CTLD Referral/Allocation Pathway DRAFT CTLD Referral/Allocation Pathway Ask for all referrals from professionals and agencies to be forwarded to their local team in writing Referrals from users or carers to be taken over the phone (basic details taken by admin staff and then forwarded to a clinical staff for reason for referral All referral forms taken to the RAM for discussion and allocation. Admin to search Pims & other systems for any previous involvement and register onto PiMS Admin to order the integrated notes from medical records. ( A temporary file is issued if person referred is not known to service Emergency referrals to be taken by admin staff (basic details ) and forwarded to a senior practitioner. (See Flow Chart) ALL REFERRALS Internal/external/psychiatry Representatives from all teams/professions attend RAM Referral and feedback forms taken from meeting via representatives Agree core business and geographic boundaries of service Referral is allocated to the relevant team for either an initial contact /learning disability screening assessment. RAC to forward minutes from meeting (only those relevant to the team) to all teams via fax/email using safe haven procedures. RAC to register referral with team Admin to send letter to referrer/GP/client informing of receipt of referral and acceptance for assessment (up to 3 months) Referral/ Allocation meeting (RAM) Inappropriate referral RAC to send letter to referrer/GP/ client RAC to discharge on PiMS using inappropriate referral code. RAC to forward details of the referral criteria and of the service to the referral agent All referrals to be allocated within team meeting. Assessments to be undertaken by all qualified multidisciplinary members of the teams Undertake:Initial contact/Learning Disability screening assessment caseload priority (form A) Initial contact risk assessment Record all outcomes and discuss at CTLD meeting. Complete feedback form and forward to the RAM Referral allocated to team No further Action Clinicians to send letter to referrer/client/GP RAC to discharge on PiMS Inappropriate referral CTLD’s to hold team/profession waiting lists Waiting lists to be reviewed weekly within the RAM Record all contacts onto PiMS weekly Identify all people who have identified needs but unable to allocate onto a waiting list. Review of all waiting lists and caseload weighting scores weekly RAM No further Action Accepted onto caseload/ waiting list Agenda to identify status of all referrals status of all people waiting for a service across the service Review of weekly reports from PiMS . RAC to update PiMS to confirm allocation of external/internal(work spells) referrals. RAC to update and maintain service waiting list The following to be completed as necessary once allocated to caseload Full assessment Risk Assessment Caseload weighting (Form B and C) Health Screening CPA* Epilepsy Assessment* PASADD*/TAG HoNOS Begin Health Action Plan with GP practice * if appropriate Caseload review RAC to discharge from Pims Clinicians to send discharge letters Discharge from service Caseload weighting reviewed at: supervision (monthly) Professional clinical meetings Discharge planning 3 monthly