Service Guide for Walsall GPs Your guide to: Services provided Referral pathways How to contact services together
Foreword Dear Colleague, Welcome to our first ever GP Service Guide, which we have produced to help you refer patients into our mental health services across Walsall. You may be aware that we have recently made changes to our Adult Community mental health services. This guide contains everything you need to know, including up-to-date information about our services, details on referral criteria and key contacts. Please keep this guide handy. It has been designed so that, as information about our services changes or is updated, we will send you a new page that can be easily inserted into the ring binder. If you have any feedback on any of the content included within this guide, please contact our Service Experience Desk on Freephone 0300 555 0535 or email SED at SED@dwmh.nhs.uk Should you wish to discuss any other issues relating to our services then please contact Jacky O Sullivan, Service Transformation Programme Director, on 01384 324513 or email jacky.o sullivan@dwmh.nhs.uk We hope that you will find this guide useful and that it supports you in referring patients to the most appropriate mental health service. With kindest regards, Glyn Shaw Chairman Gary Graham Chief Executive
Who we are and what we do Our Vision Better Together - delivering flexible, high-quality, evidence based services to enable people to achieve recovery. Dudley and Walsall Mental Health Partnership NHS Trust was established in October 2008 and specialises in the treatment of both common and complex mental health conditions in children, adults and older people. It provides a comprehensive range of mental health and social care services including primary care mental health, community based services and inpatient facilities. In 2009 the Trust was selected by the National Commissioning Group to be one of four centres in England to deliver a national Deaf service for children. Serving a population of approximately 306,600 in Dudley and 255,900 in Walsall, services are provided from a number of sites across the boroughs. Most are owned or leased by the Trust; some services are provided from within GP practices, health and social care centres and other community venues. The Trust also provides services directly to people in their homes or in residential and care homes. In the past four years the Trust has established itself as a provider of high quality, safe and effective mental health services for the populations of Dudley and Walsall. This is evidenced by unconditional Care Quality Commission (CQC) registration, NHS Litigation Authority (NHSLA) compliance, Accreditation for Inpatient Mental health Services (AIMS) and successful performance in a variety of regional quality, safety and governance assessments and evaluations. The Trust s vision is one of providing recovery oriented services. This vision has been guided by a growing emphasis on the wellbeing of the population and a focus on prevention and early intervention. It guides our future plans for mental health services. Our Values Respect and dignity Commitment to quality of care Compassion Improving lives Everyone counts Working together for patients
Contents 1. Referral Pathway for Working Age Adults 2. Primary Mental Health and Talking Therapies 3. Early Access Service 4. Older Adults Services 5. Child and Adolescent Mental Health Services 6. Substance Misuse Services 7. Out of Hours Crisis Service 8. Compliments, Complaints and Enquiries about our Services
1. Referral Pathway to Mental Health Services Walsall Is the patient presenting with a mild to moderate mental health issue of low risk? Yes Primary Mental Health and Talking Therapies: Referrals can be made to the Primary Mental Health and Talking Therapies service Monday to Friday 9am 5pm. Self Referral Please hand the patient a Primary Mental Health and Talking Therapies information leaflet to self-refer to the service. A written referral can be sent to: Primary Mental Health & Talking Therapies Service Dudley & Walsall Mental Health Partnership NHS Trust, Kingshill Centre, School Street, Wednesbury, WS10 9JB Please ensure written referrals contain: Client s full name, date of birth, address including postcode, NHS number, GP surgery registered with, sex, marital status, ethnicity Is the patient presenting with a moderate to severe mental health issue or high risk? Yes Secondary Care: Referrals can be made to the Early Access Service Monday to Friday 9am-5pm. Please send a written referral to: Early Access Service 28 Glebe Street Walsall WS1 3NX If the referral is urgent, please call: Telephone: 01922 608850 Fax Number: 01922 607705 Out of hours: Please call 01922 607000 and ask for Crisis Resolution / Home Treatment Team
2. Primary Mental Health and Talking Therapies Service What is the Primary Mental Health and Talking Therapies Service? The Primary Mental Health and Talking Therapies Service offers access to primary care based mental health screening, assessment and interventions. The team provide a flexible and innovative service that meets the various needs of adults aged 17 years and upwards presenting with mild to moderate mental health problems associated with low risks and care clustered within the range 1 to 4. Who can refer to this service? The service can be accessed via a GP referral or self referral, however in cases of self referral, consent will be gained to discuss the case with their GP. How to make a referral Please issue the service user with a patient information leaflet which provides information about the service and how to make an appointment. If necessary, written referrals can be sent to: Primary Mental Health & Talking Therapies Service Kingshill Centre, School Street Wednesbury, WS10 9JB Tel: 01922 608400 Fax: 01922 608040 If you are unsure and need referral facilitation advice, please speak to the primary mental health nurse allocated to your Surgery or call the telephone number detailed below. Contact Details Primary Mental Health & Talking Therapies Service Kingshill Centre School Street Wednesbury WS10 9JB Tel: 01902 608400 Fax: 01922 608040
3. Early Access Service What is the Early Access Service? The Early Access Service (EAS) delivers a single point of entry into secondary mental health services for all adults (17 to 65) and provides mental health screening and comprehensive mental health assessments. Who can refer to this service? The service accepts referrals for patients presenting with a moderate to severe mental illness made by: GPs Mental Health Act Mental Health Primary Care Teams Patients Transferring from CAMHs New transfers from other mental health trusts The Early Access Service is commissioned to accept referrals for patients presenting with a moderate to severe mental illness. Patients who, following assessment, do not meet the criteria for secondary mental health services will either be signposted to other services or referred back to the referrer. How to make a referral To make a referral please write to the address below detailing the presenting mental health problems and a short medical history of the patient. The service will aim to offer the patient a routine appointment within 15 working days from receipt of the referral.
