s16878.pcdn.co · Web view£200k has been secured from the Police Innovation Fund and £450K has been secured from the Mental Health Resilience Fund for CCGs. £200k was given to

Greater Manchester Mental Health Crisis Care Concordat Action Plan

1. Commissioning to allow earlier intervention and responsive crisis services

No. Action Timescale Led By Outcomes Comments RAGMatching local need with a suitable range of services

1.4 Service User Network Forum

On going Laura MercerOPCC

Service User Network Forum themed events will be run across GM periodically to ensure that the user voice continues to inform the Concordat work.

Themed events will be held so service users from across GM can have the opportunity to share their views which will be gathered and embedded in the GM Crisis Care Concordat Action Plan. Health Watch will be providing an input also.

1.5 Autism Awareness

On going Adele Owen GMP officers will be more Autism aware. GMP has a signed off 2 hour stand-alone Autism/ Neuro Diverse training package. The National Autistic Society has seen the package and are very complimentary of it. Other Police Forces have requested it. This training package has been delivered to the OPCC Custody Volunteers and 250 Police Specials. It is also due to be delivered to the new recruits over the next few years. Roll out to front line staff is under consideration. GMP are also in talks with the National Autistic Society to be a Pilot Force along with two other Forces to work to specific autism standards. As of January 2017, these plans are still under discussion.

1.6 Suicide Prevention

January 2017 Andrea Fallon GM Suicide Prevention & Bereavement Support Action Plan to be in place.Local SP Action Plans also in place.

The draft GM Suicide Prevention Executive Action Plan was adapted to take into account the revised National

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Suicide Prevention guidance published Autumn 2016, ensuring the GM Plan met the National expectations. There was a GM launch event for the National guidance with all GM Boroughs held 4th Nov 2016 to share the recommendations as they produce their local plans. A GM Suicide Prevention Conference is planned for May 2017.

1.6.2 Suicide Bereavement Support

On-Going Nicky Lidbetter, Self Help

Suicide Bereavement Support A Bereavement CoursePostvention Support Group is run by the charity Self Help.

1.7 CYP Mental Health

Timescale to be confirmed

Sara Barnes Description of service offer to Mental Health Implementation Executive, to include:

To co-produce and articulate a multi-agency and single system response that maps onto the Thrive model for CAMHS; developing an emotional well-being and mental health service for children, young people and those who care for them that is supported by locality wrap around service and provision that seek to prevent a journey of escalation and/or increasing severity and complexity.

The key principles of the emerging pathway are described below:

GETTING ADVICE (COPING) - Prevention services across 7 days accessible through a range of

The final offer is still being drafted and is also linking in to the work underway on the review of Children’s Services.

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mediums and in a range of settings

GETTING HELP - Early Intervention and improved and timely access to support for a young person in distress. Aimed at reducing risk and enhancing early interventions. This evidence based approach will be underpinned by enhanced training and support for multi-agency teams who may be first responders or who are already engaged with the young person.

GETTING RISK (INTENSIVE) SUPPORT – A flexible crisis response with access to risk assessment, advice and support 24:7 from a confident and well trained multi agency workforce with access to appropriate hospital and community based places of safety and/or intensive home treatment teams who can support young people in crisis in their own homes.

GETTING MORE HELP - Follow up and prevention of future crises through effective multi agency care planning, improved access to evidence informed interventions and increased delivery of help in community settings including a young person’s home.

Improving mental health crisis services

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1.15 Local Concordat Delivery Groups

On going Karen Maneely, Pennine MH Regular partnership

meetings take place however the frequency of these meeting differs from borough to borough and was mutually agreed. Updates from each meeting are feed in to the Bi-Monthly Trust wide Partnership Meeting. Membership of these groups are revised annually. The Concordat action plan is discussed and updated in each meeting. This action links to 1.14b.

1.15a MMHSCT Local Concordat Delivery Group

On going Glyn Hulme Group established at MMHSCT to oversee concordat Delivery

Improved partnership working in X locality 1.16 Rochdale/Bury

triage servicesOn going Umer Khan

Chief InspectorRochdale

A 24/7 MH Telephone Triage phone line service across two divisions. Working with NWAS (North West Ambulance Service), MH Commissioners and MH trust. PC also

24/7 Street Triage Scheme

The Mental Health RAID team covers Rochdale and Bury, providing 24/7 advice and support to frontline officers attending incidents involving people with mental health issues.

