1. Mental Health Crisis Care Concordat: The Bradford Whole System Approach Mark Trewin – Bradford Council Debra Gilderdale – Bradford NHS Care Foundation Trust Emma Balfe – Bradford MIND

2. Bradford & Airedale CCC Set up in August 2014 Successful multiagency partnership Operates a dynamic problem solving model Has achieved major changes in crisis MH services

3. Life - BCCC 1 EDT worker & 1 crisis worker at night Regular OOA placements & full wards No OOA urgent telephone line Police cells used regularly A and E breaches GPs frustrated AMHPs overstretched

4. How did we break the mould 1.NHS committed to First Response/Acute care restructure 2.LA/Police invited to be a partner 3.CCC format set up 4.CCGs, Hospital Trusts & Vol sector brought on board 5.Whole system approached developed

5. Why has the CCC model worked? Cuts and change created a vacuum The right people around the table The right attitude to change An action plan that is actually a vision for the future

6. Achievements so far …Services First Response 24hr Crisis service Intensive home treatment A and E Liaison team Police Hub team & Police Triage Sanctuary Project Integrated Partnership Social care alternatives

7. Achievements so far …Outcomes No Acute OOA placements 9 months Reduction in A and E Reduction in s136 Reduced average length of stay Alternatives to hospital for people not needing acute care Diversion from custody

8. Partnership Working Partnerships have been a key enabler True multi agency committed representation With a shared vision and objectives In depth knowledge of Bradford across partners which has had a powerful impact in moving forward

9. The next stage … Integrated Crisis Care Pathway UEC Vanguard Children and YP crisis pathway Suicide prevention Criminal justice

10. The Sanctuary at Mind in Bradford

11. The Sanctuary Part of Whole system approach Integrated working between First Response & MIB Developing pathways between medical & social models of health LTC Demonstrating Asset based thinking across health (ABCD)

12. The Sanctuary at Mind Referral The Sanctuary provides a safe space for adults experiencing mental distress. Gatekeeping by Crisis service Opening hours: Monday-Sunday 6pm- 1am

13. Outcomes so far … From May 18 th to 7 th Nov 2015 396 visitors First responders have only needed to come out on 6 occasions Working with two of the top five frequent attenders at A&E in Bradford No one has accessed out of area beds 85% of 338 visitors stated that they would have gone to A&E as nowhere else to go

14. The next steps CCG impact evaluation Applied for £100,000 of added value investment VHSF & LSF to develop staff & volunteers in community development & build community resilience Peterborough & Cambridge Mind interested in duplicating model