North Somerset Crisis Care Concordat Declaration and Action Plan October 2014 Doc Principle Current offer Gaps Actions Lead Time Progress ref frame against action as of Oct 14 A1 Early intervention - Respite 24/7 mental health Individual service placement project, to CCG (Angela Apr-16 protecting people with single point of include access in need for short Kell) whose circumstances via PCLS 8am - 8pm stay (IST 'crisis' and respite beds. NSC (Alison make them vulnerable out of hours) Community teams in place with clear pathway to step Access people for up those or down Reconfiguration within of later life CCG (Angela Apr-15 with dementia - services to allow community Kell) services to ensure particularly appropriate to clinical response before crisis and support response inpatient to need. prevent admission stays Learning and Disability early Dementia liaison post at CCG (Angela Dec-14 facilitate earlier intervention available, Weston and Hospital to enhance Kell) discharge, enhanced by new dementia intensive care for those AWP ambulance support team. crews experiencing mental health (Suzanne often Liaison have and little diversion crisis alongside physical health Howell) choice but to take service in place crises to ED Suicide Somerset Suicide NSC Dec-14 prevention group reviewing Yeo) and updating local action plan, to include adults and children Scoping feasibility of 'postcard AWP Mar-15 scheme' locally for people (Suzanne presenting with self harm Howell) Direct access for Review access routes into all AWP Mar-15 SWASFT into services to identify (Suzanne services/beds opportunities to streamline and Howell) simplify access SWASFT (David Partlow) Access for those Implementation of a pilot (via a NSC (Ted Apr-15 with dual CQUIN) mental health nurse Sherman) diagnosis CCG (Lee
North Somerset Crisis Care Concordat Declaration and Action Plan October 2014 Doc ref Principle Current offer Gaps Actions Lead Time frame Progress against action as of Oct 14 A1 Early intervention - protecting people whose circumstances make them vulnerable 24/7 mental health service with single point of access via PCLS 8am - 8pm (IST out of hours) Community teams in place with clear pathway to step people up or down within services to ensure appropriate clinical response to need. Learning Disability early intervention available, and enhanced by new intensive support team. Liaison and diversion service in place Respite Individual placement project, to include in need for short stay 'crisis' and respite beds. CCG (Angela Kell) NSC (Alison Apr-16 Access for those with dementia - particularly to support inpatient stays and facilitate earlier discharge, ambulance crews often have little choice but to take to ED Reconfiguration of later life services to allow community response before crisis and prevent admission CCG (Angela Kell) Apr-15 Dementia liaison post at Weston Hospital to enhance dementia care for those experiencing mental health crisis alongside physical health crises CCG (Angela Kell) AWP (Suzanne Howell) Dec-14 Suicide Somerset Suicide prevention group reviewing and updating local action plan, to include adults and children NSC Yeo) Dec-14 Scoping feasibility of 'postcard scheme' locally for people presenting with self harm AWP (Suzanne Howell) Mar-15 Direct access for SWASFT into services/beds Review access routes into all services to identify opportunities to streamline and simplify access AWP (Suzanne Howell) SWASFT (David Partlow) Mar-15 Access for those with dual diagnosis Implementation of a pilot (via a CQUIN) mental health nurse NSC (Ted Sherman) CCG (Lee Apr-15