Mental Health Crisis Report: update on progress

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Summary of report content

Healthwatch Derbyshire had produced a report in December of 2016 on the Mental Health Services locally.

This report is an update on whether the recommendations made in that report have been actioned.

Recpmmendations were made as follows:

1. Provide clear information for patients, friends, family and carers about where to go, and what to do in a developing crisis situation.

2. Work to develop coordination of, and show real ownership of developing crisis situations.

3. Address access issues to Focusline.

4. Maximise access to, availability of and continuity with community psychiatric nurses (CPNs).

5. Support General Practice to deal with and respond to mental health crisis.

6. Improve referral systems to social care and community support.

7. Work to improve patient experience in Accident and Emergency.

8. Address police ability to identify and respond to potential overdoses.

9. Police to explain restraint when used.

10. Address and seek to minimise use of police cells for people in mental health crisis.

11. Consider distress caused by supervised toileting/showering in acute inpatient units, and consider alternative solutions.

12. Develop role/purpose of named nurse in acute inpatient units.

13. Consider provision of appropriate activities in acute inpatient units.

14. Consider how physical health needs are accommodated by acute inpatient units.

15. Appropriate awareness raising of advocacy in a range of settings and its purpose.

16. Consider and take any necessary action required to address reported self-harm risks in rooms at The Priory.

Response provided by Hardwick Clinical Commissioning Group (CCG) representing all CCG’s - An action plan has been implemented.

Chesterfield Royal Hospital - numerous actions in place and being monitored regularly.

Derbyshire Healthcare NHS Foundation Trust - numerous actions in place and being monitored regularly.

Royal Derby Teaching Hospitals NHS FT - numerous actions in place and being monitored regularly.

Next Steps:

• Monitor implementation of Crisis Concordat Action Plan.

• Monitor improvement of services through our service Mental Health Together for Derby and Derbyshire.

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General details

Local Healthwatch
Healthwatch Derbyshire
Publication date
Date evidence capture began
Date evidence capture finished
Type of report
Report
Key themes
Access to services
Triage and admissions
Communication with patients; treatment explanation; verbal advice
Diagnosis
Written information, guidance and publicity
Integration of services and communication between professionals
Quality of treatment
Service organisation, delivery, change and closure

Methodology and approach

Was the work undertaken in partnership with another organisation?
No
Primary research method used
Engagement event

Details of health and care services included in the report

Details of health and care services included in the report
Other
Mental health crisis service
Community Mental Health Team (CMHT) and specialist MH services
District nurse and community nursing
Urgent primary care, including Urgent Treatment Centres, walk-in care, out of hours GP services, minor injury and treatment centres
Name of service provider
Hardwick Clinical Commissioning Group ; Chesterfield Royal Hospital; Derbyshire Healthcare NHS Foundation Trust; Royal Derby Teaching Hospitals NHS FT;

Details of people who shared their views

Number of people who shared their views
0
Age group
Not known
Gender
Not known
Is the gender identity of people in the report the same as the sex they were assigned at birth?
Not known
Sexual orientation
Not known
Types of disabilities
Mental health condition
Not known
Does this report feature carers?
Yes
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