Pennine Care NHS Foundation Trust

Action Planned (AI summary) Pennine Care NHS Trust has increased staffing levels, issued a memo to staff for greater awareness of the requirement to seek support from On-Call managers, and are planning to update policies and practice on how to respond to information in the public domain in the most effective manner. Greater Manchester Police will participate in a task and finish group and is represented at senior level on the GM Health and Justice Operational Delivery Group and the Greater Manchester Health and Justice Board, with focus on reviewing multi-agency protocols, shared resources, and formal joint working action plans. The partnership has developed a pan-GM protocol for response to mental health crisis, aiming for a common understanding of roles and responsibilities, a shared view of risk, and improved communication.

Action Planned (AI summary) The Trust will develop an escalation process for rejected referrals in Stockport, clarify and communicate target timescales for routine appointments, implement an escalation protocol for disagreements on face-to-face appointments, and co-locate alcohol liaison practitioners with the all-age liaison mental health service by the end of February 2019.

Action Planned (AI summary) The Trust will circulate a reminder to all staff regarding the CPA policy and how to access it. Pennine Care NHS is a signatory to the Greater Manchester Strategic suicide prevention strategy and will work collaboratively to bring the NCISH recommendations to practice.

Action Planned (AI summary) The Medical Director will review the case with the practice to identify any further learning and will discuss the provision of medication at discharge with Pennine Care to identify any improvements that need to make.

Action Planned (AI summary) Pennine Care has prepared a plan to ensure that staff record information from a verbal handover from the police on a paper history sheet. A new policy has been implemented to ensure that when notification of an assessment by the RAID team is received, patients will be contacted and invited for review with a GP.

Action Planned (AI summary) The practice escalated concerns about mental health support to the Clinical Commissioning Group. They escalated the matter to the Mental Health Clinical Lead and Head of Mental Health regarding the referral pathway to psychiatrists and the lack of sleep clinics. Healthy Minds service provides treatment options and offers advice. A log is kept on the system and patients can be "stepped up" during therapy. GPs can request consideration for assessment by a psychiatrist.

Action Planned (AI summary) Tameside and Glossop CCG will clarify the Individual Funding Request process by 1/6/17, review and establish clear pathways into MH support for people with complex needs within four months, and seek assurance from PCFT regarding this serious incident through contract monitoring meetings.

Action Planned (AI summary) PCFT is working with the CCG on a programme of Transformation for the whole acute care pathway that will include re-design of the service and a review of skills required. PCFT is producing guidance for staff about access to support and patient rights.

Action Planned (AI summary) The Home Office states that the Notifiable Occupations Scheme (NOS) was withdrawn and replaced with a new police-led scheme, the Common Law Police Disclosure (CLPD) scheme, which provides greater consistency across forces in the disclosure of information. GMP will train officers in understanding their responsibilities under the pressing social need test, including classroom and NCALT training. They will be entering and holding notifications on the intelligence file of offenders. The SIA offered training and guidance to all UK police forces. The Trust states that following the Bradley Report (2009), the MDO teams transferred into single line management and implemented operational policy and approved documentation for assessment of needs and risks. They are rolling out an electronic clinical record (PARIS) and clinical staff have adequate time to access information from case notes.

Action Planned (AI summary) The Department of Health has shared the report with NHS England, who are working to develop Liaison and Diversion services in Greater Manchester. NHS England is also reshaping mental health services commissioning and delivery and will prioritize investment in areas with Local Transformation Plans. The government has already made a partial change to PACE via the Criminal Justice and Courts Act to require 17 year olds to be treated as 10-16 year olds for detention after charge. Planning is underway to amend the remaining PACE provisions, and the Secretary of State for Education wrote to local authorities reminding them of their duty to provide accommodation for children denied bail. A multi-agency working group has been commissioned to understand issues and develop solutions. Pennine Care NHS Foundation Trust has completed an investigation, requesting written clinical summaries and risk assessments when young people transfer from other mental health services. The health diversion pathway has been re-published and re-promoted, and a multi-agency panel now has the capacity to deal with children and young people. The CPS has modified CPS training so advocates conducting youth court cases are reminded that a youth can always be remanded for their "own welfare". The Chief Crown Prosecutor for Greater Manchester is discussing wider issues and lessons learned with the Assistant Chief Constable for GMP.