Homelessness and MH Housing Group Secondary MH safeguarding improvement panel Serious untoward incidents panel Improved intelligence, qualitative data and lessons learnt all used to improve services for people experiencing MH crisis 2. Access to support before crisis point No. Action Timescale RAG Led By Outcomes Improve access to support via primary care 2.1 Continue to invest in Richmond’s IAPT and Primary Care liaison service Richmond Wellbeing Service (RWS) to support people experiencing MH needs in the community and reduce the need for crisis intervention. RWS to continue to provide training and support to GP’s practice nurses and community staff in working with people with mental health RWS to continue to develop their website and on line resources for people and their families 2015-16 On going On going RWS/RCCG People with MH needs supported in community settings, reducing the need for crisis intervention. Primary care workforce better able to support people with mental needs and prevent crisis Better informed clients and carers able to access support and help 2.2 A single MH support/crisis line to be available 24/7, 7 days a week, 356 days a year May 2015 A Helpline available and well publicised among people with MH issues, carers, health and social care professionals, emergency services and the wider public A Help line profiled within the directory of services and enabled to receive referrals from NHS 111 A helpline staffed by qualified, competent and compassionate mental health professionals who are appropriately trained, supervised & supported 2.3 Suicide & Self-Harm Framework will include multi-agency action plan that will improve June 2015 Public Health Improve prevention & reduction of suicide &
Implement Single Point of Access for children & young people with MH problems including crisis presentations. Promotion and protection of emotional and social wellbeing/building resilience young people and preventing risky behaviours. Effective triage & multi-agency pathways for early detection and management of emotional difficulties and specific conditions (including harm, depression, eating disorders) Quality of treatment and care when in crisis No. Action Timescale RAG Led By Outcomes 4.1 Work with SWLSG and SWL Commissioners on planning and developing best practice modern in-patient facilities as part of SWLSG Estates modernisation programme 2015-19 SWLSG/SWL Commissioners Personalised care. Higher standard of built environment. Faster & more sustained recovery Reduced time in hospital 4.2 People detained under Section 136 will be taken to a NHS designated place of safety. Under no circumstances should police custody be used as an alternative. If custody is used a full partnership review must take place to understand the issue and avoid further incidents occurring April 2015 Police/Ambulance/NHS commissioners/South West London and St Georges NHS Trust Police custody no longer used for people experiencing a MH crisis. Improved patient experience & treatment outcomes. 4.3 Mental Health Act Assessments undertaken in emergency departments should be completed within 4 hours of the person presenting in order to ensure parity of esteem TBA Richmond CCG/LBRuT Commissioners (AMHPs)/South West London and St Georges NHS Trust Parity of esteem & equity of response established for people with mental illness compared to people with physical illness. 4.4 Transitions between primary and secondary care must be appropriately managed with clear criteria for entry and discharge from acute care TBA Richmond Wellbeing Service/SWLSTG Clear protocols in place regarding access into secondary care from primary care and vice-versa Fast-track access back to specialist care for people requiring this in the future Integration of care ensuring that a pathway of services is organised around the patient
4.5 Carers & families are supported and know who to contact at any time, 24 a day, seven days a week for fast access into services. October 2015 SWLSTG Carers offered a carers assessment and services established to meet their identified needs Carers receive information about, and referral to, services that will support the recovery and help the person they care for to stay well Urgent and emergency access to crisis care No. Action Timescale RAG Led By Outcomes 5.1 Crisis plans to be made accessible to PG OOH & NHS 111. October 2015 Sharing of patient information & more joined up working. 5.2 Work with MHCCP to progress and further improve services to adopt a holistic approach to the management of people presenting in crisis. This includes consideration of socioeconomic factors such as housing, relationships, employment and benefits. Ongoing Improved experience of services for people experiencing a Mental Health Crisis Reduction in unnecessary admissions to inpatient services * = jointly commissioned with Kingston CCG