MEMORANDUM OF UNDERSTANDING MADE BETWEEN THE SECRETARY OF STATE FOR HEALTH AND CHIEF CONSTABLE THAMES VALLEY POLICE

Transcription

1 MEMORANDUM OF UNDERSTANDING MADE BETWEEN THE SECRETARY OF STATE FOR HEALTH AND CHIEF CONSTABLE THAMES VALLEY POLICE Page 1 of 20

2 1. PARTIES 1.1 The Parties to this Memorandum of Understanding ( MOU ) are: (A) THE SECRETARY OF STATE FOR HEALTH of 79 Whitehall, London SW1A 2NS ("the Authority") (B) Chief Constable, Thames Valley Police Headquarters, Oxford Road, Kidlington, OXON. OX5 2NX 2. BACKGROUND TO THE MOU The Secretary of State for Health has established an innovation fund to support a programme of work with other Government Departments, as part of the Department s contribution to the Government s growth agenda. The Department has set aside 15m for taking forward innovative programmes of work. The funds will be used to fund three distinct projects as agreed with Home Office and Ministry of Justice. One of the key programmes to be funded will be street triage projects in nine English police forces. The police have the power, under section 136 of the Mental Health Act, to detain people who in a place to which the public have access, appear to have a mental disorder and to be in immediate need of care or control. In these cases, the police must take the person to a place of safety where their mental health can be properly assessed. Street triage refers to a service where clinical mental health professionals accompany or assist police at these and other similar incidents. The mental health professionals will assist in ensuring the best option for the individuals in crisis. They will do this by offering professional advice on the spot, accessing health information systems, and helping to liaise with other care services to identify the right kind of support required. The object will be to demonstrate that this approach can lead to more timely intervention by mental health professionals which will help reduce unnecessary detentions for people, particularly in police stations. The aim is for better outcomes for these individuals as well as achieving a substantial cost saving for police services. The Department of Health will make payments direct to Police forces, supported by a Memorandum of Understanding in each case. Page 2 of 20

3 3. PURPOSE OF THE MOU 3.1 The purpose of the MOU is to set out what the Department specifically requires from the Police Force as it manages a street triage pilot. 3.2 This MOU is not intended to be legally binding and no legal obligations or legal rights shall arise between the Parties from the provisions of the MOU. The Parties enter into the MOU intending to honour all their obligations. 4. COMMENCEMENT AND PERIOD OF OPERATION 4.1 This MOU shall take effect on 1 st December 2013 and run for a period of one year and expire on 31st November WHAT THE AUTHORITY AND SERVICE PROVIDER WILL DO 5.1 Schedule 3 of this MOU details what the Authority and Service Provider will do. 6. PRICING OF THE SERVICE 6.1 The pricing for the provision of the service is contained in Schedule REVIEW OF THE SERVICE 7.1 The Parties will meet on a [quarterly] basis under the leadership of the Authority to review the operation of the service, including review of the Authority required management information, and to agree any resultant actions. 8. CONTACT POINTS 8.1 Both Parties agree to nominate a representative to liaise with the other Party and be the primary point of contact in all matters concerning the operation of the contract. The names and contact details of the representatives are given in Schedule 2 9. VARIATION 9.1 This MOU, including the Schedules, may be varied by written agreement between the Parties. 10. TERMINATION 10.1 This MOU shall terminate on 31 st November 2014 unless extended or terminated by mutual agreement. 11. DISPUTE RESOLUTION Page 3 of 20