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based at hospital to create links to the MH unit.

This scheme is a collaborative initiative funded by the Rochdale CCG - supported by Pennine Care - GM Ambulance Service and the PoliceEvaluation parameters have been agreed, providing the success is replicated, the intention is to transform this into core serviceRochdale MH Crisis Care Concordat Group is in place and action plan includes adoption of a 'single door referral pathway'.

1.17 Safe Sobering Units

Preparatory stages Karen Maneely, Pennine MH

Initial engagement has taken place in all 3 acute trusts to scope out model and location of safe and sober units.

Units attached to A&E to support better crisis response. This action forms part of the CQUIN schedule for 2015-16. A dedicated project manager, senior nurse, is leading on this project with quarters 1 and 2.A large scale engagement and scoping exercise has been undertaken as per the CQUIN across the Pennine footprint with a range of partners to gain a detailed insight into the views of a wide range of stakeholders with regards to issues, pressures, gaps in services and to discuss potential solutions specifically relating to pressures placed on urgent services including the police, ambulance and A&E by people who are intoxicated with minimal or no other identified health need.

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In each borough stakeholder group/s were convened with key individuals invited from the relevant organisations including; Acute Trusts, GMP, NWAS, street pastors/ angels, PCFT, commissioners, local alcohol service providers and public health colleagues. The aim of gaining an insight into each organisations priorities with regards to alcohol related demand, existing service provision and plans for short term development, needs across the boroughs and pressures/ demand on services. It is acknowledged that further engagement work would be required with service users and patients if commissioners wanted to proceed with developing new service models.

It was evident in all boroughs that the development of a specific clinical Safe and Sober model/ service as outlined in the initial CQUIN schedule would not deliver the required outcomes to meet the presenting issues, nor would it be feasible within the current configuration of the hospital estate nor would it be financially viable for the levels of need and unpredictable demand. Therefore the scoping focussed on what services/ interventions could be developed to meet the local needs and compliment existing service provision/ local strategy. An end

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of year report was presented to commissioners which recommended considering expanding schemes such as the street angels/ pastors and also consider the approach taken in Tameside and Glossop with regards to licensing etc.

1.18 Information sharing protocol with GPs

Suggested action Sandy Bering To enhance the support in place before crisis, agreed information sharing/confidentiality protocols should be in place with GPs, recommendations from DVHR’s should be linked in and mutual referral processes should be in place for identified individuals in need of support.

Being set aside for scoping and options appraisal.

2. Access to support before crisis point

No. Action Timescale Led By OutcomesImprove access to support via primary care

2.0 Peer Support A&E Volunteer Service

Joanne Harding, Self Help

The Peer Support A&E Volunteer Serviceprovides volunteer support in A&Edepartments to clients awaiting a mental health assessment.A&E departments often have longwaiting times and the waiting areas can be stressful environments. This

Peer Support A&E Volunteer Service is being introduced with consideration of roll out after evaluations are completed.

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service aimsto alleviate any additional distress thata person may experience.The service also aims to stop clients fromleaving the emergency department prior to assessment.Peer support volunteers are able to workwith clients to create a care plan, tailoredto their needs, which decreases thelikelihood of them having to visit A&E in afuture crisis.

2.1 Business case submitted to CCG for city-wide roll-out of successful Shared Point of Access pilot in Salford South, involving all Salford IAPT providers in order to improve waiting times and recovery rates.

March 31st, 2016 Judd SkeltonCommissioner-led in partnership with GMW (Alison Harris –clinical lead for Salford Primary Care Psychological Therapies Service) and other providers

Roll-out to take place form 1st April, 2016 if recurrent funding is secured.

Access to Primary care NICE-recommended psychological therapies for common mental health disorders already available primarily through GP referrals to Six Degrees CIC or the GMW-provided Salford Primary Care Psychological Therapies Service. (However, this service cannot be seen as a step-down service for patients still at risk of

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suicide).2.2 Guardian Angel Dementia

Buddies devices Ongoing Peter Harrison

(Wigan borough CCG)

Wigan CCG, GMF&RS and GMP are supporting the Good Deeds Charity with raising awareness of Guardian Angel Dementia Buddy devices. GMF&RS have covered funding costs for each person in the Borough with a dementia diagnosis to be given two devices of their choice, as part of the Dementia Friendly Communities programme. Devices (badges, bracelets, bag tag or key rings) are chipped and readable from most mobile phones when the NFC setting is open, providing a name and an emergency carer contact number once scanned.

