NO ACTION TIMESCALE LED BY OUTCOMES EQUALITY ACT 2010 DUE REGARD ACTIONS (see attached Due Regard Statement, July 2014) 1.1 Data: Commence data collection on ‘Protected Characteristics’ not currently collected Review quality of existing data Improve collection of qualitative data around experience of patients from BME community October 2014 On-going October 2014 On-going October 2014 On-going Les Trewin 2gether NHSFT Steve Bean Gloucestershire Constabulary 2gether NHSFT 2gether NHSFT Improved demographic data on the people using crisis services to inform service development Improved understanding of how patients from the BME community experience crisis services Better more sensitive services for people who belong to ‘protected characteristic’ groups 1.2 Independent Mental Health Advocacy contract monitoring meetings to focus on Protected Characteristic Groups with a specific focus on the in-patient community 6 monthly Karl Gluck Gloucestershire County Council The Independent Mental Health Advocacy service is more accessible to members of ‘protected characteristic groups’ both and people living in the community A more sensitive Independent Mental Health Advocacy service for people who belong to ‘protected characteristic groups’ 1.3 County Community Projects to develop interface with Crisis Resolution Home Treatment Team and explore with users of the Teams if they see a need for an Independent Mental Health Advocacy in this context October 2014 Leonie Seabourne County Community Projects Karl Gluck Gloucestershire County Council An understanding of the relevance of the Independent Mental Health Advocacy service to people in contact with the Crisis Resolution Home Treatment Team Improved access if service agreed to be relevant
1.7 Development of the cultural competency of Crisis Resolution Home Treatment Team staff at a clinical level through a rolling programme of training April 2015 Martin Griffiths 2gether NHSFT Crisis Resolution Home Treatment Teams have a better understanding of any specific mental health needs of their local BME community The Crisis Resolution Home Treatment Team is more accessible and sensitive to the needs of its local BME communities 1.8 Development of the Sheffield ‘Crisis Support Centre’ type model within the Gloucester Friendship Cafe, a base for networking with specialist Mental Health services April 2015 Les Trewin and 2gether NHSFT Social Inclusion Staff The Crisis Resolution Home Treatment Team is more accessible and sensitive to the needs of its local BME communities through the development of a base within the community Improved communication & mutual understanding between the BME community and the Crisis Resolution Home Treatment Team Earlier intervention preventing situations developing into crisis & subsequent admission 1.9 Partner agency staff, particularly GPs aware of vulnerability and needs of people from transgender community October 2014 All partners A more sensitive mental health service to members of the transgender community, recognition of mental health needs Earlier intervention preventing situations developing into crisis & subsequent admission Transgender identity is not confused with a mental health problem 1.10 Update the Joint Strategic Needs Assessment (JSNA) to include more information on mental health and specifically data on mental health crisis Dec 2014 Eddie Parsons Senior Research Analyst and Joe Green Senior Data Analyst, Strategy and Challenge Group, Gloucestershire County Council Improved useable data at a local level Improved mental health intelligence around which to plan, commission & provide mental health services & specifically crisis services Implementation of mental health metrics devised by NHS England for 2014/15
2.6 Ensure availability of the Mental Health Voice Service User Group and the Voices in Recovery (Substance Misuse) Group to commissioners On-going County Community Projects Advocacy Service Karl Gluck Gloucestershire County Council Inclusion of service users in consultation around review of services and service improvement initiatives 2.7 Implement training resources to support action learning within the pathway April 2015 Clinical Commissioning Group Staff from all agencies who encounter mental health crises will develop an evidence based understanding of mental health crisis from the perspective of patients, carers and families 2.8 Review the Psychiatric Liaison Service to consider all age approach and current gaps including hours required within the Mental Health Liaison team to best meet patient need Scoping by September 2014 (via Psychiatric Liaison Group) Eddie O’Neil Clinical Commissioning Group Simon Bilous Gloucestershire County Council Maggie Arnold/ Delia Parnham-Cope Gloucestershire Hospitals NHSFT Age no longer a barrier to accessing appropriate support Crises responded to within standardised timescales and quality standards and with better outcomes Fewer admissions – to GRH, Tier 4 inpatient care, Maxwell Suite 2.9 Following introduction of new Crisis Resolution Home Treatment Team (CRHTT) model in 2015/16 police to produce up-dated guidance to officers to include: Consideration of the involvement of the CRHTT as an alternative to use of S136 powers March 2015 Steve Bean Gloucestershire Constabulary Less restrictive alternative for people in mental health crisis and reduction in numbers subject to S146 Reduction in stigma for people in mental health crisis Improved data collection and monitoring to inform monitoring/outcomes of service Improved understanding of use of place of safety
