Service & pathway redesign

We need to redesign, adjust or develop services to integrate and improve care, better supporting people living with Serious Mental Illness (SMI). Delivering responsive, personalised and evidence-based care is vital. This is particularly important for people with long-term conditions, in order to reduce disease complications, unplanned admissions and improve self-management. We need to ensure all commissioned services benefit those living with SMI equally to the general population, addressing mental health needs equally to physical health needs.

Recommended actions to take

  • Identify current progress and gaps in systems and standards within general hospitals to support those living with SMI.
  • Improve communication, relationships and flexible pathways between acute trusts and mental health services.
  • Develop clear pathways between Mental Health and Acute Trusts including support for deteriorating health and management of long term conditions.
  • Pathways and services should be adjusted or developed to support uptake, access and benefit from planned and acute care for people with SMI.
  • Deliver quality improvements throughout the assessment to discharge pathway, in-line with the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report into Mental Health in General Hospitals: Treat as One).

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