Mental Health related deaths

Noted (AI summary) NHS England acknowledges concerns about transitioning young people from CAMHS to adult mental health services, explains the current policy, and notes work has commenced regarding community transformation and development of a 14-25 Transition service. North Staffordshire Combined Healthcare NHS Trust will review the Transition of Young People to Adult Mental Health Service Policy, and explore options for a designated in-patient service or unit for young adults.

Noted (AI summary) EEAST has approved (November 2021) the National Ambulance s.136 Guidance, is developing and implementing a new mental health care service model, and has developed a specific training session in relation to Acute Behavioural Disorder, including positional asphyxia for frontline staff. Bedfordshire Police is updating its local section 136 multi-agency policy, with a revised version due to be signed off this year and is incorporating guidance from a national ABD policy review into existing guidance for relevant policing areas. AACE confirms that the national S136 guidance has recently been revised, updated, and issued nationally and that on 1st February 21 they updated the acute behavioural disturbance guidance with wording to emphasise the need for close monitoring of a patient when restraint is used.

Noted (AI summary) Stockport Clinical Commissioning Group states that face-to-face GP consultations are available where clinically appropriate or requested. They have re-circulated information sheets detailing referral options to GP practices and delivered presentations on suicide prevention. The practice involved in the case has completed a reflection exercise. NHS England acknowledges concerns about telephone consultations and referral guidance, referencing existing national guidance on safety netting. They note the local CCG has provided a separate response detailing relevant information and steps taken, and do not propose responding further on a national level.

Noted (AI summary) The response expresses condolences and acknowledges the concerns regarding the impact of COVID-19 restrictions on healthcare delivery. It notes that general practice has been delivering services according to national Standard Operating Procedures, and provides a list of support services. Tameside and Glossop CCG acknowledges the concerns, explains the challenges faced during the pandemic, and states it will work with providers to optimise access times to mental health services. The Minister acknowledges the concerns raised and highlights existing NHS England guidance for general practices, including offering face-to-face appointments and managing mental health patients. It also mentions a consultation on new waiting time standards for community-based mental health services.

Noted (AI summary) NSFT expresses condolences and explains their limited involvement in Terrence Tuttle's care, stating they can only respond to one part of the coroner's concerns related to mental health liaison. They provide details of the mental health liaison team's involvement, assessments, and medication adjustments during his admission, highlighting communication and planned reviews.

Noted (AI summary) Staffordshire Police has commenced a criminal investigation into potential offences committed against Mrs. Dunn and is reviewing repeat cases of anti-social behaviour involving vulnerable people. They have also written to the Staffordshire and Stoke on Trent Adult Safeguarding Partnership Board to understand if further information was known by partner agencies. Staffordshire Police provides an update that the case has been referred to the Independent Office for Police Conduct (IOPC) for an independent investigation.