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South London Mental Health and Community Partnership (SLP)

The 'South London Mental Health and Community Partnership' is a new and innovative collaboration between three leading mental health trusts.

The 'South London Mental Health and Community Partnership' is an innovative collaboration between three leading mental health trusts.

Mental illness is the single largest cause of disability in the UK and each year about one in four people suffer from a mental health problem. The cost to the economy is estimated to be around £100 billion annually and with physical and mental health closely linked people with severe and prolonged mental illness die on average 15 to 20 years earlier than other people.

The NHS Five Year Forward View (October 2014), recognised that there is no one-size fits all and set out the challenge for leading NHS trusts to respond to the needs of the community by working together to deliver a better NHS for patients.

As a result Oxleas NHS Foundation Trust, South London and Maudsley NHS Foundation Trust and South West London and St. George’s Mental Health NHS Trust are working together to spearhead a better mental health service across south London. This partnership is called the South London Mental Health and Community Partnership.

The partnership is the first of its kind in London and brings together the clinical expertise of thousands of NHS staff to help identify areas of best practice that will be rolled out consistently across south London in order to deliver a shared vision to improve patient care, the foundation stone of this partnership.

The three chief executives are dedicated to leading high quality changes across South London so that patients continue to receive high quality care for generations to come as a result of this partnership. They believe that this pro-active approach will no doubt become the blueprint for sustainable mental health services across the country, ensuring patients continue to receive high quality care for generations to come. By delivering a smarter and more joined up way of working, quality can be increased and costs driven down whilst protecting service.

Annual Review 2018-2019

Our Innovative and collaborative work to make a difference for mental health patients and staff in three Trusts across south London is highlighted in the South London Mental Health and Community Partnership (SLP) Annual Review for 2018 - 2019.

SLP’s first full year 2017-2018 included more south London children and young people, and Forensic adult patients cared for and supported towards rehabilitation and recovery closer to home. This year SLP focused on adding value and driving improvements to patient experience and outcomes by working collaboratively at system level across south London’s million population.

We have continued to innovate and expand our integrated approach to delivering patient-centred services. This includes new and deeper partnership with Local Authorities, Clinical Commissioning Groups (CCGs), Sustainability and Transformation Partnerships (STPs) and NHS England (NHSE). New relationships with south London’s universities, and with housing providers, are helping us bring specialist solutions to some of the most challenging mental healthcare issues.

The SLP Annual Review covers partnership working by clinical, operational and corporate services colleagues during 2018-19 through a series of key programmes focussed on improving patient care, experience and outcomes.

Highlights include:

  • Forensic patients out of area reduced by 36%
  • Nursing workforce retention rate improved by 5%+
  • CAMHS out of area bed days reduced by 7.8%
  • More than 100 new Nursing Associates on development programmes
  • New and enhanced services including: Complex Care Clinical Assessment Team, CAMHS Shared Bed Management Service, Community Forensic LD/ASD Service, additional Adult Forensic Beds

SLP programmes include:

  • CAMHS Tier 4 New Care Models
  • Forensic (Adult Secure) New Care Models
  • Complex Care: improving recovery closer to home for patients typically with complex mental health needs and multiple, long-term conditions, including challenging behaviours, who have often experienced high lengths of stay in restrictive settings
  • Nursing Development Programme
  • Adult Care Pathway: aiming to improve patient care, outcomes and experience for people with acute or urgent mental health needs, including reducing A&E attendances, admissions to our inpatient wards and inpatient length of stay
  • Adult Eating Disorders: emerging new programme
  • Corporate Service Productivity and Efficiency

In recent months, further impacts have included:

  • 32% overall reduction in south London children and young people’s overall bed days in mental health hospitals
  • Significant reductions in A&E attendances and suicide attempts by young people receiving new DBT interventions in south east London;
  • Agreement by CCGs to transfer complex patient budgets to the SLP Trusts
  • Introduction of consistent south London-wide Single Point of Access and assessment panels for health-funded complex care patients
  • Developing innovative new Community Forensic Support Plus help male Forensic patients with high lengths of stay in restrictive settings live more independently, with extended, multi-disciplinary team support

Partnership work was also shortlisted for three major national awards in late 2019: NHSI/Burdett Trust award for nursing – Retention Team of the Year (NDP); Royal College of Psychiatry Awards – Sustainable Service Development (Forensic New Care Models); and for System Leadership in the HSJ 2019 Awards.

Work is also underway through the NHS England Specialist Commissioning ‘Provider Collaboratives’ policy for full transfer of commissioning budgets for Adult Secure, CAMHS Tier 4 and Adult Eating Disorders services to the Trusts in April. This means we can together decide how to best use resources, develop and deliver services to provide best quality care and improve patient outcomes

You can read more about the SLP’s work in 2017-18 and plans for 2018-19 in this Annual Review.