3.4 Ensure that is an up to date, online Directory of Services, so that all partners are able to contact relevant services and support swiftly and effectively Improve NHS emergency response to MH crisis March 2016 CCG There are clear and effective pathways for emergency services and other partners which link service users to the right service at the right time On-going Ask Normen is now active, crisis cards ready for printing – to develop a crisis page on ask Normen 3.5 Continue implementation of the Acute Liaison Psychiatric Service, reviewing the effectiveness of the implementation, and rolling out consistently across the county Improve NHS emergency response to MH crisis Oct 2015 CCG Mental Health Commissioning and NHfT People in crisis receive effective support for the mental health needs if they attend hospital, and unnecessary hospital admissions are avoided Acute Liaison Service now 24hr and reaching PLAN status 3.5a Review the potential for creating an appropriate mental health assessment room at NGH and at KGH, and make recommendations from the review Improve NHS emergency response to MH crisis March 2016 NGH/KGH People experiencing mental health crisis are treated with dignity and respect, and able to receive person centred support Rooms available – complete and meets PLAN standards 3.7 Agree standard response times across partners and pathways Improve NHS emergency response to MH crisis 2016 Concordat Steering Group There is clarity of expectations for response times across agencies for people experiencing a mental health crisis Work to utilise standard times and expectations and formally discuss in Concordat and meetings 3.7(1) Review the Adult Social Care Mental Health workforce strategy to ensure that sufficient AMHPs and qualified social work posts are maintained within the Council to meet growing demand. Social Services’ contribution to MH crisis services March 2016 NCC There are sufficient AMHPs to meet the needs of people requiring Mental Health Act assessments Review complete and agreed by NCC – discussions in place with NHFT re possible outcomes / actions to work closer together.
3.19 To improve information sharing and handover to partner agencies via streamlined data recording between EMAS, NHFT, S136 suite and notification to primary health/schools where appropriate Improved info and advice available to frontline staff to enable better response to individuals 2016 All partners and DHL is a streamlined information flow to reduce safeguarding risk and prevent readmission into in-patient provision. Interagency data collection form in place and data available.- complete – Information sharing agreement agreed for update to enable further projects in priorities for 2017 3.21 Review the potential need for safe places for people who require a mental health assessment but are too intoxicated to be interviewed Improved services for with MH and substance misuse issues March 2016 Police and NHFT People who are intoxicated and in mental health crisis are assessed in a safe place, and partners’ resources are used effectively Priorities for 2017 we are increase CPN presence at Police Force Control to enable a screening of all potential 136 to inform of most appropriate pathway 4.1 Ensure that there are clear protocols and pathways for people who require medical intervention before being taken to a designated Place of Safety and who are intoxicated Review police use of places of safety March 2016 NGH/ depts People who are intoxicated and in mental health crisis are assessed in a safe place, and partners’ resources are used effectively Pathway in - complete existing
3.1 Review evidence of effectiveness of Triage Car, and agree business case for future investment, including the voice of service users, and implement model as agreed Improve NHS emergency response to MH crisis January 2015 Police/NHFT Maintain and improve reductions in use of custody for Place of Safety, and improved triage of Place of Safety cases Triage Car now embedded. Data available for reductions of 136 in police custody. This is due to be expanded with daytime control room cover. 3. 3 Review 24/7 crisis model, particularly in regard to out of hours cover, and the links to support for suicide related harm, and recommend improvements Improve NHS emergency response to MH crisis Dec 2015 CCG Mental Health Commissioning There is clear understanding across partners regarding existing crisis services and how they are connected (e.g. British Transport Police Suicide Line, The Samaritans); and service users are linked to the right service and the right time All mental health crisis services to be linked to 111. Directory of services to be developed as part of 111 procurement. Workshop to be held in early 2016 hosted by CCG to look at crisis care. Discussions in place to update algorithms for 111 and to have local MH response 3.3a Within the review of the crisis model, ensure that the CRHTT service delivers the home treatment element effectively Improve NHS emergency response to MH crisis Jan 2016 NHFT There is timely support for people in their own homes Awaiting final CORE fidelity Score to demonstrate compliance Core fidelity has shown compliance NHFT have developed and transformed model to allow the clarity between assessment and home treatment function so that home treatment can be protected and grown. 3.3b Within the review of the crisis incorporate the evaluation of the CRHTT pilot to support Personality Disordered patients with care to avert crises Improve NHS emergency response to MH crisis March 2016 NHFT Reduced length of stay in hospital for people with personality disorder Learning from Pilot project incorporated into Structured Clinical Management approach - Complete
3.16 Carry out an audit of the experience of s136 patients, and recommend practice improvements following that audit Improved info and advice available to frontline staff to enable better response to individuals March 2016 All partners Services continually improve, learn from the experience of the people they support, and become more person-centred Work to start in 2016 Completed via I Want Great care – ongoing this is an outcome within the crisis pathway money and picked up through responses from Crisis house, Acute liaison and police triage OPERATIONAL FUNCTIONS No Action Time- Led By Outcomes
1.2 Ensure that there is effective engagement and consultation with service users and carers with additional outreach to BME groups to inform service planning incorporating the 4PI’s National Involvement Standards Matching local need with a suitable range of services July 2015 CCG Mental Health Commissioning Manager in conjunction with NHfT, Northamptonshire County Council Social Care and Public Health Service Users and their Carers are engaged and involved in the on-going development and delivery of the Crisis Care Concordat Plan. Services are shaped around the needs of individuals and the population as a whole. On-going work – Development of new CCG Mental Health Strategy to commence shortly. – engagement completed, coproduced meetings going forward Reverse commissioning strategy action plan in place for NHFT 1.5 Develop improved pathways between homeless and mental health services, and substance misuse service and mental health services, including the user/ carer experience Matching local need with a suitable range of services October 2015 NCC Integrated Wellbeing team/ Public Health People benefit from joined up support across health, social care and other agencies Ongoing work 1.13 Establish a time-limited Steering Group for the implementation of the Crisis Concordat Plan, linked to the Joint Commissioning Board and the Criminal Justice Mental Health subgroup, and reporting back to the Health and Wellbeing Board Improved partnership working in March 2015 H&W Board Secretariat The Crisis Concordat Plan is implemented effectively, and there are appropriate on-going links established between strategy (through the Joint Commissioning Board) and operational issues (through the Criminal Justice Mental Health group, which reports to the Local Criminal Justice Board) Complete 1.16 Develop opportunities for partnership working between the Mental Health Crisis Concordat Steering Group and the planning and targeting of Community Fire Safety initiatives Improved partnership working in 2016 Crisis Concordat Steering Group chair Reduce risk factors using an evidence-led approach Work On-going Reviewing membership of to include fire servcie