where possible Action complete (links to action 1013 and 3013) Improved services for those with co-existing mental health and substance misuse issues 3023 To explore Herefordshire Low utilisation of A&E for only red flag Joint discussions concluded and Green improvements for 2015 Council patients only. progress moved onto new people with provision. mental HCCG Effective and efficient Patient care, with New service has been health and assessments conducted in appropriate commissioned by Herefordshire substance misuse: settings. Council with implementation date of 1 December 2015. New action Accessing round creating new care pathways A&E. for co-morbidities. Action complete 4. Quality of treatment and care when in crisis No. Action Led By Outcomes Update Review police use of places of safety under the Mental Health Act 1983 and results of local monitoring 4001 Frequent activity Ongoing Police Regular shared information on activity Police 99% reduction in custody Green information to be and performance: detention for only S136 matters. shared at MAG of Ensure people who are detained All criminal detentions that involve • use of custody; in Police custody are for appropriate a MH assessment are reviewed to PoS. reasons assess suitability of arrest in first Achieve reduction of detentions in place. • custody by 50% compared to baseline in Police integral part of Multi agency 2011/2012. group. Monitoring of crisis management • in emergency settings Action complete
where possible (links to action 1013 and 3013) Action complete Improved services for those with co-existing mental health and substance misuse issues 3023 To explore improvements for people with mental health and substance misuse: Accessing A&E. 2015 Herefordshire Council HCCG Low utilisation of A&E for only red flag patients only. Effective and efficient Patient care, with assessments conducted in appropriate settings. Joint discussions concluded and progress moved onto new provision. New service has been commissioned by Herefordshire Council with implementation date of 1 December 2015. New action round creating new care pathways for co-morbidities. Action complete Green 4. Quality of treatment and care when in crisis No. Action Led By Outcomes Update Review police use of places of safety under the Mental Health Act 1983 and results of local monitoring 4001 Frequent activity information to be shared at MAG of use of custody; PoS. Ongoing Police Regular shared information on activity and performance: • Ensure people who are detained in Police custody are for appropriate reasons • Achieve reduction of detentions in custody by 50% compared to baseline in 2011/2012. • Monitoring of crisis management in emergency settings Police 99% reduction in custody detention for only S136 matters. All criminal detentions that involve a MH assessment are reviewed to assess suitability of arrest in first place. Police integral part of Multi agency group. Action complete Green
Herefordshire-Action-plan-October-2015.docx