Quality Account 2009-2010 Putting You First 2008-2009 2009-2010
Statement On Quality From The Interim Chief Executive Quality is everyone s business is a phrase which I often use to describe the approach to ensuring that we deliver services that meet the expectations of all our stakeholders that use, have an interest in or commission the services. Lord D Arzi explained quality in this way: High quality care should be as safe and effective as possible, with patients treated with compassion, dignity and respect. As well as clinical quality and safety, quality means care that is personal to each individual. This has applied equally to the services I have led in Bedfordshire and Luton as it does in south Essex I have a personal commitment to quality in everything that we do, which I know was also shared by our Chair, Alison Davis, and all members of our Board of Directors. It is this commitment to quality by everyone who worked in and with our organisation that enabled me to look back at 2009/10 and be proud of the quality of service that was delivered; particularly over this last year as the Trust prepared for acquisition by a NHSFT (a Glossary of abbreviations is contained in Appendix 1). I am very pleased that SEPT was successful in it s bid to acquire the contract for services provided by the BLPT following the competitive tendering process and I look forward to continuing to work with the staff and developing a centre of excellence in the provision of mental health services. I am absolutely committed to making sure that the quality of services delivered in Bedfordshire and Luton are of a consistently high standard with those already provided in Essex. 1
I have been very impressed by the hard work of the staff of the Trust during this very difficult period and their continued commitment to improvement in the quality of service for the people of Bedfordshire and Luton in the many areas reflected in this report. Looking forward to 2010/11 we have set out ambitious plans for continued quality improvement that were identified as a result of a number of consultation activities that involved many of our staff, our service users, our members, and our partners. The year will bring many challenges as we have also made a commitment to commence a complete transformation programme in Bedfordshire and Luton that will lead to a new model of service being introduced that improves overall safety, experience and effectiveness of services and ensure that we achieve improvements in efficiency and productivity in light of the economic downturn. These plans are presented in the SEPT Quality Account. We are confident that we have effective plans and the right people with the right skills to deliver all of our quality improvement objectives. Successful delivery will rely on the commitment to and responsibility for quality that is shared by each and every member of staff for it to be a reality for the people that use our services in Bedfordshire and Luton, as well as in Essex. I therefore ask all of our staff to deliver services that they would want to receive or that they would want their friends and families to. This is the last Quality Account for this Trust, and it is good to be able to present this report on such a positive note. The improvements in the quality of services that will continue for the people of Bedfordshire and Luton will be reported through the SEPT s 2010/11 Quality Account. Statement of Accuracy. I confirm that to the best of my knowledge, the information contained in this document is accurate. Dr Patrick Geoghegan OBE Interim Chief Executive 2
Priorities for improvement in 2010/11 and statements of assurance from the Board 2.1 Priorities for improvement in 2010/11 Bedfordshire and Luton Mental Health and Social Care Partnership NHS Trust was dissolved by the Secretary of State for Health on 31 March 2010. The assets, liabilities and contracts for specialist mental health and learning disability service provision in Bedfordshire and Luton of BLPT were acquired by South Essex Partnership University NHS Foundation Trust (SEPT) with effect from 1 April 2010. SEPT has developed priorities for improvement in Bedfordshire, Essex and Luton as a result of consultation with staff, service users and stakeholders in all areas where services will be delivered from 1 April 10 and has set these out in it s Quality Account for 2010/11. 2.2 Statements of Assurance from the Board 3
2.2.1 Review of Services 2.2.2 Participation in Clinical Audits During 2009/10 BLPT provided 68 NHS services (See Appendix 2). BLPT has reviewed all the data available to them on the quality of care in these 65 NHS services (defined as those services for which a service specification was agreed as part of the contracts for services agreed with commissioners). During 2009/10 12 national clinical audits and 1 national confidential enquiry covered NHS services that BLPT provides. The Trust has successfully made a number of improvements through the strategies implemented during the year. The Trust has not had any healthcare (hospital) acquired infection as a result of the Clean and Safe strategy; the introduction of LEAN Working methodology, including the Productive Ward approach has