What does good look like in liaison psychiatry? Developing inspection tools for mental health crisis care

Size: px
Start display at page:

Download "What does good look like in liaison psychiatry? Developing inspection tools for mental health crisis care"

Transcription

1 What does good look like in liaison psychiatry? Developing inspection tools for mental health crisis care Nicola Vick Policy Manager Mental Health October

2 Putting crisis care on the agenda Government attention on crisis care long standing problems Normal Lamb, Minister for Care & Support: national Concordat for improving outcomes for people in mental health crisis Theresa May, Home Secretary: Review of S136 of the Mental Health Act CQC commitment to map S136 places of safety CQC Context A new approach to inspection and regulation of health and social care services CEO/Chair commitment to thematic review on mental health crisis care 2

3 Taking a thematic approach Our themed review focuses on the experiences and outcomes of people at a time of mental health crisis. A key aim is to develop our approach to monitoring, inspecting and regulating the quality, safety and responsiveness of crisis care. We are taking a care pathway approach to look at how different organisations and agencies work together for three groups of people: Care Pathway 1: People who present to Accident and Emergency (including a focus on those who self-harm) Care Pathway 2: People who requires access to and support from specialist mental health services Care Pathway 3: People who are detained under Section 136 of the Mental Health Act 3

4 Testing our key hypotheses Our work explores the hypothesis that: responses to people experiencing a mental health crisis are highly variable, that in some places the quality of response is a matter of significant concern and that cross agency working is so fragmented that people are being failed because the risks are not being managed in an effective or safe manner. We are testing whether people s experience is dependent on: Where they live Services commissioned locally Staff training, experience and attitude How well services work together When the crisis takes place We want to explore whether there are: inequalities for different groups of people experiencing a crisis inappropriate uses of the MHA or lack of compliance with the Code of Practice issues relating to the parity of response existing models that allow CQC to establish a baseline of what is good in crisis care 4

5 Elements of our thematic work Phase 1: building our evidence base Review of national data Public call for evidence Survey to map health-based places of safety Phase 2: local area inspections We are currently developing our tools and methods to carry out 15 local area inspections: November 2014 to January 2015 Evidence-led and will explore where we think there may be issues with the care pathways Areas of good and poor practice 5

6 National data review Development of local area analysis to inform selection of inspection sites and plans to make analysis available Indicators for pathway 1 include: Admissions to acute hospital via A&E for a mental health condition (and for specific conditions) Acute hospital admissions for people who had multiple attendances at A&E Acute admissions for a mental health condition for people known/not known to specialist mental health services and for people with previous acute hospital admission Grading of liaison psychiatry service (national survey findings) PLAN members accreditation status 6

7 People who present to Accident & Emergency (including a focus on those who self-harm) What services are most relevant to this pathway? Primary care: GPs often first port of call for people experiencing a mental health crisis, including out of hours Ambulance: may be involved in assessing people s physical and mental health and in transporting people to A&E Accident and Emergency: Assessment and treatment of people who are in crisis Liaison psychiatry services: assessment, brief interventions and/or referral for follow up for people with mental health issues, including people who present after self-harming/with disturbed behaviour/substance misuse problems and people with dementia Meeting national standards means Access to support before a crisis: role of primary care in prevention/early intervention recognising people at risk & providing appropriate interventions Urgent and emergency access to care: timely response on a par with responses to physical health emergencies; people in mental distress should be kept safe and be provided with immediate care; liaison services should provide emergency/urgent assessment and treatment to adults of all ages throughout the hospital Quality of care and treatment: staff should be well equipped to work with people in crisis & treat them with compassion and dignity

8 People who present to Accident & Emergency (including a focus on those who self-harm) Accident and Emergency Increasing numbers of people are seeking access to crisis care in A&E services. Negative attitudes of general hospital staff to people experiencing a mental health crisis, particularly towards those who self-harm. Lengthy waiting times can mean people wait in environments not suited to prevent crisis escalation or may discharge themselves before being seen by a mental health professional. Wide variability in how liaison psychiatry services are commissioned means capacity and capability of the team will be different from location to location. There is a lack of integrated care and clarity about the care pathway for those who have substance misuse and mental health conditions. Parity Concerns Disparity between access to emergency physical health care and emergency responses for mental health crises including as a consequence of inequity in commissioning. Problems accessing crisis help outside weekdays 9am-5pm particularly specialist help e.g. for children and young people or for people with a learning disability. Equality Concerns Among BME groups, rates of self-harm have been identified as highest in young Black females (16-34 years) but they are also some of the least likely to receive a psychiatric assessment. 8

9 How will the crisis review help improve how we regulate and inspect? Inspecting specialist services New summary statements of what is good for crisis-relevant services Development of specific lines of enquiry for mental health crisis care that can be used where there is evidence of concerns Further testing of tools that can track a person s journey along a pathway of care with a specific focus on crisis New ways of working Exploring how CQC can inspect areas of multi-agency / cross-sector responsibility Piloting new inspection methods: multi-agency evidence review meetings meetings, increased emphasis on pre-visit evidence-gathering Informing with evidence A national indicator set for mental health crisis (and for each of the three pathways) to give national picture and to inform development of CQC intelligent monitoring An evidence base for future inspections Access to responses from the call for evidence that captures what service users, carers and local groups think about how local services respond to those in crisis 9