2.22 Review skills mix, competency and training needs of staff, volunteers and peers within Wellbeing Plus, Occupation Plus, Community Health Trainers, Families First. Develop guidance and access to specialist training to ensure we excel in Crisis October 2014 Jack Beech Independence Trust Ensure there is a consistent approach to Crisis across the organisation Improved partnership working in Gloucestershire 2.23 Pilot and review outcome for Gloucestershire Shared Care Records approach April 2015 Eddie O’Neil Clinical Commissioning Group Commissioning Support Unit Better information sharing across the partner organisations Fewer A&E attendances Fewer emergency admissions Improved medication management 2.24 Work with the NHS to produce a local mental health information sharing/ triage system between the Police and NHS in order that the service/ professional dealing with a crisis knows what is needed to manage the crisis/associated risks to the distressed person or to others April 2015 Steve Bean Gloucestershire Constabulary Eddie O’Neil Clinical Commissioning Group Information sharing enable people known to services to get the treatment they need quickly and where applicable, services are aware of their crisis plan and any advance statements no matter at what point they re-enter the mental health system Improved quality of assessments 2.25 Rethink Mental Illness will offer to work with the Gloucestershire Constabulary to deliver two workshops to control room staff to support improved understanding of self harm and suicide and how best to support the person affected and their family From July 2014 Rethink Better experiences of emergency response in relation to calls about self harm or suicide reported as recorded by people who have been supported Increased confidence and competence of police officers attending self harm or suicide related incidents evidenced through course feedback
2.26 Explore opportunities presented by the new centralised Custody Suite at Quedgeley to improve the service to mentally ill people in crisis on the explicit under-standing the Maxwell Suite remains the Place of Safety of choice for the overwhelming majority of S136 detainees November 2014 Steve Bean Gloucestershire Constabulary 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. 2.27 Critical review/analysis of partner agencies mental health crisis related policies, procedures and protocols February 2015 Jim Symington Symington-Tinto Health and Social Care Consultancy David Pugh Independent Consultant Reflects best practice as evidences by analysis of national documentation including NICE guidance Evidence of a personalised approach Involvement of carers/friends and ‘protected characteristic groups’ Consistent with service specifications 2.28 Amend current contract specification to include standardised response times, from Psychiatrists to referrals for inpatients with mental health crisis By April 2015 Maggie Arnold Gloucestershire Hospitals NHSFT Eddie O’Neil Clinical Commissioning Group 2Gether NHSFT Scoping exercise completed Pending outcome of scoping exercise, arrange meeting with 2Gether NHSFT, Contracting and Commission to agree the Service Level Agreement An agreed response time to requests for consultant review 2.29 Explore opportunities for partnership working around the planning and targeting of Community Fire Safety initiatives January 2015 Sally Waldron Gloucestershire Fire & Rescue Service Targeted prevention work will focus on risk factors using an evidence-led approach
4.8 Ensure all Approved Mental Health Professionals maintain competence through an agreed Continuing Professional Development programme (annual report) April – onwards Annual report May 2015 Jane Hutchison/ Sarah Bennion 2gether NHSFT All Approved Mental Health Professionals meet the legal competency requirements 4.9 Ensure all Approved Mental Health Professional reports are of sufficient quality (audit) Jan-Mar 2015 Les Trewin 2gether NHSFT Karl Gluck Gloucestershire County Council All Approved Mental Health Professionals meet the legal competency requirements 4.10 Review interface between daytime Approved Mental Health Professional and EDT (to include planned OOH Mental Health Act assessments) End of October 2014 Karl Gluck/Louise West Gloucestershire County Council Ensure that Mental Health Act assessments are undertake in a timely fashion in accordance with the legislation/Code of Practice 4.11 Review role of single contact (adult helpdesk) in conjunction with 2GNHSFT Contact Centre for Mental Health Act assessment requests Review Adult helpdesk Approved Mental Health Professional protocols End of October 2014 Karl Gluck Gloucestershire County Council Les Trewin 2gether NHSFT Clear guidance for Health and Social Care staff on how and when to request a Mental Health Act assessment 4.12 Review role of Approved Mental Health Professional within Crisis Resolution and Home Treatment Teams January 2015 Karl Gluck Gloucestershire County Council Sarah Bannion 2gether NHSFT Options appraisal for commissioners on best practice 4.13 Review multi-agency conveyance guidance for individuals detained under the Mental Health Act January 2015 Karl Gluck Gloucestershire County Council Interagency Monitoring Group Revised multi-agency policy and implementation plan
Staff Safety 5.2 Review Datix incidents where Emergency Department has been used as a place of safety By April 2015 Gloucestershire Hospitals NHSFT (Psychiatry Liaison Group) Steve Bean Gloucestershire Constabulary List of incidents (via Datix) available for consideration, and to contribute to further discussions on use of S136 etc Primary Care Response 5.3 Implement the recommendations from the Strengthening mental health commissioning in primary care: Learning from experience via the CPD Programme for 2015 By April 2015 Eddie O’Neil/ Martin Gibbs Clinical Commissioning Group Improved GP awareness, evidence and response to patients with mental health needs at risk of crises/relapses. 6. RECOVERY AND STAYING WELL/PREVENTING FUTURE CRISES Joint Planning for prevention of crises 6.1 Information pack for the Independent Mental Health Advocacy service and the Mental Health Voice Service User Group Now available for distribution. On-going action. County Community Projects Advocacy Service and Mental Health Voice Service User Group Opportunities to engage with other service users and play an active role in the forum, contributing in consultations etc., raising their awareness of existing or alternative services, increasing their choices and improving their knowledge of their rights 6.2 Work with carers to draw up and implement ‘Carer Response to Crisis’ plans bringing together relevant contact details, specific coping September 2014 Tim Poole Carers Gloucestershire Carers better able to: Cope with a crisis at home without involving emergency services and escalating issue.