1.3 Suicide prevention strategies 2.3 To ensure that 111 can direct with mental health issues to the right service first time 1.4 Support people living with complex and multiple mental health needs 2.4 Further develop a crisis housing model 1.5 MH employment integration trailblazer 2.5 To enable people with LD and autism to access crisis support 1.6 Peer Support and Community Self-help for with severe and enduring MH issues 2.6 To further assess and develop crisis and urgent care support for BME, LGBT, Kahilla community, refugees and people seeking asylum, new EU migrants, homeless and complex service 1.7 Ensure that the police forces in Newcastle and Gateshead are involved in any changes and service developments to mental health service provision. 2.7 Develop Liaison psychiatry services and for those with mental health problems CCG, NTW NUTH, MHPB 1.8 Develop multiagency guidance 2.8. To ensure that clinician duties and AMHP under the mental health act can be met 1.9 Ensure that carers have clear access to methods of support at times of urgent need and crisis ……………………………………………………………………….. Section 3. Page 21 Improved Quality of response when people are detained section 135 & 136 of the Mental Health Act Section 4. Page 25 Information sharing, communication, strategic development and multi-agency training 3.1 People in crisis who (under the MHA Act) need transport between NHS facilities or from the community to an NHS facility: will be conveyed in a safe and appropriate and timely way 4.1 To the sharing of relevant and appropriate information between organisations in the best interests of the patient 3.2 Improve practice around section 136 and 135 detentions 4.2 When restraint has to be used in health and care services it is appropriate 4.3 Understand an agreed escalation process in all organisations when more significant concerns arise and review process 4.4 Improving access to secondary care services 4.5 Paramedic call handlers need to have better awareness of mental health issues 4.6 3.8 GP and practice staff training in primary care 4.7 Multiagency training and sharing of knowledge and understanding Section 1. Prevention, early intervention, community self-help approaches. trial trial
Clarification of roles Training for staff in duty team Update July 2015 Remodelling on-going Update July 2016: Social care duty system remodelling complete. Primary care psychological therapy services (including IAPT) services prevent and manage mental health problems for those with long term conditions. Primary care regularly supports people with LTCs to self-refer or refer in to Psychological services for treatments. The Psychological therapies in Newcastle and Gateshead have gone through a process of integration and improvement. Extending Social Prescribing and increased link working roles being considered as part of wider system integration and STP work Social Prescribing across the CCGs is at different stages, with GP practices continuing to develop Health Champions. The Care Navigator work with four practices (Central, Bridges, Metro and Millennium) has undergone several developments. Centrals ‘social group’ idea is to be expanded into Millennium and the practices have sourced some free IT training, exercise classes and a history project ideas are also being developed. The original plan of one set of evaluation data for the work has proven difficult to implement Jan – July due to different practices needs. Separate evaluation reports will be produced. Due to Health Champion Lead contract being extended an action plan is being developed July – Dec. It is expected that this plan will support more practices to develop Health Champions to support a community social prescribing model. Objectives, Lead. Timescale. Actions Outcomes RAG 1.8 Ensure that the police forces in Newcastle and Gateshead are involved in any changes and service developments to mental health service provision Lead NTW and other partners To ensure co-ordination of Northumbria/British Transport Police ensuring engagement around project or service developments that supports the prevention of mental health crisis. Need to ensure on-going commitment to this work Greater understanding and awareness of mental health issues. Enhancing partnership working (Better improve understanding of each other’s roles and remits Update July 2015. BTP are now involved in the Police Liaison Group meetings with Northumbria Police and NTW. NTW - Clinical Police Liaison lead meets regularly with Police and updates on service Update July 2016: Regular briefing re service changes continues. Actions are discussed police and partners’ meetings monthly. Strategic issues discussed in ‘Senior police and partners’ meetings Liaison Officers are regularly meeting clients to discuss issues and build relationships with the community. BTP and Northumbria Police are working with partner groups across Newcastle and Gateshead on issues such as suicide prevention on the railways etc.