The devices will assist Police, NW Ambulance Service, Fire Service and members of the public to contact family members promptly for people with dementia who may be found confused and alone rather than take to an A/E department.

2.3 Raising awareness in GMP of Guardian Angel Dementia Buddy devices.

Ongoing Adele Owen (GMP) in support of Mike Aldred of the Good Deeds Trust Charity

Dementia Buddy devices awareness in GMP

A 5 minute video box about the devices has been created and is accessible to all GMP Personnel on the GMP Intranet

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2.4 Raising awareness in GMP of Guardian Angel Dementia Buddy devices.

On-going Paula BreezeGMFRS (Fire & Rescue Service)

GMFRS to have access to the 5 minute video box about the devices

Improve access to and experience of mental health services3. Urgent and emergency access to crisis care

No. Action Timescale Led By OutcomesImprove NHS emergency response to mental health crisis

Social services’ contribution to mental health crisis services3.1 `` ```

4. Improved quality of response when people are detained under Section 135 and 136of the Mental Health Act 1983

4.4 NWAS ERISS, system adapted for mental health

On-going NWAS(Point of contact TBC)

Electronic Referral and Information Sharing System (ERISS) has been adapted for use with patients who are known to mental health services. This system alerts attending Ambulance crews of care plans in place and appropriate contact numbers for patients

The ERRIS system is ready to be implemented with Mental Health Trusts, this allows mental health providers to alert NWAS of care plans regarding MH patients, the

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patients and offered to mental health trusts

in crisis, which can reduce Emergency Department attendances.This system is available to all mental health care providers following a registration process.

attending ambulance crews are alerted to the fact patients have care plans in place and are therefore able to adhere to the care plans and advise police, who may be present, accordingly.We are able to conduct demonstrations of this system, then we can facilitate the registration process and provide training, the system and all training involved is free of charge.Now available to access.

Improved training and guidance for police officers 4.8 Police Crisis

Intervention Officers (CIO’s)

On going Paul NickeasGreater Manchester Police

The skilling up of specific police frontline response officers in mental health issues through the development of roles akin to the Nightingale Officer role in GMP. The creation of ‘Crisis Intervention Officers’ whose role it will be to take more of a lead on mental health.

North Manchester Division initially trialled it with a small number of officers. Bolton have recently provided enhanced training (CRADLES) to 160 officers.A randomised control trial is planned by GMP and evaluation outcomes will determine whether training is rolled out across GM.

Improved services for those with co-existing mental health and substance misuse issues 4.11 Youth custody

liaison and diversion. To ensure that there are clear care pathways for those aged

On going Divisional Youth Offending teams

Peter Robinson,Criminal

Support in custody for young people with mental health conditions.

Early stages of clarification of current landscape.

Integrated Healthcare in Custody will begin in GMP on 1st Feb 2017. Liaison & Diversion will follow.

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16- 18 years of age with mental health conditions.

Justice Vulnerability Officer,Greater Manchester Police

5. Quality of treatment and care when in crisis

No. Action Timescale Led By OutcomesReview police use of places of safety under the Mental Health Act 1983 and results of local monitoring

Service User/Patient safety and safeguarding 5.4 Missing

patient protocols

On going Adele Owen, Greater Manchester Police

Now in place in a number of areas. Regular meetings held policies created. Showing significant reductions in some areas.

In place on a number of divisions. Regular local partnership meetings are also held. Significant reductions in missing person reports from hospitals in some areas.

January 2017- A GMP review is taking place to address the current numbers of patients reported missing from hospitals.

GMWPENMMHOther

5.5 North West Regional Policy for Conveying Mental Health Patients

On going North West Ambulance Service

A clear defined policy is in place with regards to the conveyance of patients with mental health needs in crisis.

A clear defined policy is in place with regards to the transportation of patients with mental health needs in crisis. It clearly defines the roles of ambulance service, police and mental health teams with regard to ensuring that patients should always be conveyed in a manner which is most likely to preserve their dignity and privacy consistent with managing any risk to their health and safety to other people and to other people. The current policy also includes time frames for a response.Jan 2017- Regional Police Forces signed up to the Conveyance Policy have agreed its contents for further sign off but there have been delays with NWAS due to staff

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changes. NWAS now want to amend contents to remove time frames. NW Police have asked for further negotiation before they will agree to changes proposed but continue to work to the last Policy.

