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Matthew Boazman

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Page 1: Matthew Boazman
Page 2: Matthew Boazman

Our Vision

To create community mental health services for children, young people and

young adults where there is more choice, more freedom and control about the

services they receive; transforming their experience and improving their life

chances

Page 3: Matthew Boazman

2020 Ambition

Positive experience: all CYPYA will be treated with compassion, dignity and respect and care will be tailored to their individual needs

High quality care: all CYPYA will receive evidence based care that is delivered by highly skilled staff

Safe care: more CYPYA will be protected and feel safe from physical and emotional harm

Equity: we will ensure that all CYPYA are able to effectively access care no matter what their background or situation

Page 4: Matthew Boazman

Overview of the partnership

Worcestershire Health and Care NHS Trust

• Provider of specialist mental health clinical

services (non-inpatient) for 16-35

• Employer of approx. 140 staff

• Responsibility for providing expertise,

contributing to adult safeguarding,

governance and assurance for AMHS with

Birmingham Children’s Hospital

Beacon UK

• Employer of access centre staff

• Management of Access Centre & case

management and data streams for FTB

• Signposting and liaison with crisis teams

Birmingham Children’s Hospital

• Provider of specialist mental health clinical

services for 0-18

• Employer of approx. 150 staff + Tier 4

• Responsibility for providing expertise on

children’s mental health and leading on

governance

The Children’s Society

• Management of city centre drop-in hub

Priory Group

• Provider of Tier 4 inpatient services for 18-

25

Page 5: Matthew Boazman
Page 6: Matthew Boazman

Prevention

Integration

Choice Inpatient Services

Intensive

Complex Interventions

Brief Interventions

Universal Plus Partnership

Universal & Health

Promotion

Rec

ove

ry B

ased

Mo

del

Page 7: Matthew Boazman

Flexible access to effective interventions

Six levels of careInpatient Services

Intensive Interventions

Complex Interventions

Brief Interventions

Universal Partnership

Universal and Health Promotion

Page 8: Matthew Boazman

Five pathways

Emotional

Behavioural

Psychosis and

BipolarEating Disorders

Neuro-

developmental

Suicidality,

Trauma and

Personality

Disorders

Page 9: Matthew Boazman

Core components of the FTB system

Component What happens

1. Access Centre The Access Centre is the engine of the system and the contact

point for young people, clinicians and families

2. Utilisation Management To ensure flow across the system and that all young people

are treated in the most appropriate setting

3. Intensive Case Management Risk stratifying all young people in services and offering

intensive case management support to the 100 people

identified as benefitting from it the most

4. Business Intelligence Reporting internally and externally on the performance of

Forward Thinking Birmingham. Internally service data will be

used to inform discussions about service improvement

5. Transformation Overseeing the Forward Thinking Birmingham five year

transformation programme and ensuring transformation

through partnership delivery

Managing the system to ensure that every young person is treated in the appropriate level

of care and in the least restrictive setting

Page 10: Matthew Boazman

Access Centre: simple and integrated approach

SINGLE POINT OF ACCESS

• Staffed by qualified clinicians

• High-tech telephony including

call recording and activity

dashboard

• Secure referral portal

• Contact Management System

• Interoperable EPR

• Service Directory

Service user, parent

or young person

seeking advice

New referral

Existing service user,

new issue

Care provider, clinical

team lead, key

worker

Issue resolved on call,

signposted or triaged.

Response time 48 hours

Appointment booked with

appropriate service within

48 hours

Feedback given to

referrer, family, or service

user within 7 working days

Closely monitored, person-

to-person handover to

crisis teams

Data intelligence: service, system and user data linked across all pathways

Forward Thinking Birmingham’s single point of access provides one route for referrers, service

users and carers to access a range of mental health needs, meaning there’s no wrong door.

Page 11: Matthew Boazman

Utilisation and case management

Page 12: Matthew Boazman

Partnership delivery model

ACCESSChoice or

Partnership

Clinical Case

Management

Non-Clinical

Case

Management

Cognitive

Therapies

Treatment

Medication

Inpatient

Services

Intensive

Interventions

Mentoring

and

Befriending

Coping

Strategies

Personal and

Social

Development

Family

Support

POSITIVE ACTIVITIES

Specialist Support Pathway

Tapered Intensive Outreach

Longer Term

Support

Longer

term

support

Integration

Re

co

very

B

ase

d

Mo

de

l

Page 13: Matthew Boazman

• City-centre drop-in service managed by The Children’s Society

• For children, young people and young adults aged 0-25, parents/families and

professionals

• Open 7 days a week with tailored opening hours

• Walk-in, telephone, email, social media, website

• Multidisciplinary team

• Onsite support:

o Workshops

o Unstructured interventions

o Structured interventions

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Realising our ambition

Trust Respect Commitment

Page 15: Matthew Boazman