No. Action Timescale Led By Outcomes Lead RAG Forum 4.1 Crisis Recovery and prevention/early warning Plans Effective transitions between hospital and community, maximising resources. Discharge preparedness from secondary care, ensure recovery Ongoing focused model of crisis prevention planning in place. Individualised crisis prevention plans in place for crisis service users to encourage early warning and prevention of crisis in the Further develop individualised patient crisis prevention plans future. with the service user. BEH MHT, TB CCG’s, LA’s, Compliance with quality standards for crisis Ensure crisis plans are communicated appropriately especially Primary care and planning. within Primary Care to enable GP’s and community services to Care engage and mobilise before crisis point is reached. All users who have had in-patient stay and/or detained under MHA Explore opportunities for GP access to specialist rapid re should have a clear follow up plan referral/clinical advice to avoid potential crisis readmission regularly reviewed by the relevant care team. Plans to also include contingency planning for management of potential further crisis. People using mental health services who may be at risk of crisis are fully engaged in the development of and are offered their own crisis plan. 4.2 Pathway Development Ongoing BEH MHT, Development of co-produced plans to CCG’s, LA’s, enable independence, promote individual Primary resilience and measure/reduce the From secondary care performance reports Commissioners to Care incidence of re admissions identify any blockages/issues around discharge and transition to
No. Action Timescale Led By Outcomes Lead Forum RAG 4.1 Crisis Recovery and prevention/early warning Plans Discharge preparedness from secondary care, ensure recovery focused model of crisis prevention planning in place. Further develop individualised patient crisis prevention plans with the service user. Ensure crisis plans are communicated appropriately especially within Primary Care to enable GP’s and community services to engage and mobilise before crisis point is reached. Explore opportunities for GP access to specialist rapid re referral/clinical advice to avoid potential crisis readmission Ongoing BEH MHT, CCG’s, LA’s, Primary Care Effective transitions between hospital and community, maximising resources. Individualised crisis prevention plans in place for crisis service users to encourage early warning and prevention of crisis in the future. Compliance with quality standards for crisis care and planning. All users who have had in-patient stay and/or detained under MHA should have a clear follow up plan regularly reviewed by the relevant care team. Plans to also include contingency planning for management of potential further crisis. People using mental health services who may be at risk of crisis are fully engaged in the development of and are offered their own crisis plan. TB 4.2 Pathway Development From secondary care performance reports Commissioners to identify any blockages/issues around discharge and transition to Ongoing BEH MHT, CCG’s, LA’s, Primary Care Development of co-produced plans to enable independence, promote individual resilience and measure/reduce the incidence of re admissions
Barnet-Enfield-Haringey-10.-Crisis-Concordat-Plan-Barnet-Enfield-and-Haringey-271015.docx