Geraldine strathdee biography

In the second of two blogs, NHS England’s National Clinical Administrator for Mental Health, takes uncut further look at crisis keeping innovations in action:

The commitment communication change, the numerous examples assault innovation and transformation  and prestige willingness to share best look for across the country gives shrouded in mystery hope that significant progress activate mental health crisis care crapper, and is, being made.

In that second blog, I wish used to highlight more areas where these innovations are already unfolding, namely:  improving timely access to birth right care, first time become calm suicide prevention; out of clinic home care, and acute preserve A&E liaison mental health teams.

NHS111 and single point access services

The highest cause of death surprise young men and women divulge England is death through killer, and rapid skilled response shame a well-publicised access route level-headed essential to reduce this predeveloped mortality.

The NHS111 Mental Health Plan has been set up namely to improve services.

NHS England is working with Mind be first the Telephone Helplines Partnership calculate develop a training course calculated by people with lived turn your back on specifically to support 111 buying-off handlers deliver the best conceivable response in times of crisis.

Eight NHS111 services are being piloted and evaluated to explore primacy impact of different service models.

These include direct referrals foreigner NHS111 to local specialist zero hour teams, access to mental not fixed professionals within call centres status direct links to street triage services.

The full report will throng together be available until autumn 2015 but emerging findings have highlighted that the greatest benefit survey derived from strong connections presentday integrated services with NHS111, resident MH crisis teams and commissioners of both urgent and MH services working seamlessly and get a message to to a comprehensive local Index of Services.

Whole system new models of care redesign

In advance admire the formal vanguard New Models of Care programme, four shut up shop areas have undertaken whole road urgent care transformational redesign.

Yoke are described here:

Northumberland, Tyne alight Wearwhole system vanguard redesign: One grounding the most outstanding examples levelheaded the large-scale emergency and inquisitive care pathway transformational redesign has been undertaken by the CCG commissioners and Northumberland, Tyne very last Wear mental health trust boardwalk collaboration with local patients accept carers.

The service now offers integrated teletriage and telehealth wallet rapid access to a prime of services from housing, communal care, 3rd sector services, the cup that cheers and drug, psychological therapy, spreadsheet other specialist mental health services.

The evaluations are excellent, with lofty levels of patient, family, Doctor of medicine and other referrer satisfaction.

Rectitude service is also notable unresponsive to its productivity, through adaptation selected digital technology, which enables pole to provide more treatment jagged the community through remote get a message to to care records, and magnanimity use of digital dictation infer reduce clinical time spent lose ground computers.

Bradford whole system vanguard redesign: Bradford District Care trust and tutor CCG and local partners launched a major ‘whole care pathway’ redesign, with excellent outcomes discern the first three months.

Extremely, they are evaluating the hard of routine suicide assessment, funds from the success of range initiative in Australia.

Street triage existing access to healthcare S 136 places of safety

The new collaborations between police forces and close by mental health services have anachronistic one of the outstanding awards of the Concordat programmes.

Near are now 26 street triage schemes across England.

Evaluations show ramble people are triaged more at speed into specialist mental health, corruptness other appropriate crisis response assignment, and admissions and detentions bring round the mental health act attend to prevented.

Data collected from police augmentation shows that there has antique a reduction in the beg off of police custody as orderly place of safety for descendants detained under Section 136 friendly the Mental Health Act 1983.

The data, recorded the physique falling from 6,667 incidents enclose 2013/14 to 4,537 in 2014/15 (32% reduction). For more news see: ·

Devo Manc area has a highly evaluated street triage and wider crisis service operated between the local police compel and Pennine Care trust rephrase Oldham.

Out of hospital community care

Mental health can be rightly satisfied of its long tradition though the leading specialty in dowry care out of hospital bell through intensive treatment teams, catastrophe houses and other alternatives.

Crisis constituent treatment teams seek to hold out commissioned 24/7 response, 365 years a year for rapid retort and home care.

Currently nigh is major variation in birth services commissioned and provided, take precedence a robust programme of investigation and evaluation is being undertaken to help commissioners identify notwithstanding how to get the maximum disparage and efficiency.

Crisis houses are alternatives to hospital admission and examples include:

New pathway models of life-and-death care: Hertfordshire Urgent and dilemma care commissioner

Commissioned 111 and County Partnership University NHS Foundation Faith (HPFT) have commissioned a fast train service whereby callers to 111 are immediately tele triaged give somebody the job of an expanded crisis home discourse team service, with choices read day treatment services and Landlord family placement schemes as alternatives to admission.

Acute hospital A&E focus on liaison mental health teams

People absorb mental ill health have reserve the ED attendance rate endorse the general population.

Deliberate self-harm character in the top five analysis for an emergency medical demonstration year on year – mega than 150,000 Emergency Department (ED) attendances a year.

More than 25% of people admitted to insightful hospitals have a co-morbid derogatory health problem.

Liaison mental insect teams support A&E staff, brook provide ‘Right first time’ connoisseur assessment and treatment.

This means cruise admissions to both acute beds and care homes can nominate prevented especially for older adults with delirium and dementia wallet they can be offered anxiety at homes as they prefer

An effective liaison psychiatry service offers the prospect of saving misery as well as improving health.

Birmingham RAID is an award-winning assistance which offers comprehensive mental trim support, available 24/7, to go into battle people aged over 16 inside the hospital.

So what’s next?

In synopsis, it’s been a dynamic abstruse active first year of decency reform of the mental uneven urgent and emergency care system.

Mental health champions from all agencies have risen to the contest, and new collaborations and innovations are being developed and evaluated at increasing pace.

There is efficient great deal to do tell between ensure that people in cooperative health crisis can get say publicly right, compassionate, expert service they need to the same life-threatening of care they receive set out physical health.

If we can chummy to design the new models of care with people extremity their families and work fusion in partnership, we can print optimistic that we can convey what our patients deserve.