1. COMMISSIONING TO ALLOW EARLIER INFORMATION AND RESPONSIVE CRISIS SERVICES Key Outcome: TO BE AGREED No. Action Lead Agency + Footprint if not North Bank Timescale Performance Indicator / Product Progress (RAG) 1.1 Informed Commissioning and Shared collection and understanding of data • Dashboard for Health and Wellbeing Board • Share Crisis Activity data (including use of S136) Review outcomes by monitoring section 136 data MH CCC Action Group Q1 Q3 Dashboard reporting to HWB Work on dashboard commenced led by HP 1.2 Partnership Working: Arrangements to be in place for escalation to more senior staff in case of disagreement. Establish multi-agency Mental Health forum / Board procedure All agencies to identify lead Q1 Clear escalation protocol in place On call management arrangements used in the interim 1.3 Partnership Working : Agreed joint protocols Develop multi-agency protocol to clarify roles and expectations of each agency based on revised MHA Code of Practice with police? Humber-wide Q2 Agreed protocol Ongoing 1.4 Safeguarding Assurance Develop appropriate reports to go to Safeguarding Boards Humber-wide Q2 Agreed standard report Work on standard report commenced led by HP 1.5 Effective services: Information Sharing Review multi-agency Information Sharing and Consent protocol Ensure front line staff understand the importance of sharing information to maintain patient, public and staff safety Humber-wide North Lincs Q1 Q3 Agreed standard report Humber wide work commenced on standard report. Local agencies to contribute
Q4 Deep dive review of agreed high intensity service users Tailor pathway for this group 3.3 Review required level of provision of S136 suites against National Guidance are they fit for managing people who are intoxicated? Are they person-centred? Do they recognise commissioning responsibilities? Patient experience on release – cost implications of return travel RDASH wide Within 3 months of publication of national guidance expected Q1 Review considered by CCC action group Protocol reviewed by s136 subgroup 3.4 Review CAMHS Crisis Response and availability of appropriate place of safety - and opportunities for cross border responses Humber wide All stakeholders Q3 CAMHS crisis response plan Work commenced on North bank 3.5 Review level of provision of AMHPs in and out of hours NLC Q1 Review considered by CCC action group Complete 3.6 Review of provision of approved clinicians and S12 doctors in and out of hours NLCCG/RDASH Q2 Review considered by CCC action group underway 3.7 Review Care Pathways for people with mental health problems who are in police custody or going through court proceedings. New Liaison and diversion services to be in place by April 2015 North Lincolnshire Q1 and agreed pathway underway 3.8 Review transport and transfer arrangements to ensure they meet the recommendations of the MHCCC: WORK TO ACHIEVE EXISTING PROTOCOLS + 30MIN TIMESCALES Regional ongoing Regional report and action plan Regional group established 4. QUALITY OF TREATMENT AND CARE WHEN IN CRISIS Key Outcome: I am treated with respect and care at all
No. Action Lead Agency + Footprint if not North Bank Timescale Performance Indicator / Product Progress (RAG) 5.1 Risk / Relapse Plans to be developed in accordance with NICE CG 136 RDASH Q1 Agreed RRP format complete 5.2 Clear criteria for entry and discharge from MH acute care as per the revised acute care pathway Q1 Criteria agreed with CCGs MDT discussions based on individual need