Integrated Care: the Esteem Team at Sandwell’s Integrated Primary Care Mental Health and Wellbeing Service (King’s Fund)


This case study from the King’s Fund (funded by Aetna and the Aetna Foundation) covers one of five UK-based models of care co-ordination. It is about the Sandwell Esteem Team, at the Sandwell Integrated Primary Care Mental Health and Wellbeing Service (known as the Sandwell Wellbeing Hub). This hub provides a holistic primary and community care-based approach to improving social, mental and physical health and wellbeing.

The borough of Sandwell in the West Midlands is a community with high levels of poverty and ill-health (physical and mental), with a population of 309,000. The aim of the Esteem Team is to supply collaborative shared care to a target population of 20.8 per 1000 people. This high-intensity psychiatric liaison service offers services geared to “mental health, alcohol, dementia and wellbeing screening; co-morbidities and effective medicines management; home treatment, and ambulatory pathways from A&E”. (p.11)

The BUDS (Better Understanding of Dementia for Sandwell) service provides specialist support for dementia sufferers and their carers.

Background on the health and social care system in England:

“Clinical commissioning groups commission core services for people with serious and enduring mental health problems, including neurological and psychiatric disorders such as psychosis, bipolar depression, dementia, Parkinson’s and neuro-muscular diseases. More than 90 per cent of these services are provided in secondary care by mental health trusts working in the community”. (p.7)

Full Text Link


Thiel, V. Sonola, L. Goodwin, N. [and] Kodner, D.L. (2013). The Esteem Team: co-ordinated care in the Sandwell Integrated Primary Care Mental Health and Wellbeing Service. London: The King’s Fund / Aetna and the Aetna Foundation, August 2013.

[A brief reference to this item features in Dementia and Elderly Care: the Latest Evidence Newsletter (RWNHST), Volume 3 Issue 9, August 2013].

About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, King's Fund, Local Interest, Mental Health, National, NHS, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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