Mental Health Discharge Pathway Project Report – Acting on service user experience

Manchester Health and Care Commissioning would like to thank Manchester Mind and the people who contributed to this report as it is important we understand the service user perspective and experience. We commissioned the report following feedback regarding discharge arrangements. This report gives us more detail to enable us to improve the offer to service users. We acknowledge the contents of the report. MHCC wishes the best possible experience for service users and has set out a number of actions as part of our ongoing plan to improve mental health services in Manchester.

Greater Manchester Mental Health NHS Foundation Trust took over responsibility for Manchester’ mental health services in 2017. There has been significant improvement in mental health services in Manchester over the last three years. The Enhanced Community Model has brought together an array of community services into locality based teams in north, central and south Manchester. 

These include increased staffing, greater joint working with community health services, and improved response to home based treatment as an alternative. The access to psychological therapies (IAPT) services have improved now meeting national targets. Early Intervention Psychosis services now mean more people with a first episode of psychosis can access an evidence based package of care within two weeks. The number of people who require admission to inpatient beds who are placed outside of Greater Manchester has fallen meaning more people are now receiving their care closer to home, friends and family. Our mental health services are now rated Good overall by the Care Quality Commission.

However, there is still work to do. The implementation of the Enhanced Community Model will continue developing improved pathways for people requiring access to community based mental health services. In addition MHCC is planning to commission an extension to this service which will improve the service offer between the Enhanced Community Model and primary and community services. This will include improvement to discharge arrangements as well as a number of other benefits. While this is under development we have now commissioned Manchester Mind to provide a discharge support service in order to improve the issues the report sets out regarding discharge.

The service will provide a range of support that enables people who have been discharged from secondary care (or who are in the processes of being discharged) to link in with wider community support, identify other sources of support within primary care and will provide a space where people can drop in and receive informal peer support. Where issues arise the service can raise these with Community Mental Health Team staff in order to resolve any problems.

 We will continue to develop and implement our plans to improve mental health services in Manchester. We will engage and involve the public, service users and carers to ensure these changes are responsive to people’s needs.