regarding crisis management including self-referral should be available for people to consider 1.4 Map training needs within and across employment organisations and develop a clear programme of training options to support people in emotional distress, with mental illness, substance misuse and suicide awareness March 2016 Public Health/All Improved quality of response for people with mental health needs across the borough Support before Crisis Point 2.1 Develop support for carers in line with changes to the Care Act March 2016 NHS/RBK commissioning with Kingston Carers Network People will be protected when their circumstances make them vulnerable 2.2 Ensure that service users and carers are available and contribute in the developments of local solutions to support people in crisis On-going Mental Health Planning Board Feedback given from patients and public regarding the potential effectiveness of the crisis Action Plan and commissioning decisions. Local forums identified to support the achievement of the crisis declaration and Action Plan 2.3 Provide a rolling programme of free adult and youth mental health first aid training to increase mental health awareness in frontline professionals ongoing RBK public health Improved mental health awareness across a range of local agencies including local workplaces, schools and voluntary sector agencies.
2.4 Run an annual student mental health conference with follow for school champions to promote mental health awareness in their schools March 2015 and then annually for 3 years Improved mental health awareness by staff and pupils in Kingston schools 2.5 A single MH support/crisis line to be available 24/7, 7 days a week 365 days a year March 2015 – completed South West London and St Georges NHS Trust/NHS Commissioners in South West London Establishment of a helpline which is well publicised among people with Mental Health problems, carers, health and social care professionals, emergency services and the wider public. The helpline will be profiled within the Directory of services and enabled to receive referrals from NHS111 A helpline which is staffed by qualified, competent and compassionate mental health professionals who are appropriately trained, supervised and supported. 2.6 Provide ‘crisis’ mental health awareness training to other local agencies including front line police, acute trust staff and custody suites Commence October 2015 RBK/NHS Commissioners Improved mental health awareness across stakeholder group and agencies
2.7 Kingston CCG commission an ‘enhanced’ Consultant Psychiatrist led primary care mental health service to support primary care in the management of patients with SMI who do not meet the threshold or do not require secondary mental health care services. Service commenced 2015 Kingston CCG/Camden and Islington MH Foundation Trust The service is commissioned to: Be responsive Meet the needs of patients Meet the needs of GPs Maintain capacity to deliver the model over time Facilitate collaboration with secondary care services Support and enhance mental health expertise of primary care clinicians Single Point Access into mental health services Consultation/Liaison and Advice Assessment and triage Formulation of management plans Short term, focused interventions Access to Crisis Care 3.1 Kingston hospital to have access to on-site liaison psychiatry services 24 November 2015 – completed Kingston Hospital FT/*NHS Commissioners/South West People presenting to A&E in mental health crisis should be seen within 1 hour of referral
3.5 People detained under Section 136 will be taken to a NHS designated place of safety. Under no circumstances should police custody be used as an alternative. If custody is used a full partnership review must take place to understand the issue and avoid further incidents occurring December 2015 Police/Ambulance/NHS commissioners/South West London and St Georges NHS Trust Stop people who are experiencing a mental health crisis being placed in custody. Improve patients experience and treatment outcomes 3.6 Organisations commissioned to provide places of safety should have dedicated 24 hours, 7 day a week 365 days a year services available and single telephone number available to phone ahead prior to arrival at any place of safety April 2015 South West London and St Georges NHS Trust People can access a suitable place of safety at all times when experiencing a mental health crisis Contingency plans must be in place in the event of multiple S136 assessments. If a Trust has no immediately available designated place of safety arrangements must be in place to access an alternative within the trust, or, by arrangement with a neighbouring organisation 3.7 Crisis and recovery beds will be in place as a standard component of the acute crisis care pathway and people should be offered access October 2016 *NHS Commissioners People who require an alternative to inpatient admission will be offered to access a crisis/respite bed when it is clinically indicated
able to access this in a timely manner and as close to their home as possible 3.11 Street triage will be available to support police officers when dealing with people who are in crisis due to mental health problems December 2015 *NHS Commissioners Mental health practitioners will be available to accompany police officers to mental health related call outs and provide a telephone service to officers on the grounds who are responding to people in a crisis. The mental health practitioner will help officers by offering professional, on the spot advice and assessment thereby reducing the use of Section 136 and inappropriate A&E attendances 4.Recovery and Staying Well 4.1 All people under the care of secondary mental health services and people who have required crisis support in the past should have a documented crisis plan which is co-produced by the person with mental health problems, their carer and their mental April 2015 South West London and St Georges People will be enabled to make advanced decisions about their care in times of mental health crisis. Advanced directives will positively impact on clinical outcomes through an increase in provision of preferred services and improved engagement
health professional (Care co-ordinator) Co-produced crisis plans empower service users while facilitating early detection and treatment of relapse 4.2 Arrangements should be put in place to ensure that crisis plans are accessible to GPOOHs and NHS 111 teams TBC *NHS Commissioners 4.3 Transitions between primary and secondary care must be appropriately managed with clear criteria for entry and discharge from acute care TBC *NHS Commissioners/South West London and St Georges NHS Trust/Primary care Clear protocols are in place regarding access into secondary care from primary care and vice-versa Fast-track access back to specialist care for people who may need this in the future Integration of care ensuring that a pathway of services is organised around the patient 4.4 Joined up care for people who have experienced mental health crisis with co-existing substance misuse problems October 2015 People receive a joined up care pathway/Plan to meet their multiple needs 4.5 Carers are supported and know who to contact at any time, 24 hours a day, seven days a week for fast access into services October 2015 Carers are offered a carers assessment and services established to meet the identified needs