Prevention and Wellbeing

• Opened five wellbeing and crisis hubs, operated by Norfolk and Waveney Mind and Access Community Trust, to provide immediate support in the community in Kings Lynn, Aylsham, Thetford, Norwich and Gorleston.
• Establishing and embedding the whole-school approach and training mental health leads in schools –to improve the culture of schools to promote mental health wellbeing within the school itself.
• Expanded access to Improving Access to Psychological Therapies (IAPT) Wellbeing service. Enabling more people to access this service. Promotion of the service has increased, and we have focused on encouraging 16–25-year-olds and those aged over 65 years to access this service.
• Carried out public awareness campaigns with public health to encourage people to look after their health and wellbeing before they have a need to access Mental Health Services.
  (Suicide prevention campaign targeted at men and a Take 5 Campaign to encourage people to practice 5 Ways to Wellbeing).
• Invested in a Complex Bereavement Support Service to support families who have experienced a death by suspected suicide, or as a result of the Pandemic.

Management of mental health in primary care, community and education settings

• Adults with a range of mental health needs (mild to moderate, significant and Serious Mental Illness (SMI) can now get help from a mental health professional in their local GP practice. New roles include Mental Health Practitioners and Enhanced Recovery Workers.
• Delivered free-to-access online Kooth and Qwell anonymous online platforms to support people to access anonymous, professional mental health support.
• Increased the number of mental health support teams in schools.
• Launched a complex psychosis rehabilitation team pilot in Norwich, North and South Norfolk. This multi-disciplinary, multi-agency team plan care and deliver interventions to those most at risk of re-admission.
• A Complex Emotional Needs/ Personality Disorder pathway has been established by bringing new roles into existing Community Mental Health Teams and providing training to system partners.
• Expansion to the adult eating disorder services, to build on early intervention and develop intensive support options in the community.
• Delivered a day-care unit for children and young people with an eating disorder.  
• Development of an Avoidant Restrictive Food Intake Disorder (ARFID) pathway within CYP eating disorder services to support CYP presenting with an ARFID
• Continued collaborative working between General Practice and specialist Eating Disorder Services to support medical monitoring of those with eating disorders in primary care.

Appropriate support for people who are in crisis

• Opened five crisis sanctuaries in wellbeing hubs, operated by Norfolk and Waveney Mind and Access Community Trust.
• Opened a 24/7 crisis support telephone line (111 mental health option), operated by Norfolk and Suffolk NHS Foundation Trust.
• Two Mental Health Joint Response Cars are now working across Norfolk and Waveney, run by East of England Ambulance Service NHS Trust and Norfolk and Suffolk NHS Foundation Trust. In the last year, the service has supported people in mental health crisis 492 times. Of those, 84% of those seen were able to be treated by mental health professionals in the community, meaning a reduction in the number of people sent to acute hospitals.
• Embedded mental health practitioners in acute paediatric wards who can support children with mental health needs who attend A&E and need admission to a ward
• Opened the Lighthouse Centre, an eating disorder specialist day treatment centre for young people as an alternative to admission
• Launched a home treatment team for children and young people as an alternative to admission (CATAT), provided by specialist services at Norfolk and Suffolk NHS Foundation Trust.
• Julian Support has expanded its Admission Prevention Community Service to provide support to adults who are highly likely to be admitted to a psychiatric hospital without an appropriate focused package of practical and emotional support. The service operates across Norwich, North and South Norfolk.
• Developed an integrated model for children presenting with complex needs, so there is a multi-agency approach to risk management and care planning
• Supported national trial of new workforce role, Youth Intensive Psychological Practitioners (YIPPs), that will lend support to intensive home treatment functions for children and young people

Effective in-patient care for those that need it most

• Secured capital funding to expand NSFT’s Hellesdon Site as part of the Rivers Centre Project – increasing the number of inpatient beds by 15
• Funding provided for sensory room improvements for children and young people admitted to the Lowestoft Based Dragonfly Inpatient Unit

Integrated working

• Investment in an independently facilitated lived experience Reference Group. And additional community engagement activity, to inform the strategic transformation of mental health services and promote co-production. 
• Created a children and young people’s alliance in which providers and young people are involved and have a voice.
• Established a Norfolk and Waveney-wide mental health partnership board. Including local authorities, primary care, public health and voluntary sector organisations and experts by experience
• We’re working in partnership to deliver the Flourish ambition, to make Norfolk a county where all children and young people can flourish.
• However, more work needs to be done for integrated working for the delivery of care and ensuring people do not have to keep telling their story

Improved access to services

• Introduced an adult eating disorder community-based intensive support service
• Developed a dementia diagnosis service for people in care homes
• We recruited 25 Clinical Associate Psychologists. Who will offer short-term interventions and therapy to people with more complex mental health needs such as severe depression, anxiety, and trauma.
• Norfolk and Suffolk NHS Foundation Trust established a mental health rehabilitation team to support people with complex emotional needs to live in the community (pilot in Norwich)
• Implementing the NHSE regionally developed Transitions Standards between children and young people and Adult Eating Disorder Services, to better support those moving between services.