Mental Health Crisis Report: update on progress


Summary of report content

Healthwatch Derbyshire had produced a report in December of 2016 on the Mental Health Services locally. This report is an update on whether the recommendations made in that report have been actioned. Recpmmendations were made as follows: 1. Provide clear information for patients, friends, family and carers about where to go, and what to do in a developing crisis situation. 2. Work to develop coordination of, and show real ownership of developing crisis situations. 3. Address access issues to Focusline. 4. Maximise access to, availability of and continuity with community psychiatric nurses (CPNs). 5. Support General Practice to deal with and respond to mental health crisis. 6. Improve referral systems to social care and community support. 7. Work to improve patient experience in Accident and Emergency. 8. Address police ability to identify and respond to potential overdoses. 9. Police to explain restraint when used. 10. Address and seek to minimise use of police cells for people in mental health crisis. 11. Consider distress caused by supervised toileting/showering in acute inpatient units, and consider alternative solutions. 12. Develop role/purpose of named nurse in acute inpatient units. 13. Consider provision of appropriate activities in acute inpatient units. 14. Consider how physical health needs are accommodated by acute inpatient units. 15. Appropriate awareness raising of advocacy in a range of settings and its purpose. 16. Consider and take any necessary action required to address reported self-harm risks in rooms at The Priory. Response provided by Hardwick Clinical Commissioning Group (CCG) representing all CCG’s - An action plan has been implemented. Chesterfield Royal Hospital - numerous actions in place and being monitored regularly. Derbyshire Healthcare NHS Foundation Trust - numerous actions in place and being monitored regularly. Royal Derby Teaching Hospitals NHS FT - numerous actions in place and being monitored regularly. Next Steps: • Monitor implementation of Crisis Concordat Action Plan. • Monitor improvement of services through our service Mental Health Together for Derby and Derbyshire.

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General details

Report title 
Mental Health Crisis Report: update on progress
Local Healthwatch 
Healthwatch Derbyshire
Date of publication 
Thursday, 31 August, 2017
Date evidence capture began 
Thursday, 1 December, 2016
Date evidence capture finished 
Thursday, 31 August, 2017
Type of report 
Key themes 
Communication between staff and patients
Information providing
Integration of services
Quality of treatment
Service delivery organisation and staffing
Other information of note about this report 
Good Practice
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
Primary research method used 
Engagement event
How was the information collected? 

Details of health and care services included in the report

Secondary care services 
Acute services with overnight beds
Mental health services 
Mental health crisis service
Community services 
Community based services for people with mental health needs
Community healthcare and nursing services
Urgent and emergency care services 
Urgent care services

Details about conditions and diseases

Types of disabilities 
Mental health
Not known
Types of long term conditions 
Mental health condition

Details of people who shared their views

Number of people who shared their views 
Age group 
Not known
Not known
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Does the information include staff's views? 
Types of health and care professionals engaged 
All care professionals
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 
Not known

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Yes action has been taken or promised
What type of impact was determined? 
Implied Impact
Tangible Impact (cost related)

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.