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 LeadNorth West London Mental Health Programme Board

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• 8 CCGs, 2 Mental Health Trusts, Local Authorities, 3rd

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

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• 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 ?

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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

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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

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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

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NWL Mental Health Urgent Access & Care Pathway

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NWL Mental Health Urgent Access & Care SPA