emergencies, including patients detained under the MHA are responded to appropriately. Appropriate health care transportation will be commissioned and provided for all mental health transport (this will include additional support for non-compliant patients and secure transport) Police are requested to assist in only the most exceptional cases where there is no other safe means. SCAS will comply with National protocol for the transportation of S136 patients, which provides agreed response times and a standard specification for use by CCGs appropriate vehicles depending on the individual need at the time. This action will continue to be monitored throughout the year 3.2 Mental Health Practitioners to work as part of the team in the Emergency Operations Centre offering 24/7 assistance (ambulance control room; 999 and 111). This new service has been commissioned with Oxford Health providing clinical input to the control room Green 3.3 Medical Input to Mental Health Act Assessments (MHAA) For OHFT to produce a rota of Trust S12 doctors who are able to respond to MHAA out of hours. For Trust doctors to prioritise attendance at MHAA for known patients. NHS England to maintain a list of S12 approved Doctors, and distribute to relevant parties. OHFT have a rota of S12 doctors in place. Green 3.4 Timely access to inpatient resource S140 protocol developed which clarifies arrangements for the admission of patients where there is no local bed availability. To specifically explore the option of making an application to the relevant local mental health inpatient unit even if no identified bed. Out of area treatment beds are only used in extreme circumstances. Further work is taking place to ensure that a robust S140 protocol is agreed and in place Amber
This should include detained people under the sections 47/48/49 of the MH act and AMHP responsibilities under S13 MHA Use of ‘out of area’ acute inpatient resource is monitored with regard to impact on service users and families. Discharge pathway arrangements including for the funding and availability of aftercare services is clarified. 3.5 Mental Health / Acute Medicine interface Psychiatric In Reach and Liaison Service continues to provide timely assessments for patients presenting to the Emergency Departments medical wards, and provides information and advice regarding relevant legal frameworks. Adult Mental Health Teams continue to offer a crisis care home treatment service as part of the integrated health and social care teams PIRLS is in place, providing a service to both Stoke Mandeville Hospital and Wycombe General Hospital. The crisis team function now forms part of the remit of the Adult Mental Health Teams Green 3.6 Mental Health Training All organisations within Buckinghamshire are able to access appropriate mental health training. Statutory organisations have access to mental health training at various levels. A review of training availability for third sector organisations need to be completed 4.1 Place of safety Partners will work together to ensure that custody is only used as a of safety on an exceptional basis (below5%) We have seen considerable improvements with The Whiteleaf Centre being able to offer places of safety in the majority of situations Green 4.2 Restraint All who have direct patient contact at The Whiteleaf Centre will have received training in restraint and breakaway techniques Restraint and breakaway training is part of the routing training for all Oxford health frontline staff