1. P REVENTING AND S UPPORTING P EOPLE IN C RISIS IN L EEDS T HIRD S ECTOR WORKSHOP

2. A GENDA 9.30 Registration & drinks 9.45 Aims of the day – what we want to achieve – Hannah 10.00Setting the scene & background  MH Framework – Jenny Thornton  Service users’ perspective – LIP report – Sham Shakat & Sheryl Odlum  Crisis Care Concordat – Jeanette Lawson  West Yorkshire Urgent & Emergency Care Vanguard – Jeanette 10.45 Break 11.00Round table discussions – to get an overview of current provision  How do you support people in crisis?  Share your experiences  What issues do you face?  Are you aware of any gaps in services? 11.45Brief feedback from tables 12.15 Identifying the gaps and future developments – Jeanette, Hannah 12.30 Close

3. A IMS OF THE WORKSHOP To engage workers in the crisis priority work area To understand how third sector and other organisations are supporting people in crisis, prevention, early intervention, recovery and self- management To identify gaps and future developments

4. M ENTAL H EALTH F RAMEWORK People in Leeds want a different approach to the way mental health services are delivered in the city. The Mental Health Framework will deliver on these improved, news ways of working by focusing on:  Keeping people well  Transforming mental health services to be recovery & outcome focused  Reducing stigma & discrimination  Bringing mental & physical health services together  Ensuring access to high quality services.

5. F OUR K EY A REAS & A IMS FOR I MPROVEMENT Information Crisis & Urgent Care Re-designing Community Mental Health Services Children & Families

6. C RISIS & U RGENT C ARE P ATHWAY Vision  As few people as possible should be accessing crisis services and repeat use should be minimal  Whichever service is the ‘front door’, the pathway will be clear and consistent  There should never be a “bounce back” on any referral  The community crisis pathway will be accessible 24/7 with an emphasis on early intervention available within the local community  There will be a multi-agency needs-led response to mental health crisis that meets the specific needs of the individual  Develop a crisis network & reduce organisational silos  Defined response times  The use of IT and information sharing will be maximised  New referrals requiring an ‘Urgent ‘ response will be (where possible) booked into rapid assessment clinics.

7. C ONCORDAT & V ANGUARD M AKING SENSE OF THE LANGUAGE ! What is the Crisis Care Concordat? The Mental Health Crisis Care Concordat is a national agreement between services and agencies involved in the care and support of people in crisis. It sets out how organisations will work together better to make sure that people get the help they need when they are having a mental health crisis

8. C RISIS C ARE C ONCORDAT - R EFRESH Outcomes A. Access to support before a crisis B. Urgent and emergency access to crisis care C. Quality of treatment and care when in crisis D. Recovery and staying well/preventing future crises

9. CCC - P RIORITIES FOR 2016-17 Alternative Safe Spaces To develop a safe place that will be used as an alternative to the emergency departmentfor people not requiring any physical health interventions. 24/7 Access to services To improve the accessibility and quality of emotional support and information available both on-line and via telephone to those in mental distress. Carers To improve the experience for carers accessing support from mental health services. Zero Suicide To adopt the Zero Suicide approach across the city. Dual Diagnosis To improve outcomes for individuals that have co-existing substance use and mental health needs. Inequalities in health Whilst recognising there are many inequalities across the city for the purpose of the CCC the initial focus is black and minority ethnic groups. To understand the Leeds experience of crisis pathway by BME communities and for that to inform work targeted at improving that experience. Figures suggest some black and minority ethnic groups are detained more frequently under the Mental Health Act.

10. W EST Y ORKSHIRE U RGENT & E MERGENCY C ARE V ANGUARD What is the West Yorkshire Urgent & Emergency Care Vanguard? The WY UEC Vanguard will oversee, with local partners, the transformation of urgent and emergency care for more than three million people in West Yorkshire. Our collective vision is to build a system that means all patients with urgent and emergency needs in West Yorkshire will get the right care in the right place, first time, every time.

11. WYUEC VANGUARD Single Outcomes model  Reducing attendance at ED  Reducing Out of Area admissions  Reducing suicides  Strengthening access to services for children and young people Emergency Services Response to MH Crisis  S136 intoxication  Intoxication pathway  Multi-agency care plan  MH conveyance  Sharing & Spreading Practice – Control Rooms-Street Triage-Criminal Justice liaison. Children & Young People  S136 provision  Intoxication pathway  Zero tolerance of children & young people in police cells/on adult acute wards Suicide Prevention  Zero suicide conference Feb 8 th  Early alignment of mental health provider suicide strategy across the region  Develop a baseline to understand where we are at present and the population needs across the region  Explore good practice across the region in terms of the wider population  Shared multi-agency risk assessment/training. Mental Health Liaison  Reduce avoidable attendances at ED by 50%  Prevention & early intervention  Alternative safe places – crisis café models  Improving children & young people’s crisis pathway  Reducing Length of Stay.

12. S O W HAT N EXT …….. Understanding and improving the data Understanding the Crisis Resolution profile across the city Enhancing access to support – culturally sensitive/culturally competent support Multi-agency Care plan approach New crisis pathway design principles – crisis network, no wrong ‘front door’, telling your story once, early intervention & prevention.

13. R OUND TABLE DISCUSSIONS TO GET AN OVERVIEW OF CURRENT PROVISION  How do you support people in crisis?  Share your experiences, good and bad  What issues do you face?  Are you aware of any gaps in services?

14. Contact: Jeanette Lawson, Leeds North Clinical Commissioning Group jeanette.lawson@nhs.net