10 CQC s comprehensive inspections: What are we doing differently? Larger inspection teams including specialist inspectors, clinical experts, and experts by experience Intelligent monitoring to inform when and what to inspect Inspections on our five key questions about services Identified core services that we will always assess Key lines of enquiry (KLOEs) as the overall framework for a consistent and comprehensive approach Ratings to compare services and highlight where care is outstanding, good, requires improvement and inadequate 10

11 CQC s five key questions We ask these questions of all services: Is it Safe? Is it Effective? Is it Caring? Are people protected from abuse and avoidable harm? Does people s care and treatment achieve good outcomes and promote a good quality of life, and is it evidencebased where possible? Do staff involve and treat people with compassion, kindness, dignity and respect? Is it Responsive? Are services organised so that they meet people s needs? Is it Well-led? Does the leadership, management and governance of the organisation assure the delivery of high-quality patientcentred care, support learning and innovation and promote an open and fair culture? 11

12 Development of summary statements for mental health core services Summary statements of good practice drawn from and mapped to an authoritative sources including current policy, legislation and guidance Starting point is Royal College of Psychiatrists standards for peer-review and accreditation schemes where these are available for mental health core services Statements arranged under domain headings and mapped to the key lines of enquiry Output: set of statements of what good looks like for each core service 12

13 Crisis review draft statements for liaison psychiatry (key concepts1) Safety Management of risk and risk assessment practices Relationships between the service and other teams Follow up of referrals Effectiveness Meets best practice guidelines on staffing and skill mix Advice, training, development and support of staff Provision of brief, timelimited, evidence based interventions 13

14 Crisis review draft statements for liaison psychiatry (key concepts 2) Caring Dignity, respect and understanding Carries out assessment in private Support and information for people and their carers to enable decisions about their care/access to support Responsive Commissioning in line with agreed service standards Referral timescales and processes Access to appropriate specialist support Out of hours provision and information sharing arrangements 14

15 Developing inspection approach and tools We will test out how well our data analysis reflects the local picture of the quality of crisis care: Key question for discussion: What are the key indicators that you would suggest for us to monitor on an ongoing basis? We will test out the service specific statements of good practice as part of the mental health crisis review local area inspections: Key question for discussion: What are the key concepts/areas of practice that we should include? We will scope options for when/how to include a focus on liaison psychiatry within our new model of inspection and regulation: Key questions for discussion: How might this best work? 15

Mental health and crisis care. Background

Mental health and crisis care. Background briefing February 2014 Issue 270 Mental health and crisis care Key points The Concordat is a joint statement, written and agreed by its signatories, that describes what people experiencing a mental health

More information

How do you demonstrate effectiveness?

How do you demonstrate effectiveness? How do you demonstrate effectiveness? Demonstrating Effectiveness Conference 25 November 2014 Professor Edward Baker Deputy Chief Inspector Our purpose and role Our purpose We make sure health and social

More information

Mental Health Crisis Care: Barnsley Summary Report

Mental Health Crisis Care: Barnsley Summary Report Mental Health Crisis Care: Barnsley Summary Report Date of local area inspection: 17 & 18 February 2015 Date of publication: June 2015 This inspection was carried out under section 48 of the Health and

More information

Action required: To agree the process by which Governors will meet with the inspection team.

Action required: To agree the process by which Governors will meet with the inspection team. Airedale NHS Foundation Trust Council of Governors: 28 th January 2016 Title: CQC Inspection Briefing Author: Jane Downes, Company Secretary As you will be aware, the Care Quality Commission ( CQC ) have

More information

Specialist mental health services

Specialist mental health services How CQC regulates: Specialist mental health services Provider handbook March 2015 The Care Quality Commission is the independent regulator of health and adult social care in England. Our purpose We make

More information

Our next phase of regulation A more targeted, responsive and collaborative approach

Our next phase of regulation A more targeted, responsive and collaborative approach Consultation Our next phase of regulation A more targeted, responsive and collaborative approach Cross-sector and NHS trusts December 2016 Contents Foreword...3 Introduction...4 1. Regulating new models

More information

Mental Health Crisis and Acute Care: NHS England s national programme

Mental Health Crisis and Acute Care: NHS England s national programme Mental Health Crisis and Acute Care: NHS England s national programme Mental Health Crisis Care Concordat: Royal College of Psychiatrists Alternatives to admission problem solving workshop 8 July 2016

More information

Shaping the best mental health care in Manchester

Shaping the best mental health care in Manchester Clinical Transformation Plans Manchester Shaping the best mental health care in Manchester Meeting the needs of our communities Improving Lives OUR SHARED WAY AHEAD... Clinical Service Transformation in