4 11.1 If the Parties are unable to agree a matter arising under the terms and clauses of this MOU, such dispute shall be referred to a more senior representative within their organisations to meet solely in order to resolve the matter in dispute. Such meeting(s) shall be minuted and shall be chaired by the Authority (but the chairperson shall not have a casting vote). Such meeting(s) shall be conducted in such manner and at such venue (including a meeting conducted over the telephone) as to promote a consensual resolution of the dispute in question at the discretion of the chairperson If the meeting(s) referred to in 11.1, does not resolve the matter in question then the Parties will attempt to settle it by mediation in accordance with the Centre for Effective Dispute Resolution ("CEDR") Model Mediation Procedure or any other model mediation procedure as agreed by the Parties. Neither Party to the mediation will commence legal proceedings against the other until 30 days after such mediation of the dispute in question has failed to resolve the dispute. The Parties will co-operate with any person appointed as mediator providing him with such information and other assistance as he shall require and will pay his costs, as he shall determine or in the absence of such determination such costs will be shared equally. 12. CONFIDENTIALITY, FREEDOM OF INFORMATION AND TRANSPARENCY 12.1 There is an obligation under common law to treat personal information held by the Parties as private and confidential because it has been disclosed for a strictly limited purpose Each Party agrees to treat as confidential, and to continue in perpetuity to treat as confidential upon termination of this agreement, information relating to the other Party s technology, technical processes, business affairs, finances, employees or officers or confidential information relating to other individuals obtained in the course of delivering the MOU The Parties shall co-operate with each other in handling and disposing of requests made to either of them, which are the responsibility under the Freedom of Information Act 2000 of the other The Parties acknowledge that the Authority is subject to the Coalition Government's Transparency Policy and the Service Provider accepts that the Authority is to act on that policy., 13. PUBLICITY 13.1 The Parties shall consult with each other before deciding whether to give any publicity to the matters covered by this MOU The Authority shall decide whether to publicise matters for which it has primary responsibility under the MOU. The Service Provider shall decide whether to publicise matters for which it has primary responsibility under the MOU. 14. DATA PROTECTION Page 4 of 20

5 14.1 The Parties warrant that they shall comply with their obligations under schedule 1 of this MOU and shall duly observe all their obligations under the Data Protection Act 1998, Directive 95/46/EC of the European Parliament and any legislation and/or regulations implementing them or made in pursuance of them and any associated legislation that arises in connection with the MOU ( Data Protection Requirements ). 15. INTELLECTUAL PROPERTY RIGHTS 15.1 The Parties may use each other s logos for the purposes of delivering and promoting the services specified in the MOU provided such use is in line with the owner s guidelines Any other use of the logo or other intellectual property rights will require express permission in writing from the owner The Service Provider hereby assigns to the Authority all Intellectual Property Rights (IPR) owned by the Service Provider in any material which is generated by the Service Provider and delivered to the Authority in the performance of the Service. These shall include, but are not limited to, any manuals, guidelines, reports, databases that the Service Provider creates on the Authority's behalf. The Service provider shall waive all moral rights relating to such material. 16. NO PARTNERSHIP OR AGENCY 16.1 Nothing in this Memorandum of Understanding shall be construed as creating a partnership No party shall be deemed to be an agent of any other party and no party shall hold itself out as having authority or power to bind any other party in any way Neither party shall have any liability to the other party for any redundancy costs arising either from delivery of the services or by the termination of the MOU, whether by the passage of time or any earlier termination. 17 LAW AND JURISDICTION 17.1 The Parties recognise that the Agreement is not a legally binding contract but nevertheless will honour, observe and perform as if it was. The Agreement shall be subject to English law and to the jurisdiction of the courts of England. Signed for and on behalf of the Secretary of State for Health.. Name Matthew Lees Position Policy Lead, Mental Health and Policing Date 2013 Page 5 of 20

6 Signed for and on behalf of the Chief Constable.. Name Richard Bennett Position Assistant Chief Constable Neighbourhood Date 18/10/2013 Page 6 of 20

