Liaison Mental Health: Where are we now in the East Midlands Liaison Mental Health: Where are we now in the East Midlands? Dr Richard Prettyman

Survey of Liaison Mental Health Services in the East Midlands In 2016, East Midlands Mental Health Clinical Network surveyed the liaison mental health services in all five mental health trusts Aimed to refresh our understanding of current service provision in the East Midlands Results were collated into five separate reports, one for each STP footprint and sense-checked by lead clinicians, commissioners and providers prior to wider dissemination An overall regional report was circulated with the aim of promoting shared learning and understanding

Survey of Liaison Mental Health Services in the East Midlands – key findings 1 Nottinghamshire, Derbyshire and Northamptonshire offer Core 24 services as part of their liaison mental health provision in acute hospitals; Leicestershire and Lincolnshire only offer core services at present. All five Trusts provide a service for adults over the age of 18. Nottinghamshire, Lincolnshire and Northamptonshire also provide a service for adolescents presenting as a mental health emergency.

Survey of Liaison Mental Health Services in the East Midlands – key findings 2 Not all Trusts/hospital sites provide a dedicated assessment room with appropriate facilities for conducting high risk assessment and meeting safety needs In all five mental health trusts, liaison mental health services are commissioned separately from other services with the service separately managed and staffed Nottinghamshire and Derbyshire are members of the Royal College of Psychiatrists CCQI Liaison Mental Health Services network

Urgent and Emergency MH Liaison transformation funding programme Important opportunity to facilitate the extension and reconfiguration of services needed to align with the Core-24 specification Phase 1, £30m non-recurrent funding in 2017 & 2018 Bids submitted from all providers in EM for this round. Not likely that all will be successful. Phase 2, £90m non-recurrent funding for 2018/19 and 2020/21 - bids open autumn 2018 Any EM Trusts unsuccessful in phase 1 will be able to submit a bid in the following phase

Liaison Mental Health Network: Aims Understand the baseline position of LMH services in the East Midlands. Facilitating a clinically driven programme of work in all age LMH to improve service quality and outcomes for patients. Add appropriate local narrative to data. Clinically inform the development of a mental health assurance framework which supports local STPs in delivering their plans. Provide expert liaison mental health clinical and advisory voice to local areas including STPs, CCGs, providers and other stakeholders.

Liaison Mental Health Network: Purpose Facilitating collaboration to build capacity and capability for quality improvement in services. Support CCGs and Providers in their applications for transformation funding to meet national standards Collate and share best practice in LMH to support quality improvement Develop tools and guidance to support achievement of national standards. Access expertise to support systems in evaluating liaison services including patient outcomes and assessing economic impact

Liaison Mental Health: Where are we now in the East Midlands? Where do YOU think we are now? Where do YOU think we are heading and when will we get there? What are the obstacles to improvement? What might be the solutions?