allow the current CAMHS Provider (Community Children’s Health Partnership) to explore more intensive models of support and extended hours working. The pilot will be evaluated and will inform re-commissioning plans for community children’s health services. Partnership Outreach Team pilot started September 2015. B3.3 Equal access for young people Participation work is undertaken by Barnardos who are in partnership with NBT (CCHP). One area of their work is to provide engagement with ALL children and young people for all circumstances and backgrounds. NBT CCG Completed B3.4 Supporting young people in crisis Tier 1- Core ‘offer’ for counselling services to be developed for all schools. Update: Off the Record Resilience Lab has been rolled out via six secondary schools and one FE college. Lack of offer for Primary schools SGC maybe SGC Public Health (MH Prog. Lead) In progress B3.5 Tier 2 - ‘Off the Record’ currently providing a counselling service to South Gloucestershire young people aged between 11-15 years, based in three locations within South Glos. Update: service currently in 3 locations. CCG business case in commissioning round for consideration to extend to three places. SG CCG Completed but capacity issues B3.6 Tier 3 – The Community CAMHS service runs on a referral basis with resulting waiting times. The hospital CAMHS team is based at the Bristol children’s hospital and is available for assessments from 9am to 5pm Monday to Friday. Update: CCG business case in Commissioning round to maintain capacity. Transformation plan in place from 15/16 SG CCG Completed but capacity issues
support people with a learning disability. Delivery of an action plan agreed between the LD liaison nurses and the ED clinical team NBT B4.4 BME Community Knowledge and skills framework working with BME communities. training SGC workforce training team September 2015 B4.5 Improving skills & competencies of multi-agency staff to work with children and young people in mental health crisis. Multi-agency training package on Mental health in children and young people. Single workforce development offer has been scoped but needs work with comms before it is ready for promoting. SGC workforce training September 2015 B4.6 Implementation of a Mental Health & Vulnerability Strategic Board to improve the ASC response to Mental Ill Health. The board will encompass partner agencies to develop cross-agency working in tackling identified issues. A strategic oversight board within the police to ensure that all our practices serve everyone within the Constabulary’s area to the same degree of competence; With the inclusion of key partners the ability to recognise and solve issues as they develop and before they become endemic; Provides a forum to share best practice across the 5 areas that the Constabulary covers; Will feed information back to localised Concordat sub-groups. Avon & Somerset Constabulary Setting up the board – Ensuring partner – by the end of July 2015. B4.7 Provide training inputs and guidance to all ‘front line’ officers/support staff on the reporting processes to be undertaken when they identify someone in the community is vulnerable (whether through MH or otherwise). To identify those that are vulnerable or at risk of crisis through mental ill health at the earliest possible stage and signpost them to the right partnership at the right time to implement effective, targeted engagement, to prevent harm/escalation. This will empower our staff to better aid those who are vulnerable or suffering from crisis; This will increase our ability to interact and engage with groups that might otherwise be marginalised without proper insight/understanding, ensuring their voices are properly heard. Avon & Somerset Constabulary Local training ongoing. National training from College of Policing due 2016. immediate
and signposted appropriately within the NHS and Criminal Justice System. the initiative as it progresses until its conclusion B6.4 Creation of a ’Review Meeting’ within 14 days of each accepted s136 in custody to understand the circumstances leading to detention within a police based place of safety and ensuring that it falls within the ‘exceptional use ’ definition. This will be with representatives from the appropriate authority. This will ensure that the Mental Health Act is complied with along with the sentiments of the Concordat, in ensuring that the most vulnerable in our society only enter custody, when suffering from a crisis connected with mental ill health, in exceptional circumstances; To reduce the number of those detained in custody for the financial year 2015/16 to under 50% of the comparative figure for 2011/12. Avon & Somerset Constabulary Immediate implementation B6.5 Mental Health Transport Review CCG participating in the South West Mental Health Transport Review. Data to be available September 2016 B6.5 For the Constabulary to refuse any detention of an individual the age of 18 years at a ‘police based’ place of safety. Prevents any further children detained within a custody setting that are undergoing a mental ill health crisis. Avon & Somerset Constabulary To be implemented by the end of 2015 B6.6 To only accept any s136 patient within a ‘police place of safety in exceptional circumstances where extraordinary violence (or similar factor) is present. Where ‘health based’ places of safety are full, the default This will ensure that the Mental Health Act is complied with with the sentiments of the Concordat, in ensuring that the most vulnerable in our society only enter custody, when suffering from a crisis connected with mental ill health, in exceptional circumstances. Avon & Somerset Constabulary, CCGs, NHS Immediate implementation
B8. People in crisis should expect that statutory services share essential ‘need to know’ information about their needs Ref Focus Outcomes Lead By Timescales B8.1 Multi-agency information sharing Include key information with consent about mental health or learning disability needs when residents have an existing green primary care folder. 23.11.15 – no progression AWP Sirona Care & Health October 2015 B8.2 Review of how information is currently made available (or not) at the point of crisis. Ambulance crews have no access to information at point of care so may convey inappropriately to ED as they will not be aware of any care plans etc. SWAST are rolling out electronic patient clinical records which has the capability for wider system integration. 23.11.15 – no progression SWAST AWP October 2015 B9. People in crisis who need to be supported in a health place of safety will not be excluded Ref Focus Outcomes Lead By Timescales B9.1 Review of S136 provision Ongoing analysis and review of CCGs commissioned capacity in the Section 136 place of safety. Business case agreed to increase capacity for 2015/16. CCG March 2015 B9.2 Operational review of direct access to units for ambulance staff. We currently have no direct referral pathways available across most of the south west and this leads to ambulance crews seeing police support to generate 136 in order to get patients the care they need. This creates additional inappropriate 136 and police activity. 23.11.15 – See A1.6.1 re control room triage. SWAST Avon & Somerset Constabulary AWP CCG CSU October 2015 B9.3 All conveyance of those detained under s136 or s135 MHA by police, to be conveyed to a place of safety by ambulance, except in All conveyance of those detained under s136 or s135 MHA by police, to be conveyed to a place of safety by ambulance, except in extraordinary circumstances, and then with ambulance personnel within the police vehicle. Avon & Somerset Constabulary Immediate implementation