7 SCHEDULE 1 SECURITY AND DATA PROTECTION 1. The Authority is the Data Controller responsible for all personal information it collects for the purposes of the MOU. The Service Provider will act as Data Processor for the Authority under the terms of this MOU. 2. The Service Provider is the Data Controller responsible for all personal information it collects for the purposes of the MOU. The Authority will act as Data Processor for the Service Provider under the terms of this MOU. 3. The Data Processors will act only on instructions from the respective Data Controllers, and will ensure they have mechanisms in place to address the issues of physical security, security awareness and training, security management systems development, site-specific information systems security policy and systems specific security policies. 4. The Data Processors will comply with the obligations imposed on the Data Controllers by the Seventh Data Protection Principle of the Data Protection Act by taking appropriate technical and organisational measures against unauthorised or unlawful processing of personal data and against accidental loss or destruction of, or damage to, personal data. 5. Any request from an individual or a third party for access to personal data, or any complaint about the way in which personal data has been processed, will be referred to the respective Data Controller. 6. Any information extracted for statistical, planning, or research purposes can only be used if the identity of the individuals to whom it relates is completely anonymous. Page 7 of 20

8 SCHEDULE 2 CONTACT POINTS For the Authority Name Office Address Matthew Lees Room 313 Richmond House, 79 Whitehall, London SW1A 2NS Telephone number E mail address Matthew.lees@dh.gsi.gov.uk For the Service Provider Name Office Address Inspector Jan Penny Thames Valley Police Headquarters Meadow House Oxford Spires Business Park Langford Lane Kidlington Oxon OX5 1NZ Telephone number E mail address Jan.penny@thamesvalley.pnn.police.uk Page 8 of 20

9 SCHEDULE 3 - Specification Service Provision OPERATION: The plan for this pilot is to be as flexible as possible adjusting to emerging information and demands. The mental health professionals (MHP) seconded to this project are likely to be band 6 nurses or other approved mental health professionals. They will cover shifts between and seven days a week as this has been identified as peak demand time for S136 detention. They will provide a triage service to people of all ages where a call has been made to police and mental ill health appears to be the main element of the issue. When not deployed, the MHP will be based at a central location either within the City of Oxford or at the main custody suite or control room in Abingdon. They will be available to either self-deploy to incidents or be crewed together with officers from one of the Local Police Areas (LPA). They will also be available to provide a telephone service for those incidents that do not require a personal response or where it is not possible to attend within a reasonable time frame. This includes the custody suites where an FME or custody Sergeant is looking for advice or information about a detained person. The MHP will not provide an alternative to an FME. The MHP will have access to transport to self-deploy to incidents and will sometimes be crewed together with police officers unless in an emergency where they will be transported in a police vehicle. When incidents are reported to the police that are obviously mental health related or this becomes apparent once officers have arrived and are within Oxfordshire LPA Boundaries the MHP will be deployed to the scene by the control room. If the MHP is not already with a police officer and it is practicable and the nature of the incident is serious enough then consideration will be given to deploying the MHP to the scene by police vehicle. This will be on a case by case basis due to the geography of the County. Outside of the / shift there will be a single point of contact available to police for the County as an advice line. The purpose of this is to further ensure that all mental health related incidents are given a degree of triage to enable the police to make informed decisions and signpost to the appropriate care pathway. Alongside the Triage activity will be a commitment to provide enhanced multi-agency training and awareness to improve the general response by all partners to relevant mental health related incidents. This will be managed by specific training days or events and material available either printed or within the organisational intranet services. Page 9 of 20

