Brighton & Hove

Action Planned (AI summary) BHCC CCG SPFT and CGL acknowledge concerns regarding services for those with co-occurring substance misuse and mental ill-health and outline future plans to review the existing co-existing conditions group, ensure continued information sharing about service provision, and ensure that new commissioned services consider co-existing needs. The Dept. of Health and Social Care details plans for improving mental health services for those with coexisting substance use, including providing support to local authorities via the Public Health Grant, and proposed new standards for community-based mental health crisis services regarding referral times. NHS Social Care provides an update to their October 2021 response, stating that the procurement process for a new crisis house has been completed and the contract awarded to Mental Health Matters, with the service set to start on 01 November 2022. They also mention re-commissioning mental health supported accommodation services, and improving information sharing about services via a network of groups and regular newsletters.

Action Planned (AI summary) Sussex NHS Commissioners have shared the report with commissioners to consider how long term service delivery can be improved for people with acquired brain injuries. Brighton & Hove City Council has designed and implemented a non-engagement policy, will develop a training course on mental capacity assessments and will continue to provide training courses on Acquired Brain Injury and self-neglect.

Action Planned (AI summary) The hospital will present the case at the next Governance Meeting to highlight the importance of auscultation and rationale documentation, and will audit Emergency Department documentation.

Action Planned (AI summary) East Sussex County Council is developing a potential pedestrian crossing scheme on the A2100 Battle Hill, with preliminary design completed and funding allocated in the 2021/22 Capital Programme for further development, subject to consultation and legal agreements.

Action Planned (AI summary) The ambulance service does not believe a Safety Alert would be appropriate and do not believe that it is feasible to upgrade all overdoses, but plans to meet with the NHS England national ambulance team and NHS Pathways to share learning and progress concerns. Revised guidance on overdoses is at the pre-publication stage and will endorse clinical review of overdoses.

Action Planned (AI summary) The Trust and BHCC are developing a joint policy and guidance to improve communication and define responsibility between the organisations to improve the safety of voluntary patients waiting for acute mental health beds. Actions include reviewing existing policies and protocols, implementing new documentation procedures, and providing staff training, to be completed by April 2021.

Action Planned (AI summary) Brighton & Hove CCG commissioned a feasibility report to develop a strategic definition and prepare a brief for a new healthcare facility for homeless and disadvantaged people in Brighton, to be reviewed following the initial phase of the Covid response. BHCC currently commissions a range of accommodation and support services for rough sleepers.

Action Planned (AI summary) Sussex NHS Trust will improve communication pathways with the Police and improve guidance to staff regarding contacting the Police following serious incidents.

Action Planned (AI summary) NHS Pathways is undertaking a detailed review to determine whether additional discriminators can be used over the phone to enhance the triage process, including utilizing risk factors and specific questions to determine the onset and nature of pain. Changes will be incorporated into release 18 (due for deployment 7th October 2019). South East Coast Ambulance Service has discussed the coroner's concerns with NHS Pathways, who are reviewing care instructions and considering amendments to the Pathways script for inclusion in version 18 or 19, due for release in Autumn 2019. NHS Pathways will review the inclusion of additional questions to exclude abdominal aortic aneurysm as part of a review into severe abdominal pain.