Healthcare Safety Investigation Branch, January 2018
This bulletin relates to an investigation of a woman experiencing a mental health crisis who, having presented to her general practitioner, ambulance service and the emergency department of her local hospital, subsequently took her own life. A preliminary investigation reviewed the care pathway of the woman spanning the two years preceding her death. During the HSIB’s preliminary investigation the following safety issues were identified and will form the basis of the ongoing investigation:
- The appropriateness of assessment tools to identify patients at risk.
- Difficulties in the sharing of patient information within the emergency department.
- The emergency department may not be a place of safety for a patient experiencing a mental health crisis.
- Access to psychiatric liaison services
Click here to view the bulletin.
Royal College of Emergency Medicine, December 2017
This guide outlines the process to be followed when police bring a person to the Emergency Department under a section136 of the Mental Health Act and the responsibilities of the different agencies caring for the person. It notes the main change detailed is a reduction in duration of the section from 72 hrs to 24 hours. Under 18s are no longer allowed to be taken to a police cell and adults will only be taken to a police cell under certain circumstances. Police are also required to consult a mental health professional before applying a section 136 where possible.
Click here to read the full guidance.
NHS Confederation, October 2016
This briefing, by the Mental Health Network, explores the gap between the policy rhetoric around mental health crisis care and reporting on the ground.
Click here to view the briefing.
University of Manchester, October 2016
This report presents findings relating to people who died by suicide in 2004-2014. It found that over 200 suicide deaths per year now occur in patients under mental health crisis teams, three times as many as in in-patients.
Click here to view the full report.
Health Services Journal, September 2016
Mental health services will be expected to treat patients in crisis within four hours as part of a new waiting time target for the sector mirroring the acute accident and emergency standard, NHS England has revealed.
Click here to access the full story.
Local Government Association, June 2015
The Mental Health Crisis Care Concordat is a national agreement between services and agencies involved in the care and support of people in crisis. It sets out how organisations will work together better to make sure that people get the help they need when they are having a mental health crisis. The LGA and ADASS have published a note for adult safeguarding boards on the Mental Health Crisis Care Concordat. Included in this to this document is a checklist which safeguarding adults boards can use to assess their progress with the local implementation of the Concordat.
Click here for further information and to download the note.
NHS Confederation, 12 June 2015
The Care Quality Commission (CQC) have launched a report which shows that there are variations in the help, care and support available to people in crisis and that a person’s experience depends not only on where they live, but what part of the system they come into contact with. As a signatory to the Concordat, CQC committed to providing a national overview on crisis care. The CQC carried out a thematic review of the quality, safety and effectiveness of care provided to people experiencing a mental health crisis by regulated providers and providers/ agencies with responsibility for operating the Mental Health Act 1983. This report provides a summary of the findings of this review as well as recommendations.
Click here for further information and to download the report.