Impact assessment on 25+ mental health services in Birmingham

Joint press release from NHS Birmingham CrossCity Clinical Commissioning Group (CCG) and Birmingham and Solihull Mental Health NHS Foundation Trust.

Les Williams, Director of Performance and Delivery for NHS Birmingham CrossCity CCG said: “Last year, the CCG commissioned an independent impact assessment to look at the organisation of mental health services for people aged over 25 in Birmingham, which are provided by Birmingham and Solihull NHS Mental Health Foundation Trust (BSMHFT). The purpose of this work was to fully understand the impact that the new 0-25 mental health service, provided by Forward Thinking Birmingham, would have on services for people aged over 25 in the city.

“The impact assessment has now been formally received by the CCG’s Governing Body, following clarification on specific areas of the document. We are reassured that the report clearly indicates support for BSMHFT’s ‘New Dawn’ programme and praises the collaborative approach in regards to the development of its model of care.

“The main areas for clarification were around how risks within the impact assessment should be interpreted, specifically for the transition process and a loss of focus on people aged over 25. The report also raised concerns that BSMHFT’s New Dawn programme, with its focus on all-age adult services, may not adequately address the needs of people aged 65 and over. In addition, the financial risks for BSMHFT as a result of the 0-25 service transfer are also acknowledged.

“Whilst we remain acutely aware of the potential loss of focus on people aged 25 and above, who are most at risk, we are assured by the extensive work that BSMHFT has undertaken to mitigate this risk since the report was prepared. In addition, executive level discussions have already started between the CCG and BSMHFT regarding any financial implications.

“We will continue to work very closely with BSMHFT, and in collaboration with our other partners, on the eight recommendations highlighted within the report. Everyone involved in this work remains absolutely committed to ensure that local people have access to high-quality mental health services, regardless of their age.”

John Short, Chief Executive at Birmingham and Solihull Mental Health NHS Foundation Trust, added: “Through public engagement, and by working in partnership with service users, carers and local statutory and voluntary sector organisations, we have redesigned the services that we provide to people aged 25 and above, taking into consideration the impact of the planned transfer of age 18- 24 mental health services in Birmingham, this year.

“Last year we were asked to provide children and adolescent mental health services in Solihull and we are delivering a full range of all age mental health services that will not be directly be affected by the changes being made in Birmingham. We have created a programme, called ‘New Dawn’, to maintain and improve all of the services that we offer in Birmingham and Solihull and we welcome all of findings, and recommendations, that have been gained from the development of this report.

“We are committed to working closely with partners in Birmingham to ensure the safe transition of our 18-24 mental health services to their new providers. The implementation the New Dawn programme, which is designed to deliver an all age adult focus in the city, remains firmly in place.

“All of the findings from this report, and the resources we have available to us, will be utilised to deliver mental health services that will meet the needs of people aged 25 and over. Our focus on quality mental health service delivery, for people of all ages, has not diminished throughout the changes being made to commissioning arrangements in Birmingham and Solihull."

The impact assessment is available to read here.

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