Please ensure the referral includes the individual s: Full name Address (including postcode) GP surgery Marital status Ethnicity (with any interpretation needs) A clear indication of risk and needs the referrer identifies Contact Number Gender NHS Number Date of birth Urgent Referrals If the referral is urgent and a same day response is required, please ring the service number (01922 608850) and discuss the case with the Duty Worker who will support the appropriate response process. (Please note posted referrals will not be classed as urgent). Please note: In exceptional circumstances referrals may be accepted from outside of the above list. In such circumstances EAS will contact the GP and seek authorisation to proceed. The service will aim to acknowledge receipt of all referrals and advise the referrer of the appointment date offered to the patient. The service will write to the service user s GP following assessment detailing outcomes and any initial plan of care. Contact Details Early Access Service Archway House 28 Glebe Street Walsall WS1 3NX Tel: 01922 608850 Fax: 01922 607705
4. Older Adults Services Community Mental Health Team for Older Adults The Community Mental Health Team for Older Adults CMHTOA provides a single point of access into Secondary Mental Health Services for Adults over the age of 65. The team provides a multi-agency and multi-disciplinary service specialising in the assessment and treatment of mental health needs associated with older adults. The service is also available to younger people with dementia. Who can refer to this service? The CMHTOA Duty Desk provides a gateway function to secondary mental health services for Older Adults. The service can be accessed via referrals from GPs. How to make a referral Please complete a service referral form and send this via fax to: 01922 607220 or post this to Duty Desk, Community Mental Health Team for Older Adults, Blakenall Village Centre, Thames Road, Walsall, WS3 1LZ. Please note that the Referral Form includes guidance as to what information is required. Once the team has received the referral form they will contact the service user or carer to arrange an assessment appointment. Referrals out of hours Please contact Dorothy Pattison Hospital Switchboard on 01922 607000 and ask for the Crisis Resolution/Home Treatment Team. Contact details Older Adults Community Mental Health Team 1st Floor, Blakenall Village Centre Thames Road Walsall WS3 1LZ Tel: 01922 607150 Fax: 01922 607220
Walsall Memory Assessment Service The Memory Service offers assessment, diagnosis and treatment to persons over 50 years of age for whom memory problems are the primary symptom. In addition, the Service offers pre and post diagnostic counselling, advice, education, guidance and signposting to appropriate services. Who can refer to this service? The Service can be accessed by Referral Form from a GP, Community Mental Health Teams and Walsall Manor Hospital. The Referral Form includes guidance as to what information is required. GPs please note that patients are referred to the Memory Service under Shared Care Protocol. How to make a referral To refer a patient to this service please complete a referral form and fax to: 01922 607220 or post this to Memory Assessment Service, 1st Floor, Blakenall Village Centre, Thames Road, Walsall, WS3 1LZ. Following receipt of a referral the referral will be screened and the patient or carer will be contacted to arrange an assessment appointment. The referrer will be informed in writing about the outcome of the assessment, the diagnosis and details of the treatment and management plans. Contact details Memory Assessment Service 1st Floor, Blakenall Village Centre Thames Road Walsall WS3 1LZ Tel: 01922 608888 Fax: 01922 607220
5. Child and Adolescent Mental Health Service Walsall What is the Child and Adolescent Mental Health Service (CAMHs)? The service provides a multi-agency and multi-disciplinary service specialising in the assessment and treatment of moderate to severe mental health difficulties that children and young people up to their 17th Birthday. Our team of child and adolescent mental health specialists cover a wide range of skills and include Child and Adolescent Psychiatrists, Child & Adolescent Psychotherapists, Clinical Psychologists, Nurses, Specialist Social Workers, Family Therapists and Speech & Language Therapists. If you are unsure whether Child and Adolescent Mental Health Services are appropriate please do not hesitate to ring the service number (01922 608777) for further guidance. Who can refer to this service? The service accepts referrals for patients presenting with a moderate to severe mental illness made by: GPs Paediatricians Social Workers School Health and Youth Offending services It is important that front line services, such as counselling services, mediation services, family centres and bereavement services are tried first before a referral is made to the CAMH Service. How to make a referral Please make a written referral to the address below detailing the presenting mental health problems and details on any previous interventions including the outcome.
