A CEO View on Autism Support: Independence Without Overwhelm
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...
Partnership Working That Actually Works: How We Collaborate With Clinical Teams
"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...
The Economics of Community Forensic Support
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...
Staff Retention: What Actually Keeps People at Bridge Support
Whenever someone hands in their notice, it's tempting to explain it through them. It makes us think that maybe this job wasn't the right fit or maybe the pace of the work wore them down. Sometimes...
Why 1–20 Hours of Flexible Care a Week Can Prevent a £185,000 Problem
There's a version of this conversation that happens in commissioning meetings across the country, and I've been in enough of them to know how it goes. Someone flags that a person in the community...
From Hospital Discharge to Independent Living: The Hidden Cliff-Edge (and How We Build a Bridge)
Hospital discharge is supposed to mean someone's better. In a lot of cases, it's actually when things get risky. I've watched it happen more times than I'd like. Someone spends weeks, sometimes...
Is AI in Mental Health a Useful Tool or a Convenient Excuse?
I've sat through a few conversations this year involving AI and mental health. I can tell you that some of those conversations have been genuinely thought-provoking. Others have left me with a...
London’s Supported Housing System Is Under Strain: A New Report Tells Us Why
A significant piece of research has just been published, and if you work in mental health, housing, or commissioning in London, it is well worth your time reading it. The GLA Specialist and...
How We Do Things: Culture Isn’t a Statement, It’s a System
Most organisations in this sector have their values written down somewhere. Recovery. Respect. Empowerment. The words vary, but the list looks broadly the same. I'm not saying those values are...
The Myth of ‘Move-On Ready’
There's a phrase that comes up in reviews, in commissioning conversations, and in case notes. Not yet ‘move-on ready.' I understand what it means, but I've come to think it can do real harm. ...
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