Enhanced partnerships and relationships across services that provide mental health support to those at risk of crisis Improve understanding of each other’s roles and remits in relation to working in mental health and mental health crisis ACTION Above set to priority 3 - Training template in place. : Training event has taken place and will continue. All providers are welcome to attend where appropriate. 1.3 Priority 1 Review current arrangements for provision of Approved Mental Health Practitioners, and support more people through approved mental health training programmes 2015/16 SCC and Northumbria University Increased number and availability of AMHPs Increased number of people with specialist awareness of mental health crisis within non mental health community teams Reduction in the length of time those in crisis wait for an assessment under the Mental Health Act ACTION Above set to priority 1 – Ongoing training with AMHPS, cost to LA if NTW to take forward. Social care training available at a cost. NTW perspective up-date required from CA and TQ. 1.4 Priority 5 Co-ordination of Northumbria/British Transport Police ensuring engagement around project or service developments that support the prevention of mental health crisis 2015/16 NTW – Clinical Police Liaison Lead Northumbria Police Greater understanding and awareness of roles across police forces Enhanced opportunities for forces to work collaboratively Creates opportunities for cross agency training Improvement in responsiveness to service users when presenting with mental health crisis Enhanced use of resources across the organisations ACTION Above set to priority 5 – Police Resource Booklet has been produced to share still awaiting police agreement –
“ I will be treated with as much urgency and respect as if it were a physical health emergency, travel safely in suitable transport to where the right help is available” No. Action Timescale Led By Outcomes 2.1 Priority 5 Eliminate the use of police custody for S136 MHA arrests 2015/16 Northumbria Police & British Transport Police Police Custody can only be used with the authority of the Duty Inspector, and only in exceptional circumstances. ACTION Above set to priority 5 - Steve Baker – MH Lead for Northumbria Police gave an update on the custody number of S136s for Sunderland (0) this year and street triage evaluation has been submitted to a medical journal and waiting publication. 2.1.2 Priority 5 Sustained reduction of the number of people who are detained by the police under S136 of the MHA 2015/16 Northumbria Police. Street Triage Pilot in South and education and awareness of alternative pathways should ensure this target is reached. Street Triage team to collate information and provide monthly reports on the South of Tyne activity relating to Section 136 detentions. ACTION Above set to priority 5 – Update – Steve Baker gave an overview of the S136s numbers for 2014/15 – numbers listed within the notes taken at the meeting. 2.1.3 Priority 1 Approved Mental Health Professionals and section 12 (2) Approved Doctor should commence the assessment within three hours in all cases where there are no clinical grounds to delay assessment 2015/16 SCC/ NTW This information will be collated by Local Authority AMHT/OOH and NTW Crisis Team Information to be fed back into Police & partners Liaison Groups on the timescale and any delays and reason for this. Information can be reviewed within each locality ACTION Above set to priority 1 - Ongoing – meetings being held to discuss the shortage around section 12 doctors. TQ gave an update as NTW using other resources -
acute staff where there are concerns around a mental health condition Enhanced levels of service to individuals Greater coordination between services Opportunities for the development of joint training Establish parity across physical and mental health ACTION Above set to priority 5 - RAID ongoing – issues to be resolved. TQ on board - evaluation extended and should be concluded by February/March 2016. 2.6 Priority 2 Review and development of CAMHS Services to inform future commissioning intentions via Strategic Partnership working 2015/16 SCCG/SCC/NTW Enhanced partnership working between agencies that support children and adolescents with mental health needs Provides focus on access, assessment, treatment and discharge and workforce development Enhanced level of services to support children/adolescents Enhanced transitions between child and adult services ACTION Above set to priority 2 – Ongoing discussion – Bids have been submitted – Eating Disorder Bid and Liaison Bid. 2 training days have been organised for Dec 15/Feb 16 – 10 schools in the pilot scheme. Training to be delivered by the Anna Freud Centre. Await outcome from NHS England. 2.7 Priority 3 Review current arrangements for the provision of Out of Hours (OOH) services across the South of Tyne 2015/16 South of Tyne Local Authorities Improved use of limited staff and financial resources Increased access to AMHPs out of hours Enhanced joint working arrangement across local authority areas