Please ensure the referral includes the individual s: Full name Address (including postcode) GP surgery Ethnicity (with any interpretation needs) A clear indication of risk and needs the referrer identifies Contact Number Gender NHS Number Date of birth The service aims to acknowledge receipt of all referrals and advise the referrer of the appointment date offered to the service users. The service will write to the service user s GP following assessment detailing outcomes and any initial plan of care. Urgent referrals If the referral is urgent please ring 01922 608777 and discuss the case with a member of the CAMHs Team who will support the appropriate response process. Contact details CAMHs Team Walsall Canalside House Abbotts Street Bloxwich Walsall, WS3 3AZ Tel: 01922 608777 Fax: 01922 607402
6. Substance Misuse Services Lantern House Community Detox Team Lantern House is a community drug and alcohol treatment service (Adults 18 +) assisting individuals and families in their recovery from chemical addictions. There are three elements to the service: Structured Drug Treatment Team - The Structured Drug Treatment Team provides an access point into drug treatment by undertaking comprehensive drug treatment assessments and individual packages of care. Community Alcohol Team - The Community Alcohol Team provides medically supervised community alcohol detoxification by undertaking comprehensive alcohol treatment assessments and individual packages of care. Shared Care Team - The Shared Care Team provides ongoing support for those who have achieved a level of stability in their lifestyle but who may require ongoing replacement prescribing programmes. Medical prescribing is undertaken by GPs and a key worker continues to monitor and provide motivational interventions. Who can refer to these services? Structured Drug Treatment - Referrals are accepted from GPs, professionals, self and the criminal justice sector for structured drug treatment programmes. Community Alcohol Team - Referrals are accepted from GPs and self referrals for community alcohol detoxification. Shared Care - Referrals are accepted from GPs. How to make a referral To make a referral please write to the address below detailing the presenting drug/ alcohol problems and a short medical history of the patient.
Please ensure the referral includes the individual s: Full name Address (including postcode) GP surgery Marital status Ethnicity (with any interpretation needs) Alcohol/Drug history A clear indication of risk and needs the referrer identifies Contact Number Gender NHS Number Date of birth Contact Details Substance Misuse Services Lantern House 129-130 Lichfield Street Walsall WS1 1SY Tel: 01922 608600 Fax: 01922 608630
7. Out of Hours Crisis Service This service operates out of hours during the evenings, weekends and bank holidays in both the Dudley and Walsall localities. If a person experiences a Mental Health crisis out of hours and the GP believes a mental health assessment is required then initially the Crisis Team should be contacted by telephone 01922 607000 and the crisis worker will advise on the way forward. The same process is to be followed if a Mental Health Act Assessment is required. Again, the crisis worker will advise on appropriate assessments, treatment and access to services if appropriate.
8. Compliments, Complaints and Enquiries about Our Services The Service Experience Desk (SED) is the central point of contact for all concerns and enquiries from service users, families, carers and all healthcare professionals whether these are formal or informal, compliments, suggestions or complaints. Compliments, concerns and complaints can be made directly to staff or to the Service Experience Desk. The Service Experience Desk will liaise with staff managers and health professionals to handle concerns and sort problems as quickly as possible. The team also provides information on NHS Services and advice and support to service users, their families and carers. Tel: 0300 555 0535 Email: SED@dwmh.nhs.uk Address: Service Experience Desk Dudley and Walsall Mental Health Partnership NHS Trust 2nd Floor Trafalgar House 47 49 King Street Dudley DY2 8PS
Dudley and Walsall Mental Health Partnership NHS Trust 2nd Floor, Trafalgar House, 47-49 King Street, Dudley, DY2 8PS Switchboard: 0300 555 0262 Fax: 01384 362 363 Email: communication@dwmh.nhs.uk Web: www.dwmh.nhs.uk