by Raymond Sheehy | Oct 26, 2026 | Info for Commissioners
When a patient is ready to step down from inpatient care, the clinical picture and the commissioning decision do not always move at the same pace. Clinically, the team may be confident but for the commissioner or referrer signing off on a community placement,...
by Raymond Sheehy | Sep 25, 2026 | Forensic Mental Health
We’ve been running Tilt since 2013, in partnership with Oxleas NHS Foundation Trust, and for most of that time it’s stayed the same size: an 18-bed service for men leaving secure hospitals with long-term mental health needs and an offending history....
by Raymond Sheehy | Aug 25, 2026 | Uncategorised, Flexible Support, Independant Living
Something about how our sector talks about independence has bothered me for a while. We tend to measure it by how little support someone needs — fewer visits, a shorter care plan, eventually a tenancy with no hours attached at all. For a lot of people, that works fine...
by Raymond Sheehy | Aug 25, 2026 | Partnership Working
“Partnership working” turns up in nearly every tender document I read, usually near the top, usually followed by a paragraph that says very little about what it involves day to day. I’ve grown a bit wary of the phrase, mostly because I’ve seen...
by Raymond Sheehy | Jul 25, 2026 | Forensic Mental Health
When we talk about the cost of running mental health services, we’re usually thinking of one thing: the number on the invoice. What does a bed cost? What does a support worker cost? What does the programme cost per person, per year? Budget constraints are real. We...
