20378-Mental Health Information

- My research would greatly benefit if you would send me your trust's policies, guidelines, and/or protocols on mental health and mental capacity:

- any relevant algorithms or guidance, e.g. on assessing capacity, dealing with advance directives, assessing suicide risk, assessing patients who may be having a mental health crisis, and restraining patients (including chemically, specifying a list of approved medications and doses).

- liaison arrangements with the police, Approved Mental Health Professionals, mental health nurses, air ambulances, and/or physicians, including any street triage schemes or similar.

- transportation policies (from a scene to a place of safety, A&E, or a mental health facility; from a place of safety to A&E or a mental health facility; and between mental health facilities).

- details of your advanced paramedic scheme, if applicable, and the paramedics' advanced training and/or capabilities relating to mental health (e.g. the ability to use particular chemical restraint agents).

- I would also appreciate access to any relevant statistics you may have, e.g. on the numbers of patients detained under section 136 of the Mental Health Act 1983 whom you transported within the past few years and their transport destinations. 

  • Reference:
    20378
  • Response:

    - My research would greatly benefit if you would send me your trust's policies, guidelines, and/or protocols on mental health and mental capacity:
    https://www.eastamb.nhs.uk/policy-libraries/capacity-to-consent-policy/270 

    Currently we do not have any Trust specific policy around mental health as the subject matter is too wide and diverse.  

    - any relevant algorithms or guidance, e.g. on assessing capacity, dealing with advance directives, assessing suicide risk, assessing patients who may be having a mental health crisis, and restraining patients (including chemically, specifying a list of approved medications and doses). 

    The Trust is currently finalising a safer holding policy, currently we operate a non-restraint stance that all partners are aware of.
    EEAST currently does not chemically restrain patients presenting with MH need.
    Suicide Risk assessment is in line with the current JRCALC guidance as is responding to patients in MH crisis.

    - liaison arrangements with the police, Approved Mental Health Professionals, mental health nurses, air ambulances, and/or physicians, including any street triage schemes or similar.

    EEAST is linked into all the current MH Crisis Care Concordat groups within its geography and works closely with all partners through the concordat and integrated work streams. Liaison arrangements with police are not restricted to MH need and are within the current JESSIP national guidance and work streams.
    Air Ambulance provision is not part of the EEAST contracted provision of care. We work closely with the relevant charities that operate within our geography; this work stream also applies to the Critical care schemes.
    EEAST supports two MHST schemes through current CQUIN schemes within the region, the remainder are police centric schemes with no EEAST involvement.

    - transportation policies (from a scene to a place of safety, A&E, or a mental health facility; from a place of safety to A&E or a mental health facility; and between mental health facilities).

    https://www.eastamb.nhs.uk/Downloads/Requesting%20conveyance%20under%20the%20Mental%20Health%20Act%20guidance.pdf

    The above meets the current contracted requirements for EEAST. Transportation requests that are outside of this are undertaken by other providers.

    - details of your advanced paramedic scheme, if applicable, and the paramedics' advanced training and/or capabilities relating to mental health (e.g. the ability to use particular chemical restraint agents).

    The Trust has a number of Specialist Paramedics in Urgent Care and Critical Care; staff currently undertake post graduate training programmes to PGCert Level and practice in line with a governance framework.
    We do not currently have within the scope of practice of our specialists a provision for chemical treatment strategies to manage patients in an acute crisis such as ‘Acute Behavioural Disturbance’.  This is something that is being discussed at a national level with the National Association of Medical Directors for ambulance Trusts.

    - I would also appreciate access to any relevant statistics you may have, e.g. on the numbers of patients detained under section 136 of the Mental Health Act 1983 whom you transported within the past few years and their transport destinations. 

    This information can be found on our disclosure log on our website: https://www.eastamb.nhs.uk/disclosure-logs-2018/17990-mental-health-calls-2014-18/2967 as this information is in the public domain already, the Trust do not have to provide this again, as such we will be withholding this under s.21 of the FOIA.

  • Area:
    Trust wide
  • Category:
    • Clinical
    • Emergency Operations
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  • Year: