Agenda item

Admission avoidance services across physical and mental health (CCRT, acute nursing service and First Response)


Louise Higgins (Livewell Southwest) presented members of the Board with a presentation and members discussed:



The Emergency departments should not be used by members of the public to access NHS support in response to mental health and should use other services. This pathway had been regularly communicated to patients in order to prevent an overload on the Emergency Department;



There had been concern that there had been a gap in patients being signposted and whether patients had received the service they required after being signposted, this would be taken away by NHS staff and looked at;



The CCRT had not been limited to the frail/elderly and would include frail and an inability to cope young people;



Livewell Southwest had been less joined up with Cornwall counterparts due to the services provided spanning across the West Devon area and Plymouth. Work had started to reach out to Cornish colleagues and a lot of the work sits under the Western Urgent Care Board;



The ARP role function could be used flexibly and those employees go through a robust education and training programme to elevate their senior skills and experience. They have the training and skills in order to use more holistic skills that had been in a physical and mental health crisis. Where there had been issues within Primary Care, the service had been able to use ARP’s within the surgery to respond to visits where the GP had been asked to respond initially. This would’ve been triaged properly to ensure that the ARP’s would’ve been the best person to respond to that patient and would thereafter work closely with GP colleagues for the benefit of the patient;












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