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30 6. Commendation for Barnet Clinical Commissioning Group re Co-Production In Barnet which, like Enfield, is served by Barnet Enfield and Haringey Mental Health NHS Trust, an initiative by Barnet Clinical Commissioning Group called Barnet Breakfast Club brought together service users, carers, the London Borough of Barnet’s Councillors, mental health service providers from across the primary, secondary and community sectors, and clinical and social care staff. The purpose of the series of Breakfast Club meetings was to instigate a process of ‘participative redesign’ of the Borough’s mental health service models. At the same time, work commissioned from UCL Partners by Barnet Clinical Commissioning Group clearly indicated that communitybased, responsive services were essential to prevent escalation of conditions and to reduce emergency admissions. Healthwatch Barnet has reported favourably on this initiative, which has apparently led to people from the Breakfast Clubs forming 8 codesign groups working towards developing and refining specific services, and work is ongoing on this. Healthwatch Enfield welcomes the co-production at the core of this work in Barnet and would like to see coproduction work developed further by commissioners and providers in Enfield Examples of Good practice from Elsewhere 7. Good Practice in Co-Designed Mental Health ‘Safe Spaces’ Across the country, co-production of services has led to the creation of ‘safe spaces’ where informal and formal support is provided for people experiencing mental health problems. For example, ‘Talking Shops’ 1 in Doncaster and Scunthorpe enable members of the public to walk in off the street and receive information or advice about any mental health problems they may be experiencing, such as depression, panic or phobias. The service also refers people into the local IAPT provision and referrals have reportedly soared. In Aldershot, on the Hampshire/ Surrey border, service users themselves initiated the idea of the ‘Safe Haven’ café 2 . It is an evening dropin where people can go if they need support. Anyone experiencing a mental health issue, diagnosed or not, can drop in for a cup of tea and a chat and be referred for more formal help, if required. NHS staff and third sector partners are on site to provide mental health crisis support. 1 http://mentalhealthpartnerships. com/project/talking-shops-in-doncaster-andscunthorpe/ 2 https://www.england.nhs.uk/ mentalhealth/case-studies/aldershot/
Listening to Local Voices on Mental health 31 continued... Its success in ‘deescalation’ is believed to have contributed to a onethird reduction in mental health hospital admissions in the area over a sevenmonth period. 8. Good Practice re Person-Centred Care A home treatment team (HTT) in Bromley 3 in South London, tasked with helping keep people with mental health crises out of hospital, says its success is due to patients constantly helping them to improve their care. The Bromley Home Treatment Team, providing outreach care 24/7 to people in crisis, seeks to support people at home and avoid unnecessary admissions to hospital. Bromley was one of the pilot sites for the new Royal College of Psychiatrist’s Home Treatment Team accreditation system. They use a realtime “outcomes measurement” system so professionals can see the severity of patients’ mental health, monitor changes over short time periods, and use the information both to aid clinical decision making and to get a better understand of what is working well (and less well). 9. Good Practice re Parity of Esteem According to NHS England, Leicestershire Partnership NHS Trust (LPT) 4 is one of just a few trusts in the country that is pursuing changes designed to ensure that the physical health of people with mental health illness is treated as importantly as their mental health. Leicestershire Partnership NHS Trust has developed a physical health register to try to ensure that every adult on its mental health wards gets a ‘physical MOT’; a set of checks including weight, blood pressure and blood tests and is asked about smoking, alcohol consumption, substance misuse and diet. 3 http://mentalhealthpartnerships. com/project/bromley-home-treatment-team/ 4 https://www.england.nhs.uk/ mentalhealth/case-studies/leicester www.healthwatchenfield.co.uk @HealthwatchEnf www.facebook.com/healthwatchenfield
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