More information

The new inspection process for End of Life Care. Dr Stephen Richards GP Advisor - London Care Quality Commission

The new inspection process for End of Life Care. Dr Stephen Richards GP Advisor - London Care Quality Commission The new inspection process for End of Life Care Dr Stephen Richards GP Advisor - London Care Quality Commission Our purpose and role Our purpose We make sure health and social care services provide people

More information

The new CQC approach to hospital inspection. Ann Ford Head of Hospital Inspection (North West) June 2014

The new CQC approach to hospital inspection. Ann Ford Head of Hospital Inspection (North West) June 2014 The new CQC approach to hospital inspection Ann Ford Head of Hospital Inspection (North West) June 2014 1 Our purpose and role Our purpose We make sure health and social care services provide people with

More information

Improvement and assessment framework for children and young people s health services

Improvement and assessment framework for children and young people s health services Improvement and assessment framework for children and young people s health services To support challenged children and young people s health services achieve a good or outstanding CQC rating February

More information

Mental Health Crisis Care: The Five Year Forward View. Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust

Mental Health Crisis Care: The Five Year Forward View. Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust Mental Health Crisis Care: The Five Year Forward View Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust Overview Parity of esteem What are the challenges for people

More information

Mental Health Crisis Care: Essex Summary Report

Mental Health Crisis Care: Essex Summary Report Mental Health Crisis Care: Essex Summary Report Date of local area review: Onsite 16-17 December 2014 Date of publication: June 2015 This inspection was carried out under section 48 of the Health and Social

More information

NHS and independent ambulance services

NHS and independent ambulance services How CQC regulates: NHS and independent ambulance services Provider handbook March 2015 The Care Quality Commission is the independent regulator of health and adult social care in England. Our purpose We

More information

Assessing Quality of Hospital Services - the importance of national clinical audits

Assessing Quality of Hospital Services - the importance of national clinical audits Assessing Quality of Hospital Services - the importance of national clinical audits Professor Sir Mike Richards Chief Inspector of Hospitals November 2015 1 Overview CQC s role and purpose Our approach

More information

Review of children and young people s mental health services

Review of children and young people s mental health services Review of children and young people s mental health services Phase One supporting documentation: Inspection report analysis Review of children and young people s mental health services: Inspection report

More information

Mental Health Crisis Care Concordat Improving outcomes for people experiencing mental health crisis

Mental Health Crisis Care Concordat Improving outcomes for people experiencing mental health crisis Mental Health Crisis Care Concordat Improving outcomes for people experiencing mental health crisis 7 February 2014 Title: Mental Health Crisis Care Concordat Improving outcomes for people experiencing

More information

Mental Health Crisis Care Programme Update: Clinical Senate Council 24 th May 2016

Mental Health Crisis Care Programme Update: Clinical Senate Council 24 th May 2016 Mental Health Crisis Care Programme Update: Clinical Senate Council 24 th May 2016 1 Mental Health Crisis Care Programme: Summary The state of mental health crisis care needs to improve across London.

More information

CQC s new approach to inspecting NHS GP practices

CQC s new approach to inspecting NHS GP practices CQC s new approach to inspecting NHS GP practices James Childs-Evans Head of Provider Analytics (Adult Social Care and Primary Care) 18 September 2014 1 'CQC s new approach to inspecting NHS GP practices'

More information

Adult Social Care Inspections, a CQC Update. Sue Howard Deputy Chief Inspector Central National Care Homes Congress 19 May 2015

Adult Social Care Inspections, a CQC Update. Sue Howard Deputy Chief Inspector Central National Care Homes Congress 19 May 2015 Adult Social Care Inspections, a CQC Update Sue Howard Deputy Chief Inspector Central National Care Homes Congress 19 May 2015 Our purpose and role Our purpose We make sure health and social care services

More information

Mental Health Crisis Care

Mental Health Crisis Care Mental Health Crisis Care Programme Overview for 2015/16 Bobby Pratap, Project Manager, Mental Health Crisis Care, NHS England Mental Health Clinical Policy & Strategy Purpose, aims and context The Government

More information

Please indicate: For Decision For Information For Discussion X Executive Summary Summary

Please indicate: For Decision For Information For Discussion X Executive Summary Summary Governing Body 22 March 2017 Details Part 1 X Part 2 Agenda Item No. 10 Title of Paper: Board Member: Author: Presenter: PAHT Quality Improvement Plan Catherine Jackson, Executive Nurse Catherine Jackson,

More information

Our Achievements. CQC Inspection 2016

Our Achievements. CQC Inspection 2016 Our Achievements CQC Inspection 2016 Issued February 2017 HOW FAR WE VE COME SAFE Last year, we set out our achievements in a document for staff and patients. It was extremely well received, and as a result,

More information

NHS Grampian. Intensive Psychiatric Care Units

NHS Grampian. Intensive Psychiatric Care Units NHS Grampian Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have assessed the performance