Staff safety5.6 Joint Working

ProtocolOn going John Mytton,

NHS ProtectNational Guidance and a Joint working agreement between agencies to identify points of contacts and create understanding in terms of crime reporting procedures.

Guidance is soon to be shared nationally but local buy-in will need to be agreed.

Primary care response6. Recovery and staying well / preventing future crisis

No. Action Timescale Led By OutcomesJoint planning for prevention of crises

6.2 Military Veterans Mental Health Services

On-going Claire Carson of Pennine has the GM Contract.

Combat Stress presentation to SMHP Board- 31st March 2015.Board members asked to ensure there is signposting for support for ex-service personnel in their own organisations and for service users.

Update from Jane Arands and Alistair Dawkins

RH sent email request 8.12.15

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GMP Police Custody suites are aware of this charity and the Live at Ease charity for signposting and referral purposes.Pennine Care run a Military Veteran’s Mental Health Service for GM.

6.3 Pennine Service User/Carer Advice Line

Preparatory Stages

Clair Mcguire

An advice and support line is now available for all patients open to Pennine Care mental health services (over 16). This commenced 1st December 2015. It is important to stress that whilst the phone line is open to all Pennine care mental health patients over 16 there is a target group that it is designed to support as below:

Those patients who frequently place demands on mental health and urgent care services often requesting more routine advice that could be more appropriately managed elsewhere and also those patients who would benefit from an additional support mechanism built into their care/ crisis/ relapse prevention plans. A briefing note has been produced for all staff for discussion with

Through a CQUIN proposal the idea to develop a service user helpline for the population of Pennine Care NHS Trust is to support this group before a crisis arises. This line will be marketed to replace existing services such as the Samaritans but will offer help and advice to service users and carers- known or unknown, who may need some help to prevent a crisis occurring. This will sit separately from the 24/7 police triage process but should aid in the reduction of numbers of crisis in each Borough if prevention tools are made available.

A review of the advice and support line was completed and submitted to commissioners at the end of Q1 for their consideration. The line is still operational and is staffed by exiting staff or with bank and agency workers.

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relevant patients.

6.4 Partnership Agreements between GMFRS 90 (Fire & Rescue Service) and the four Mental Health Trusts across GM

On-going Paula BreezeGMFRS

GMFRS have active partnership agreements with the four mental health Trusts across GM. This includes reciprocal referral pathways and reciprocal training with front line staff from all organisations so that people with mental health needs have access to fire safety advice as part of safe and well visits and GMFRS can share relevant information with mental health services.

Partnership agreements have been signed with all four MH trusts and these are in delivery. Data on numbers of safe and well visits booked are produced monthly and steering groups meet regularly.

6.5 GMFRS Safe and Well visits


GMFRS include questions about mental health within safe and well visits. GMFRS staff offer brief advice, signposting and referrals where appropriate to partner agencies. GMFRS staff are using the 24/7 triage telephone numbers and signposting the public to The Sanctuary, Self-Help and the Samaritans.

All GMFRS personnel now deliver Safe and Well visits which have replaced the previous Home Safety Checks. Safe and Well training is being rolled out to staff across GMFRS. GMFRS have Community Resource packs available for staff involved in Safe & Well Visits.

6.6 Mental Health and Suicide Prevention


GMFRS Prevention staff and some fire fighters have received the following:

GMW are producing an online dementia awareness resource for emergency services as part of the CQUIN. All GMFRS frontline staff are having face to face training about

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Training for front line GMFRS staff

Mental Health First AidMental Health Awareness delivered by PALS at PCFTDementia Awareness (GM CQUIN)Communicating with People who have mental health needs (GM CQUIN)

how to have conversations about health and wellbeing. Buzz from MMHSCT have been commissioned to deliver this training. (Sept 16 – March 17)GMFRS to produce/source mental health awareness and suicide prevention training for fire fighters.All GMFRS personnel to receive dementia friends training (2016 -17)

6.7 GMFRS Strategy and Guidance documents

On-going Paula Breeze GMFRS

GMFRS are updating their Health and Wellbeing Strategy and writing a new Suicide Prevention guidance document for staff. This is for personal reference and for use when working in the community.

GMFRS have a Health and Wellbeing team and have recently recruited an Occupational Psychologist to support personnel.

