Growth and development.pdf

ShetlandLed by NHS Shetland and including a psychiatric social worker, the community mental healthteam (CMHT) is part of a redesign of services in Shetland. Psychiatric services for adults areprovided by a resident consultant who gives leadership to the CMHT, and is supported byvisiting consultants (who provide support for other care groups). Most in-patient treatment forpeople with a mental illness, including children, adolescents and older people with dementia,is provided in Aberdeen. Where practical and justified by needs, treatment is provided inShetland, if suitable beds or GP support are available.A pre-existing joint assessment process – developed in consultation with staff, users, carersand the voluntary sector – is being refined to meet the requirements of single sharedassessment, and of Supporting People. A community care assessment form is the core tool,with additions for further assessment to be used as necessary. The procedure already routinelyseeks the consent of users to information sharing.A joint working group is developing detailed proposals for a redesign of sensory impairmentservices, including speech and language therapy. Progress is monitored by an advisory team,including the community care forum and stakeholders from both the statutory and voluntarysector. There are no sensory impairment associations within Shetland.Proposed service developments include:• extension of the specialist services offered to school-age children and young adults; and• resource centre facilities to host specialist services for adults.The needs for the service were assessed in consultation with service users and carers.Individual assessments of need are followed by access to specialist resources as required.There is a social worker specialising in sensory impairment.The Council and NHS Shetland have established a joint implementation group which plans andoversees the management of community care services. Existing Joint Future partners areinvolved – health, housing and social work. It is intended to align budgets in the first instanceand assess the scope and value of the joint resourcing pot, particularly around the inclusion ofmore hospital based services. The partners have developed a statement of intent for staff, ajoint staff forum, and are in the early stages of drawing up a joint training and development plan.227