More information

High level guidance to support a shared view of quality in general practice

High level guidance to support a shared view of quality in general practice Regulation of General Practice Programme Board High level guidance to support a shared view of quality in general practice March 2018 Publications Gateway Reference: 07811 This document was produced with

More information

JOB DESCRIPTION. Team Leader Health Hub Domestic Violence and Abuse (DVA) The Health IDVA Team will:

JOB DESCRIPTION. Team Leader Health Hub Domestic Violence and Abuse (DVA) The Health IDVA Team will: JOB DESCRIPTION Job Title Reports to Purpose of Job Team Leader Health Hub Domestic Violence and Abuse (DVA) Service Manager The Health IDVA Team will: Empower individuals affected by DVA to improve their

More information

NHS GP practices and GP out-of-hours services

NHS GP practices and GP out-of-hours services How CQC regulates: NHS GP practices and GP out-of-hours services Appendices to the provider handbook March 2015 Contents Appendix A: Population group definitions... 3 Older people... 3 People with long-term

More information

Getting the Right Response In A Mental Health Crisis

Getting the Right Response In A Mental Health Crisis Getting the Right Response In A Mental Health Crisis Imagine someone you knew suddenly experienced a mental health crisis What response are you able to provide at the moment? What are the barriers in your

More information

HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES:

HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES: HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES: A Review of the arrangements in place across the Welsh National Health Service ACTION PLAN - UPDATED August 2010 RECOMMENDATION

More information

Avon and Wiltshire Mental Health Partnership NHS Trust

Avon and Wiltshire Mental Health Partnership NHS Trust Avon and Wiltshire Mental Health Partnership NHS Trust Community-based mental health services for adults of working age Quality Report Head Office, Jenner House Langley Park Chippenham Wiltshire SN15 1GG

More information

Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk

Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk Norfolk Health Overview and Scrutiny Committee 7 December 2017 Item no 6 Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk Suggested approach by Maureen Orr, Democratic Support

More information

Mental Health Crisis and Acute Care: NHS England s national programme

Mental Health Crisis and Acute Care: NHS England s national programme Mental Health Crisis and Acute Care: NHS England s national programme Bobby Pratap, Project Manager, Crisis and Acute Mental Health Care, NHS England Sarah Khan, Deputy Head of Mental Health, NHS England

More information

Care Quality Commission (CQC) Inspection Briefing

Care Quality Commission (CQC) Inspection Briefing Care Quality Commission (CQC) Inspection Briefing The CQC exists to make sure hospitals, care homes, dental and GP surgeries, and all other care services in England provide people with safe, effective,

More information

Measuring for improvement The new CQC hospital programme. Professor Sir Mike Richards Chief Inspector of Hospitals King s Fund 6 th November 2013

Measuring for improvement The new CQC hospital programme. Professor Sir Mike Richards Chief Inspector of Hospitals King s Fund 6 th November 2013 Measuring for improvement The new CQC hospital programme Professor Sir Mike Richards Chief Inspector of Hospitals King s Fund 6 th November 2013 1 Our purpose and role Our purpose We make sure health and

More information

Harrow All Practice Meeting 16 September New CQC inspection process: How to prepare for a successful outcome

Harrow All Practice Meeting 16 September New CQC inspection process: How to prepare for a successful outcome Harrow All Practice Meeting 16 September 2015 New CQC inspection process: How to prepare for a successful outcome Jane Betts Director of Primary Care Strategy Nora Breen Manager, GP Support Services New

More information

About us. What we do and how we do it. About us What we do and how we do it 1

About us. What we do and how we do it. About us What we do and how we do it 1 About us What we do and how we do it 1 We are the Care Quality Commission (CQC), the independent regulator of health and adult social care in England. We make sure health and social care services provide

More information

Special Measures Action Plan. Norfolk and Suffolk NHS Foundation Trust

Special Measures Action Plan. Norfolk and Suffolk NHS Foundation Trust Special Measures Action Plan Norfolk and Suffolk NHS Foundation Trust June 2015 KEY Delivered On Track to deliver Some issues narrative disclosure Not on track to deliver 1 Norfolk and Suffolk NHS Foundation

More information

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Appendix-2016-59 Borders NHS Board SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Aim To bring to the Board s attention the Scottish

More information

Report on Call for Evidence: Elderly Hospital Care, Hospital Discharge & Dementia Identification

Report on Call for Evidence: Elderly Hospital Care, Hospital Discharge & Dementia Identification Report on Call for Evidence: Elderly Hospital Care, Hospital Discharge & Dementia Identification Healthwatch Sunderland October 2014 Elderly People are not always thoroughly assessed in hospital. This

More information

Cornwall and Isles of Scilly draft pending formal approval master 301015 Source documents: http://www.cornwall.gov.uk/health-and-social-care/cornwall-and-isles-of-scilly-drug-and-alcohol-action-team-(cios-daat)/about-cornwalland-isles-of-scilly-drug-and-alcohol-action-team-(cios-daat)/?alttemplate=_standard