6.8 GMFRS responding to Concern for Welfare on behalf of GMP

On-going Terri ByrneGMFRS

Operational fire fighters in Wigan, Salford and Wythenshawe stations respond to Concerns for Welfare on behalf of GMP

Fire fighters respond to non-crime related incidents and in some cases this means that GMP do not need to deploy an officer. Evaluation on-going and will inform the roll out across GM.

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2. Commissioning to allow earlier intervention and responsive crisis services

No. Action Timescale Led By Outcomes Comments RAGMatching local need with a suitable range of services

1.1 Salford Neighbourhood Policing Team working with Mental Health Professionals

April 2015 Claire FrazerGreater Manchester West

To identify early interventions for people with MH issues to reduce demand on police and stop individuals reaching crisis point. Good practice to be rolled out across GM.

The neighbourhood work in Salford is now being managed by the local Criminal Justice Liaison team.Salford will soon be following in the footsteps of the Trafford pilot with an integrated MH Nurse.

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1.2 Mental Health Worker integrated into Trafford Partnership Team.

April 2015 GMW and Supt Liggett, Greater Manchester Police

Band 7 and 3 workers placed in NH team looking at the top 15 individuals with MH issues who generated 546 police incidents in one year and how they could be better supported to reduce demand. Good practice to be rolled out across GM.

Evaluation completed. Agreement made to extend contract in Trafford due to success. (The SMHP Board has agreed for similar models to be rolled out across GM). An Alcohol & Drug worker is also now commissioned and in place working alongside the MH Worker.

1.3 Dementia Alliance Action Plan

Completed Sue ClarkeDementia Action Alliance

Agreement secured at the SMHPE that all agencies involved in delivery of the concordat will sign up to the Dementia Alliance Action Plan for their agency. Some agencies such as GMP (Police), GMW, GMFRS (Fire & Rescue Service) and Public Health have already completed action plan. Working with police to identify referral pathways and improve training.

All organisations are signed up.January 2017- Organisations will look to support the aims of Dementia United.

Improving mental health crisis services1.8 Integrate the work of the

Crisis Care Concordat into a wider Greater Manchester Mental Health Strategy

On-going Warren Heppolette

GM Health and Social Care Devolution includes Mental Health as a priority and a Strategy is in place.

Strategic Mental Health Partnership Board & Executive are now in place and own, develop and drive the strategy.

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Strategy to provide a whole public service approach to mental health taking advantage of the GM Devolution Agreement and integrating with the GM Public Service Reform agenda particularly around Complex Dependency

1.9 The Sanctuary – 24/7 phone line24/7 Sanctuary number for service Users

Complete Nicky Lidbetter, Self Help Services

Project Mobilisation Plan is now in place for 24/7 phone line.

Communications and marketing strategy is in place.

1.10The Sanctuary – night time service.Providing a service to people struggling with mental health issues who need support but are below the need for section 136 MHA. 8pm-6am availability to provide support to people who are self-referred or referred from other agencies.

On-going Nicky Lidbetter, Self Help Services

The Sanctuary is in place in three areas at this time. City wide Manchester

service. Offers phone and face to face support throughout the night. New hours of operation: 365 nights a year from 8pm through to 6am. Referral pathways in place with GMP’s A and E divisions, British Transport Police and soon X Dept (motorways). Conveyancing arrangement in place with NWAS (North West Ambulance Service).Awaiting confirmation of future commissioning intent. Joint provider and commissioner meeting to be held on 14/12/2016.

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1.11 MH Criminal Justice Liaison Completed Sandy BeringGM Lead MH Commissioner

A phone point of contact for emergency services in each area to support service users and redirect to support services at an early stage to reduce crisis point presentations

Monies provided from Mental Health Resilience Fund for CCG’s to deliver a point of contact in each area to support service users and redirect to support services at an early stage to reduce crisis point presentations.MH Criminal Justice Liaison 24/7 Telephone SPOC- Agreed release of funding from Home Office Police Innovation Fund to each of the 4 GM MH Trusts conditional on clearly specified action plans.

1.12 Tameside 24/7 triage pilot On-going Karen Maneely Tameside CCG has supported a further 2-month pilot for the Tameside Borough to offer a dedicated triage process via its established RAID (Rapid Assessment, Interface & Discharge) team to GMP (Police) and NWAS (North West Ambulance Service) in the Tameside area. The pilot will be evaluated using the recognised evaluation tool in the Oldham Pilot and will be monitored and further commissioning discussions will be held through local partnership meetings that include the CCG. This

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was originally established from the 1st

April 2015.

