1. Establish Section 12 Working group (as of the Cumbria Criminal Justice and Mental Health Steering Group) to undertake and oversee the actions included below April 2015 Suzanne Lofthouse (NECS) Group established to include representatives from the following; Mental Health Legislation Unit CPFT Access and Liaison Service Psychiatrists Cumbria Constabulary Urgent Care Team (AMHP) West Ambulance Service Acute Trust A&E Departments Section 12 Drs Commissioner of Section 12 (Cumbria CCG) Membership will be revise when group is established 2. to identify emerging issues from recent reports, publications and audits that need to be included in, or addressed through, the review of the current Cumbria Section 12 Protocol. 2015 Suzanne Lofthouse (NECS) Literary Review to include the following; Concordat Code of Practice (Revised version April 2015) Royal College of Psychiatrists guidance on commissioning services for section 136 24 Cumbria Audit (Nov 2014-Jan 2015) Operational issues reported by team members 3. Group to research and identify best practices to assist development of current Section 12 system to improved access to Section 12 Drs April 2015-March 2016 (outcome measures to be audited) Suzanne Lofthouse (NECS) Outcomes; An appropriate commissioned service providing section 12 assessments within 3 hrs target 100% Robust solution agreed across multi organisations for unscheduled assessments Better experience for patients/process resulting from increase/decrease of current provision 4. Group to implement redesign of Section 12 processes which ensure unscheduled assessments are carried out within agreed timescales (3hrs) April 2015-March 2016 (outcome measures to be audited) Suzanne Lofthouse (NECS) Outcomes; Reduce delays for section 12 assessments 5. Group to undertake a review of the training April 2015-March 2016 (outcome Suzanne Lofthouse (NECS) Group needs to establish links to Triage and Training work streams in relation to this work;
No. Action Timescale Led By Outcomes Action to capture the issues relating to crisis care arrangements for children and young people, and those in transition between services. 1. Develop the capacity in the ALIS team to triage CYP Explore a range of options to ensure Out of Hours cover for psychosocial assessments can be provided Promote training in MHA within CAMHS consultant workforce March ‘15 Dec ‘15 April ‘15 Deb Hope Greg Everatt, Lyn Moore, Surya Bhate Surya Bhate The needs of children and young people with mental health conditions, such as self-harm, suicidality, disturbed behaviour, depression or acute psychoses. To achieve clarity around the triage pathway Children and young people with mental health problems, including children in care, care leavers, and those leaving custody in the youth justice system, should feel supported and protected at all times as they are especially vulnerable. In particular, this group should have access to mental health crisis care. 2. Liaise with NHS England Tier 4 specialised commissioners to ensure that children and young people from Cumbria have timely access to the in-patient services they require Ongoing Greg Everatt For those cases where children and young people need to be admitted to hospital for mental health treatment, the Mental Health Act 200718 introduced new provisions, that took effect in April 2010, to help ensure that patients under the age of 18 are accommodated in an environment that is suitable for their age – that is, not on an adult ward, unless their particular needs made it absolutely necessary. Agreement of system-wide admissions pathways which include appropriate local interim arrangements prior to any Tier 4 admission. 3. Review the effectiveness of transition planning systems currently in place and refine where necessary Liaise with adult services to ensure that they are fully July ‘15 October ‘15 Una Parker Surya Bhate For young people in the 16 to 18 years age group, who are making transitions between services and need continuity of care, there is a risk of additional distress when they first come into contact with adult services. Adult systems and processes may not offer the level of support and care that adolescents are used to. It is important that all staff who work to support these young people should have the appropriate skills, experience and resources to support them effectively.
engaged in transition planning 4. Ensure that the transition planning process includes information for parents and carers setting out the legislative context of provision of adult services and the implications of this for parents and carers July ‘15 Una Parker Parents who have been very closely involved in the care and support of their child can also face difficulties once their child is considered to be an adult. Parents can find themselves excluded from information relating to the young person’s care unless there is consent. The need for early intervention and clarity about the role of parents in the young person’s care plan is critical. Staff should be willing to take the views of parents into account, as well as those of other people who are close to the young person. 5. Commission a Primary Mental Health Intervention Service to fulfil the function of interface between primary care and specialist CAMHS services September 2015 Greg Everatt, Una Parker To help facilitate access, there needs to be robust partnership working and communication between organisations that offer primary care to children and young people and specialist secondary care services. The focus on the interface between specialist children and adolescent mental health services (CAMHS) and primary care therefore needs to remain a central policy issue in CAMHS planning. 6. Promote the use of Early Help assessments and Team around the family approaches to ensure that all services working with a child or young person have an understanding of their role in a crisis Ongoing Greg Everatt, Lyn Moore, Una Parker, Surya Bhate Other partners, such as schools and youth services, should also be fully involved in developing crisis strategies for children and young people as they may well be the first to identify the problems that a young person is facing. The best interests of the child or young person should always be a significant consideration when services respond to their needs. Children and young people should be kept informed about their care and treatment, in the same ways that adults are.
Protocol for CRHT/ALIS within each locality. 4. Mental Health Training Plan to include ½ day session around bed identification processes (funded Spring 2016 Paul O’Donnell Simone Eagling Authority Mental Health Act Governance Office) Invitations to, and delegates from; Approved Mental Health Professionals Consultant Psychiatrists CRHT/ALIS staff Funding via pooled MH Training Budget 5. All existing MH training opportunities to be extended to all Section 12 approved doctors. 2015 Simone Eagling (Local Authority Mental Health Act Governance Office) List of all current (and future) Section 12 doctors to be added to the Mental Health Training circulation list. Link to Section 12 work stream. 6. Plan and arrange a mental health training event which focusses on the issues relating to children and young people. July 2015 Paul O’Donnell Simone Eagling (Local Authority Mental Health Act Governance Office) Invitations to, and delegates from; Approved Mental Health Professionals Section 12 doctors and GPs) CAMHS Consultant Psychiatrists Cumbria Constabulary 3rd Sector Service and Carers Event to link to CAMHS development work stream and facilitate of associated pathways. 7. Plan and arrange a mental health training event which focusses on the issues relating to Part 3 Mental Health Act. September 2015 Paul O’Donnell Simone Eagling (Local Authority Mental Health Act Governance Office) Invitations to, and delegates from; Approved Mental Health Professionals Section 12 doctors (Trust and GPs) Consultant Psychiatrists Cumbria Constabulary Courts Probation Service 3rd Sector Service Users and Carers