2g Update mental health crisis resources – crisis cards, crisis plans, flyers, websites etc to ensure clarity regarding opening hours, referral procedures and eligibility criteria. Sept 2015 NELFT NELFT service directory recently published – yet to be uploaded on to websites. Other resources being reviewed and updated. 2h Ensure organisations supporting access to social networks, education, employment, training, housing, arts etc) are appropriately profiled on websites including NHS111 Directory of Services, NHS Choices and NELFT & LBWF & CCG websites May 2015 RCMH NELFT LBWF PELC NELFT’s new website has been launched with up to date information on NELFT services. 2i Evaluate pilot of increasing direct clinical input into MH Direct (24 hour crisis line). May 2015 NELFT WFCCG Business case for street triage and MH Direct submitted and being agreed with WF CCG. 2j Review referral care pathway from NHS111 and update the Directory of Services (NELFT services and relevant third sector), ensure it includes MHD Feb 2015 NELFT PELC Completed- The link from NHS111 to MHD should be clear. 2k Agree protocol to ensure consistent approach to feedback within 48 hours to referrers following assessment or a decision not to assess. July 2015 NELFT WFAABIT team respond to urgent referrals in 24 hours and non-urgent referrals within 14 days. They have a rapid notification tool for GP’s that provides outcome of assessment within 48 hours by email. Psychiatric Liaison Service to email outcome of all assessments to GP’s OA mental health services are implementing a similar process through the SDIP. 2l Review and update algorithm used by non-clinical staff responding to MH Direct calls, and evaluate impact. Monitored through CQUIN. June 2105 NELFT WFCCG This is on-going piece of work
4f Monitor and if necessary review the care pathway for Barts, SMS and PLS to address delays in MH assessments in A&E when person is intoxicated ongoing NELFT BartsH LBWF NELFT: Barts operational meeting occurs monthly Psychiatric Liaison to have full time manager and this has occurred from 12/10/15. Service User/Patient safety and safeguarding/Physical Health Care 4g Physical health needs assessed (including addressing obesity) for inpatients and to be progressed through SDIP tbc NELFT NELFT embedding new process on wards to help facilitate this as part of National CQUIN 4h Smoking cessation – addressed with inpatients as routine, and as part of a physical health care assessment March 2016 NELFT NELFT embedding new process on wards to help facilitate this as part of National CQUIN Smoking cessation clinics commenced in the CRT in September 2015 4i Operational policies (HTT and CRT) including eligibility criteria reviewed and re-issued. Dec2014 NELFT Completed : These policies have now been reviewed and re-issued. 4j Deliver the action plan from the CORE Crisis Resolution Team Fidelity Scale March 2016 NELFT Currently no update 5 Recovery and Staying Well /Preventing Future Crises No Action By When Led By Progress Joint planning for prevention of crises 5a Provide more evidence based care (family interventions) for families and carers in EIP and HTT, progressed through SDIP Dec 2015 NELFT WFCCG Completed : The psychosis recruitment has commenced which will allow increased delivery for family interventions. 5b Review discharge processes for NELFT service users that fit the criteria for support from Evolve, supporting this pathway whilst the primary care wellbeing April 2015 NELFT Crest Completed: All clients discharged appropriately to the new MH wellness service.
service is being considered and developed. 5c Increase the awareness of personalisation and use of personal budgets for those with long term mental health needs Aug 2015 LBWF NELFT On-going work within Mental health service for this and utilisation of this process continues to grow. 5d Increase the involvement of GPs in the discharge planning of secondary care mental health service users. GPs encouraged to be part of discharge planning meetings in community recovery services. ongoing NELFT WFCCG Discharge meetings are being set up in the community recovery services however minimal engagement from primary care. The primary care link worker role is being developed in the Access service. 5e Develop a Psychosis Family and Carers support and information package. May 2015 NELFT RCMH This has been produced and is being used in EIP