More information

Urgent and emergency mental health care pathways

Urgent and emergency mental health care pathways Urgent and emergency mental health care pathways Initial guidance for improving data quality in the Mental Health Services Dataset (MHSDS) Published August 2018 Copyright 2018 NHS Digital Contents Who

More information

THE FIVE YEAR FORWARD VIEW FOR MENTAL HEALTH

THE FIVE YEAR FORWARD VIEW FOR MENTAL HEALTH THE FIVE YEAR FORWARD VIEW FOR MENTAL HEALTH A Policy Unit briefing on the findings of the independent Mental Health Taskforce and the implications for psychiatrists and the wider NHS workforce Holly Taggart

More information

Overall rating for this location. Quality Report. Ratings. Overall summary. Are services safe? Are services effective? Are services responsive?

Overall rating for this location. Quality Report. Ratings. Overall summary. Are services safe? Are services effective? Are services responsive? John Munroe Hospital Rudyard Quality Report Horton Road Rudyard Leek Staffordshire ST13 8RU ST13 8RU Tel:01538 306244 Website:www.johnmunroehospital.co.uk Date of inspection visit: 11th January 2016 Date

More information

The state of health care and adult social care in England 2015/16 Care Quality Commission 13 October 2016

The state of health care and adult social care in England 2015/16 Care Quality Commission 13 October 2016 The state of health care and adult social care in England 2015/16 Care Quality Commission 13 October 2016 The annual State of Care report, out today (Thursday 13 October) reports excellent examples of

More information

NHS GRAMPIAN. Local Delivery Plan - Mental Health and Learning Disability Services

NHS GRAMPIAN. Local Delivery Plan - Mental Health and Learning Disability Services NHS GRAMPIAN Board Meeting 01.06.17 Open Session Item 8 Local Delivery Plan - Mental Health and Learning Disability Services 1. Actions Recommended The Board is asked to: Note the context regarding the

More information

Plans for urgent care in west Kent:

Plans for urgent care in west Kent: Plans for urgent care in west Kent: Introduction and background A summary of our draft strategy NHS West Kent Clinical Commissioning Group (CCG) is working to improve urgent care services and we would

More information

Business Plan April 2017 to March 2018

Business Plan April 2017 to March 2018 PLEASE DO NOT KEEP THE ORIGINAL OF THIS DOCUMENT OPEN AND LOCKED SAVE A COPY! Business Plan April 2017 to March 2018 1 Contents: Introduction Our plan in summary Part 1 Overview Our purpose, role and values

More information

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18 Commissioning Intentions Engagement for 2017/18 You said We did Care Closer to home Acute and Community Care services Top three priorities were: Shifting hospital services into the community Community

More information

A New Model of Urgent and Emergency Mental Health Care

A New Model of Urgent and Emergency Mental Health Care A New Model of Urgent and Emergency Mental Health Care Transforming Urgent Access to Mental Health Services across 7 days & Interfacing with the wider system Dr Paul Brown- Consultant Psychiatrist, Sunderland

More information

CQC Ratings Sheffield CCG Commissioned Services

CQC Ratings Sheffield CCG Commissioned Services CQC Ratings Sheffield CCG Commissioned Services Governing Body meeting 3 May 2018 Item 23n Author(s) Sponsor Director Purpose of Paper Grace Mhora, Quality Manager Mandy Philbin, Chief Nurse To provide

More information

Quality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement

Quality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement Quality Accounts: Corroborative Statements from Commissioning Groups Quality Accounts are annual reports to the public from providers of NHS healthcare about the quality of services they deliver. The primary

More information

AMA(SA) Key Priorities for Health

AMA(SA) Key Priorities for Health AMA(SA) Key Priorities for Health BEYOND THE FIRST 100 DAYS AUSTRALIAN MEDICAL ASSOCIATION (SA) INC What next for health? The new Government has reached and breached its first 100 days, and has acted on

More information

Intensive Psychiatric Care Units

Intensive Psychiatric Care Units NHS Lothian St John s Hospital, Livingston Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We

More information

Sandwell Secondary Mental Health Service Re-design consultation

Sandwell Secondary Mental Health Service Re-design consultation Service Re-design consultation 2 nd December 2013 28 th February 2014 GP Appointment with Service User Primary Care Step 1: Sandwell GP s will make a referral into BCPFT s Secondary Care Mental Health

More information

Annual Complaints Report 2014/15

Annual Complaints Report 2014/15 Annual Complaints Report 2014/15 1.0 Introduction This report provides information in regard to complaints and concerns received by The Rotherham NHS Foundation Trust between 01/04/2014 and 31/03/2015.

