an appeal for my case to be reviewed?

If you wish to make an appeal, you can speak to the ward manager or your designated nurse, who will provide you with all the information you need on how the process works. They will also provide you with a form to complete. Alternatively, you can contact the Mental Health Law Office for advice and support via

To help you through the process of making an appeal

You may:

  • be legally represented
  • have an Independent Mental Health Advocate (IMHA) or
  • have a friend or relative to support you

What happens after an appeal has been made?

  • The Mental Health Law Office will write to you acknowledging your appeal application.
  • They will request reports from your responsive clinician and other relevant professionals involved in your care.
  • The reports will contain information about the circumstances of your admission to hospital, your health, care and treatment and the plans for your future care.
  • The Associate Hospital Managers will aim to hear your appeal/renewal within four weeks of the date of your application and will provide you with details of the date, time and venue in writing.
  • Once the date has been set and the reports received, copies of all the reports will be sent to you for you to read in advance of the hearing.
  • If you have chosen to have a solicitor to give you advice, your solicitor will also be given copies of the reports and will discuss these with you before the hearing.
  • Other people present at the hearing may include your:
    • responsible clinician
    • care co-ordinator
    • nurse
    • nearest relative or friend
    • IMHA (if you have asked for their support)
    • solicitor (if you have decided to use one).

On the day of the hearing

  • You will be asked if you would like to attend the hearing, but you do not have to if you do not wish to.
  • You will be offered the opportunity to speak with the managers privately before the hearing starts.
  • The chair of the panel will introduce themselves and explain the process.
  • The panel has to satisfy itself about matters regarding your health and welfare, and what is in your best interests. This will be done by considering the information contained in the reports and by asking questions during the hearing.
  • You will be given every opportunity to ask questions and express your views. If you have a solicitor or IMHA they will help you with this.
  • Once everyone has finished speaking, you and the professionals who have attended the hearing will be asked to leave the room so that the panel can have a discussion and reach a decision. This may take a little time as the panel has to carefully consider all the information provided.

The decision

The chair of the panel will ensure that the decision of the panel is explained to you. Your solicitor (if you have one), IMHA, named nurse or care co-ordinator can support you in understanding the decision. A written decision will be sent from the Mental Health Law Office to you and your nearest relative.

How do I contact the Associate Hospital Managers?

Contact can be made through the Trust’s Mental Health Law Office by emailing

Medicine Information Service for Healthcare Professionals

Your question. Use the categories in the The UKMi Quick Question Guide to help identify what additional background information we would need to answer this type of question. It is useful for us to have the following information:
This form will send the personal information you have entered to us via email. This will be treated in the strictest confidence. We will use the personal information to respond to your enquiry. Your enquiry will be researched by our Medicines Information team. If you would prefer to speak a member of our Medicines Information team, please contact us on 02035136829 (external) or extension 6829 (internal).

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Community Transformation

Over the coming years, the Trust’s Integrated Programme is bringing forward new investment and innovations.

Improving our services to provide high quality care for people across South West London is a key part of our overall mission Making Life Better Together.

We embarked on a transformation programme for adult community mental health services in September 2019; in line with the NHS Long Term Plan,  recognising that a new integrated and flexible delivery model is required to help meet current and future service user needs.

The NHS Long Term Plan (LTP) prioritises community-based care and recently transformation funding was announced to support the transformation of adult community mental health services over three years (2021/22 – 2023/24).

Why do we need Community Transformation?

We know that our current clinical pathways can be inconsistent and fragmented in the way they deliver services.

The overarching purpose of this programme is to make both community and inpatient services work together so that patients get the right care and support as they need it. By ensuring everyone is offered core care and treatment options, choice and flexibility, we can really make life better for our service users and carers.

These ambitions will be supported by investment into mental health under the NHS Long Term Plan.

Making it happen

The Trust has worked closely with colleagues and partner organisations across the South West London Integrated Care System to successfully bid for new funding that was announced to support transformation of adult community mental health services over three years (2021/22 – 2023/24).

For Year one the Trust was successful in receiving £2.8m which will be invested in community adult mental health services in 2021/22 with additional amounts available for future years.

The proposed new model of community adult mental health delivery will:

  • Focus on supporting individuals with serious mental illness and within this group specifically also strengthen support and care for individuals (1) with an eating disorder, (2) with a diagnosis of personality disorder or (3) requiring mental health rehabilitation
  • Be organised around and/ or integrated with wider partners including Primary Care Networks and primary care, voluntary and community sector provision and local authority provision.
  • Be co-produced and include both clinical delivery and provision by voluntary and community sector organisations
  • Remove barriers between primary and secondary care.
  • Optimise data sharing
  • Recognise and impact on the social determinants of health and non-clinical needs
  • Reduce waiting times, addresses inequalities and support transition.

Our next steps

The proposed model will be piloted in Sutton in 2021/22 and then reviewed and adapted as needed.

Placed based design and delivery groups will commence in Kingston, Merton, Richmond, and Wandsworth over the next 18 months and work carried out in each borough to ensure new models of care meet the needs of our local populations.

We look forward to working with partners and organisations across our communities as we bring forward this innovative new programme.

For any questions about Community Transformation at SWLSTG please contact us at


Community Rehabilitation

The Trust’s Clinical Transformation Programme comprises of several workstreams, one of which focusses on Specialist Services Redesign (SSR). There are two current transformational projects within the SSR workstream; rehab services transformation and eating disorders services transformation.

The aims of the rehab services transformation are to:

  • Review SWLSTG current rehabilitation pathway provision
  • Redesign and develop an enhanced SWLSTG rehab pathway to ensure that i) the rehab services are recovery focussed with a clear understanding of what this means and ii) services deliver high quality care, in the least restrictive environment possible, which is integrated with newly developed community rehab services
  • Define elements of admission to rehab inpatient units in collaboration with the South London Partnership Complex Care Programme (SLP CCP) and ensure standardised operational processes are aligned with the redesign of the SWLSTG rehab pathway.

Work will involve learning from other trusts’ pathways, developing a community rehab team and linking this into the Community Transformation Programme, reviewing SWLSTG procedures and ways of working, standardising rehabilitation interventions offered based on service (high dependency unit, community rehab unity, community offer) and ensuring a clear and robust new rehab pathway is put in place.

To date, the rehab transformation team have worked with service line and SLP colleagues to map out the current “as is” pathway, identifying where there are gaps and issues across the pathway and with the pathway processes. Several workshops have been held with the ward consultants, ward managers, and partners from SLP CCP team, with the third and final workshop on 3rd December 2021. The first two workshops have focused on the development of the new community rehab team and the role of the SLP, and how these interface with our inpatient services. There has also been discussion on current issues and how we can work to overcome these challenges.

Work is also continuing on understanding demand and capacity related to rehabilitation provision across SLP and within SWLSTG. Work continues into establishing bed optimisation numbers, skill mix and establishment, and estates. A working group is being set up to continue work on this.

Support for carers

Support for carers

There are lots of organisations, both nationally and locally who are able to support carers.

Recovery for Friends, Families and Partners

Friends, families and partners of people living with mental health difficulties go through their own challenges. These four stand-alone sessions offer be a safe space to explore and learn in a group about your needs and strengths and learn skills to make the best of life. All sessions take place at the Recovery college, Springfield Hospital. We recommend that you book a place on all 4 sessions if you can but these are designed  to be individual sessions as well. Find out more here 

Local support

National Support


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