improved the efficiency of services; implementing a system that learns from serious untoward incidents and near misses and monitors that the actions identified are implemented and reviewed; significant improvement in the data quality, both in completion and reporting; and achieving the new Level 1 NHSLA compliance. The focus on quality has been across the Trust, both in all the services we provide and the support functions behind this, and as SEPT brings the two systems together will seek to continue to learn from and develop the best from both organisations. The Trust reviews data on the quality of care of all services on a monthly basis. A comprehensive report on performance of all services against all available quality and performance indicators is produced for the Trust s Executive Team and senior managers. In addition Team Dashboards provide an overview of performance against key quality indicators relevant to each service. Any performance below that expected is identified and action is identified as a result of this provision of information and action is taken to address identified issues as appropriate. The Trust Board monitor the data available on all services on a quarterly basis. During 2009/10 BLPT participated in 7 out of 12 (58%) national clinical audits and 1 (100%) national confidential enquiries of the national clinical audits and national confidential enquiries which it was eligible to participate in. In three of the topics 2 audits were undertaken. The national clinical audits and national confidential enquiries that BLPT was eligible to participate in, did participate in, and for which data collection was completed during 2009/10, are listed below alongside the number of cases submitted to each audit or enquiry as a percentage of the number of registered cases required by the terms of that audit or enquiry. The income generated by the NHS services reviewed in 2009/10 represents 98% per cent of the total income generated from the provision of NHS services by BLPT for 2009/10. 4
5 Audit Reference and Title National Clinical Audits POMH Topic 1d Prescribing of high dose and combination antipsychotics on adult acute and intensive care wards POMH Topic 1e Supplementary follow up of high dose and combined antipsychotics in Adult acute and PICU (Psychiatric Intensive Care Wards) POMH Topic 2d Screening for metabolic side effects of antipsychotic drugs in patients treated by Assertive Outreach Teams POMH Topic 3 Prescribing of High-dose and combined antipsychotics for patients on secure services wards POMH Topic 5c Prescribing of high dose and combination antipsychotics in Adult acute and PICU (Psychiatric Intensive Care Wards) POMH Topic 6b Assessment of the side effects of depot antipsychotics POMH Topic 7b Re-Audit of monitoring of lithium POMH Topic 8 Medicine Reconciliation POMH Topic 9 Use of antipsychotic medications in people with a learning disability POMH Topic 10 Use of antipsychotic medication in CAMHS National Falls and Bone Health Audit March 2009 National Audit of Continence Care National Confidential Enquiry National Confidential Inquiry into Suicides and Homicides Nos of cases submitted to each audit inquiry as a percentage of the number of registered cases required percentage of cases expected 100% of applicable areas 100% of applicable areas 100% of relevant service users on caseload Not yet audited 100% of applicable areas 100% (up to local determination) Not yet audited Not yet audited 100% of applicable areas Not yet audited Organisational level audit Not yet audited National Confidential Inquiry into Suicides and Homicides Completion Date March 2009 February 2010. July 2009 Not yet audited Mar 2010 February 2010. Not yet audited Not yet audited September 2009 Not yet audited Mar 2009 Not yet audited
The reports of seven national clinical audits carried out by BLPT were reviewed in 2009/10 and the actions identified below will be carried forward by SEPT to improve the quality of healthcare provided: Topic Actions POMH UK Topic 1. Prescribing of High Dose and combination Antipsychotics on Adult Acute and Intensive Care Wards - Supplementary Audit National Audit on Falls and Bone health Service users to be treated with single antipsychotic and where this is not possible the rationale provided in casenotes Policy to be reviewed and the risk assessment tool amended. Development of a referral care pathway who are at risk of osteoporosis Inclusion of questions in Essence of care module that will examine staff awareness of the policy Amend the risk reduction care plan checklist to include the appropriate use of bed rails 6
