Winner Oxfordshire PCT

The jointly commissioned by the local authority and PCT service delivers a single screening and referral process for children's mental health services. Any agency including health can access the service though a referral form which includes the views of the child and their family about what service they want and why, gains their consent, is processed through a single point and channelled to the most appropriate service. Believed to be the only service of its kind in the country, it has significantly decreased waiting times - 90 per cent of children are now seen within four weeks - and integrated the protection database with those who require mental health services.

The number of children inappropriately seen by specialist mental health services has also reduced and high customer satisfaction scores with the service have been rated by children and their families.

The service is managed by a multi agency strategic board including senior officers from health, the local authority, voluntary sector and social care. Its multi professional team includes social workers, counsellors, teachers, psychiatric nurses, psychologists health visitors and nurses. Work is underway to try and disseminate its good practice regionally and nationally.

Judges said the scheme demonstrated excellent integration of health, education and social care and showed whole systems ambition and delivery while delivering a real impact on difficult issues. There was good evidence of the service's effectiveness and its commitment to working with families.

Oxfordshire Primary Children's Mental Health Service

Contacts:

Service manager Paul Sheffield paul.sheffield@oxfordshire.gov.uk

Head of service Oxfordshire Mike Simm mike.simm@oxfordshire.gov.uk

Oxfordshire PCT head of service Emma Glanville emma.glanville@oxfordshire.gov.uk

Highly commended Bradford District Care trust

This multi agency education based service aims to improve outcomes for children who are unable to attend school due to severe anxiety and have reduced life chances as a result.

Open three days a week on a primary school setting, it has 14 places for 13 to 16 year olds and is staffed by teachers and an educational social worker with input from an educational psychologist and Connexions worker. Child and adolescent mental health services form an integral part of the service, providing group work through the school refusal team to help overcome anxiety and provide individual or family work. The scheme has tripled the amount of education received by the young people, increased self esteem and reduced anxiety, depression and anger. Some have returned to mainstream schooling and others gone onto further education and training where they had previously not attended school for between six months and three years.

Tracks

Contacts:

Family therapist Kate Stewart kate.stewart@bdct.nhs.uk

Psychologist Simeon Hanson simeon.hanson@bdct.nhs.uk

Headteacher John Nixon john.nixon@educationbradford.com

Highly commended Northumberland, Tyne and Wear trust

Three acute adults of working age inpatient wards at the trust have gained accreditation through the pilot of the Royal College of Psychiatry Accreditation of Acute Inpatient Mental Health wards (Aims) project out of 16 participants nationally, most of which had accreditation deferred. The scheme aims to improve unacceptably poor patient experiences, low staff morale and high staff sickness rates, by drawing together acute care standards from over 40 sources.

As a result a welcoming, relaxed atmosphere is reported on wards, with service users who speak positively about staff and report that they find them easy to access through initiatives such as protected time. Service users are involved in recruiting staff members and training levels in cognitive behavioural therapy have been assessed as excellent.

There are now plans to roll out the Aims accreditation to all of the trust's acute inpatient wards.

Accreditation for acute inpatient mental health services

Contacts:

Head of nursing, adult services Elizabeth Moody Elizabeth.moody@ntw.nhs.uk

Oxfordshire and Buckinghamshire Mental Health Partnership trust

A review of day services in Oxfordshire showed day services for inpatients and those accessing alternatives to admission should 'bridge build' clients into mainstream community opportunities in work, education and leisure.

A six week programme at the day service aims to stabilise clients and help them gain confidence, skills and strength to begin a run up to recovery. Therapeutic groups run every day of the year and individual interventions are provided. If a client appears to be socially excluded or indicates that they want to change the direction of their life, the team provides a bridge builder. They can help provide initiatives such as back to work packages to increase the amount of non mental health contact and general spread of activity in the client's life.

Crisis day service bridge building team

Contacts:

Clinical lead occupational therapist Patrick Corbett Patrick.corbett@obmh.nhs.uk

Crisis day service manager Henrietta Howe Henrietta.Howe@obmh.nhs.uk

The Zone

The scheme was one of 11 set up using Department of Health funding to develop personality disorder services. It is believed to be the only service working with young people aged 16 to 25 with emerging personality disorder and aims to prevent young people entering adult mental health services in crisis, reduce self harm and suicide and develop a service which will enable young people to lead positive, socially inclusive lives. Referrals can come from any organisation in the city and young people can refer themselves; about a third of referrals come from within The Zone, the street based agency in which the project is located.

Using a range of approaches it aims to ensure young people access a range of appropriate services across the city, including education, criminal justice, housing, substance misuse and community activities and is available 24/7.

Icebreak

Chief executive Ruth Marriott 01752 206626

Plymouth PCT head of psychotherapy Nick Booth Booth.nick@pcs-tr.swest.nhs.uk

PCT director of commissioning John Harrison Harrison.john@pcs-tr.swest.nhs.uk

Central and North West London Foundation trust

This Brent based project uses a therapeutic model to offer relapse prevention for people with a severe and enduring mental illness, based on an evidence based model used in substance misuse work.

The model focuses on high risk factors for stress and relapse such as withdrawal from help, alcohol and drugs, non compliance with medication and understanding individual warning signs. Service users learn coping skills and take an active part in managing their own conditions and a number are now working as trainers in relapse prevention.

Relapse prevention to reduce admissions

Contacts:

Project lead Rami Jumnoodoo rami.jumnoodoo.nhs.net

Service user/RP trainer John McNeill john.mcneill@nhs.net