Richmond Home Treatment Team Review

In November 2018, we heard from 13 current patients, 5 past patients, 13 carers and 10 staff about their experiences of the Richmond Home Treatment Team (about 40% of their average caseload)
hands in grayscale

Most patients and carers were satisfied with the service they received, with the care and compassion shown by most staff resonating strongly and significantly contributing to their perception of good, responsive care.

However, poor continuity of care in terms of patients seeing the same professional did undermine patients’ overall experience, as seeing different staff made it harder for patients to build up trust and a rapport with the team. More work could also be done to improve the standardisation of interventions offered across appointments, where patients should always be offered the opportunity to engage in learning about recovery techniques rather than appointments just being used as check-ups on their mental state. Finally, patients also expressed significant interest in enhancing the team's provision of cognitive behavioural therapy to help better manage crisis symptoms.  

The main pressure on the team appears to stem from capacity issues in local recovery and support teams (also known as community mental health teams). This can result in excess referrals and an excess number of patients active on the HTT’s caseload if they are not able to discharge patients safely, thereby pushing it significantly above the number of patients they are commissioned to provide for.

South West London & St Georges' NHS Trust have recognised these as areas of improvement and are committed to making changes. Work is currently being undertaken by the Trust to improve crisis care services and we have agreed to meet in 3 months' time to review the progress achieved so far.  


Richmond Home Treatment Team Report 2018

What do people say about mental health services in Richmond?

We are reviewing all the mental health services available in the borough in response to people telling us that they experience difficulties with them. Take a look at what they told us. 

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