The reports of 44 local Clinical Audits were reviewed by BLPT in 2009/10 and SEPT intends to take the following actions to improve the quality of healthcare provided across the new Trust: SEPT will have one consistent audit process across the new Trust, which will ensure learning points are reported to a central point for dissemination and action. The audits, while demonstrating that there has been considerable improvement over the year against a number of measures, for instance service user satisfaction, have also highlighted areas which require further attention and re-audit. The learning from experience focus will continue in 2010/11 with re-audits of suicide prevention, of NPSA PSA/0005 related to lithium prescribing and a Trust wide staff survey on learning from experience. Record keeping is also an annual audit carried out in 2009/10 and programmed for 2010/11. Where performance has been identified as being weak action has been taken to correct this through training and re-skilling, and where necessary direct action. Review and changes in policy to improve patient safety and quality of experience. Outcome measures for people who use services have been identified as requiring development. This has been included as a target as both a Quality target and in the CQUIN Training needs have been identified and are being built into SEPT s training programme. Many services have carried out local service user surveys to ensure that services are meeting national and local expectations. These generally show high levels of satisfaction with local services and action plans are developed to address any issues raised. SEPT is planning to develop a consistent approach for capturing service user experience. 2.2.3 Participation in Clinical Research The number of patients receiving NHS services provided or sub-contracted by SEPT in 2009/10 that were recruited during that period to participate in research approved by a research ethics committee was 53. This figure relates to the total sum of participants recruited to the UKCRN National Institute for Health Research Portfolio. Data has not routinely been collected in relation to recruitment in to student and own account research studies. As from May 2010 SEPT will be collecting this information as part of a research audit due to take place. As part of this audit, information will be requested as to the number of participants recruited to the study during 2009/10. 2.2.4 Quality and Innovation Goals Agreed With Commissioners. A proportion of BLPT s income in 2009/10 was conditional on achieving quality improvement and innovation goals agreed between BLPT and any person or body they entered into a contract agreement or arrangement with for the provision of NHS services, through the Commissioning for Quality and Innovation payment framework (CQUIN). Full details of the agreed goals for 2009/10 and for the following 12 month period are available on request from Elizabeth.Semain@SEPT.nhs.uk. 7
2.2.5 Registration with, and Results of Periodic/ Special Reviews by the Care Quality Commission BLPT was not required to register with the Care Quality Commission as registration requirements did not come into force until 1 April 2010 and the Trust was dissolved by the Secretary of State for Health on 31 March 2010. SEPT has applied to the CQC to vary it s current registration status to include regulated activities and locations of services provided in Bedfordshire and Luton. The Care Quality Commission has not taken enforcement action against BLPT during 2009/10. BLPT was subject to periodic review by the Care Quality Commission and the last review covered the period up to 31 March 2009 and was published in October 2009. The CQC s assessment of BLPT following that review was Fair for Quality of Service and Fair for Use of Resources. The interim management team of BLPT has overseen a programme of improvement that has enabled performance for 2009/10 to be much improved. This is set out in Part 3. BLPT has not participated in any special reviews or investigations by the CQC during the reporting period. 2.2.6 Data Quality BLPT submitted records during 2009/10 to the Secondary Uses service for inclusion in the Hospital Episode Statistics which are included in the latest published data. The percentage of records in the published data: which include the patient s valid NHS number was 99% for admitted patient care and 100% for outpatient care and which included the patient s valid General Medical Practice Code was 100% for admitted patient care and 100% for outpatient care BLPT s score for 2009/10 for Information Quality and Records Management, assessed using the Information Governance Toolkit was 61%. BLPT was not subject to the Payments by Results clinical coding audit during the reporting period by the Audit Commission 8
Review of Quality Performance 2009/10 3.1 Performance against indicators for improvement identified in 2008/9 Quality Accounts BLPT produced a Quality Account in May 2009 which reflected on the quality of services provided in 2008/9 and set out priorities for improvement in quality to be implemented in 2009/10. The priorities identified for improvement in 2009/10 were based on consultations that took place with a wide range of stakeholders, including staff, service users, carers, Commissioners and other partner agencies. Feedback from the consultation process was used along Improve Service Users Involvement in the Care Planning Process Priority Target with information routinely used internally (quality and performance data; complaints, LINks, PALs, service user survey results etc.); commissioning intentions and other sources to identify the targets for improving quality during 2009/10. As at 31 March 2010, we are delighted to report that there has been excellent progress with taking action that has lead to improvement in the majority of the priority areas identified: Baseline 2008/09 2009/10 Actual In the last 12 months have you had a care review? 48% 42% 63% Were you told that you could bring a friend or relative to your care review? 71% 68% 80% Before the care review meeting, were you given a chance to talk to your care co-ordinator about what would happen? 61% 51% 66% Were you given a chance to express your views at the meeting? 68% 64% 66% Although there has been progress the Trust has not achieved its target to date. 9 Did you find the review helpful? 49% 51% 50% There has been a slight reduction on the baseline score
