Primary Care Recovery Service (PCRS)
The Primary Care Recovery Service (PCRS) will be an integral part of Merton Uplift. It will utilise the principles of integration, partnership working and co-production to support individuals with complex and severe and enduring mental illness. PCRS will operate two main care pathways:
- Step up: Individuals under the care of GPs, or in IAPT or wellbeing elements of Merton Uplift, who may need additional support.
- Step down: Individuals under the care of secondary care mental health who can be managed less intensively.
Collaborative care plans will be developed and for service users with stable psychosis support will involve case management, medication reviews/ management, recovery support and physical health/ behavioural activation. Co-occurring depression and anxiety will be supported by IAPT. For those with complex anxiety and depression support will involve psychological management through one-to-one CBT (with a range of options), CBT seminars and SilverCloud online CBT for bipolar disorder.
Service users will be able to directly access their named lead clinician but also IAPT, wellbeing and wider SWLSTG support including the Recovery College to maintain their mental health and prevent deterioration. Both Community Psychiatric Nurses (CPNs) and recovery support workers (RSWs) will carry a caseload and link to specific primary care networks in Merton. Each GP practice will have a named CPN and RSW with whom to build a close working relationship.