handle difficult calls. The CCG is also working with the mental health trust to obtain clearer interface guidance around patients with dual diagnosis and alcohol/substance misuse problems. The DOS also includes the local alcohol and substance misuse services. Update July 2016: Mental health services are on the DOS systems (informing 111). Regularly updated. Further collaborative work is required between mental health Third sector services and DOS to ensure that the 111 system is reflective of locally available services. Contacts between agencies and DOS to be facilitated by NEAS. On-going work into directing clients away from A&E. Objectives, Lead. Timescale. Actions Outcomes RAG 2.4 Further develop a crisis housing model. We currently have four crisis beds for Newcastle and nil beds in Gateshead. We have no formally agreed capacity for Specialist, clinical or non-clinical. Although there are local providers with informal capacity MHPB and urgent care work stream group December 2015. Identify an appropriate future crisis beds model (clinical, specialist, crisis team beds or non-clinical) required and assessment of capacity needed. Investigate and research models of daytime crash pads. These may include social nursing, homeless, safeguarding, young person, working age and older people support stay options Benefit from CMHT support. Support in non-stigmatising surrounding. Support more focused on need (i.e., clinical, specialist, crisis or non-clinical) Immediate support available in a crisis. Better targeted support for that individual (e.g., may need more nursing care support). Timely response to those who need support in the community. Potential to prevent admission to hospital as default option Update July 2015 Workshop session of the Urgent Care work stream to review and consider crisis housing September. The urgent care work stream has started to evaluate different crisis models? Update July 2016: Discussions to proceed ‘Deciding Together’ decision. Objectives, Lead. Timescale. Actions Outcomes RAG 2.5 To enable people with LD and people with autistic spectrum disorder to access crisis support Reasonable adjustments for people with learning disabilities and people with autism. Work with the LD Partnership Boards (or equivalent) to assess Ensure information and awareness appropriate and suitable for people with a LD (PWLD) and their families.
Chair of the LD Partnership Board (or equivalent) and Urgent Care work stream October 2016. and measure the actions and plans emanating from the UC strategy and ensure challenge and support to ensure reasonable adjustments This is a commitment to move towards universal crisis services through the transformation process Training and skills for staff across agencies to support PWLD and their families Provide more time for supporting PWLD and families. Reduced inequality of access. Speedier and appropriate response to the needs of PWLD in crisis to support their dual need of MH and LD support Update July 2015 Gateshead Council is in the process of opening a quiet room designed to be autism friendly. This room will be accessible to all people in Gateshead who visit the civic centre. Gateshead Council has Service Improvement Groups attended by service users and carers to ensure that all of the work that we do in adult social care is quality checked and influenced by those it affects. Gateshead Council Adult Social Care has easy read documents and computer technology to ease access to information and increase people’s ability to participate in assessments and reviews. Gateshead Council Adult Social Care teams receive regular training in all legal and practice areas pertaining to mental health, learning disability and autism. All staff has had specialist autism training. Update July 2016 The Transforming Board and the sub groups engage with Confirm and Challenge groups to ensure all aspects of the Transforming Care developments (reducing use of MH hospital beds for people with LD or autism through effective community treatment and care) are appropriate throughout the patient journey including crisis. There is a focus on communication and engagement including easy read materials to either avoid crisis or to ensure pathways to support as crisis arises are available and known. Objectives, Lead. Timescale. Actions Outcomes RAG 2.6 To further assess and develop crisis and urgent care support for BME, LGBT, Kahilla community, refugees and people seeking asylum, new EU migrants, homeless and complex service users MHPB and urgent care work stream group June 2016 To be included in the needs assessment of the urgent care work stream. Need to focus upon higher risk groups within the population multiagency case reviews for complex cases Crisis services and residential alternatives to hospital admission should be culturally competent and accessible to people from and minority ethnic communities. Patients under enhanced Care Programme Approach have crisis plans in place that specifically address how to minimise the risk of coercive interventions
Section 4. Information sharing, communication, strategic development and training. Objectives, Lead. Timescale. Actions Outcomes RAG 4.1 To allow the sharing of relevant and appropriate information between organisations in the best interests of the patient NTW/Local Authority/CCG/Police/ British Transport Police/NEAS – All partners and IT teams April 2016 Explore and be involved in work taking place to enable a region-wide shared information system/process with interoperability between primary/secondary/111/ acute trust/voluntary organisations including A & E and NTW both in and out of hours. Shared protocols (identifying ‘quick wins’ of information that can be shared and longer term action plan on problematic areas. Update the current information Sharing Agreement between NTW and Newcastle City Council – including the use of electronic databases to share information. NEAS – sharing information and care plans Service users receive services from all organisations and relevant information is shared to ensure speedy and appropriate services are delivered to support the patient’s needs. Reduce the need for repeat assessments, for example, with complex patients Update July 2015 TP will always consider sharing information with partner agencies where the risk to the welfare and life of that individual is identified and the sharing of information will support the reduction of that risk. MOPI and Data protection guidelines are always supported and where possible consent gained if appropriate. Secure NHS.net email addresses will always be requested to be used. Newcastle City Council will review in 1 year. NTW -The Clinical strategic Network have picked up this action as a regional issue also and are going to assist us all to do some work around this. Update July 2016: National work being undertaken by NHSE. Information sharing. Producing a position paper to set out where each of the mental health trusts currently sits in terms of information sharing and how they are linking with current developments around the MIG, Great North Care Record etc. Also looked at