a list of actions, many of which are now complete whilst some are part of the ongoing business as usual of managing an electronic patient record. Highlighted during the review were the problems caused by the ‘performance’ of the system (ie speed and reliability) and after much investigation by NSFT these problems have for the most part been identified as the responsibility of CSC, the system provider, to resolve. Some of these fixes are due with the next release of the system (in April) whilst some are still being worked on as a top priority by CSC, supported by HSCIC who administer the contract on behalf of the Department of Health. 11 Support mental health service providers to develop arrangements which provide real time advice and support to the police when assessing the mental health needs of a vulnerable person. Monitor and support the implementation of Lorenzo and the CCR pilot with embedded mental health nurses Apr-17 NSFT / Norfolk - Amanda Ellis See 5.1 / 5.2 May update - Integrated Mental Health Team is now funded for 2016/17 and this will continue to develop. The funding is for enhanced team to include district councils (who are providing some funding). This process is currently developed. District councils will be able to more effectively information share enalbling them to better manage risks and support for interventions such as referrals to MH teams and joint visits.
12 Raise the awareness of staff in the identification of fire risk using the fire risk screening tool. This will enable them to access additional support from the Fire and Rescue Service where appropriate. Norfolk Fire and Rescue Service - Stuart January update - This is ongoing May update - Some work has been carried out with the DIST service to a raise awareness of staff through the NSFT. Improved training and guidance for police officers 13 To review the effectiveness of the current training available to police officers. NCALT training and one day MH Awareness course featured as good practice in the MIND booklet "How to Get it Right Locally" is being rolled out to all serving officers over the next 2 years. Sep-15 Norfolk / College of Policing - Lucy King January update - September 2014 to September 2015 at total of 151 officers have been trained across Norfolk and Suffolk. The training unfortunately then had to be put on hold due to the Force requirement around Athena. It is yet to be evaluated. May update - This training was put on hold in September 2015 as priority had to be given to Athena Training. At that time the Learning and Development Department advised that the training was planned to re-commence in April 2016. Learning and Development have been contacted regarding recommencement. Although no date has been set yet, this training will recommence in the near future. The College of Policing are also developing a new national MH&LD training programme. This is in the final stages of development and the indications are that this will become mandatory for all Forces. It is expected to replace current training within the year and will take the form of digital assessments for all staff and 2 day classroom training for frontline staff. Extra training will be provided for senior and specialist staff. Feedback has been given by Norfolk Constabulary and implementation dates are soon to be set. Improved services for those with co-existing mental health and substance misuse issues
health and substance misuse problems (dual diagnosis) to services which can address their needs. This will be done in accord with the Liaison & Diversion Service (L&D). Dual Diagnosis pathways to be refined to ensure a clear access point for L&D services to refer into. and D and been approved by Project Board. This document clearly outlines all vulnerability pathways and referral routes in Norfolk and Suffolk: the guidance will be distributed to all CJLD staff in the near future. COMPLETED ACTIONS Commissioning to allow earlier intervention and responsive crisis services No. Action Timescale Led By Outcomes/updates (RAG) Improved partnership working at a local level 1 Establishment of a strategic board to lead on the development and delivery of Jun-14 OPCC Complete - membership being reviwed - governance established through link to H&WB Board/Public Protection Forum/operational sub groups
1 New Children's Services Team for avoiding residential care admissions. Service is a 24/7 intensive support service. Nov-14 Children's Services - Chris Butwright Complete - working on integration model with CAMHS IST 2 To evaluate CAMHS Intensive Support Team provision. Oct-14 Norfolk CCGs - Jonathan Stanley Complete - CAMHS IST and CAMHS Eating Disorders to be enhanced through successful CAMHS Transformation Plan - £1.9m recurrent funding for Norfolk Social services’ contribution to mental health crisis services 3 Review 'in' and 'out-of-hours' AMHP provision to ensure AMHP workforce is sufficient and capable of addressing local need. Mar-15 Adult Social Services - Adrian Everton Complete 4 social care - specific arrangements for 7 day placements within charging facilitated by AMHP's to avoid admission to Acute MH or acute adult beds. Aug-14 Adult Social Services - Clive Rennie Complete