Recovery and Rehabilitation

THE PARLIAMENTARY REVIEW Highlighting best practice

care and everyone’s contribution was considered of equal value.”

Challenges

The Health and Social Care Act 2012 transferred the responsibility for substance misuse from the NHS to local authorities. Consequently, Bridge House is not part of KMPT’s mental health block contract commissioning arrangements; rather, it is a service hosted by KMPT. Bed days are bought, on a spot purchase basis, by third sector substance misuse community service providers such as Turning Point, The Forward Trust and Change Grow Live (CGL). This model of commissioning leads to financial insecurity for Bridge House, and as third sector providers’ budgets are reduced annually, the financial viability and future for our service becomes increasingly uncertain. As a result of financial pressures, several NHS detoxification units have closed in recent months. This will undoubtedly put more pressure on A&E departments and acute medical wards. Given the current financial climate, we have had a challenging two years, and this has impacted on our ability to meet our break-even income target. We have worked closely with stakeholders by tendering for and being awarded preferred provider status for medically assisted detoxification services to try and rectify this. We are currently reviewing how to ensure that our income is regularly at a level that meets or exceeds both our income target and the required NHS four per cent cost improvement plan savings (CIP). Therefore we are exploring income generating ideas such as the feasibility of admitting privately funded service users to Bridge House.

The group and games room at Bridge House

This variety of treatment modalities and therapeutic approaches ensures the best possible outcome for each individual service user. We have an excellent detoxification completion rate (96 per cent overall), extremely high service user satisfaction and long- lasting input from ex-clients and carers. We receive the most compliments of any service within the trust. Bridge House recognises that many service users admitted to our unit are nutritionally compromised. We have a talented chef who freshly prepares all our food, with a wide range of choice, accommodating any specific dietary requirements. We also employ staff and volunteers who are in recovery themselves. Our volunteers co-facilitate therapy groups and share their own recovery experiences with current service users. Bridge House was rated as “outstanding” by the CQC during its last inspection in 2017. The inspector from the CQC remarked that “Staff interacted with patients and their approach was kind and respectful at all times. Staff continually interacted in a positive and proactive way. The atmosphere was really welcoming, friendly and warm. Throughout the ward the team was consistently involved in patient “ Care Quality Commission

Seven months on, I am pleased to say I am still sober and couldn’t be happier. I cannot thank you all enough for giving me this second chance of life May 2018 service user

24 | BRIDGE HOUSE AT FANT OAST

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