Ensuring the right numbers of high quality staff1.13 Citywide Urgent Care

System Resilience Operational Group

On going Tracey Martin, NHS Manchester(New Lead name required)

Review of services in Manchester and improve delivery for service users

Mental health urgent care provision across north, south and central Manchester’s health economy

Completed detailed analysis of MH A&E performance, with support for organisations in achieving and sustaining key national and local targets relating to mental health urgent care performance measures

Detailed diagnostic / scoping review of citywide service provision, generating a clear understanding of existing practice, workforce establishment, barriers, bottlenecks and enablers to delivering a high quality, safe and

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sustainable urgent care system for people in a mental health crisis

Considered best practice from neighbouring mental health providers

Obtained service user feedback on current mental health crisis provision, and suggestions for improvement to the user experience

Engaged NWAS (North West Ambulance Service), NHS 111, GMP (Police) and both statutory and third sector MH providers, to inform a citywide map of crisis provider services to inform MH DOS, and service users.

Streamlined pathways between acute providers and third sector - Sanctuary and Crisis Point

Recommended best use of resilience funding to support performance – including delivery of a

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Mental Health Assessment Suite (MHAS) co-located at CMFT’s (Central Manchester University Hospitals) A&E in Manchester, Salford and Trafford.

Further evaluation required on ‘what works’.

1.14 Bolton/Salford/Trafford has established Mental Health Liaison Meeting.

On going Paula Solomon, Greater Manchester West MH

Outcome of meetings are reported to District Management Team.Bolton, Salford and Trafford Mental Health Liaison meetings are established and are up and running between GMP, GMW, Bolton NHS, Social Services and CAMHS.We continue to provide training across Bolton, Salford and Trafford. The telephone triage phone continues, is not used as much as what it could be across all areas but everyone is working on this and encouraging the Police to use this service.

The Police liaison meetings in all directorates are very

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well established and well attended.

Further mapping work required to determine what happens in other areas i.e. establish where meetings take place. Links to CQUIN.

1.14a MMHSCT to establish a Mental Health Liaison meeting

Nov 2015 Deborah Goodman

Regular communication with GMP Reports to Mental Health Law liaison group

1.14b Pennine to establish Police and Health Partnership meetings.

Mandy Reed Meetings are established in all 5 boroughs and co- chaired between Mental health and GMP.

Improved partnership working in X locality2. Access to support before crisis point

No. Action Timescale Led By OutcomesImprove access to support via primary care

Improve access to and experience of mental health services3. Urgent and emergency access to crisis care

No. Action Timescale Led By OutcomesImprove NHS emergency response to mental health crisis

3.1 Salford Integrated Prevention Hub

On-going Jim Bridge, GMFRS

£491K secured from Fire Transformation Fund to fund hub to help agencies deal with mental health and social care issues on an integrated basis.SIPH has now been established

£491K secured to fund hub to help agencies deal with mental health and social care issues on an integrated basis.

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and work with CAHMS and 42nd Street, in a reciprocal referral arrangement. Also, working jointly with 6 Degrees and the Early Detection and Intervention Team (EDIT). Our main focus with these groups is to take young people who are just starting to experience emotional well-being and mental health issues and try to deal with them early in the process to prevent their symptoms worsening and hence reduce the call on these partners and the wider economy. Consideration is being given at introducing mindfulness training for SIPH staff so that they can deliver this to those in need.

3.2 Dedicated support line available to all GMW known service users (not police)

April 2015 Paula Solomon, GMW

Provision of dedicated telephone support line providing advice, support and sign posting to respond to known service users who are expecting a crisis.

Will be manned by dedicated staff.Went live 15/05/15

3.2a Dedicated support line available to all MMHSCT known service users.

Ongoing Emma Hinchcliffe

Provision of dedicated support line providing advice, support and signposting to known service users who are experiencing a crisis.

Staffed by qualified mental health professionals and linked to 24/7 urgent care hub at MMHSCT.

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3.2b Dedicated support line available to all Pennine Care known service users.

Ongoing Mandy Reed Staffed by qualified mental health professionals 24/7

Social services’ contribution to mental health crisis services 3.3 Gateway On-going Stuart Long Services available across the

Manchester MH area have been mapped with one portal.