10 Management: A Project Board will be chaired by Thames Valley Police Assistant Chief Constable who is responsible for Neighborhood Policing and Partnerships, Criminal Justice, Control Rooms and Enquiries Department, Extended police family, Diversity and Mental health. The Board will consist of senior representatives from Thames Valley Police, Oxford Health NHS Foundation Trust, Oxfordshire Local Social Services Authority, Oxfordshire Clinical Commissioning Groups Mental Health Commissioner, NHS England, The Office of the Police & Crime Commissioner and South Central Ambulance Service. The service will be jointly delivered between Thames Valley Police and Oxford Health NHS Foundation Trust. In support of the Project Board will be an operational group managing the day to day monitoring of the pilot. Matters that cannot be resolved at the operational level will be escalated to the Project Board. This group will be chaired by an LPA Commander from within Oxfordshire and will be represented by managers from the relevant services. Information Management/Reporting A researcher analyst will be provided by the project whose responsibility it will be to scan and analyse all commitments that come into the Oxfordshire LPAs with issues relating to mental ill health. Analysis will be carried out to determine what led up to the incidents, the outcomes of those incidents and whether they should/could have been managed in a different way. The researcher will also specifically analyse all S136 detentions and report on the pathway and outcomes. In terms of the project specifics the analyst will collate and analyse all police and health data. To accurately record and provide monthly data against the Street Triage Project common data set (attached at Annex A). Provide quarterly returns on expenditure to the Department of Health. Arrange for a representative to attend meetings with representatives from other street triage schemes to share best practice and discuss emerging issues. Expected Outcomes: The objectives of the pilot are: Research and provide information and data on the full picture of mental health related incidents within the pilot area. Quickly assess a situation to ensure the appropriate care pathway is identified; Reduce the number of deprivations of liberty under S136 by identifying suitable, appropriate, less restrictive, alternatives; Reduce the amount of time police officers are spending managing situations in public or private locations by providing support for mental health assessments and facilitating access to appropriate services; Page 10 of 20

11 Reduce the burden of inappropriate referrals to Emergency Departments; Improve training, awareness, confidence and joint working relationships between police and health professional staff; Reduce costs across the Police, Local Authority and NHS; Improve the experience and outcomes for service users Inform future commissioning including healthcare in custody, provision of health based places of safety and transportation for persons experiencing mental ill health The police force and the local health care provider should actively consider continuing the service after the Departmental funding ceases, particularly if interim data indicates that the service is producing savings to the force. However, if a decision is taken not to continue the service the police force will inform the Department in writing the reasons for the decision. Contract Management: The Department will fund the pilot in two payments to Thames Valley Police, one in financial year 2013/14, and a final payment in 2014/15. There will be no payment made in 2015/16 or succeeding years under the terms of this Memorandum of Understanding. The payments will for the sums set out in the proposal made by the force to the Department, and agreed by both parties on [DN. Date] The Department will monitor the operation of the pilot programme, primarily, but not solely, through the DH-Police Liaison manager/project manager. The Department will not be responsible for any expenditure the force may incur over and above the agreed funding for the pilot. Timetable The Secretary of State has told the Home Secretary that pilots would begin this summer. The Home Secretary subsequently announced this to the Police Federation conference in May. The pilot shall run for one calendar year from the agreed start date of 1 st December 2013 Skills and Knowledge Transfer To take full part in the independent project evaluation commissioned by the Department which should demonstrate whether or not these schemes can reduce the amount of time police need to spend with people with suspected mental health problems, when these people need health and support services, rather than to enter the criminal justice system. The evaluation should indicate the effect of the pilots on the numbers of people detained by police under Section 136. Above all, the evaluation should show whether or not it will be cost effective for forces to continue the pilots after the period of Departmental funding. Page 11 of 20

12 SCHEDULE 4 PRICING AND PAYMENT NOTE: A breakdown of the costs under this MOU needs to be set out in this section. These should be tested and benchmarked before the MOU is agreed to ensure that they do provide the DH value for money. The cost of the 12 month Street Triage pilot are calculated based on the following: [INSERT DESCRIPTION OF SERVICE} FIRM PRICE Mental Health Professional band 6 x 2 93,000 Police Constable cover 44,000 Analyst band 3H 35,000 Vehicle cost approximation including fuel 8,000 Joint training and partnership events 20,000 Additional transport, admin and IT costs will be borne by the partnership Total Price 200,000 Funding will be issues to Thames Valley Police in two tranches one in December 2013 and the second in April 2014, with 60% ( 120,000) to be paid in December 2013 and 40% ( 80,000) to be paid in April The funding has been allocated from the central policy contingency fund pot, (which has formerly been referred to as the ministerial priorities pot.) Page 12 of 20

