Positive practice Service Background and need it Resources Impact and Sustainability addressed challenges Mental health liaison The core service has been NHS funding (PCT/CCG) Impact: Has enabled Continued lack of clarity services in the acute established for at least 8 years into the specialist mental the earlier identification nationally about how trust A&E and across in the RUH. It has been health trust. Consultant and treatment of people much of this function – wards dementia and expanded over that time to nurse, psychiatrist, with mental health should be supported – AOWA include older adults and is now psychiatric nurses, problems and through the acute tariff. joint funded with Wiltshire admin. supported diagnosis Therefore growth of CCG. In addition the Intensive and care of older clients service to meet demand Joint working with A&E team in provides overnight with dementia (with or reliant upon mental consultants. cover (for last two years) without co-morbidity) as health funding stream well as supporting only. Needs national Enabled joint development of discharge. clarification. risk matrix for mental health clients. Increased staff skills Future work around and understanding. Parity of Esteem will Provided training for general require workforce Challenges: the initiatives to increase skill consistent sets of staff. Recruitment implementation of of staff will affect processes with aligned sustainability. capacity to provide care within the A&E 4 hour Reciprocal arrangement target. for medical liaison into mental health facilities Managing risk (and needs to be developed hospital capacity/flow) for true sustainability and for clients needing parity of esteem. a MH Act assessment – especially out of hours. Provision of a suitable environment for clients waiting for a MH Act assessment.
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 trust. 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 older clients with dementia (with or without co-morbidity) as well as supporting discharge. Increased staff skills and understanding. Challenges: the consistent implementation of processes with aligned capacity to provide care within the A&E 4 hour target. Managing risk (and hospital capacity/flow) for clients needing a MH Act assessment – especially out of hours. Provision of a suitable environment for clients waiting for a MH Act assessment. 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 medical liaison into mental health facilities needs to be developed for true sustainability and parity of esteem.
BaNES-MH-Crisis-Concordat-Review-and-Action-Plan-Master-update-10-15.docx