mental health services/ signpost to appropriate services Improved patient experience. = agreed local model for implementation as part of transformation B Street Triage Pilot Pilot til 3Oth April 2015 Evaluation May 15 SWYPFT / SYP Improved access to mental health assessment and coordination into secondary mental health services. Improved patient experience. Reduction in use of 136. Support in the community for those that require it. Barnsley pilot completed. Currently have not got a triage car now. Seeking further recurrent funding. Pilot Sandra to share evaluation. 7b G To continue seek opportunities for to mainstream & funding PO/ AR 16/17 commissioning cycle about to commence B Gather data and analyse delays in patient transport from patients home to Kendray Hospital Share with YAS & Commissioners April 2015 May 15 KA Improved access and patient experience. YAS – improved performance no reports of slippage B Feedback analysis to CCG local May 15 PO Improved access and patient experience. As Above
meeting with YAS operational team Through transformation process consider local acute MH bed needs March 2016 SWYPFT Commissioners Improved patient experience. Effective use of resources. beds to ensure people do not need to be placed out of Barnsley. Transformation implementation December 15 B To receive report on CQC crisis pathway review feedback and integrate into this action plan Local report - March 15 National report – May 15 ALL Improved patient experience Complete Ensuring the right numbers of high quality staff B Analyse s136 unavailability using SWYPFT and SY data April 2015 SWYPFT Action plan to ensure improved 136 suite availability, as and when required. Reduce the use of police cells as a place of safety. Improve patient experience. Plan developed = significantly improved S136 suite availability. Manager assess staffing issues daily and put measures in place to avert problems. Exception reporting to CCG and 136 meeting B BCCG/ SWYPFT contract - Quality and Performance Reporting requirements re workforce issues April 2015 PO/ AR Improve patient experience. Reporting system in to BCCG
MH (to mirror acute) 13 C Feedback from CCG to SWYPFT should there be patterns/ outliers. Through contract mechanisms On-going PO New action Feed into this group if unresolved Improved partnership working in Barnsley R Develop a Primary Care and Secondary MHS Engagement Plan September 2015 AR / SWYPFT / PO GP’s confident with MH issues Patients appropriately discharged from secondary services with support in community To increase numbers on GP SMI register September 2016 PO/AR New action B We will establish a Crisis concordat group to ensure we produce a joint plan and to ensure delivery From Jan 2015 Crisis Care Concordat group Bringing together information and data sources Agreeing priorities Producing a joint plan Supporting joint delivery of solutions. Monthly meetings established B Enable (through Liaison/ IHBTT/SPA) 24/7 access for police and ambulance services to Mental Health patient June 2015 SWYPFT Improved patient experience. Improved information sharing across agencies. Improved partnership working. This is in through Intensive Home Based Treatment Team on 01226 434692.
information, as appropriate Work with partners to develop ‘fast track’ assessment processes for patients and potential offenders December 2015 District MHPB / Silver PO/KA???? Appropriate resourcing of AMHP and S.12 MHA Approved clinicians to ensure rapid access to appropriate care pathways and supporting services within both the health and CJ system The Criminal Justice Liaison and Diversion Project inplace & addressing fast tracking process. AMHP rota in place Section 12 doctors – no rota Review and refresh S136 group meetings to facilitate better working relationships, resolve problems and improve the service. May 2016 S136 group Ensure operational day to day problems in communication, procedure, and other barriers to joint working are improved. Define how services have improved for patients in respect of; patient experience, responsiveness, and safety. A regular S136 meeting takes place. The policy is written and awaiting approval. The group have the appropriate members (Extended to include CCG)to resolve problems and improve service. Ensure partnership working continues to respond to frequent callers. The High Intensity User group monitor top callers High Intensity User group People who make frequent calls to agencies often have unmet needs, may have mental health problems and it is more cost effective to offer joined up approach. Reduced demand 2 Police officers from Community Tasking Team now work with partners to ensure consistency, carry out risk assessments and interventions etc.