Establishing Effective Care Pathways Priority Target Baseline 2008/09 2009/10 Actual Emergency Readmissions within 28 days of discharge 6% 95% 90% 10.5% 96% 94.7% 7.55% The quarterly information demonstrates the improvements that have been made throughout the year with performance positively below target in both Quarters 3 & 4 7 Day Follow Up on Discharge From Inpatient Units 97% Gate Keeping of Acute Admissions 98% Patient Safety - Delivering Single Sex Accommodation Priority Target Baseline 2008/09 2009/10 Actual Percentage of Compliant Inpatient Units 100% 100% 100% Number of Breaches 0 n/a 0 10
3.2 Performance against key national priorities and National Core Standards 3.2.1 Care Quality Commission Targets The Care Quality Commission require providers of mental health and learning disability services to achieve a range of quality improvement targets. Performance against the relevant targets in 2009/10 was as follows: Indicator Indicator Proportion of people receiving follow-up contact within seven days of discharge from hospital Admissions gatekept (seen by or notified to CRHT prior to admission to identify whether an alternative to admission is appropriate) % of people discharged from an in-patient setting with a care coordinator identified at the time of discharge Delayed transfers of care (mental health and learning disability) Data quality on ethnic group (mental health and learning disability) Increase the % of drug users who were retained in treatment for 12 weeks or more in effective treatment Experience of patients Completeness of the MHMDS Child & Adolescent Mental Health Services Best Practice in MHS for people with an LD NHS staff satisfaction Learning Disability Campus provision 11 Learning Disability: Number of People with a care plan
Target 95% 90% >80% <4.3% 100% Increase on 08/09 performance Improved results 7 fields 100% 4 new fields 90% 6 criteria met Compliance with 12 criteria Improved results Not applicable 100% Actual 2009/10 97.8% 98% 93% 4.17% 100% 94% of service users were retained in treatment for 12 weeks or more. The Trust s retention rate was 94% for 2008/9. The Trust matched but did not exceed last year s score. Awaiting publication of national survey results by CQC 7 fields 97% 4 new fields 50% The Trust is fully compliant (100%) on all six criteria The Trust achieved Green status on 12 out of the 12 key requirements. Awaiting publication of national survey results by CQC Not applicable 100% 12
3.2.3 Compliance with Core Standards During 2009/10 BLPT was compliant with 23 out of 24 Core Standards for Better Health. In December 2009 the Trust submitted a bi annual declaration as a requirement of the CQC Standards for Better Health process. Following a robust process to examine evidence and assurances the Trust declared full compliance for all core standards with the exception of c11b mandatory training. For this area of non compliance actions were agreed and monitored closely by the Executive Team Operational Committee. A review of systems was undertaken and significant improvements were made and the Board confidently approved full compliance by year end. The Board gained further assurance after substantial assurance was awarded following a review by Internal Audit against the Standards for Better Health process. Annex. 1 Statements from Third Parties In accordance with the Quality Account Regulations, the Trust sought statements from all required third parties on 29 April 2010; allowing 30 days for a response to be provided. The Health Overview and Scrutiny Committees chose not to respond. Statement received from NHS Bedfordshire (on behalf of NHS Luton). NHS Bedfordshire was the Lead Commissioner for services commissioned from BLPT in 2009/2010. This is the final Quality Account for BLPT. Following a unique and competitive tendering process South Essex Partnership University NHS Foundation Trust (SEPT) will be delivering mental health services within Bedfordshire and Luton from April 2010/2011. As the Lead Commissioner, NHS Bedfordshire has a duty under the National Health Service Act 2006 to confirm that the Quality Account contains accurate and relevant information in relation to the NHS services provided. It should ensure that reasonable steps have been taken to ensure the data has been checked for accuracy against the data supplied during the year. This process is part of the contractual quality monitoring systems. It was noted that the Quality Account included a review of 65 out of a total of 68 commissioned services. All services provided were not defined or listed within the report (Response: This has now been included as Appendix 2). A statement from the Chief Executive assures that the information used is accurate. Assurance statement evidences that reviews of quality of care and performance of all services are undertaken monthly. Quality indicator achievements were not evidenced for CQUIN (Commissioning for Quality and Innovation Improvement Framework). (Response: These were and are evidenced in 3.1) It is identified that a Policy review is required to improve patient safety and quality of the patient experience including improvements in the care planning processes. Quality improvement performance indicators lack detail in relation to 13
