Download Greater Manchester Mental Health Crisis Care Concordat Action

Greater Manchester Mental Health Crisis Care Concordat Action Plan
1. Commissioning to allow earlier intervention and responsive crisis services
No.
Action
Timescale
Led By
Outcomes
Matching local need with a suitable range of services
1.1
1.2
1.3
1.4
Salford Neighbourhood April 2015
Policing Team working
with Mental Health
Professionals
Mental Health Worker
April 2015
integrated into
Trafford
Neighbourhood
Policing Team.
Dementia Alliance
On-going
Action Plan
Service User Offer
On going
Paul Mitchell,
Greater
Manchester
West
Supt Liggett,
Greater
Manchester
Police
To identify early interventions for people with MH issues to
reduce demand on police and stop individuals reaching crisis
point. Good practice to be rolled out across GM.
Band 7 and 3 workers placed in NH team looking at the top 15
individuals with MH issues who generated 546 police incidents
in one year and how they could be better supported to reduce
demand. Good practice to be rolled out across GM.
Grace Dyke,
Dementia
Alliance
Agreement secured at the SMHPE that all agencies involved in
delivery of the concordat will sign up to the Dementia Alliance
Action Plan for their agency. Some agencies such as GMP, GMW
and Public Health have already completed action plan. Working
with police to identify referral pathways and improve training.
David
Under the SMHPB and with the support of service user groups,
Wilkinson, GMP the board will identify what is being delivered matches the
requirements. There will be clear understanding of what service
users and their carers can expect from the services involved.
Improving mental health crisis services
1.5
GMP CQUIN
Till April 2016
Sandy Bering
Lead Mental
Health
Commissioner
1
To provide support to innovative projects which join together
mental health services and criminal justice services to support
improvements in patient care and reduction in unnecessary
demand.
Greater Manchester Mental Health Crisis Care Concordat Action Plan
1.6
1.7
24/7 Sanctuary
number for service
Users
Mental Health Criminal
Justice Liaison
On-going
On going
Nicky
Lidbetter, Self
Help Services
Sandy Bering,
Lead mental
Health
Commissioner
Monies Secured from NHS England to deliver a 24/7 helpline for
people in crisis.
Monies secured from NHS England to deliver a point of contact
in each area to support service users and redirect to support
services at an early stage to reduce crisis point presentations.
Ensuring the right numbers of high quality staff
1.8
1.9
Citywide Urgent Care
On going
System Resilience
Operational Group
Bolton/Salford/Trafford On going
have established
Mental Health Liaison
Meeting.
Tracey Martin,
NHS
Manchester
Paula
Solomon,
Greater
Manchester
West MH
Review of services in Manchester and improve delivery for
service users
Outcome of meetings are reported to District Management
Team
Improved partnership working in X locality
1.10
Rochdale/Bury triage
services
Nov 2015
1.11
Local Concordat
Delivery Groups
Safe Sobering Units
On going
1.12
Preparatory
stages
Umer Khan
Chief Inspector
Rochdale
Clair Carson,
Pennine MH
Clair Carson,
Pennine MH
2
Working with NWAS, MH Commissioners and MH trust to deliver
a 24/7 telephone triage service across two divisions. PC also
based at hospital to create links to the MH unit.
Local groups created in Pennine MH Trusts to deliver the
concordat locally.
Units attached to A&E to support better crisis response.
Greater Manchester Mental Health Crisis Care Concordat Action Plan
2. Access to support before crisis point
No.
Action
Timescale
Led By
Outcomes
Improve access to support via primary care
Improve access to and experience of mental health services
2.1
Personality Disorder
Multi-Agency
Development Service
On going
Andrea Lyons,
Self-help
services
Personality Disorder Multi-agency Development Service will
develop strong seamless links between mental health services
and the wider multi-agency system for the benefit of people
with Personality Disorder across Salford by undertaking a
liaison, training and awareness-raising function with key
stakeholders (i.e. Police, Probation, A&E, Housing, Drug and
Alcohol Services, Children’s Services etc.) and developing peer
networks and support for those with PD.
