Crisis Concordat AWP Clinical Director/managing Director/Access and Monthly – Task group liaison services lead; RUH A&E Consultant; Police; – Commissioner (CCG/LA); AMPH Lead, SWAST clinical lead. Positive practice Service Background and need it Resources Impact and Sustainability addressed challenges Mental health liaison The core service has been NHS funding Impact: Has enabled Continued lack of services in the acute established for at least 8 (PCT/CCG) into the the earlier clarity nationally about trust A&E and years in the RUH. It has specialist mental health identification and how much of this – across wards been expanded over that Consultant nurse, treatment of people function should be – time to include older adults psychiatrist, psychiatric with mental health supported through the dementia and AOWA and is now joint funded with nurses, admin. problems and acute tariff. Therefore Wiltshire CCG. In addition Joint working with A&E supported diagnosis growth of service to the Intensive team in consultants. and care of meet demand reliant provides overnight cover (for clients with dementia upon mental health last two years) (with or without funding stream only. Enabled joint development of as well as Needs national risk matrix for mental health supporting discharge. clarification. clients. Increased skills Future work around Provided training for general and understanding. Parity of Esteem will Challenges: the require workforce consistent initiatives to increase implementation of skill sets of staff. processes with Recruitment of staff aligned capacity to will affect provide care within sustainability. the A&E 4 hour Reciprocal target. arrangement for
Crisis Concordat Task group AWP – Clinical Director/managing Director/Access and liaison services lead; RUH – A&E Consultant; Police; Commissioner (CCG/LA); AMPH Lead, SWAST clinical lead. Monthly Positive practice Service Background and need it addressed Resources Impact and challenges Sustainability Mental health liaison services in the acute trust – A&E and across wards – dementia and AOWA The core service has been established for at least 8 years in the RUH. It has been expanded over that time to include older adults and is now joint funded with Wiltshire CCG. In addition the Intensive team in provides overnight cover (for last two years) Enabled joint development of risk matrix for mental health clients. Provided training for general NHS funding (PCT/CCG) into the specialist mental health Consultant nurse, psychiatrist, psychiatric nurses, admin. Joint working with A&E consultants. Impact: Has enabled the earlier identification and treatment of people with mental health problems and supported diagnosis and care of clients with dementia (with or without as well as supporting discharge. Increased skills and understanding. Challenges: the consistent implementation of processes with aligned capacity to provide care within the A&E 4 hour target. Continued lack of clarity nationally about how much of this function should be supported through the acute tariff. Therefore growth of service to meet demand reliant upon mental health funding stream only. Needs national clarification. Future work around Parity of Esteem will require workforce initiatives to increase skill sets of staff. Recruitment of staff will affect sustainability. Reciprocal arrangement for
20161017_mh_strategy_15-20_final.docx