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Needs-led - what is the population and what do they need? Men were be underserved.

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Where the models are different and how they can accommodate for these individuals. Balance of meeting needs vscthe efficacy of a standardised model.

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How to support individuals who don't neatly sit in a service. Clinicians that work together to either offer a service or be able to prepare an individual for therapy.

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Relational work being key for the gap population.

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They should be integrated in terms of funding and infrastructure

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Flexibility afforded to the service is a key benefit. Collaboration and interest between services is key.

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Eating disorders, substance misuse. Limited resources and capacity.

Diversity - ethnic minorities may require additional outreach

Neurodiversity

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Triangulation of days, views, operationalised (how it works) achieved the system being commissioned.

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Commissioning more of the same rather than being willing and brave enough to look at creative solutions

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Rethinking how we utilise existing resources;

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How do we create the culture of support and sharing between services to make MDT’s and joint assessments effective?

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What is the the cohort? What is the gap? Improved national direction on who/what should be covered in the gap

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It’s needs led, not diagnosis led.

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It’s psychologically led rather than medical

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The multidisciplinary involvement in essential in managing people well in primary care.

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Renaming and considering how gap services are neighbourhood teams.

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Keep the MDT and collaborative working

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Everyone singing from the same hymn sheet

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Everyone singing from the same hymn sheet

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We need to get this in front of decision making.

Fidelity to the model - balance to the model Vs being bespoke.

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Rather than a separate services - infrastructure to embed what the service provides rsather than a specific project.

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Single point of access, to align with national direction of neighbour services

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Making it clear what PTS does and how it is different to NHSTT

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Peer support provision

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Articulate better how PTS contributes to the rest of the system (e.g health economics)

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May not be viable to accept the status quo. Reallocating resources to the gap to serve more patients.