1. The North of England Crisis Project – Organisational Collaboration in Clinical Standard Setting Jim Sowter 12 th November 2014

2. Background Commissioned by North of England Strategic Clinical Network for Mental Health and N.D Priority in 2012/13 to improve crisis resolution services Change in Crisis landscape Funding for 6 month Project Project hosted by North of England Mental Health Development Unit (NEMHDU)

3. Project Brief 1 Work collaboratively with Providers across SCN region Improve Practice and Reduce Variation Patch includes North Yorkshire, Co. Durham, Teesside, Wearside, Tyneside, Northumberland, North Cumbria Providers = TEWV, NTW, CPFT. Mix of rural and urban. Mix of deprived and affluent.

4. Project Brief 2 Develop Clinical Standards for Crisis Resolution Scope resources and activity in Crisis Resolution services across SCN patch Raise profile of CRHT, inform discussion and direction of travel Prepare ground for next steps and potential further phase of Project

5. Project Governance Steering Group – Chair, SCN Lead, Senior Crisis clinicians, NEMHDU Provider Locality Leads – Clinicians x3. Leadership of Project in each provider area, engagement of clinicians, service users, task completion Whole Project consultation group and work shops

6. Clinical Standards 1 Approach = Combination of existing standards and guidelines with local clinical expertise Review of existing literature and guidelines, used to shape and underpin approach `Best practice` approach Build practical and useful standards to assist in service development, applicable over various models Draft Standards work shopped at Regional events

7. Clinical Standards 2 4 Super Classes 1 = Entry to Service 2 = Treatment Interventions 3 = Discharge Standards 4 = Partnerships and Joint Working

8. Clinical Standards 3 Super classes divided to sub classes (13) For example; Super class 1 = Entry to Service Sub class 1.1 = Entry Sub class 1.2 = Crisis Assessment Sub Class 1.3 = Care Planning

9. Clinical Standards 4 Sub classes divided to Clinical Standards (51) For example; Sub class 1.2 = Crisis Assessment CS 1.2.1 = Initial Crisis Assessment CS 1.2.2 = Risk Assessment CS 1.2.3 = Medical Review Etc.......... Underpinned by references, validated through clinical work shops

10. Next Steps Plan Presentation of Project to SCN Mental Health Network Event - 5 year work plan Identification of `Next Steps` sponsor Publish to SCN website in full Local Audit against Clinical Standards Regional Crisis Clinical Network

11. Conclusion Real opportunity to develop CRHT services in our region and beyond Document available at nemhdu.org.uk or from Jim Sowter Correspondence jim.sowter@ntw.nhs.uk Thanks to all colleagues who have generously given their expertise and time in support of the project