Area 8: Section 136: Police and mental health professionals police and mental health providers should follow the London Mental Health Partnership Board section 136 Protocol and adhere to the pan London section 136 standards has been progress in this area through joint work across AMHPS, Street triage, HTT etc. SLaM proposing centralised approach to s136 suite provision – March 2016. Southwark and Lambeth Scrutiny – 2016. Potential to link Triage to A&E attendance to secure a better provision when they arrive at KCH (i.e. A&E Consultant and PLN primed to ensure a timely response to those with a physical issue). Improve access to S136 place of safety SLaM / LBL QUALITY OF TREATMENT OF CRISIS CARE Area 9: Crisis houses and residential alternatives - Commissioners should ensure that crisis and recovery houses are in place as a standard component of the acute crisis care pathway and people should be offered access to these as an alternative to or when home treatment is not appropriate LLWC undertook review during 2013, report on collaborative web site. There is 24/7 supported housing, hostel provision which are used on an ad hoc basis for out of hours placements. Agreed to prototype crisis house provision with VCS lead (Living Well Partnership – LWP) from May 2015. This will be open 5 nights per week from May 2016 Testing on basis of two evenings per week, 18.00 p.m. to 2.a.m targeting people attending A&E and those people under HTT. Improve out of hours provision for people in mental distress. Improve integration of services; HTT, CMGT, 24/7 helpline Living Well Partnership/Mosaic / NHS Lambeth CCG Area 10: Crisis resolution / Home treatment teams People should expect that mental health provider organisations provide crisis and home treatment teams, which are 24/7 not in place. 08.00 – 22.00 coverage put in place as a result of AMH redesign. AMH commissioning intention to extend HTT coverage during 2016/17 by extending to 24/7 as part of extended AMH redesign SLaM consulting on proposal to develop a centralised approach to place of safety early 2015. Extend HTT Improved interface between out of hours support – HTT, LWP SLaM
accessible and available 24 hours a day, 7 days a week, 365 days a year Lambeth, Southwark, Lewisham and Croydon CCGs in negotiation with SLaM on extension of AMH redesign to include 24/7 HTT coverage – 2016. From 2015/16 we have funded 2 x Band 7 Crisis Care nurses to increase capacity and out of hours service in the CAMHS community team, and provide early morning in reach into hospital to see CYP following a self-harm admission. These will be recruited and in post from April 2016. RECOVERY AND STAYING WELL Area 11: Crisis care and recovery plans - all people under the care of secondary mental health services and subject to the Care Programme Approach (CPA) and people who have required crisis support in the past should have a documented crisis plan Weak area requiring improvement. Recent SLaM audit highlighted poor crisis care provision within CMHTs. Limited progress on advance directives. Development plan in place within Promoting Recovery Teams (PRT). training as part of SLaM AMH redesign programme. 300 voices training and development has CQUIN incentive Integrated Personalised Support Alliance (IPSA) Rehabilitation Team in to CMHTs As part of the CAMHJS Transformation review, we will be reviewing provision of CAMHS including added capacity of 2 band 7 Crisis care Nurses. SLaM / IPSA / NHS Lambeth CCG Area 12: Integrated care - Services should adopt a holistic Good progress on developing holistic approach to supporting people – AMH and LWN ; LLWC Information and communications group to develop (design) further information (including
approach to the management of people presenting in crisis. This includes consideration of possible socioeconomic factors such as housing, relationships, employment and benefits prominent role of VCS in LWN and supported housing ; of employment/vocational support initiatives and housing with further work planned ; IPSA targeting revolving door complex needs people. Range of information sources including – MAP CAG Talking therapy; MIND; LLWC web site administered by LWP; My place platform. web based) to support changing service offers. Roll out personal buddy information packs via LWN from Dec 2014. Joint working commenced with Lambeth Housing (and Lambeth Living) on housing supply; allocation and management. working underway with JCP, DWP and Lambeth Council (employment and growth team) – agreed colocation of case workers at LWN from July 2015. LWN has agreed partnership arrangement with JCP involving of staff with JCP which will support employment pathways. NHS Lambeth CCG funding agreed for 16/17 toward financial resilience strategy led by Lambeth Council – provision of Every Pound Counts service within primary care, LWN and CMHTs Training for 300 JCP work coaches Training for 90 housing managers Increased income maximisation for clients through JCP 400 people per receive early support from the LWN.