methodology, impact or identified project leads. Clinical Audits are listed. It is noted that further areas require reauditing and NHS Bedfordshire look forward to working with SEPT to monitor progress within this area. An assurance statement of BLPT s engagement with patient and third sector agencies is included within the report. NHS Bedfordshire acknowledges that registration with CQC (Care Quality Commission) is with SEPT. Statement received from Luton LINk (on behalf of Bedford LINk). This response is agreed by members of both Luton LINk and Bedfordshire LINk. It is accepted that the key objective of quality accounts is to increase NHS accountability to the public on the quality of the service provided. It is also recognised that quality is complex and multi-dimensional particularly in the field of mental health, it is accepted that Mental Health Services within Luton and Bedfordshire have experienced a merger process with South Essex Partnership Trust (SEPT) which was finalised on the 31st March 2010. The LINks look forward to meeting with SEPT on a regular basis to discuss the outcome of audits and how these affect care provided by SEPT. Overall Presentation Some of the terms used may we suggest need further clarification i.e. the terms quality was used throughout however a definition of quality from both a user/corporate perspective would have been helpful (Response: An explanation has been included in Part 1). It also may have helped if a metric was used for monitoring effectiveness. The use of abbreviations which referred to both national policy directives/indicators and technical terminology could have been explained in ( plain English) A glossary of terms and abbreviations would have made it easier to understand and reduce confusion (Response: A Glossary has now been included as Appendix 1). 2.2.1 Review of Services Hospital acquired infections: It was noted of the positive result of the Clean and Safe strategy, however as mental health throughout Luton and Bedfordshire is delivered in a variety of settings including clients homes may we suggest that the accepted term Healthcare Associated Infection would have been appropriate, particularly as the Trust forward plan advocates an increase in Care in the Community. (Response: the wording has been changed to healthcare (hospital) acquired infection. ) 2.2.2 Participation in Clinical Audit. May we ask what criteria were used to prioritise areas to audit and reports of Clinical Audit? Are there not other audits besides clinical which are applicable and relevant to mental health users and their carers? (Response: SEPT will provide information separately) National Audit on Falls and Bone health. The results of the audit on falls must be built into the care provided, particularly for older people with dementia. 14
Record Keeping: The LINks recognise the importance of good record keeping and the need for continual improvement in the quality of these records. Suicide Audit. The LINks look forward to receiving a copy of the audit on its completion. (Response: SEPT will provide information separately Prescribing Observatory for Mental Health (POMH): This frequently used term could have been more fully explained. (Response: This is now included in the Glossary). 3.1 Performance against indicators for improvement identified in 2008/09 Quality Accounts It is acknowledge that the last year for providers, staff and users and carers of mental health services in Luton and Bedfordshire have had to meet the challenges of change which could not have been easy. Luton LINk would like to thank all staff during the past year for taking the time to keep LINk informed of any change which directly affects the users/carers of mental health services in Luton. We would also like to recommend that we are part of the process in formulating Quality Accounts from the beginning and not just comments at the end when the process is complete. (Response: LINKs members were invited to and participated in the Planning Event for 2010/11 and meetings have taken place with the Chief Executive. Feedback from the event and the meetings were used to formulate the Quality Account) LINks were not acknowledged as a body which provided data to BLPT from a users and carer s perspective (Response: LINks has now been included). As SEPT seeks to continually improve services there needs to be an agreed understanding of what the terminology used in describing progress in the quality of services for people who have a mental health problem. Luton LINk would like to take this opportunity of thanking you for providing us with the opportunity to comment on the Draft 2009/10 Quality Accounts for the former BLPT 15