13 Annex A Street Triage Project common data set The data sets will be returned monthly to the Department of Health and will include the following: Description of the service: Time and days of operation Total cost of operation, including levels and grades of staff Overview description of activity Description of modus operandi of service (derived from observation of practice) Basis of estimation of number of s136 detentions averted on advice of street triage service How they get connectivity with Community MH data sets (derived from interviews) Activity Number of clients engaged with in person by a street triage team member Number of clients advised on, without in person engagement Number of clients aged 18 or younger Breakdown of these issues by Offender/ Suspect /Victim/ Community Mental health issue (inc. s136, s135 advice and suicide) How many clients already known to Community MH services or CAMHS How many clients previously subject to a s136 detention? How conveyed (e.g. by police car or ambulance?) Outcomes How many S136 detentions to health based place of safety How many S136 detentions to police station (with reason why) How many S136 detentions to other POS (home address etc) Length of S136 detention Assessment started within 3 hours (Y/N) How many S136 detentions averted on advice of street triage service (estimate) How many clients subsequently sectioned under the Mental Health Act e.g. sections 2 or 3 of the MHA Clients referred to Community MH for support Offenders referred to Liaison and Diversion scheme (where existing) Follow up after 2 weeks have clients continued to engage with health (or other) services? Savings Opportunity savings in reduced service demand (i.e. cost an average s 136 detention and then value the reduction) Number of individuals involved, at what staff grade, and for how much time (information to be provided by the pilot s mental health liaison nurse). Page 13 of 20

14 Proposal- Street Triage Annex B Applicant Details Name of Service Name of Trust Oxford Health and Thames Valley Police Street Triage Pilot in Oxfordshire Oxford Health NHS Foundation Trust Contact / Lead Address Inspector Jan Penny Thames Valley Police Headquarters Meadow House Oxford Spires Business Park Langford Lane Kidlington Oxon OX5 1NZ Jan.penny@thamesvalley.pnn.police.uk Telephone Numbers Jan Penny Please provide a brief description of your project OVERVIEW: Thames Valley Police in partnership with Oxford Health NHS Foundation Trust are developing Street Triage scheme in Oxfordshire by providing dedicated mental health professionals working alongside Police. They will target incidents reported to Police where individuals appear to be in immediate need of support for their mental ill health. The aim of the pilot is: Working in partnership to improve the overall experience and access to appropriate care pathways for persons with mental ill health who present to the police in a crisis state. Page 14 of 20

15 The objectives of the pilot are: Research and provide information and data on the full picture of mental health related incidents within the pilot area. Quickly assess a situation to ensure the appropriate care pathway is identified; Reduce the number of deprivations of liberty under S136 by identifying suitable, appropriate, less restrictive, alternatives; Reduce the amount of time police officers are spending managing situations in public or private locations by providing support for mental health assessments and facilitating access to appropriate services; Reduce the burden of inappropriate referrals to Emergency Departments; Improve training, awareness, confidence and joint working relationships between police and health professional staff; Reduce costs across the Police, Local Authority and NHS; Improve the experience and outcomes for service users Inform future commissioning including healthcare in custody, provision of health based places of safety and transportation for persons experiencing mental ill health Within Thames Valley Police (TVP) area Oxfordshire was identified as the County with the greatest demand for use of police resources for incidents involving apparent mental ill health. There is also an active partnership between the Oxford Health NHS Foundation Trust (OH), Oxfordshire Approved Mental Health Professional Service and TVP who are reviewing and considering current services and alternative care pathways. Oxfordshire is geographically a very large County consisting of five Local Authority Areas under a County Council. It is the most rural county in the South East and has a population of around 635,500. Within the City the population is approximately 155,000 over 46 Square kilometres. There are three Local Police Areas within Oxfordshire each with their own discreet management and police teams. There are currently three custody suites for the County which is soon to be reduced to two, the main one being in Abingdon. Oxford Health has two main psychiatric units in the City including an adolescent unit and a medium secure forensic unit. There are also Community Mental Health Teams in each local authority area and a number of community residential accommodations. The vast majority of mental health related police incidents and detentions under S136 for Oxfordshire occur within the City. In addition to this there is a high demand for police assistance in the community for individuals who are experiencing apparent mental disorder. OPERATION: The plan for this pilot is to be as flexible as possible adjusting to emerging information and demands. The mental health professionals (MHP) seconded to this project are likely to be band 6 nurses or other approved mental health professionals. They will cover shifts between and seven days a week as this has been identified as peak demand time for S136 detention. They will provide a triage service to people of all ages where a call has been made to police and mental ill health Page 15 of 20