Referrals from the Police are via the Contact Centre who passes any referrals regarding mental health directly to Gateway. These referrals are triaged within 24 working hours Any urgent referrals can contact the Gateway team directly for the attention of the Urgent Care Assessment Team and their response target is to meet with the individual within 24hrs. Lead for Gateway is [email protected]

4. Improved quality of response when people are detained under Section 135 and 136

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mailto:[email protected]

mailto:[email protected]


of the Mental Health Act 1983

4.1 Dedicated sec 136 suite

Core Business

Paula SolomonGMW

GMW has a dedicated section 136 suites in Bolton, Salford and Trafford.

Link to 5.1, 5.2 and 5.3

Accessible to adults over 18 only.

4.1a Dedicated sec 136 suite

Mandy Reed

Pennine Care have a dedicated 136 suite in all 5 boroughs. Estates capital monies have been identified to improve the environments. This work will be completed during 2016.

Improved information and advice available to front line staff to enable better response to individuals 4.2. Navigation

PathwayPermanent Sandy

Bering24/7 phone access for police and fire service to contact MH Trust for information to aid decision making when responding to a person suspected to have mental ill health. This is from all four MH Trusts covering Greater Manchester.

There are dedicated 24/7 telephone triage services in all districts for all blue light services, please link to 4.3 and 4.9. Navigation Pathway is the agreement by MH Trusts to call other Trusts to assist police & emergency services with information when required.

4.3 24/7 phone access for police and fire service to MH Trust.Oldham Telephone Triage Pilot

Core business

C/Supt Hankinson, Greater Manchester Police

24/7 access to mental health professionals for police officers and GMFRS personnel dealing with persons with mental illness. Improved pathways to provide better quality support and reduce unnecessary use of Sec 136 power. Independent assessment and good practice to be rolled out across GM. Now extended to include NWAS and funded for a further 12 months via the Oldham CCG.

Now core business. Final independent evaluation published.

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4.3a 24/7 phone access for police and fire service to Pennine Trust.

A 24/7 helpline is available is all 5 boroughs allowing police officers and GMFRS access to mental health professionals when dealing with persons with a mental illness. This information is shared at all training sessions delivered to GMP.

Improved training and guidance for police officers 4.6 Joint training

InitiativeOn going Sgt Matt

Crofts Greater Manchester Police

Response and neighbourhood officers trained with MH professionals. This is now happening in a number of areas across GM and the intention to ensure consistency in each area.

Training delivered in Salford, Bolton and Trafford alongside GMW staff.

Paula Solomon at GMW has the lead for "joint training" on her CQUIN. Their intention is to ensure that the training is rolled out across the GM footprint. GMW has employed a senior practitioner on a 12 month fixed term contract to enable.

4.7 Training for GMP and GMW staff to improve engagement with service users with MH problems/ criminal justice involvement

On going Thabiso Nyathi, GMW NHS Trust

• Custody staff trained- and evaluation report 2014 available.• GMP training is ongoing.• Scoping exercise to evaluate GMW staff training needs regarding health and justice is currently underway.• Funding until April 2016

A further cycle of training for custody staff (CDOs and sergeants) will run for 6 months.

We have trained;• Officer Safety Trainers• Crisis Negotiators & Hostage Team• PPU Inspectors & Sgts (primarily around capacity assessments and decisions to prosecute)• Response Officers across GMPTraining to new recruits (including Regulars, Specials and PCSOs) is underway and will continue until the

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end of cycle or April 2016 (when funding ends).

Work to develop the GMP Wellbeing Coach role is now complete (launch date 12/10/15) and we will support the role by facilitating group supervision sessions for Well Being coaches and Peer Network users.

We will meet with GMP MH single points of contacts (SPOC) and continue to meet GMW CMHT staff in the coming months to develop top up training to supplement the mental health awareness training already delivered by this team and other local MH teams. Top up training will be aimed at GMP and GMW staff at local level (area/division level) and will focus on decision making, enabling quicker access to MH care and enabling quicker exit from CJS custody for MH patients.

We have developed bespoke training for community based mental health teams around decision making and criminal justice. Training will begin in November and will be ongoing.

