Patients at ED front door needing Psychiatric Assessment Does patient have a medical need? Including: Intoxication Overdose / self harm Physical symptoms First presentation of Psychosis Decide if patient is fit for psychiatric assessment . After 2200 only refer patients if fit for assessment and unlikely to stay in for observation or treatment. Patients at ED front door needing Psychiatric Assessment Consider First Response (FR). Call 111, option 2 if not High Risk on MH triage. Suitable for FR: Put in quiet room with ED mobile phone. Handover to nurse in charge of area. FR to feed back to ED Call 01480 416040 if pt has hung up. if pt has If High Risk or patient declines Medical Need No Medical Need Call Liaison Psychiatry: 0700 – 2200 on 157 733 and refer on epic. After 2200 bleep Duty Nursing Officer at Fulbourn via switchboard. Managed by FR: Document and code as discharge to FR on epic. Complete MH triage including capacity assessment. FR requests ED to manage pt.