Serenity Integrated Mentoring (SIM) is a model of care intended to support people with mental health issues who come into contact with police and health services frequently and is designed to help plan and co-ordinate their care. This is a complex and challenging area of mental health care.
We are aware of concerns being voiced about the model, which have emerged in recent months. We take all concerns from service users seriously; as a result we have committed to undertake an independent review to fully understand the circumstances surrounding the AHSN Network role in supporting providers to adopt the model.
SIM was established to facilitate a collaborative approach between the police and community mental health teams – with the aim of supporting a very small group of people with complex mental health needs, where the police are often already involved. The model was aimed at supporting some of the most vulnerable in society, who, when in crisis, have many touchpoints with services across a system, but often experience fragmented and siloed care.
The AHSN Network became involved when SIM was already being rolled out by the NHS in parts of the country (NHS Right Care commissioned the national spread of SIM from November 2017 through to October 2018). SIM started as a pilot on the Isle of Wight and began to attract interest from around the country, as positive outcomes were emerging.
The national AHSN Network was subsequently commissioned by NHS England to support the High Intensity Network with the spread and adoption of Serenity Integrated Mentoring (SIM) between April 2018 and March 2020. AHSN Network involvement, which was always planned to be a two-year programme of support, involved providing funding for training in trusts and police forces interested in adopting the model. The AHSN Network national programme ended in March 2020.
We welcome NHS England’s ask of trust medical directors and directors of nursing to review services for high intensity users so a full picture can be obtained. We will feed information from our own review into this process, to enable NHS England to establish the full facts.