through criminal justice, their mental health needs are addressed to reduce repeat offending Improved patient experience. Improved partnership working A Pathway is available for existing services and being developed for an improved service, in and out of custody. Commission an all age service That meets NHS England specification April 2016 NHS England, To review and refresh the MDO multi-agency meeting April 2015 SWYPFT BHNFT SYP Improved patient experience. Improved partnership working Not refreshed, awaiting feedback from partners. Superseded by L&D project? 2. Access to support before crisis point No. Action Timescale Led By Outcomes September 2015 Update Improve access to support via primary care Case management processes December 2015 MHPBoard Develop multi-agency tiered case management systems, to identify early risks to victims, patients, offenders and locations – linked to Integrated Offender Management Programme Strategic priority 2 This will include MAPPA and MARAC
Review access to beds for people with dementia who require admission under the MHA. Breakdown stages March 16 SB Ensure beds are available at times of crisis Improved patient experience. Information requested from SWYPFT Review access to beds for adolescents who require admission under the MHA. March 16 RL Specialised NHS England Improved patient experience. PO – update? Develop and implement system to record delays in accessing beds for people being admitted under MHA. (Code requirement) September 15 KA Links to 37 ? AMHPs collecting info on monitoring forms- reporting system to be developed Develop a Mental Health Conveying Policy via the Non-Emergency Patient Transport meeting. Consider the appropriate use of secure vehicles. December 2015 Concordat Group People in crisis who need routine transport between NHS facilities, or from the community to an NHS facility, will be conveyed in a safe, appropriate and timely way ensuing Police and/or caged vehicles are not routinely used. YAS update required
To maintain 24/7 Mental Health Liaison and IHBTT functions. October 2015 SWYPFT Improved patient experience. Improve access to assessment within 4 hour target. To provide care within least restrictive environment. To gatekeep admission to acute care mental health services. This is in place To support the implementation of the National Ambulance Crisis Concordat Action Plan March 16 YAS Concordat YAS Social services’ contribution to mental health crisis services Improve knowledge of mental health crises in Adults’ services. December 2015 KA Partnership agencies Ensure appropriate and timely responses. Improved patient experience. Improved partnership working Further work/discussion needed G Develop system and monitor time it takes for AMHPs to undertake assessments under S136. (Code requirement) December 2015 SYP KA Improved patient experience. Improved partnership working This is in place in S136 data capture. Underway, focus on improving robustness of data collected Improved quality of response when people are detained under Section 135 and 136 the Mental Health Act 1983
Review local regional arrangements with partners - S135 procedure with SYP S136 procedure (as per Code of Practice??) Feb 2016 September 2015 SYP Should each organisation be named? Improved patient experience. Improved partnership working S136 Protocol awaiting ratification by partners 135 started Improve access to 24/7 136 and Health Based Places of Safety. (Where required) Develop business continuity plan Establish record keeping system December 2015 September 15 April 2015 SWYPFT, CCG Improved patient experience. Improved partnership working Reduce use of police custody for 136 detentions completed Improved information and advice available to front line staff to enable better response to individuals Review agencies protocols on restraints to ensure in line with national guidance Restraint, Searching, Police December 2015 SWYFT, BHNFT SYP Part of a wider programme to reduce the use of physical restraint in mental health related incidents Improved patient experience. SYP - Guidance being considered and reviewed nationally. Joint training required once decision has been made. Police attendance at MH