Glossary Assertive Outreach Team B&L BLPT CAMHS CMHT CRHT CQC CQUIN GP HoNOS PbR Lean Working LD LINk (s) MHMDS NHS FT NHSLA NICE NPSA OSC PALS PEAT PICU POMH Public Health Observatory Q1 Quality Accounts SE SEPT UKCRN Works with people who need long-term support due to their mental health problems in the community Bedfordshire and Luton Bedfordshire and Luton Mental Health and Social Care Partnership NHS Trust Child and Adolescent Mental Health Service Community Mental Health Team Crisis Resolution and Home Treatment Team Care Quality Commission Commission for Quality and Innovation General Practitioner Health of the Nation Outcome Scales Payment by Results. An outcome measurement tool. A process developed to help services evaluate their effectiveness and improve quality, care pathways and cost effectiveness Learning Disability Local Involvement Network (s) Mental Health Minimum Data Set National Health Service Foundation Trust National Health Service Litigation Authority National Institute for Clinical Excellence National Patient Safety Agency Overview and Scrutiny Committee. Each local authority has a committee which monitors and gives comment on local health services Patient Advice and Liaison Services Patient Environmental Action Teams Psychiatric Intensive Care Unit/Wards Prescribing Observatory for Mental Health Each Health Authority has a public health department which produces local demographic and health information. Quarter 1. The financial year has four reporting periods, April-June, July-September, October- December and January to March All NHS provider organisations are required to produce a report on progress against quality targets in the proceeding year and the indicators it wishes to use for the coming year. South Essex South Essex Partnership University NHS Foundation Trust United Kingdom Clinical Research Network 16
Services Provided During 2009/10 Adult mental health services (ADMH) Service name Robin Pinto Unit Property Name Limetrees/Orchard Unit, Calnwood Road, Luton Keats Ward, Weller Wing (excluding inpatient detox) Acute assessment Unit, Weller Wing Weller Wing, Bedford Hospital, Ampthill ditto Road Patient Benefits Team For People of Working Age Inpatient services Oakley Court Oakley Court Assessment Unit Townsend Court (excluding inpatient detox) London Road Recovery Service Limetrees/ Orchard Unit, Calnwood Road, Luton Oakley Court, Angel Close, Luton ditto The Poplars /Townsend Court (5 Houghton Road) Houghton Regis 105 London Road, Luton Whichellos Wharf Cedar House Progress House Barford Avenue Day Centre Day Resource Centre 42 Kimbolton Road Countrywide ECT Therapy Service Whichellos Wharf, Linslade Cedar House, Bedford Health Village, Kimbolton Road, Bedford 32-38 Kimbolton Road, Bedford Social Care property owned by Bedford Borough Council Florence Ball House and Day Resource Centre, Bedford Health Village, Kimbolton Road, Bedford Social Care property owned by Bedford Borough Council Limetrees/ Orchard Unit, Calnwood Road, Luton Direct Access Psychology Service Gilbert Hitchcock House, Kimbolton Road, Bedford 17
Service type Low secure and PICU Inpatient unit Assessment Unit Inpatient unit Inpatient unit Assessment Unit Inpatient unit Description 21 beds providing a rehabilitation programme For service users experiencing an acute mental health episode who may be detained - 22 beds 6 bed acute assessment unit (AAU) Service users of working age admitted to acute assessment units in Luton and Bedfordshire For service users experiencing an episode of severe mental illness who may be detained 29 beds 7 bed acute assessment unit (AAU) For service users experiencing an episode of severe mental illness 22 beds. Recovery unit (short stay) Residential unit Residential Inpatient recovery unit for service users experiencing an episode of severe mental illness 14 beds, of which 2 are for respite care For service users with enduring mental health needs - 16 beds For service users with enduring mental health needs - 16 beds Residential Day Centre Day Centre Inpatient recovery unit- 10 beds for rehab (6 months) and 2 beds for respite (up to 72 hours). Closed. For service users with mental health problems For services users (POWA) with mental health problems Supported living Assessment & Treatment Assessment & Treatment 6 medium term and 1 respite bed. Closed for refurbishment For persons with severe or prolonged periods of illness where other treatments have failed. Services users presenting with mental health conditions where psychological therapies are the primary treatment choice (Bedfordshire) 18