More information

Shakeel Sabir Head of MERIT Vanguard

Shakeel Sabir Head of MERIT Vanguard MERIT Excellence, Resilience Innovation & Training Jointly developing Mental Health Service in the West Midlands Shakeel Sabir Head of MERIT Vanguard Background - New care models Multispecialty community

More information

How CQC monitors, inspects and regulates independent doctors and clinics providing primary care

How CQC monitors, inspects and regulates independent doctors and clinics providing primary care How CQC monitors, inspects and regulates independent doctors and clinics providing primary care October 2017 CONTENTS MONITORING AND INFORMATION SHARING... 2 How we monitor independent doctors and clinics

More information

The state of health care and adult social care in England 2016/17 Summary

The state of health care and adult social care in England 2016/17 Summary The state of health care and adult social care in England 2016/17 Summary Foreword Peter Wyman Chair Sir David Behan Chief Executive This year s State of Care shows that the quality of health and social

More information

A new mindset: the Five Year Forward View for mental health

A new mindset: the Five Year Forward View for mental health A new mindset: the Five Year Forward View for mental health Paul Farmer Chief Executive mind.org.uk Five Year Forward View for Mental Health Simon Stevens: Putting mental and physical health on an equal

More information

Trust Board Meeting: Wednesday 12 March 2014 TB Peer Review Programme Implementation Update

Trust Board Meeting: Wednesday 12 March 2014 TB Peer Review Programme Implementation Update Trust Board Meeting: Wednesday 12 March 2014 Title Peer Review Programme Implementation Update Status History For discussion Papers providing updates on the process and outcomes of the Peer Review Programme

More information

Rona McCandlish National Professional Advisor 20 January 2015

Rona McCandlish National Professional Advisor 20 January 2015 Rona McCandlish National Professional Advisor 20 January 2015 1 Our purpose and role Our purpose We make sure health and social care services provide people with safe, effective, compassionate, high-quality

More information

A concern means any complaint, claim or reported patient safety incident.

A concern means any complaint, claim or reported patient safety incident. PUTTING THINGS RIGHT ANNUAL REPORT -2017 Introduction The Putting Things Right Annual Report provides information on the progress and performance of Powys Teaching Local Health Board (hereafter, the health

More information

Job Description. 65,000 to 80,000 per annum based on qualifications, skills and experience

Job Description. 65,000 to 80,000 per annum based on qualifications, skills and experience Job Description Service Job Title Hours Salary Reports to Purpose of Job Specialty Doctor 37.5 hours per week 65,000 to 80,000 per annum based on qualifications, skills and experience Consultant Psychiatrist

More information

Induction handbook for Specialist Advisors in the hospital directorate

Induction handbook for Specialist Advisors in the hospital directorate Induction handbook for Specialist Advisors in the hospital directorate 1 Contents Page Number 1. Welcome message 5 2. Background to the Care Quality Commission (CQC) 6 3. CQC s role and purpose 7-8 4.

More information

Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service

Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service Inspections of Mental Health Hospitals and Mental Health Hospitals for People with a Learning Disability Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service 1 Our Vision,

More information

Safeguarding Children Annual Report April March 2016

Safeguarding Children Annual Report April March 2016 Safeguarding Children Annual Report April 2015 - March 2016 Report Author: Andrea Anniwell, Interim Named Nurse for Safeguarding Children Date: April 2016 1 CONTENTS SECTION PAGE 1 Introduction 3 2 Overview

More information

Mental Health URGENT CARE AND ASSESSMENT Business Case. CCG Summary paper

Mental Health URGENT CARE AND ASSESSMENT Business Case. CCG Summary paper 1. Purpose of this paper Mental Health URGENT CARE AND ASSESSMENT Business Case. CCG Summary paper This paper sets out the rationale for investment in new more effective urgent care pathways for people

More information

An investigation into care of people detained under Section 136 of the Mental Health Act who are brought to Emergency Departments in England and

An investigation into care of people detained under Section 136 of the Mental Health Act who are brought to Emergency Departments in England and An investigation into care of people detained under Section 136 of the Mental Health Act who are brought to Emergency Departments in England and Wales. October 2014 1 Executive Summary The care of people

More information

The Scottish Public Services Ombudsman Act 2002

The Scottish Public Services Ombudsman Act 2002 Scottish Public Services Ombudsman The Scottish Public Services Ombudsman Act 2002 Investigation Report UNDER SECTION 15(1)(a) SPSO 4 Melville Street Edinburgh EH3 7NS Tel 0800 377 7330 SPSO Information

More information

Community Mental Health Patient Survey Report written by: Director of Operations / Compliance Manager Lead officer:

Community Mental Health Patient Survey Report written by: Director of Operations / Compliance Manager Lead officer: 2.1 Report to: Board of Directors Date of meeting: 24 November 2016 Section: Patient Experience & Quality Report title: Community Mental Health Patient Survey Report written by: Ian Jerams and Suzanne

More information

South West London Commissioning Intentions 2015/16

South West London Commissioning Intentions 2015/16 Attach 5 NHS SOUTH WEST LONDON COMMISSIONING COLLABORATIVE South West London Commissioning Intentions 2015/16 Draft v0.7 8/21/2014 Document version Date of revision Document Iterations made Status v0.1

More information

ANEURIN BEVAN HEALTH BOARD HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES:

ANEURIN BEVAN HEALTH BOARD HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES: ANEURIN BEVAN HEALTH BOARD HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES: A Review of the arrangements in place across the Welsh National Health Service ACTION PLAN RECOMMENDATION

More information

Crisis Care Concordat Multi Agency Action Plan for Bradford, Airedale & Craven

Crisis Care Concordat Multi Agency Action Plan for Bradford, Airedale & Craven Crisis Care Concordat Action Plan October 30th Crisis Care Concordat Multi Agency Action Plan for Bradford, Airedale & Craven Version 2: Updated October 30 th This document is the overarching Crisis Care

More information

Crisis Care The National Context and Crisis Care Concordat.

