Top Tweets for #CommunityMHFramework
@Shrink_at_Large This is happening in my area
1. Dialog + is apparently the answer to everything
2. 'key workers' with little or no background knowledge
3. Short term and you 'can always be referred again' = years of waiting to be put back into something you shouldn't have been discharged from
@RITB_ It's something there have been national documents about - here's my thread. #TheEndOfCPA
In practice it continues in many places but is being phased out, generally linked in with #CommunityMHFramework transformation.
https://t.co/mlj2INyclY
"Of course, there will be no care co-ordinators come April, as CPA is being abolished!"
Huge, if true.
I've been hearing this phrase more recently, with talk of the #CommunityMHFramework and plans for service reform.
But is everything we know coming to an end?
@RRowanOlive My experience of dialog+ is you tick 5 boxes for stuff you need help with and thenโฆ. Nothing, business as usual (which addresses none).
It was a well intentioned thing by those who created and piloted it but as per, not used in the intended way, ended up as another tickbox. +
#CommunityMHFramework
What innovations have replaced this description of basic necessity?
@masumkhwaja @judyskt @nuwandiss We used to have CMHTs locality based with SWs CPNs OTs Primary Link worker Consultant, Psychologist Support workers not perfect but so much better than today
@dredbeveridge @nuwandiss @psychsleepy @DoctorAngry I've written some threads on the ambiguity of the national #CommunityMHFramework documents and how they could easily result in the opposite of what optimists/advocates of reform claim.
https://t.co/Z9OUv0TBFo
"Of course, there will be no care co-ordinators come April, as CPA is being abolished!"
Huge, if true.
I've been hearing this phrase more recently, with talk of the #CommunityMHFramework and plans for service reform.
But is everything we know coming to an end?
@dredbeveridge @nuwandiss @psychsleepy @DoctorAngry There is a danger in the #CommunityMHFramework that trusts use #TheEndOfCPA to pare down their offer, decline to co-ordinate patients, or try to eliminate Standard Care as waste.
In others there is a welcome SMI focus & patient involvement to preserve or enhance these features.
The #CommunityMHFramework needs to learn this. It's not possible to have one assessment at the point of entry which covers all the things that later steps of care might need.
https://t.co/EpoWOmZHiL
The first diagram here came from the Greater Manchester Mental Health and Wellbeing Strategic Vision of April '21 & is being revised.
My view, is that CMHTs need to map to PCNs (GPs) directly & Living Well should remain an enhanced Primary Care offer, not a modified replacement.
@DanBealeCocks @DrAnnieHickox Not actually the case. It's part of the #CommunityMHFramework reforms and there will still be CMHT provision & equivalents to each current service but the discussion has started about how that will look - broadly similar with different names & structure.
https://t.co/Lk6DX38ZFi
"Of course, there will be no care co-ordinators come April, as CPA is being abolished!"
Huge, if true.
I've been hearing this phrase more recently, with talk of the #CommunityMHFramework and plans for service reform.
But is everything we know coming to an end?
@Madnotbad60 @nuwandiss Also, my ulterior motive is that with the #CommunityMHFramework we're having more meetings soon and I want to offer the best constructive ideas. This case reference will be useful:
https://t.co/w0iYY5i6Q8
@nuwandiss @Madnotbad60 My fear is also that things like #CommunityMHFramework are limited by the boundaries of what is thought currently possible or part of the envelope. More holistic change should often be broader than the elements on the table.
@SalfordMH @helencrimlisk This is the East London model https://t.co/bFCBFmMNYE
Update email on #CommunityMHFramework, @helencrimlisk. @suzypuss is helping to compile/implement learning from the pilot sites.
Interestingly, the emphasis/focus of transformation is still in flux & the lack of clarity is touted as a benefit for local flexibility.
"Of course, there will be no care co-ordinators come April, as CPA is being abolished!"
Huge, if true.
I've been hearing this phrase more recently, with talk of the #CommunityMHFramework and plans for service reform.
But is everything we know coming to an end?
@pixiegirle @_garmc Yep. In fact, I have a thread(s) on this...
#CommunityMHFramework is a potential opportunity to think about how everything fits together and might integrate.
https://t.co/Lk6DX38ZFi
"Of course, there will be no care co-ordinators come April, as CPA is being abolished!"
Huge, if true.
I've been hearing this phrase more recently, with talk of the #CommunityMHFramework and plans for service reform.
But is everything we know coming to an end?
@lennycornwall @rnjt_shh @Shaunmayo @TEWV @rcpsychGAP That's good. The framework is generally an enthusiastic/optimistic document but leaves a lot of room for backsliding between the lines - it all hangs of the quality of the local interpretation!
#CommunityMHFramework
A working link to the NHS England position statement (quoted above):
https://t.co/ox35Bez2mZ
#CommunityMHFramework
#TheEndOfCPA
One good interpretation of this might be an increase in band 5 practitioners to provide all patients a key worker & free up band 6s to have lower case loads & complexity/contribute more focussed pieces of work in line with their expertise, & even more so for the band 7 seniors.
You might remember the release of the #CommunityMHFramework implementation guidelines in March, hinting at CPA reform.
https://t.co/ZkVzq25lyd
#CommunityMHFramework has been released!
https://t.co/cjmHeHfqye
"Of course, there will be no care co-ordinators come April, as CPA is being abolished!"
Huge, if true.
I've been hearing this phrase more recently, with talk of the #CommunityMHFramework and plans for service reform.
But is everything we know coming to an end?
@drsegunpopoola @Mersey_Care @NHSGIRFT @JR_MerseyCare @donarobbo @RCPsychRehabSoc @raj_psyc Hugely looking forward to the #DeepDive with you @drsegunpopoola and teams!
Some interesting data & wonderful to have enthusiastic clinical & operational leaders, to optimise the #Rehab opportunity of @NHSGIRFT @NHSEngland #CommunityMHFramework #LTP @NICEComms #RehabGuidance
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