1. "every community has plans to ensure no one in mental health crisis will be turned away from health services Dr Angus Bell

2. Crisis Concordat from the NHS Perspective Main Challenges – Increasing number of patients needing services – Parity of esteem Physical health crisis v Mental health crisis – Outcome measures / Data collection – Ambitious concordat with short deadlines – Crosses organisational and service boundaries – Governance structures need to be in place to ensure longer term developments happen – NHS mandate 2015/16 considering IAPT, EIP and Crisis Care Liaison Psychiatry

3. The Size of Our Area Crisis Population

4. Percentage of Patients on GP Depression Registers

5. Admissions from Mental Health Minimum Data Set

6. Use of Hospital-Based Places of Safety

7. Location of Crisis Home Treatment Teams

8. Disposal of S136 Cases

9. Challenge of Our Geography Police ForceLocal AuthoritiesCCGMain Provider Cumbriax1 Northumbriax6x5x1 Durhamx2x3x1 Clevelandx4x2x1

10. The Approaches Across Our Geography

11. Opportunities – Partnership groups have been set up across our geography. – Active engagement seen across partners. – Ability to agree what needs to be done in a co- ordinated way Threats – Risk of potential duplication. – Risk of tackling actions in too large chunks – inertia. – Shift in priorities – loss of focus or drive.