Sarah McClinton Department of Health 14 November 2014 The Mental Health Crisis Care Concordat

2 Feb 2011 No health without mental health: A cross- government mental health strategy for people of all ages Jan 2014 Closing the Gap: Priorities for essential change in mental health Feb 2014 Mental Health Crisis Care Concordat: Improving outcomes for people experiencing mental health crisis Government policy documents Oct 2014 Achieving Better Access to Mental Health Services by 2020

Welcome and introductions Closing the Gap: priorities for essential change in mental health sets out our immediate ambitions for mental health.

Welcome and introductions The Mental Health Crisis Care Concordat is a shared agreement made by over 20 national organisations about how we respond to people in mental health crisis

Signatory organisations Association of Ambulance Chief Executives Association of Chief Police Officers Association of Directors of Adult Social Services Association of Directors of Children’s Services Association of Police and Crime Commissioners British Transport Police Care Quality Commission College of Emergency Medicine College of Policing The College of Social Work Department of Health Health Education England Home Office Local Government Association Mind NHS Confederation NHS England Public Health England Royal College of General Practitioners Royal College of Nursing Royal College of Paediatrics and Child Health Royal College of Psychiatrists

Concordat: The joint Statement “We commit to work together to improve the system of care and support so people in crisis because of a mental health condition are kept safe and helped to find the support they need – whatever the circumstances in which they first need help - and from whichever service they turn to first.”

What is the Concordat? What should I expect if I, or the people who depend on me, need help in a mental health crisis? The Concordat is about joining up service responses to people who are suffering from mental health crisis to improve outcomes for people. What would your local population expect?

What is the Concordat? Last year the number of people taken to police cells as places of safety fell significantly. In police officers took 6,028 people to police stations. This figure is a reduction of 24% from the total of 7,761 for 2012/13. In the West Midlands, you managed a 90% reduction: In 2012/ people went to police cells under section 136. In just 5 cases. 1,255 people taken to health based places of safety last year

Street Triage More than half of all police forces are now running a street triage service: 9 DH funded pilots Extended to 26 out of 39 forces in England and Wales Early data starting to show: The number of people being detained under section 136 has dropped by an average of 20 per cent. Variable, with Sussex seeing a 12% decrease and Oxfordshire a 38 per cent decrease. Birmingham pilot started January Attended 1590 incidents to conduct assessments and has nearly halved the number of s136 detentions (previously 563 in the corresponding months the year before)

Making the Concordat a reality We have work under way The Department of Health and Mind are supporting local implementation NHS England are taking forward their commitments as part of their Parity of Esteem programme, and are developing a Crisis Care Delivery Framework Association of Ambulance Chief Executives - have introduced a protocol for ambulance responses CQC – have surveyed and mapped health based places of safety and published a review of Mental Health Crisis Care

Further impetus £40m in : £7 million in CAMHS £33 million for mental health crisis and early intervention services £80m in : £30 million for liaison psychiatry and Crisis Resolution Home Treatment teams

Progress Map on Concordat website

Thank you