Crisis Care The National Context and Crisis Care Concordat. 1 NHS Presentation to [XXXX Company] [Type Date] Crisis Care The National Context and Crisis Care Concordat. Dr. Geraldine Strathdee, National Clinical Director for Mental Health..@DrG_NHS CORC April 2015

More information

Violence and Aggression NICE guideline Important implications for practice. Peter Tyrer, Imperial College, London

Violence and Aggression NICE guideline Important implications for practice. Peter Tyrer, Imperial College, London Violence and Aggression NICE guideline Important implications for practice Peter Tyrer, Imperial College, London Reason for update of 2005 guideline This guideline was felt to be a little too restrictive

More information

Mental Health Liaison Workshop

Mental Health Liaison Workshop Mental Health Liaison Workshop UEC Improvement Collaborative Event The Kia Oval, 07 December 2017 Neil Brimblecombe - Chair (co MH Clinical Lead UECC) Barbara Cleaver - Consultant in Emergency Medicine

More information

The 15 Steps Challenge for mental inpatient care. Strategic alignments and senior leadership engagement

The 15 Steps Challenge for mental inpatient care. Strategic alignments and senior leadership engagement The 15 Steps Challenge for mental inpatient care Strategic alignments and senior leadership engagement Note: this slide set assumes that the 15 Steps Challenge has developed some interest within the organisation

More information

Adult Mental Health Services Follow up Report. 7 July

Adult Mental Health Services Follow up Report. 7 July Adult Mental Health Services Follow up Report 7 July 2011 www.wao.gov.uk In relation to the Welsh Assembly Government and NHS bodies, I have prepared this report for presentation to the National Assembly

More information

Welcome to. Northern England and the Five Year Forward View for Mental Health. Thursday 2 February 2017 at the Radisson Blu, Durham

Welcome to. Northern England and the Five Year Forward View for Mental Health. Thursday 2 February 2017 at the Radisson Blu, Durham Welcome to. Northern England and the Five Year Forward View for Mental Health Thursday 2 February 2017 at the Radisson Blu, Durham Introductions Chairs: Catherine Haigh, Chair of North East together and

More information

Codes of Practice. for Social Service Workers and Employers

Codes of Practice. for Social Service Workers and Employers Codes of Practice for Social Service Workers and Employers Revised 2016 About the Codes We first published the Codes in 2003, setting out the national standards of conduct and practice that apply to all

More information

Date of publication:june Date of inspection visit:18 March 2014

Date of publication:june Date of inspection visit:18 March 2014 Jubilee House Quality Report Medina Road, Portsmouth PO63NH Tel: 02392324034 Date of publication:june 2014 www.solent.nhs.uk Date of inspection visit:18 March 2014 This report describes our judgement of

More information

The Five Year Forward View and Commissioning Mental Health Services in 2015 and Beyond

The Five Year Forward View and Commissioning Mental Health Services in 2015 and Beyond The Five Year Forward View and Commissioning Mental Health Services in 2015 and Beyond Thames Valley Strategic Clinical Networks February 2015 Table of Contents Introduction & Context pp 3-11 SCN recommendations

More information

Section 136: Place of Safety. Hallam Street Hospital Protocol

Section 136: Place of Safety. Hallam Street Hospital Protocol MENTAL HEALTH DIVISION Section 136: Place of Safety Hallam Street Hospital Protocol 1. Introduction 2. Purpose 3. Section 136: Place of safety 4. Exclusion Criteria 5. Reception at Place of Safety 6. Initial

More information

Mental Welfare Commission for Scotland Report on announced visit to: Wards 19 and 20, University Hospital Hairmyres, Eaglesham Road, Glasgow G75 8RG

Mental Welfare Commission for Scotland Report on announced visit to: Wards 19 and 20, University Hospital Hairmyres, Eaglesham Road, Glasgow G75 8RG Mental Welfare Commission for Scotland Report on announced visit to: Wards 19 and 20, University Hospital Hairmyres, Eaglesham Road, Glasgow G75 8RG Date of visit: 19 July 2018 Where we visited Wards 19

More information

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE HEALTHCARE GOVERNANCE COMMITTEE HELD ON 25 NOVEMBER 2013

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE HEALTHCARE GOVERNANCE COMMITTEE HELD ON 25 NOVEMBER 2013 SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY E REPORT TO THE HEALTHCARE GOVERNANCE COMMITTEE HELD ON 25 NOVEMBER 2013 Subject Supporting TEG Member Author Status Care Quality Commission

