1. Services & Trusts Integrating To improve Care in self-Harm
#BHPhitconf

2. Who’s involved? Sue Dursley UHB David Gunnell UoB Amy Green NBT
Lucy Griffin AWP
Blanka Robertson BCC/Public Health
Lisa Foote Sal Ball SISH
Dominique Thompson GP
Kyla Thomas Public Health
Jonathon Benger UHB/UWE
Jacky Keane NBT
Jon Hayhurst CCG NHS England
Claire Thompson CCG
Rowena Green UHB

3. What are our aims?
80%Patients who have self harmed receive psychiatric assessment
>80% Emergency Staff trained in self harm
10% reduction in the incidence of repeat self-harm in Bristol
Reduced prescriptions of drugs with high lethality when taken in overdose
50% reduced admission to a hospital bed for self-harm
20% reduced admission to intensive care of self-harm patients
10% reduced length of stay in hospital if self harm patient admitted
20% reduction in suicides in Bristol by those who self harm
Quality objectives: reduce duplication, CQC/NICE compliance, patient satisfaction

4. That was then: #BHPhitconf
Patient attends ED (A+E) at 7pm following overdose of prescription medication: Poor attitudes Left alone – DNW/absconding risk No mental health assessment No follow-up
#BHPhitconf

5. This is now: #BHPhitconf Trained GP aware of local services
Prescription pilot
Ambulance crew with training to recognise self harm and mental health crisis
At reception ‘its personal’
All attendances recorded – 40 item data set
Patient written resource pack
#BHPhitconf

6. Liaison assessment wait time

7. This is now #BHPhitconf Personal Support Plan if been in before
Triage nurses and ED doctors trained in mental health
Psychiatric staff available 7 days per week
Able to be involved in research
The HOPE project – extra help for people with financial problems prior to self harm
GP specific box information
#BHPhitconf

8. The Future’s Bright: #BHPhitconf
Training and extra support into AMU/OPAU
Later life (over 65) extra support 12 month pilot
Volunteers into ED (A+E)
NHS England – prescription into parliament
Psychiatric Nurses into GP surgeries: pilot
Update patient evaluation – what do people think now?
Evaluation – new service and 12 month later life service
Research – PPI self harm involvement: CLARHC
#BHPhitconf