Services Provided During 2009/10 Adult mental health services (ADMH) Service name Luton and South Beds Crisis Resolution/ Home Treatment Team (CRHT) Bedford Crisis Resolution/ Home Treatment Team (CRHT) Eating Disorder Service Complex Needs Team Community Development Workers Team (Senior CDW base) Bedford and Mid Beds Assertive Outreach Team Property Name Limetrees/ Orchard Unit, Calnwood Road, Luton Weller Wing, Bedford Hospital, Ampthill Road, Bedford Disability Resource Centre, 1A Poynters Road, Woodside Estate, Dunstable ditto Charter House, Alma Street, Luton Bedford Heights, Manton Lane, Bedford Bedford Community Mental Health Team - East Bedford West Community Mental Health Team Diverse Cultures Team Luton East CMHT Luton West CMHT Luton Assertive Outreach Team South Bedfordshire Assertive Outreach Team ditto ditto ditto Calnwood Court, Luton ditto ditto Beech Close Resource Centre, Beech Close, Dunstable Mid Bedfordshire Community Mental Health Team (CMHT) Meadow Lodge, Steppingley Hospital, Steppingley Spring House, Biggleswade Hospital, Potton Road, Biggleswade 19
Service type Description Assessment and support for persons with a severe mental illness who may require hospital admission Assessment and support for persons with a severe mental illness who may require hospital admission Assessment and treatment of service users presenting with eating disorders Community development Continuing support team Continuing support team Assessment and treatment for service users with a co-morbid diagnosis of personality disorder For service users of all age groups with mental health problems from black and other minority groups Service for people experiencing a severe and persistent mental disorder. Service for people with a severe and enduring mental health and short term psychological problems Service for people with a severe and enduring mental health and short term psychological problems For service users of all age groups with mental health problems from black and other minority groups Services for people with a severe and enduring mental health and short term psychological problem Services for people with a severe and enduring mental health and short term psychological problem Service for people experiencing a severe and persistent mental disorder who may have not sought treatment historically Service for people experiencing a severe and persistent mental disorder Service for people with a severe and enduring mental health and short term psychological problems 20
Services Provided During 2009/10 Adult mental health services (ADMH) Service name South Bedfordshire Community Mental Health Team (CMHT) Renaissance Employment Property Name Beacon House, 5 Regent Street, Dunstable Crombie House, 36 Hockcliffe Street, Leighton Buzzard Social Care property owned by Bedford Borough Council Community Forensic Team Limetrees/ Orchard Unit, Calnwood Road, Luton Prison Inreach Based in hospital wing of Bedford prison ACE 60-62-64 Collingdon Street, Luton Ashanti Social Care property owned by Luton Borough Council Roshni Social Care property owned by Luton Borough Council Approved Mental Health Practitioners (AMHPs) Service No base linked to various CMHTs 21
Service type Assessment Team Description Services for people with a severe and enduring mental health and short term psychological problem Employment Community support Community support Employment Community service team Community service team Support for service users with severe and enduring mental health problems who wish to gain or maintain employment. working with secure level service users Service for prisoners in HMP Bedford with severe mental health or LD with mental health needs Support for adults with mental health conditions who need work skills training, further education, employment, voluntary work and accessing mainstream opportunities. Services for people from the African and Caribbean Communities with mental health problems in Luton Services for people from the Asian Communities with mental health problems in Luton Organises and undertakes emergency Mental health Act assessments for referrals received in office hours. 22
Services Provided During 2009/10 Children and adolescent mental health services (CAMH) Service name Property Name Paediatric Psychology- based at Luton and Dunstable Hospital. CLDT Children Looked After Service Primary Child Mental Health Worker Team SCRIPT Youth Offending Team Mental Health Worker Trend House, Dallow Road, Luton Twinwoods, Clapham Hospital, Milton Road, Clapham 5/7 Rush Court, Grove Place, Bedford Based in social care teams Trend House, Dallow Road, Luton Based in social care teams Youth Offending Team Mental Health Worker Based in social care teams Early Intervention in Schools Luton Trend House, Dallow Road, Luton Bedfordshire Core CAMH Luton Core CAMH Young Persons Service Early Intervention (In Psychosis) Service 5/7 Rush Court, Grove Place, Bedford 24 Grove Place, Bedford 9 Rush Court, Grove Place, Bedford Dunstable Health Centre, Dunstable Trend House, Dallow Road, Luton 9 Rush Court, Grove Place, Bedford Bedford Heights, Manton Lane, Bedford 23
Service type (Bedfordshire) (Luton) (3 teams South Beds, North Beds and Mid Beds) Description Assessment of children presenting with psychological, emotional and/or behavioural difficulties Children with LD and challenging behaviour Moderate to severe mental health problems Mild and emerging emotional, behavioural and mental health problems Moderate to severe mental health problems Adolescents presenting with mental health and behavioural problems Adolescents presenting with mental health and behavioural problems Mild and emerging emotional, behavioural and mental health problems as well as hard to engage service users with moderate and more severe mental health issues Service for children with moderate to severe mental health problems. Service for children with moderate to severe mental health problems. Support for service users with aged 16-25 who require intensive psychotherapy for borderline personality disorder, serious self-harming behaviour, childhood sexual abuse or a history of abuse EIS support individuals experiencing a first episode of psychosis (FEP) who are presenting for the first time to mental health services 24