Police Champions which will then be disseminated to other officers. Improved knowledge and understanding of the different types of Autistic Spectrum Conditions Better understanding of appropriate communication techniques to de-escalate incidents. Improved referral and access to services Ability to signpost and advise on aspects of ASD to people Police come into contact with. street skills, but to be looked at for future. Revised date July 16 Improved services for those with co-existing mental health and substance misuse issues Work to continue with Leeds Community Healthcare and CJAD to improve the service to mentally ill people in crisis who have been detained at a custody suite. Initial assessment, continued detention and release from custody March 2016 CJAD, Leeds Community Healthcare Improved patient experience. Improved partnership working Improved and more sensitive less stigmatising service to mentally ill people in contact with the Criminal Justice Service Healthcare professional available to assist with initial assessment and triage of anyone presenting with healthcare issues. Review referral scheme for people May 2015 Healthy Communities Improved patient experience. Improved partnership working SYP electronic form completed
with substance misuse problems Commissioner, SYP To reduced alcohol related admissions to BHNFT March 2016 Healthy Communities Commissioner BHNFT Improved patient experience. Improved partnership working Agenda to discuss next meeting 4. Quality of treatment and care when in crisis No. Action Timescale Led By Outcomes Review police use of places of safety under the Mental Health Act 1983 and results of local monitoring Establish a data set and reporting requirements in to review all S136s and outcomes July 2015 SWYPFT Improved patient experience. Improved partnership working In data in place & reported to CCG Service User/Patient safety and safeguarding Review and develop crisis response within 999 and 111 systems December 2015 YAS - Assisting to prevent an individual from entering the system when in crisis - Introduce better vulnerability assessment - Deployment of most appropriate resource - Consideration for 24/7 MH Crisis universal SPA YAS update? Staff safety Establish joint risk assessment tool between BMBC, SYP and SWYPFT September 2015 KA Improved patient experience. Improved partnership working Being looked at as part of S135/136 revision
for home visits/assessments (Code requirement) ongoing And partner organisations Stakeholder organisations to consider options to promote their own healthier workplaces. September 2015 Occupational Health Units SYP BHNFT SWYPFT Improved response to people experiencing Mental Health Problems at work. Awareness of how to get help in the workplace and retention of employment. SYP have health workshops, OHU process, booklets on stress management, Trauma Risk Management officers and Welfare Support officers. completed Review local missing persons policies Promote staff awareness October 2015 SYP And partner organisations Improved patient experience. Improved partnership working SY policy about to be implemented Herbert Protocol Promote staff awareness of local missing persons policies March 2016 SYP And partner organisations Primary care response 5. Recovery and staying well / preventing future crisis No. Action Timescale Led By Outcomes Joint planning for prevention of crises
Development of case management processes December 2015 Concordat Group - Develop and embed links across internal departments and external agencies, looking at repeat, complex and multi-agency demand. - Tiered model with robust reporting, referral and accountability processes to maximise opportunities to intervene at the earliest opportunity. - Influence and inform the development of processes and the deployment of partnership resources before, during and after crisis CPA – for those known to NHS Wider picture - more work needed Introduction of a tiered strategic governance framework - Gold – Exec level strategy board - Silver – County partnership oversight board - Bronze - CCG area based delivery group September 2015 SYP - Include representation from all internal departments - remit to develop and reinforce understanding and cooperation in designing the response to mental health related demand - Governance and accountability - Strategic direction and control completed Increased input to Joint Strategic Needs Assessment on Mental Health December 2015 H&WB/ PH Commissioners have robust data with which to commission crisis services.
Implement local CAMHS improvement and recovery plan March 2016 SWYPFT BMBC CCG Improved patient experience. Timely response Improved access Consider how YAS/ GP/SWYPFT GP pathway can work most effectively March 2016 SWYPFT YAS CCG Improved patient/ stakeholder experience. Timely response Improved access Reduced presentations to ED Mental Health Crisis Concordat Glossary AMHP APPROVED MENTAL HEALTH PROFESSIONAL AR ALISON RUMBOL ASC SOCIAL CARE ASD AUTISTIC SPECTRUM DISORDER BCCG BARNSLEY CLINICAL COMMISSIOING GROUP BHNFT BARNSLEY HOSPITAL NHS FOUNDATION TRUST