1. Central London West London Hillingdon North West London Mental Health Urgent Assessment & Care Pathway setting standards, simplifying access, improving care Dr Beverley McDonald, GP, Urgent Care Clinical Lead North West London Mental Health Programme Board

2. 2 8 CCGs, 2 Mental Health Trusts, Local Authorities, 3 rd sector partners, Services User & Carer, Population of c2.2m. Budget of c£400m. Multi-agency Transformation Boards for WLMHT and CNWLFT to drive change and delivery. NWL Mental Health Strategy ‘Shaping Healthier Lives’ Urgent Assessment & Care Workstream NWL Mental Health Programme Board

3. 3 Variations in Quality, Practice and Response Service User & Carer feedback re challenges accessing MH crisis support outside 9-5 M-F Increasing pressure on MH inpatient services Increasing pressure on A&E and GP out of hours Increasing pressure on Police /Custody Commitment to improve crisis prevention, deliver earlier intervention, and improved ‘staying well’. Choice, Expert patient, Recovery model Why transform NWL Mental Health Crisis Care ?

4. 4 Mid 2013 – multiagency workshops Late 2013 - Co-Production Teams. NWL Wide Access Standards NWL Wide paperwork – Whole Pathway. NWL Wide shared care principles for communication at each stage of Pathway UA&C Expert Reference Group Concordat Proof Cross-Agency Delivery Plan High level pathway developed Delivering Change – process overview

5. 5 Assessment (face to face) < 1 hour Emergency (A&E Liaison) < 4 hours Emergency (Community/Ward) < 24 hours Urgent < 7 days Routine Plus < 4 weeks Routine NWL Mental Health Urgent Access & Care Standards

6. 6 Development of a co-produced delivery model and business case, per CCG, by end Q1 for the: implementation of a Single Point of Access per CCG area to provide a central point for referrals and assessment; extension of operational hours in the home crisis/urgent assessment and initial crisis resolution service to operate 24 hours per day, 7 days per week, 365 days per year, by March 2015. requirements for each CCG area; plans for efficiency improvement to maximise clinical Face to face time and milestones for implementation. Delivering Change – Next Steps

7. 7 NWL Mental Health Urgent Access & Care Pathway

8. 8 NWL Mental Health Urgent Access & Care SPA