officers and ambulance staff and will act as a single point of contact. 2.2 Single Point of Access for Mental Health. Review and evaluate pilots in Blackburn with Darwen and East Lancs CCG area to understand its contribution to pre-crisis support and share lessons learned across Lancashire. The pilots aim is to have joined up working and additional support from social care and other support services e.g. substance misuse teams, as people presenting in distress are not always experiencing a mental health crisis, sometimes it can be as a result of a social crisis, family environment etc or they present with symptoms that are deemed to be more behavioural issues. These type of cases also need input and resolution. There needs to be transparency around accountability. Have clear escalation processes, and knowledge of who the decision makers are so that actions are not delayed through unnecessary administration, processes or asking the wrong people, and a timely and personalised response can result. LCFT – ( Bwd & East CCGs) LA’s & 3rd sector orgs Feb 2015. To be March 2016. Pilots in 2 CCG areas BwD and Greater Preston CCG, both to be involved with the review as they are involved with 1 of the pilots. During a meeting between BwD CCG & LCFT it was agreed that LCFT will provide more narrative on the SPOA this will be included when it is received. 2.3 Mental Health Street Triage Pilots: Mental Health workers working closely with police and ambulance staff to support patients in public places avoiding attendance to A&E department and escalation to crisis point. NWAS to be included in the street triage pathway Implement pilot (LCFT - Police) Evaluate (LCFT – Police) Police, LCFT, NWAS (AMHP April 2015. To be Pilot planned in Blackburn with Darwen and Chorley. Run pilots, review and implement learning as part of the unscheduled care review. Final model to be agreed April 2016. Street Triage pilot commenced 15/06/2015. The street triage service brings together Psychiatric Nurses to work alongside police
Include as part of crisis pathway (LCFT – BwD CCG) Implementation of Street Triage pilot commenced 15/06/2015 for Pennine Lancs. Review of pilot Sept 2015 and to inform commissioning intentions 16/17. Mar 2016. officers. The remit is to apply a multi-agency approach to the vulnerable people in crisis. So far – 75% reduction in 136/ 42% reduction in transferring of patients to A&E. A UCLAN data analyst has been recruited to capture robust data to allow the review of the impact of the pilot to be accurate. 2.4 NWAS ERISS, system adapted for mental health patients and offered to mental health trusts. This system alerts attending Ambulance crews of care plans in place and appropriate contact numbers for patients in crisis, which can reduce Emergency Department attendances. This system is available to all mental health care providers following a registration process To explore Ambulance service to have access to information around mental health issues that a child/young person may present with. NWAS LCFT, Review Mar 2016 This is subject to agreement between NWAS and LCFT and LCFT Unscheduled Care Board will need to have direct contact. System adapted for mental health patients and offered to mental health trust with a shared information governance agreement between organisations. 2.5 Access to service via police: Opportunity to improve patient care who come into contact with services via police through better partnership working between police, police liaison and diversion team, Crisis/Home Treatment Teams via ‘street triage’ and via effective 24/7 Mental Health clinical advice for police. LCFT Police April 2015 Following NHS England funding, LCFT as of 1st April 2015 have been delivering the service. It is delivering a 7 day service within all its police custody suites, this gives direct access to mental health workers for persons who are arrested. There are 30 staff in place. There is an evaluation of this service planned during November 2015 The care pathways for Criminal Justice Liaison are being defined whilst the service is being delivered. . A Physical health element of the project is currently being looked at by NHS England.
3.8.6 Develop multi-agency Police assistance for Approved Mental Health Professionals protocol Police LAs LCFT This is included in s.135/136 protocol as support to professionals where warrant not appropriate. 3.8.7 All AMHP services across local authorities will ensure attendance at bi-monthly MAOG meetings. BwD BC, LCC, Blackpool council Share ideas of improving working practices agreed cross border working arrangements for undertaking MHAAs to avoid people in crisis being passed around / between LAs 3.9 Lancashire constabulary to identify areas where joint operational arrangements need further consideration and improving and produce an action plan/report for the oversight group. Police October 2015 Review Mar 2016 Resolution of operational issues via the MAOG and the crisis concordat oversight group. 3.10 Implement safe restraint techniques into Ambulance and Police training. This work will need to include the NHS Ambulance Mental Health leads group recommendation that any patient being actively restrained will receive an immediate, high response. NWAS/ Police Mar – June 2015 Review Mar 2016 To scope viability of this type of specific training and intended outcomes. Note: awaiting update from lead.