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Working with Integrated Care Board, Joined up Derbyshire, Derbyshire Health NHS Foundation Trust, Derbyshire County Council, Derby City Council, Local Voluntary Organisations, communities and people with lived experience, we supported Derbyshire to grow their Living Well system through:
A Living Well Community
The Living Well community makes sure family, friends, employers, local community groups, and other places such as hairdressers and pubs and others have the confidence and resources they need to respond to suffering and distress.
The Living Well community makes sure family, friends, employers, local community groups, and other places such as hairdressers and pubs and others have the confidence and resources they need to respond to suffering and distress.
A Living Well Team
Living Well teams bring together a wide range of knowledge and experience. In every neighbourhood or locality across Derbyshire, these teams will work closely across NHS, social care, community and statutory organisations to provide mental health and wellbeing support across the range of challenges people face. This team integrates the current Community Mental Health Team with a wider team providing multidisciplinary support to create an open access ‘front door’ to ensure that everybody gets the support they need.
Living Well teams bring together a wide range of knowledge and experience. In every neighbourhood or locality across Derbyshire, these teams will work closely across NHS, social care, community and statutory organisations to provide mental health and wellbeing support across the range of challenges people face. This team integrates the current Community Mental Health Team with a wider team providing multidisciplinary support to create an open access ‘front door’ to ensure that everybody gets the support they need.
Living Well Network
This network connects the individual to public services, charities and community groups and even their own family and friends, building strong partnerships and common forms of practice, so what is experienced in one part of the system is echoed everywhere else.
This network connects the individual to public services, charities and community groups and even their own family and friends, building strong partnerships and common forms of practice, so what is experienced in one part of the system is echoed everywhere else.
Derby City and High Peak pioneered the transformation of community mental health teams in 2021 and worked to describe the Living Well Derbyshire vision and prototype new teams, networks and practices.
Staff and people describe that this transformation is creating:
- Easily and accessible support that can be reached through a network of open doors
- People are in control of their support, own their plans, their documentation and co-produce their care
- Community groups can easily access support and advice when they feel they need it
- Much more joint working in non-clinical community settings to co-deliver support to individuals and groups in safe and welcoming places
- A wider range of professionals working together in local teams able to deal with a wide range of issues, reducing unnecessary handovers and referrals
- A formal network with a common vision and practice using standardised, people-centred documentation and a common care plan so people experience joined up support
- Greater resource and permission to foster relationships and networks, including shared training, events and multi-agency leadership
The approach
Innovation Unit’s support, the NHS’s Community Mental Health Framework and three-year transformation funding enabled Derbyshire to:
- Improve access to care and support by creating new community based front doors to mental health, and bringing together voluntary and statutory support and primary and secondary care
- Overcome historic fragmentation by unlocking the potential of trans-disciplinary working and dissolving the boundaries between statutory and voluntary sectors, primary and secondary care, physical and mental health
- Transform service user experience and outcomes in adult and older adult mental health, with a strong focus on people with severe mental illness
Innovation Unit created new coproduction spaces that enabled staff people from across the system to work together:
Collaboratives
A community forum where people using services sit alongside system leaders to develop a shared understanding of their community and discuss, debate and push for change.
A community forum where people using services sit alongside system leaders to develop a shared understanding of their community and discuss, debate and push for change.
Living Well Teams
We have created space for a multidisciplinary team to step away from their usual job roles and have dedicated time to try out new ideas coming from the Collaboratives and evidence based ideas from elsewhere to grow new practice and structures of integrated support
We have created space for a multidisciplinary team to step away from their usual job roles and have dedicated time to try out new ideas coming from the Collaboratives and evidence based ideas from elsewhere to grow new practice and structures of integrated support
Network events
To build relationships and partnerships across local areas to grow joined up ways of working and practice that wraps support around people.
To build relationships and partnerships across local areas to grow joined up ways of working and practice that wraps support around people.
Lived experience forums
To meet with people on their terms and ensure people with lived experience stay at the heart of this process.
To meet with people on their terms and ensure people with lived experience stay at the heart of this process.
Integrated leadership
That brings together the Mental Health Trust, voluntary sector, local authorities and CCG and represents all voices and perspectives.
That brings together the Mental Health Trust, voluntary sector, local authorities and CCG and represents all voices and perspectives.
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