More information

Our mission. Our values. Our aims. Our strategic objectives

Our mission. Our values. Our aims. Our strategic objectives Our mission To ensure that the health services we manage for the people of Trafford are provided at the right place and at the right time, and that services are safe, of a high quality and are value for

More information

Reducing Risk: Mental health team discussion framework May Contents

Reducing Risk: Mental health team discussion framework May Contents Reducing Risk: Mental health team discussion framework May 2015 Contents Introduction... 3 How to use the framework... 4 Improvement area 1: Unscheduled absence and managing time off the ward... 5 Improvement

More information

Babylon Healthcare Services

Babylon Healthcare Services Babylon Healthcare Services Limited Babylon Healthcare Services Ltd. Inspection report 60 Sloane Avenue London SW3 3DD Tel: 0207 1000762 Website: www.babylonhealth.com Date of inspection visit: 4 July

More information

Mental Health Crisis Pathway Analysis

Mental Health Crisis Pathway Analysis Mental Health Crisis Pathway Analysis Contents Data sources Executive summary Mental health benchmarking project (Provider) Access Referrals Caseload Activity Workforce Finance Quality Urgent care benchmarking

More information

Care and Treatment Review: Policy and Guidance

Care and Treatment Review: Policy and Guidance Care and Treatment Review: Policy and Guidance With policy and guidance on Care, Education and Treatment Reviews for children and young people Easy Read Version 2017 1 Contents Foreword from Gavin Harding...

More information

Preparing to implement mental health access and waiting time standards

Preparing to implement mental health access and waiting time standards Preparing to implement mental health access and waiting time standards Becki Hemming MH Access & Waits Programme Lead, NHS England Presentation summary 1. Context 2. The standards to be introduced from

More information

Services for older people in Falkirk

Services for older people in Falkirk Services for older people in Falkirk July 2015 Report of a joint inspection of adult health and social care services Services for older people in Falkirk July 2015 Report of a joint inspection of adult

More information

PROTOCOL FOR LOCATING A CAMHS TIER 4 BED AT CRISIS PRESENTATION

PROTOCOL FOR LOCATING A CAMHS TIER 4 BED AT CRISIS PRESENTATION PROTOCOL FOR LOCATING A CAMHS TIER 4 BED AT CRISIS PRESENTATION Title: Protocol for locating a CAMHS Tier 4 Bed at crisis presentation Reference Number: Version No: V1 Issue Date: December 2017 Review

More information

Homecare Support Support Service Care at Home 152a Lower Granton Road Edinburgh EH5 1EY

Homecare Support Support Service Care at Home 152a Lower Granton Road Edinburgh EH5 1EY Homecare Support Support Service Care at Home 152a Lower Granton Road Edinburgh EH5 1EY Type of inspection: Unannounced Inspection completed on: 19 December 2014 Contents Page No Summary 3 1 About the

More information

Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom

Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom Patient and public summary for: Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom The full consultation document is available on the NHS England consultation

More information

How CQC monitors, inspects and regulates NHS GP practices

How CQC monitors, inspects and regulates NHS GP practices How CQC monitors, inspects and regulates NHS GP practices March 2018 Updates to this guidance since October 2017: NEW annual provider information collection (for practices rated as good and outstanding)

More information

Shaping the future CQC s strategy for 2016 to 2021

Shaping the future CQC s strategy for 2016 to 2021 Shaping the future CQC s strategy for 2016 to 2021 CQC is the independent regulator of health and adult social care in England. We make sure health and social care services provide people with safe, effective,

More information

Safeguarding Adults & Mental Capacity Act (2005) Annual Report 2016/17

Safeguarding Adults & Mental Capacity Act (2005) Annual Report 2016/17 Safeguarding Adults & Mental Capacity Act (2005) Annual Report 2016/17 Author: Candy Gallinagh Designated Nurse for Safeguarding Adults Supported by: Soline Jerram, Director of Clinical Quality & Patient

More information

Report on actions you plan to take to meet CQC essential standards

Report on actions you plan to take to meet CQC essential standards R10.2 Report on actions you plan to take to meet CQC essential standards Please see the covering letter for the date by which you must send your report to us and where to send it. Failure to send a report

More information

Dr Karen Franks, Consultant in Old Age Psychiatry Gateshead Health Foundation Trust Dr Kate Andrews, Counselling Psychologist Northumberland, Tyne

Dr Karen Franks, Consultant in Old Age Psychiatry Gateshead Health Foundation Trust Dr Kate Andrews, Counselling Psychologist Northumberland, Tyne Dr Karen Franks, Consultant in Old Age Psychiatry Gateshead Health Foundation Trust Dr Kate Andrews, Counselling Psychologist Northumberland, Tyne and Wear Foundation Mental Health Trust Our involvement

More information