Staff Choice Awards 2018/19
Partnership Working Award

Under-25s Team

Has been shortlisted for this award

Service
Suffolk East and Bury IDT 

The nomination said...

Services for under-25s in Suffolk were active participants in system-wide transformation throughout 2017/18. They have done so in the context of significant staffing pressures and rising demand.

Two significant changes were necessary in order to ensure the continued delivery of good-quality mental healthcare in Suffolk for children and young people: the transfer of assessment function from the Suffolk Access and Assessment Team to community team; and the introduction of the Emotional Wellbeing Hub.

U25 teams met to ensure that the journey for Suffolk children and young people was seamless and safe, in doing so co-produced a protocol to ensure that service provision was accessible, equitable and fair across the county.

This clinical document was co-written by all representative groups and shared with stakeholder groups within the principles of co-production, which enhanced understanding of what the mental health service provision is for children and young people in Suffolk.

In addition to this co-produced work, the teams also had to mobilise at short notice to provide a new assessment function in each Integrated Delivery Team (IDT) in Suffolk for under-25s, ensuring rooms and staff were available. This required recruitment, room bookings and business processes were aligned in accordance with Trust good clinical care standards.

The new ways of working in the Emotional Wellbeing Hub meant that supportive cross working between IDTs and this new team was vital.  Specialist clinicians took time out to attend the Hub to support and enhance clinical understanding and develop a clear pathway to implement the service user protocol.

The two projects as described above are as follows:

  1. The safe transfer of assessment function from the Suffolk Access and Assessment Team to community teams
  2. The supportive introduction of the Emotional Wellbeing Hub. Ensuring that service users get the right care by the team appropriately. To give good clinical training on the criteria of secondary mental healthcare

Stakeholder feedback had been clear regarding no wrong door and easier access to help and advice, so placing great clinical emphasis on the customer experience, quality standards in assessment and criteria of access. The pathway is to minimise the number of hand-overs between teams for children and young people and dialogue with the service user and carer perspective that the do not qualify for a service. The Under-25s team supported the “no quibbles” protocol and instigated an escalation process to support cases that require resolution.

This process supports clinical learning of what children and young people need and where there are gaps in the local health and social care economy. This large-scale change in Suffolk has contributed to a wider understanding across the health and social care economy.

The principles of success were the following:

  1. The passion and commitment of the Suffolk U25 clinicians to delivery appropriate care for children & young people in Suffolk. When teams are faced with busy workloads, 5 youth teams, 5 EI teams, 2 ADHD teams, 2 Eating Disorder teams, 2 Children & family teams came together to write clearly what the whole team requirements and needs for mental health provision in Suffolk. All feedback was listened to, consolidated and fed back to the principles of an equitable service was applied across the Suffolk county.  All teams felt involved and then continued this onto…
  2. A willingness to mobilise assessment & care provision across the county.This was done at short notice (due to the pressures in AAT) and clinicians are stating they are seeing benefits for young people in providing the assessment and treatment package by a clinician.  The clinical design work helped that mobilisation in understanding what was to be delivered.  Commitment to U25 care was very evident in the practical resolution of local barriers, such as recruitment and room pressures.
  3. Stakeholders and Under-25s clinicians like the ethos and provision of the Emotional Wellbeing Hub and recognise the contribution it has now for young people. Service users can access support via telephone and get help who formerly may have been referred into services. Their needs can be met here and the real urgent cases that meet the secondary care criteria get seen. It means the system does not get ‘jammed’ with referrals that then don’t get seen, leaving the service user dissatisfied. This was why the Under-25s team are helping this team deliver the very best care by showing support and training on the secondary care provision and giving clinical advice where required to access other primary care services.