We will develop interactive scenario

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based training for Crisis Negotiators.Improved services for those with co-existing mental health and substance misuse issues

4.9 Navigation Pathways

April 2015 Sandy Bering,Greater Manchester Police

Joint initiative between members of the Strategic Mental Health Partnership Board to create a centre encompassing:

One access telephone number for all 4 mental health trusts

An alcohol assessment and management facility

Links to A&E and a minor injury facility (TBC) Liaison and diversion support (TBC) Full MH assessment Co-ordination and access to inpatient MH

services Management of section 136/135 cases

£200k has been secured from the Police Innovation Fund and £450K has been secured from the Mental Health Resilience Fund for CCGs.£200k was given to four MH Trusts on a per capita basis.

There are dedicated 24/7 telephone triage services in all districts for all blue light services, please link to 4.3 and 4.2

4.10 Offender Health Project

On going Annie Murray

Cohort of offenders identified being tracked in relation to physical and mental health issues, rate of drop out from services, access to service on release, offenders outside threshold, services for offenders sentenced less than 12 months

New action to replace previous: Public Health England (GM) is working with Mcr PSR team to develop a business case to build criminal justice workforce capacity in addressing mental distress and dealing with mental health problems.

4.12 Mental Diversion Panels. Trying to create a commonality

On going Peter Robinson, Greater Manchester Police

Work has been done on standardising the processes of the MDP. This may need the support of the board to enable consistency across GM

The Panels now have a common title of 'Mentally Vulnerable Offender Panel' to reflect wider remit as inclusive of LDD as well as MH, GMP policy has been written, all

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of process in relation to panels across GM

referral/Panel forms have been standardised as have Panel terms of reference, training inputs have been given to PPU Inspectors who chair the Panels and custody staff are now being trained as key in prompting OICs to refer.

5. Quality of treatment and care when in crisis

No. Action Timescale Led By OutcomesReview police use of places of safety under the Mental Health Act 1983 and results of local monitoring

5.1 New Bolton 136 suite and 24/7 Triage service

Now open PC Nickeas, Greater Manchester Police

New suite now up and running. Policy written in accordance with Concordat in relation to alcohol and also around injury. 24/7 triage service in place

Completed. Up and running.

5.2

New Salford 136 suite and 24/7 Triage service

Now open Sgt Crofts, Greater Manchester Police.



The S136 Suite opened on 10th June 2014

5.3 Trafford 136 suite open and 24/7 triage service

Now open Sgt Rachel Nutsey


New suite now up and running at Trafford General Hospital during day time hours. Policy written in accordance with Concordat in relation to alcohol and also around injury. 24/7 triage service in place

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The S136 Suite opened on 10th June 2014

Service User/Patient safety and safeguardingStaff safety

Primary care response6. Recovery and staying well / preventing future crisis

No. Action Timescale Led By OutcomesJoint planning for prevention of crises

6.1 Inspiring Change Manchester

On-going Paul PandolfoInspiring Change Manchester

Lottery funded pilot for complex need in the city (A & E divs) relating to homelessness, mental ill health, substance abuse

Programme delivery in place since 1 July 2014.

• 191 referrals to date. 62 individuals signed up for support who meet the eligibility and suitability criteria (within Manchester, 18+ years old, 3 or 4 of 4 identified needs across mental health, homeless/housing issues, substance misuse and offending history).

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• No Wrong Door Compact in development to support individuals with multiple and complex needs. The No Wrong Door Compact is a set of principles for services working with people with multiple and complex needs in Manchester. With a focus on the areas of Expertise, Practice, Information and Access, the No Wrong Door Compact aims to encourage services to reflect on their delivery and ensure that barriers are removed for people with multiple and complex needs. The No Wrong Door Compact’s goal is to improve the outcomes for any individual with multiple and complex needs accessing services in Manchester.

• Shared data-system for Inspiring Change Manchester delivery partnership (M-Think) in development with initial launch date of 11 May 2015 to improve communication and safety planning across agencies.

• Flexible Fund launched that will enable service users on the project to overcome individual barriers to engaging with the Inspiring Change Manchester Programme and/or to progress towards their positive outcomes or goals.

• Activity launched to identify and address barriers to access for women with multiple and complex needs.Local CBA evaluation to be conducted by New Economy/ systems change. to determine business planning for Y3 and Y4.

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Documents

s16878.pcdn.co · Web view£200k has been secured from the Police Innovation Fund and £450K has been secured from the Mental Health Resilience Fund for CCGs. £200k was given to