In 2014 West London Clinical Commissioning Group (CCG) and its partners successfully submitted a proposal to become one of the Department of Health’s national Whole Systems Integrated Care Pioneer sites. The CCG went on to work with service users, carers, the local NHS, voluntary sector and Local Authority to co-produce a new model of care. This led to the development of Community Living Well, an integrated mental health and wellbeing service for people with mental health needs who are being supported within Primary Care.
Since early 2016 we have been working to implement this new service which brings together existing and new mental health and wellbeing services delivered by NHS and voluntary sector organisations working together as equal partners. We have also had service user and carer representatives continuing to help us to co-produce how the service works, designing leaflets and posters as well as the new service hub at the Violet Melchett Centre and imminently at St Charles.
Our Ethos and Values
People said that they wanted to create a community based service which is proactive, vigilant and is based on hope, empowerment and recovery. The Community Living Well ethos and values through which we hope to achieve this include:
- To continue to have co-production as our way of working
- Provide a service which give people a sense of value and worth
- People are seen as a person not as a ‘service user’
- Focusing on people’s strengths, building up their confidence
- Service delivery based on equal and reciprocal relationships
- Working with people to understand what recovery means to each individual person.
Model of Care
Community Living Well was co-produced with service users, carers, NHS and voluntary sector organisations. It provides a wraparound service which has individuals at the centre of their care and offers support with social wellbeing, mental and physical health needs.
Who can you expect to see in Community Living Well?
The Community Living Well team is made up of a range of professionals, or co-workers. Depending on what support you need you may see one of the following:
- Employment Support Workers
- Mental Health Nurses
- Psychological Therapists or Counsellors
- Peer Support Workers and Coordinators
If you are seeing more than one person in the team then with your consent they work together to ensure that the support you are getting is coordinated and you do not have to repeat your story each time you see someone different in the team.
Community Living Well Partners
Community Living Well is a pioneering service that brings together a range of clinical and wellbeing services to provide coordinated access to mental, physical care and social wellbeing support. These services are provided by a partnership between NHS and Voluntary Sector organisations. The service is commissioned by NHS West London Clinical Commissioning Group which coordinates the partnership. The Community Living Well Partners are:
SMART provides the Navigator and Employment services for Community Living Well. SMART is a charity that promotes mental health through purposeful activity. They offer a range of supported recovery, work and training opportunities in a friendly and enabling environment. People build both practical and personal skills, gaining experience and confidence. Working one-to-one with individuals they help them people find work and training outside SMART and reconnect with their community through a programme of social events and activities. SMART works closely with the providers of statutory services to develop a more holistic approach to supporting people with mental health needs.
Kensington and Chelsea Mind delivers Peer Support for Community Living Well. Mind works to improve the lives of people suffering from mental health problems. We are here to make sure anyone with a mental health problem has somewhere to turn for advice and support. Established in 1974, Kensington and Chelsea Mind has nearly 50 years experience of developing and providing innovative mental health services for people living in Kensington and Chelsea. Locally, Mind offers information, support and training services to support the recovery, growth and wellbeing of people who are experiencing mental health problems to enable them to live full and independent lives.
CNWL is the provider for both Psychological Therapy and the Primary Care Liaison Nurse teams within Community Living Well. CNWL is one of the largest trusts in the UK, caring for people with a wide range of physical and mental health needs. They provide a wide range of services for people with a variety of health needs. In broad terms, these include common physical health problems, long term conditions, mental health, learning disabilities, eating disorders, addictions and sexual health. CNWL provides support for people through every stage of life.
Mother Tongue Counselling is delivered by Brent, Wandsworth and Westminster Mind. It aims to integrate Arabic and Farsi (Persian) speaking communities in Kensington and Chelsea, Queen’s Park and Paddington into primary care mental health services, by providing effective, accessible and culturally capable one-to-one counselling in their mother tongue languages, along with wellbeing groups and workshops around mental and emotional health, tailored to suit the needs of the group.
Kensington and Chelsea Social Council in partnership with SMART and Jobs in Mind delivers the Navigator Service within Community Living Well. The Kensington and Chelsea Social Council is the local voluntary and community sector infrastructure body which counts 370 organisations amongst its active members. The organisation works to improve the quality of life for residents of the borough by supporting locally focused voluntary and community organisations.