The aim of the service is to
 Reduce demand on inappropriate services such as
GMP, A&E, NWAS
 Improve service user experience
 Challenge stigma and discrimination around PD
 Reduce transition in people with PD to more costly
services such as secondary mental health
care/CJS/prisons by developing & providing early, low
level community-based support & peer networks
3
Greater Manchester Mental Health Crisis Care Concordat Action Plan
 Equip agencies and workforces across Salford to work
more effectively with PD through joint working and the
peer delivery of skills based educational workshops
3. Urgent and emergency access to crisis care
No.
Action
Timescale
Led By
Outcomes
Improve NHS emergency response to mental health crisis
3.1
3.2
3.3
Sanctuary. Providing April 2015
a service to people
struggling with
mental health issues
who need support
but are below the
need for section 136.
8pm-6am availability
to provide support to
people who are selfreferred or referred
from other agencies.
Salford Integrated
On-going
Prevention Hub
Dedicated support
April 2015
line available to all
GMW known service
users
Nicky
Lidbetter, Self
Help Services
City wide Manchester service. Offers phone and face to face
support throughout the night. New hours of operation: 365
nights a year from 8pm through to 6am. Referral pathways
in place with GMP’s A and E divisions, British Transport Police
and soon X Dept (motorways). Conveyancing arrangement in
place with NWAS.
Now available in Wigan and Bolton
Terri Byrne,
GMFRS
Paula
Solomon,
GMW
£491K secured to fund hub to help agencies deal with mental
health and social care issues on an integrated basis.
Provision of dedicated telephone support line providing
advice, support and sign posting to respond to known service
users who are expecting a crisis
4
Greater Manchester Mental Health Crisis Care Concordat Action Plan
Social services’ contribution to mental health crisis services
3.4
Gateway
On-going
David
Wilkinson,
Greater
Manchester
Police
Services available across the Manchester MH area have been
mapped with one portal. Work on going to create better
interface for referral from police
5
Greater Manchester Mental Health Crisis Care Concordat Action Plan
Improved quality of response when people are detained under Section 135 and 136
of the Mental Health Act 1983
Improved information and advice available to front line staff to enable better response to individuals
3.3
Oldham Telephone
Triage Pilot
Core business
3.4
24/7 access for police
to MH Trust
information
Permanent
3.5
NWAS ERISS, system
adapted for mental
health patients and
offered to mental
health trusts
On-going
3.6
Community Risk
Intervention Teams
On going
C/Supt
Hankinson,
Greater
Manchester
Police
David
Wilkinson,
Greater
Manchester
Police
Mark Parker
NWAS Mental
Health Lead
Terri Byrne,
GMFRS
6
24/7 access to mental health professionals for police officers
dealing with persons with mental illness. Improved pathways
to provide better quality support and reduce unnecessary use
of Sec 136 power. Independent assessment and good
practice to be rolled out across GM.
24/7 access to mental health professionals for police officers
dealing with persons with mental illness. This is from all 4 MH
Trusts covering Greater Manchester.
Electronic Referral and Information Sharing System (ERISS)
has been adapted for use with patients who are known to
mental health services. 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.
£3.73 Million has been secured from the Fire Transformation
Fund to recruit volunteers to assist agencies deal with low
Greater Manchester Mental Health Crisis Care Concordat Action Plan
level threats in relation to mental health issues and support
partner agencies to prevent and refer service users to
appropriate services. Pilot running in Wigan, Salford and
Manchester until April 2015 and then roll out across GM.
Improved training and guidance for police officers
3.7
Joint training
Initiative
3.8
Crisis intervention
On going
team officers. Officers
on each shift trained
to a higher level to
provide a better
quality of service in
relation to MH cases
and support to other
officers.
Training for GMP staff On going
to improve
engagement with
service users with MH
problems
3.9
On going
Steven Gerrard,
Greater
Manchester
Police
Sarah Jackson,
Greater
Manchester
Police
Response and neighbourhood officers trained with MH
professionals. This is now happening in a number of areas
across GM and the intention to ensure consistency in each
area.
The skilling up of specific police frontline response officers in
mental health issues through the development of roles akin to
the Nightingale Officer role in GMP. The creation of ‘Crisis
Intervention Officers’ whose role it will be to take more of a
lead on mental health.
