In the circumstances it is my statutory to report to you: Adults aged between 18 25 now have mental health services provided by two organisations Forward Thinking Birmingham and Birmingham and Solihull Mental Health Trust: If a patient presents in crisis to A&E they will be seen by someone from the RAID team who work for Birmingham and Solihull Mental Health Trust: If they require ongoing treatment they will be referred to forward Thinking Birmingham: There is a concern that patients will have no coordinated approach to their care at a time of crisis. It is also unclear who will ultimately be responsible for the patient; particularly during the period of transfer. Both organisations use different record keeping systems There is a real risk that information will not be shared effectively and key risk factors will be missed in the handover process. It was unclear how staff from each organisation would access each other's records when patients present to one or other of the services: The Mental Health Act assessment process was followed in this case was unclear. An approved social worked declined to be involved until the assessment had been completed: There is a concern that lack of involvement of this speciality at any early stage will affect the quality of mental health act assessments and the safety of patients