Implement Single Point of Access for children & Promotion and protection of emotional and social young people with MH problems including crisis wellbeing/building resilience young people presentations. and preventing risky behaviours. Effective triage & multi-agency pathways for early detection and management of emotional difficulties and specific conditions (including harm, depression, eating disorders) Quality of treatment and care when in crisis No. Action Timescale RAG Led By Outcomes Work with SWLSG and SWL Commissioners on 2015-19 SWLSG/SWL Personalised care. 4.1 planning and developing best practice modern Commissioners Higher standard of built environment. in-patient facilities as part of SWLSG Estates Faster & more sustained recovery modernisation programme Reduced time in hospital People detained under Section 136 will be taken April 2015 Police/Ambulance/NHS Police custody no longer used for people 4.2 to a NHS designated place of safety. Under no commissioners/South experiencing a MH crisis. circumstances should police custody be used as West London and St Improved patient experience & treatment an alternative. If custody is used a full Georges NHS Trust outcomes. partnership review must take place to understand the issue and avoid further incidents occurring Mental Health Act Assessments undertaken in TBA Richmond CCG/LBRuT Parity of esteem & equity of response established 4.3 emergency departments should be completed for people with mental illness compared to people Commissioners within 4 hours of the person presenting in order with physical illness. (AMHPs)/South West to ensure parity of esteem London and St Georges NHS Trust Transitions between primary and secondary care TBA Richmond Wellbeing Clear protocols in place regarding access into 4.4 must be appropriately managed with clear Service/SWLSTG secondary care from primary care and vice-versa criteria for entry and discharge from acute care Fast-track access back to specialist care for people requiring this in the future Integration of care ensuring that a pathway of services is organised around the patient
Implement Single Point of Access for children & young people with MH problems including crisis presentations. Promotion and protection of emotional and social wellbeing/building resilience young people and preventing risky behaviours. Effective triage & multi-agency pathways for early detection and management of emotional difficulties and specific conditions (including harm, depression, eating disorders) Quality of treatment and care when in crisis No. Action Timescale RAG Led By Outcomes 4.1 Work with SWLSG and SWL Commissioners on planning and developing best practice modern in-patient facilities as part of SWLSG Estates modernisation programme 2015-19 SWLSG/SWL Commissioners Personalised care. Higher standard of built environment. Faster & more sustained recovery Reduced time in hospital 4.2 People detained under Section 136 will be taken to a NHS designated place of safety. Under no circumstances should police custody be used as an alternative. If custody is used a full partnership review must take place to understand the issue and avoid further incidents occurring April 2015 Police/Ambulance/NHS commissioners/South West London and St Georges NHS Trust Police custody no longer used for people experiencing a MH crisis. Improved patient experience & treatment outcomes. 4.3 Mental Health Act Assessments undertaken in emergency departments should be completed within 4 hours of the person presenting in order to ensure parity of esteem TBA Richmond CCG/LBRuT Commissioners (AMHPs)/South West London and St Georges NHS Trust Parity of esteem & equity of response established for people with mental illness compared to people with physical illness. 4.4 Transitions between primary and secondary care must be appropriately managed with clear criteria for entry and discharge from acute care TBA Richmond Wellbeing Service/SWLSTG Clear protocols in place regarding access into secondary care from primary care and vice-versa Fast-track access back to specialist care for people requiring this in the future Integration of care ensuring that a pathway of services is organised around the patient
Richmond-Crisis-Care-Concordat_v08.docx