16 appears to be the main element of the issue. When not deployed, the MHP will be based at a central location either within the City of Oxford or at the main custody suite or control room in Abingdon. They will be available to either self deploy to incidents or be crewed together with officers from one of the Local Police Areas (LPA). They will also be available to provide a telephone service for those incidents that do not require a personal response or where it is not possible to attend within a reasonable time frame. This includes the custody suites where an FME or custody Sergeant is looking for advice or information about a detained person. The MHP will not provide an alternative to an FME. The MHP will have access to transport to self deploy to incidents and will sometimes be crewed together with police officers unless in an emergency where they will be transported in a police vehicle. When incidents are reported to the police that are obviously mental health related or this becomes apparent once officers have arrived and are within Oxfordshire LPA Boundaries the MHP will be deployed to the scene by the control room. If the MHP is not already with a police officer and it is practicable and the nature of the incident is serious enough then consideration will be given to deploying the MHP to the scene by police vehicle. This will be on a case by case basis due to the geography of the County. Outside of the / shift there will be a single point of contact available to police for the County as an advice line. The purpose of this is to further ensure that all mental health related incidents are given a degree of triage to enable the police to make informed decisions and signpost to the appropriate care pathway. Alongside the Triage activity will be a commitment to provide enhanced multi-agency training and awareness to improve the general response by all partners to relevant mental health related incidents. This will be managed by specific training days or events and material available either printed or within the organisational intranet services. A researcher analyst will be provided by the project whose responsibility it will be to scan and analyse all commitments that come into the Oxfordshire LPAs with issues relating to mental ill health. Analysis will be carried out to determine what led up to the incidents, the outcomes of those incidents and whether they should/could have been managed in a different way. The researcher will also specifically analyse all S136 detentions and report on the pathway and outcomes. In terms of the project specifics the analyst will collate and analyse all police and health data. REPORTING: Data and information will be collected from Police and MHP. The content of the data will include: The service Page 16 of 20

17 Time and days of operation Total cost of operation Description of cohort activity data Description of cohort being advised on remotely Description of modus operandi of service (derived from observation of practice) How they get connectivity with Community MH data sets (derived from interviews) Activity Number of clients actually engaged with Number of clients advised upon, without direct engagement Number of clients aged 18 or younger Number of repeat callers to service Breakdown of these issues by Offender/ Suspect /Victim/ Community Mental health issue (inc. s136, s135 advice and suicide) How many clients already known to Community MH services or CAMHS How conveyed (by police car or ambulance) Activity outside the pilot where triage has not been employed. Outcomes S136 detention to HBPOS S136 detentions to police station (with reason why) S136 detentions to other POS (home address etc) Length of S136 detention Assessment started within 3 hours (Y/N) S136 detentions averted on advice of service Victims identified with MH issue ie. Sectioned under sections 2 or 3 of the MHA Clients referred to Community MH for support Offenders referred to Liaison and Diversion scheme (where existing) Follow up after 2 weeks is there continued engagement with services? Savings Opportunity savings in reduced service demand (ie. cost an average s 136 detention and then value the reduction) Number of individuals involved, at what staff grade, and for how much time (information to be provided by the pilot s mental health liaison nurse). Identified gaps in service provision Identified gaps in knowledge (training awareness of police and health staff (including OOH, 111, ambulance) Diversion from A&E (persons who may otherwise have gone there) Other opportunities Number of police officers/staff receiving additional training Numbers of NHS or LA staff receiving additional training Feedback from those personnel Feedback from service users Page 17 of 20

