Localities do not need to use this template if they do not wish – it is intended as a guide. Commissioning to allow earlier intervention and responsive crisis services No. Action Timescale Led By Outcomes Matching local need with a suitable range of services 1 To bid for NHSE monies in order to Create a Pilot Mental Health Crisis Helpline and coordination hub This service would operate 365 days a year and would be staffed by qualified mental health clinicians December ‘14 Telford CCG in association with Shropshire CCG and SSSFT. 1) To receive approval of outline business case in order to develop the pilot – OUTCOME ACHIEVED 2 Develop an information sharing protocol in to allow for more effective coordination of crisis responses between partner agencies – based upon the learning of the street triage pilots in which information sharing has allowed February ‘15 SSSFT with sign up from partner agencies Shrewsbury and Telford Hospitals, Shropshire Council, Telford & Wrekin Council, West Mercia Police, West Midlands Ambulance Service, Community Trust, Shropdoc 1) Improved coordination of multi-agency responses 2) Improved information sharing to allow for planned/ coordinated responses 3) Better deployment of staff to effect quicker resolution 4) Reduction in the use of 136 5) Improved multi-agency risk planning
for better decision making and collaborative responses 3 To use the mechanism of Commissioning for Quality & Innovation (CQUIN) to improve the use of Crisis Plans April ‘15 Shropshire CCG/ CCG/ 1) To have in place an agreement about the use and audit of Crisis Plans to increase their use so as to enhance service user outcomes 4 To further enhance capacity at the health place of safety through the submission of a detailed options appraisal February ‘15 to produce options appraisal. Shropshire CCG and Telford CCG to review and build into commissioning intentions 1) To increase capacity at the health place of safety 5 Review service model across Tier 3 CAMHS (including assessing the need for additional Tier 3 community provision) to allow flexibility of provision across emergency response, reaching out service and general tier 3 provision. JULY 15 Shropshire CCG, Telford & Wrekin CCG and Shropshire Community Health NHS 1) Improved overall CAMHS response and coordination to emergency assessments. 2To improve the clinical pathways across ROS, and general Tier 3 CAMHS to result in a reduction of young people entering a crisis. 7 Assess need for CAMHS short stay crisis beds (Tier 3+) including S136 facilities. Sept 15 Shropshire CCG, Telford & Wrekin CCG and Shropshire Community Health NHS Trust 1)Greater understanding o the mental health of Children and young people. If provision available, outcomes be; 1)To reduce admission to Tier 4 2)To reduce length of admission
and alternatives. Which will have a major bearing on the training needs for Police officers To ensure that the 136/ MH crisis care operational meetings discuss and learn from any operational concerns. These meetings to be set for the year and a summary of learning and other issues be presented to the MHCCC/136 strategic group February ‘15 CCGs/LAs/ SSSFT/Police Ambulance Service/Training 1) To ensure learning takes place as a result of operational concerns that may arise. 2) For any matters that cannot be resolved through the operational group be escalated to the MHCCC strategy group 3) For any changes required to incorporated into standard operational procedures and overseen by the MHCCC strategy group Police Specific – Review of 136 Detentions in Police Custody on a monthly basis and provide figures for local 136 meetings. Complete and Ongoing. Police & SSSFT 1) Ensure people who are detained in Police custody are for appropriate reasons. 2) Ensure targets set by MH Concordat to reduce detentions is adhered to. 3) Better outcomes for patients detained under 136.
experience of this vulnerable group To revise protocol regarding the management of people detained section 136 who require treatment in A&E this includes assessment of those deemed to be intoxicated, whether they are assessed in A&E or initially treated in A&E and then transferred subsequently May‘15 SATH CCGs, RAID, SATH, Police, Ambulance SATH, LA’s 1) To have an agreed protocol between SATH, SSSFT, Police and Ambulance service regarding the management of patients who need to supported in A&E 2) Revised protocol to include on-going Police support and conveyance if they then need to move to an alternative health place of safety 3) To see a reduction in the use of Police cells for intoxicated patients. Please note Mark Walters is attempting to find out from Police colleagues in the Met and Birmingham what arrangements they have in place as very few people in these areas end up in police cells even when intoxicated Police Specific, Ensure there is a protocol in place to provide a place of safety for care and subsequent Mental Health Assessment for people too intoxicated to be assessed under 136, without resorting to Police use of Custody. September 2015 SATH CCGs, RAID, SATH, Police, Ambulance SATH, LA’s 1) Following outcomes listed work with partners to explore potential use of crash pad facility, near to A&E / Raid Services, as provision for people who are non-violent and not in need of acute medical attention. Service User/Patient safety and safeguarding On the next 6 occasions when Police cells are used for 136 detentions that a Serious Incident/ Root February ‘15 Quality for Shropshire CCG Telford CCG 1) To ensure that all staff understand the requirement to prioritise efforts to eliminate, wherever possible the use of Police cells 2) To bring the learning outcomes associated with the Root Cause Analysis to the 136 operational group, the MHCCC strategic and