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Transcript
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