18 2. Please explain what partnership arrangements are in place to deliver the service? A Project Board will be chaired by Thames Valley Police Assistant Chief Constable who is responsible for Neighborhood Policing and Partnerships, Criminal Justice, Control Rooms and Enquiries Department, Extended police family, Diversity and Mental health. The Board will consist of senior representatives from Thames Valley Police, Oxford Health NHS Foundation Trust, Oxfordshire Local Social Services Authority, Oxfordshire Clinical Commissioning Groups Mental Health Commissioner, NHS England, the office of the Police & Crime Commissioner and South Central Ambulance Service. The service will be jointly delivered between Thames Valley Police and Oxford Health NHS Foundation Trust. In support of the Project Board will be an operational group managing the day to day monitoring of the pilot. Matters that cannot be resolved at the operational level will be escalated to the Project Board. This group will be chaired by an LPA Commander from within Oxfordshire and will be represented by managers from the relevant services. 3. What mechanisms will be used to raise awareness of the development activity in your locality? A communications strategy jointly agreed via the project board, using existing internal and external avenues and networks. 4. Have you secured any additional funding sources for the proposed development work/how will the money be spent There is no additional funding currently secured although there are a number of opportunities that are being explored such as sponsorship of a vehicle. The Thames Valley Area Strategic Clinical Networks leads from NHS England have also pledged their support. The funding from Department of Health will enable Thames Valley Police and Oxford Health NHS Foundation Trust to explore an enhanced service for rapid assessment by seconding dedicated mental health professionals to the police and providing a vehicle Page 18 of 20

19 for use for the duration of their shift. Oxfordshire LPAs will consider the appropriate deployment of its officers in support of the project. The project will also increase awareness and training across the board and attempt to utilise our special constabulary and PCSOs in a more innovative way. There will be additional costs placed on the partnership in order to provide project management and training. It is anticipated that the evidence gathered during the pilot will help to demonstrate where future commissioning should be directed and where savings can be made. For example: Reducing the number of s136 detentions Ensuring that police custody is used as a place of safety only in exceptional circumstances including informing the debate about the number of health based places of safety required Reduce the number of hours officers spend in the community with vulnerable persons who require direction to an appropriate care pathway Reduce demand placed on the Acute Trust COSTS: Costs estimated and rounded up to the nearest thousand pounds Mental Health Professional band 6 x 2 = 93,000 Police Constable cover = 44,000 Analyst band 3H = 35,000 Vehicle cost approximation including fuel = > 8000 Joint training and partnership events = > 20,000 Additional transport, admin and IT costs will be borne by the partnership Bid to Department of Health for funding = 200,000 Additional comments you may wish to make: This pilot is deliberately flexible by design which makes specific costs very difficult to analyse. The bid supplied is based on the likely minimum expenditure with no additional support, however cannot factor in any sponsorship or additional funding opportunities as these are still being researched and will come on line during the life of the project. Page 19 of 20

20 We are aiming to go live with this on 01/12/2013 as historically we recognise that mental health can deteriorate up to and beyond the Christmas period and we wish to be able to capture this seasonal variation. We are unlikely to have our analyst in post by then but the data will be captured and there will be an element of catching up. The nurses will be seconded from current strength and so will be available at short notice. Page 20 of 20