1. Bristol Mental Health update Will Hall System Clinical Leader

2. Feedback from last event BMH website improvement –new Communications Officer developing this - still open to feedback Public events –CASS & SLT collaborating to coordinate multiple demands with 14 BMH services BMH Overview Leaflet –The BMH directory ‘slinky’ Newsletter –Review of 3 to create 1 combined monthly newsletter Individual services engagement –Reinvigorating the BMH Communications Network - hoping for ideas from you today on engaging with VCS partners

3. Feedback from last event Evaluation and feedback –All services (well nearly all) undertaking their own evaluation and independent system leadership evaluation from University of Birmingham that is currently taking place. Reports expected over next 3-6 months Service User and Carer engagement –Lynne Newbury started in November 2015 and has working hard to raise the profile and importance of Service User and Carer involvement across BMH. Access to services –Challenged by significantly increased referrals in first year of new services –'No Wrong Door‘ project has evolved into a best practice 'way of working‘ Improving working relationships with Primary Care BMH Staff understanding BMH and the wider system and Customer Service training Better communication with external partners Staff engagement –Two cross system inductions for new staff in Sep & Dec 2015 –new induction needed to be designed that includes existing staff

4. Assertive Contact & Engagement Bristol Sanctuary Employment Service Inpatient Services Women's Crisis House Community Rehabilitation Service Bristol Wellbeing Therapies Service (IAPT) Dementia Wellbeing Service Community Access Support Service Assessment & Recovery Service Crisis Service Early Intervention in Psychosis Complex Psychological Interventions Service Men's Crisis House System Leadership Services at different stages of evolving Most stable Still developing Most challenged Least changed Street Triage

5. Primary Care Services Drug & Alcohol Services CAMHS Asylum Services Homeless Services Housing Services Criminal Justice System Acute Hospitals & Liaison Psychiatry Social Care Services Forensic & specialists MH Services Health & Wellbeing Board Commissioners Public Health Emergency Services Learning Disability Services Assertive Contact & Engagement Bristol Sanctuary Employment Service Inpatient Services Women's Crisis House Community Rehabilitation Service Bristol Wellbeing Therapies Service (IAPT) Dementia Wellbeing Service Community Access Support Service Assessment & Recovery Service Crisis Service Early Intervention in Psychosis Complex Psychological Interventions Service Community Mental Health Services Men's Crisis House System Leadership The real system Community groups FamiliesFaith groups Education

6. BMH service pathways are complex

7. Complex & Chaotic Personality Disorder Psychosis Anxiety & Depression Dementia Exploring core care pathways

8. Social Model of Care Care Pathways

9. Opportunities Golden Key Dementia HIT Psychosis HIT STITCH & IAPT HITs Potential for a PD HIT Crisis concordat – street & control triage Others… STP

10. SPARE SLIDES If needed!

11. Complex & Chaotic Personality Disorder Psychosis Anxiety & Depression Dementia Substance Misuse Learning Disability ADHDASD CAMHS Other pathways

12. Understanding performance Strategic Improving services and pathways Giving a clearer service offer Supporting commissioning decisions