ACTION Above set to priority 3 – Ongoing. 2.8 Priority 2 Integrated working protocols across substance misuse/CAMHS/Criminal Justice, Liaison Teams and Learning Disabilities 2015 NTW Police CCG SCC YOS Enhanced communication and interagency working Least restrictive, most local and effective response to crisis interventions ACTION Above set to priority 2 – CA is leading on this – information sharing. TQ to Liaise with CA. 3. The Right Quality of Treatment and Care when in Crisis “ I am treated with respect and care and receive treatment and support, without unnecessary assessments, from people who have the right skills in a setting that suits my needs” No. Action Timescale Led By Outcomes 3.1 Priority 3 Increase awareness of, and access to interpreting services 24/7 2015/16 NTW & SCC Reduction in waiting times to access interpreting services for those from communities where English is not a first language, or for those who have other communication requirements ACTION Above set to priority 3 – Ongoing – the need for interpreting service is increasing. The group agreed we need to monitor activity & costs as it has transpired that different costs have applied to services. ACTION: JR to provide a list of costs to share with the group. Send to SD/Admin to distribute to the group via email. 3.2 Priority 5 Strengthened bed management systems within NTW 201516 NTW Reduces unnecessary delays for those requiring a hospital admission Reduces the need to place individuals out of area Increases the availability of crisis beds
ACTION Above set to priority 5 – Ongoing – issues accessing crisis beds and older people’s beds, TQ to pick this up with SC. Thresholds need to be looked at. 3.3 Priority 5 136 Suite to be staffed (to receive service users when required) by appropriate mental health staff 2014/16 NTW Appropriate and timely support to individuals in crisis who require detention within a place of safety Improved use of police resources Improved coordination of the 136 pathway Implementation of the CQC safer place to be standards and recommendations ACTION Above set to priority 5 – Due to the positive impact the Street Triage has had on reducing 136 detentions the group’s decision is to take 3.3 out. 3.4 Priority 1 Development of information sharing protocols across agencies Ongoing All Concordat Signatories Improved understanding of when it is appropriate to share information on individuals across support agencies to prevent mental health crisis Ensures that Concordat actions can be achieved by collaborative working within legal frameworks Reduces need for individuals to be subject to multiple assessments Mental health professionals have access to timely and relevant information to aid in support planning Enhanced outcomes for service users and prevent crisis where possible by information sharing. Shared Care Plans/Relapse Plans/Recovery Plans/Harm reduction Plans instead of agencies working in silo’s to manage risk.
“I am given information, and referrals about services that will support my recovery. I am supported to reflect on the crisis and develop a plan for how I wish to be treated if I experience a crisis in the future. I am offered an opportunity to feedback to services my views on my crisis experience” No. Action Timescale Led By Outcomes 4.1 Priority 5 Agreement of governance arrangements for the delivery and monitoring of the Concordat Action Plan 2015/16 CCG in partnership with concordat signatories Ensures robust governance arrangements to deliver the Concordat Acton Plan with accountability and regular progress reporting at senior level within respective organisations Streamlining of current Mental Health partnership arrangements Enhanced understanding of mental health issues across a wide range of organisations Mapping exercise to take place to look at meetings structures and governance in locality and region. ACTION Above set to priority 5 Governance in place. CA to leading on this. 4.1.1 Priority 5 Concordat delivery to be regularly reported via local Health and Wellbeing Board Ongoing reports from 2015/16 SCCG/SCC HWB receives regular reports on progress in achieving actions within the Concordat Plan ACTION Above set to priority 5 Ongoing. 4.1.2 Priority 5 Continue to evaluate the data sets to capture information relating to Section 136 of the MHA and Street Triage 2015/16 Northumbria Police/British Transport Police & NTW Data Sets should set locally and achieve at least the national minimum standards data set for Street Triage. All agencies data collection must improve as per the CQC Safer Place to be standards as around Section 136, needs to be collated by Crisis Teams (NTW). ACTION Above set to priority 5 Move to Street Triage. 4.1.3 Priority Formalise the debrief/learning 2015/16 NTW, Local Authority & Police Forces. Agree a multi-agency involvement and what the formalise de-brief or review process will be, following incidents.
Enhancing access to mental health services for ambulance crews to refer patients who are in first time crisis. Ambulance services having access to alcohol and substance misuse services for urgent referrals and knowledge of how to engage these appropriately. Work with partners across; primary care, out of hours, Mental Health Trusts, Police and 3rd Sector to support people in crisis. Alcohol and substance misuse services LAT’s, CCG’s and LMC’s A reduction in ED attendances for patients with chronic drug and alcohol problems Enhanced out of hour’s provision for mental health patient is required to support ambulance services. Ensuring the right numbers of high quality staff
Improved information and advice available to front line staff to enable better response to individuals 3.15 Development of a web based portal which is region wide and has interoperability in order to share information across agencies such as mental health, police and social care. April 2016 HSCIC MH strategic network This will enable to sharing of information and care plans to enhance management and experience of mental health patients Improved training and guidance for police officers 3.16 This could be extended to Ambulance staff Completed by April 2016 Acute Mental Health Trusts Improved assessment and experience of patients who are responded to by the 999 or 111 service 4. Quality of treatment and care when in crisis Staff safety NEAS staff to undergo annual conflict resolution training To be completed by April 2016 Staff will be provided with the skills to resolve conflict therefore enhancing their safety when dealing with mental health patients