Paul Mitchell,
GMW NHS Trust
Custody staff trained, all other staff on going. Evaluation in
Dec 2014. Funding till April 2016.
Improved services for those with co-existing mental health and substance misuse issues
3.10
Navigation Centre
April 2015
David Wilkinson,
Greater
Manchester
Police
7
Joint initiative between members of the Strategic
Mental Health Partnership Board to create a centre
encompassing:
Greater Manchester Mental Health Crisis Care Concordat Action Plan

One access telephone number for all 4 mental health
trusts
 An alcohol assessment and management facility
 Links to A+E and a minor injuries facility
 Liaison and diversion support
 Full MH assessment
 Co-ordination and access to inpatient MH services
 Management of section 136/135 cases
£200k has been secured from Police Innovation Fund and
£450K has been secured from NHS England.
Cohort of offenders identified being tracked in relation to
physical and mental health issues, rate of drop out from
services, access to service on release, offenders outside
threshold, services for offenders sentenced less than 12
months
3.11
Offender Health
Project
On going
Sarah Lewis,
Public Health
England
3.12
Youth custody liaison
and diversion
On going
Divisional Youth
Offending team
8
Support in custody for young people. Mental health (including
conduct disorder, emerging symptoms and multiple risk
factors for poor mental health)
Speech, language and communication needs
Attention deficit hyperactivity disorder
Learning disabilities
Learning difficulties
Autistic spectrum
Substance misuse
Physical health
Acquired brain injury
Greater Manchester Mental Health Crisis Care Concordat Action Plan
Safeguarding issues/child protection issues
3.13
Mental Diversion
Panels. Trying to
create a commonality
of process in relation
to panels across GM
On going
Peter Robinson,
Greater
Manchester
Police
9
Work has been done on standardising the processes of the
MDP. This may need the support of the board to enable
consistency across GM
Greater Manchester Mental Health Crisis Care Concordat Action Plan
4. Quality of treatment and care when in crisis
No.
Action
Timescale
Led By
Outcomes
Review police use of places of safety under the Mental Health Act 1983 and results of local monitoring
4.1
New Bolton 136 suite
and 24/7 Triage
service
Now open
4.2
New Salford 136 suite Now open
and 24/7 Triage
service
PC Nickeas,
Greater
Manchester
Police
Sgt Crofts,
Greater
Manchester
Police.
New suite now up and running. Policy written in accordance
with Concordat in relation to alcohol and also around injury.
24/7 triage service in place
New suite now up and running. Policy written in accordance
with Concordat in relation to alcohol and also around injury.
24/7 triage service in place
Service User/Patient safety and safeguarding
4.3
Missing patient
protocols
On going
4.4
North West Regional
Policy for conveying
mental health
patients
On going
David
Wilkinson,
Greater
Manchester
Police
Mark Parker
Mental Health
Lead North
West
Ambulance
Service
10
Now in place in a number of areas. Regular meetings held
policies created. Showing significant reductions in some areas.
A clear defined policy is in place with regards to the
transportation of patients with mental health needs in crisis, it
clearly defines the roles of Ambulance service, police and
mental health teams with regard to ensuring that patients
should always be conveyed in a manner which is most likely
to preserve their dignity and privacy consistent with managing
any risk to their health and safety or to other people.
Greater Manchester Mental Health Crisis Care Concordat Action Plan
Staff safety
4.5
Joint Working
Protocol
On going
John Mytton,
NHS Protect
Joint working agreement between agencies to identify points
of contacts and create understanding in terms of reporting
procedures. The document is being considered and discussed
in agencies represented on the SMHPB.
Primary care response
11
Greater Manchester Mental Health Crisis Care Concordat Action Plan
5. Recovery and staying well / preventing future crisis
No.
5.1
5.2
ACTION
Action
Timescale
Inspiring Change
Manchester
On-going
Combat Stress
Led By
Outcomes
Joint planning for prevention of crises
Darren Knight, Lottery funded pilot for complex need in the city (A & E divs) relating
to homelessness, mental ill health, substance abuse
Inspiring
On-going
Change
Manchester
Jim Battle,
Deputy PCC
Timescale
Providing support to individual suffering issues around PTSD
Led by
12
Outcomes