Services Provided During 2009/10 Learning disability services Service name Wood Lea Clinic Intensive Support Team Property Name Bromham Hospital, Northampton Road, Bromham ditto Specialist Community Healthcare Team The Willows Twinwoods, Clapham Hospital, Milton Road, Clapham Beech Close Resource Centre, Beech Road, Dunstable Bromham Hospital, Northampton Road, Bromham Services Provided During 2009/10 Substance misuse services Service name Keats Ward, Weller Wing Property Name Weller Wing, Bedford Hospital, Ampthill Road, Bedford Townsend Court Specialist Substance Misuse Services The Poplars/ Townsend Court (5 Houghton Road), Houghton Regis 15-17 Cardiff Road, Luton Health Link, 26-28 Bromham Road, Bedford 25
Service type Secure unit Inpatient unit Description Secure unit for detained adults and older persons with LD (10 beds) Support for adults with a learning disability with challenging behaviour or mental health problems. Includes the Coppice inpatient unit Services for adults with a recognised learning disability Residential (short stay) For persons with LD and additional complex physical and mental health needs Service type Inpatient Detoxification Inpatient Detoxification s Description 1 bed for drug and/or alcohol detox where this cannot be carried out in the community 3 beds for drug and/or alcohol detox where this cannot be carried out in the community. For Luton and Bedfordshire Detoxification services for adults aged 18-65 years (Healthlink in Bedford and LDAS in Luton) 26
Services Provided During 2009/10 Older peoples mental health services (OPMHS) Service name Property Name Milton Ward Beech Ward Chaucer Ward Poplars Ward Fountains Court OPMHS - Luton Community Mental Health Team (CMHT) OPMHS - Bedford Community Mental Health Team (CMHT) OPMHS - Mid Bedfordshire Community Mental Health Team (CMHT) OPMHS - South Bedfordshire Community Mental Health Team (CMHT) Weller Wing, Bedford Hospital, Ampthill Road, Bedford Limetrees/ Orchard Unit, Calnwood Road, Luton Weller Wing, Bedford Hospital, Ampthill Road, Bedford The poplars/townsend Court (5 Houghton Road), Houghton Regis Fountains Court, Bedford Health Village, Kimbolton Road, Limetrees/ Orchard Unit, Calnwood Road, Luton Bedford Heights, Manton Lane, Bedford The Lawns Health Clinic, The Baulk, Biggleswade The poplars/townsend Court (5 Houghton Road), Houghton Regis Services Provided During 2009/10 Other services Service name Health Psychology Neuropsychology Services (Acquired Brain Injury) Property Name Disability Resource Centre, 1A Poynters Road, Woodside Estate, Dunstable ditto 27
Service type Acute inpatient unit Inpatient unit Inpatient unit Acute inpatient unit Description Inpatient Acute Assessment Unit for Organic Mental Illness - 15 beds Inpatient Acute Assessment Unit for Organic Mental Illness - 16 beds Inpatient Acute Assessment Unit for Functional Mental Illness - 15 beds Inpatient Acute Assessment Unit for Functional Mental Illness - 16 beds Residential Residential unit for older persons with organic mental health (Dementia / Alzheimers) - (26 beds) For services users experiencing a severe mental illness - organic or functional For services users experiencing a severe mental illness - organic or functional For services users experiencing a severe mental illness - organic or functional For services users experiencing a severe mental illness - organic or functional Service type Assessment & Treatment Assessment & Treatment Description Provided at Beds and Luton Foundation Trust Hospital and Bedford Hospital Services commissioned by Luton & Dunstable Hospital, Bedford Hospital and Macmillan s Cancer Care Provided at the Disability Resource Centre 28
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If you need Face to Face interpreters Document translation into other languages Signing (at BSL level 3) Document translation into Braille Document translation onto audio tapes Over the phone translation Contact PALS (Patient Advice and Liaison Service) for more information on 0800 0131 223 or email pals.ppi@sept.nhs.uk or our text service 07775 033 960 These services are available Monday - Friday 9.00-17.00 Foundation trusts are public leaders in improving quality in health services. They are part of the NHS yet decisions about what they do and how they do it are driven by independent boards. Boards listen to their elected governors and respond to the needs of their members patients, staff and the local community. Foundation trusts provide what the health service wants, yet are also free to invest quickly in the changes the local community needs, in striving to be the best, and in putting their patients first.