EK Crisis Concordat Meeting
25th January 2017
Notes
Members attendance
Andy Oldfield
Louise Piper
Julie Meadows
Vincent Badu
Sandra Leverick
Andrew Bigginton
James Ross
Gary Miller
AO
LP
JM
VB
SL
AB
JR
GM
Head of EKMH Commissioning
Project lead EKMH Commissioning
Acute Service manager, KMPT
Director of Transformation KMPT
EK Children’s Commissioning manager
Lead Officer Margate Taskforce
Kent Police
Crew manager Kent Fire & Rescue
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Jo Pannell
JP
Programme manager Healthwatch Kent
Yes
Lauren Cane
LC
Liaison Psychiatry service manager KMPT
Yes
Ola Ajayi
OA
Deputy Clinical lead Turning Point
Yes
Peter Orsman
PO
Deputy head of nursing, EKHUFT
Yes
Sarah Parker
SP
Project Admin EKMH Commissioning
Yes
Richard Davies
RD
Psychiatric unit liaison officer Kent Police
Apologies
Jess Mookherjee
JM
Public Health Consultant KCC
Apologies
Ivan Rudd
IV
Public Health specialist KCC
Apologies
Samantha Powell
SPo
SECAMB
Apologies
Lesley White
LW
EKHUFT
Apologies
Gordon Etheridge
GE
Kent Police
Apologies
Jeanette Dean-Kimili
JDK
Commissioning manager, SKC CCG
Apologies
Lisa Barclay
LB
Apologies
Fay Gooderson
FG
Commissioning manager, Canterbury and
Coastal & Ashford CCG
Commissioning manager, Thanet CCG
Apologies
Welcome and introductions
The chair welcomed the group and attendance was noted as above.
The aims of the meeting were set out that it should be an action focussed meeting and
concentrate on east Kent needs.
The set up and format of the group is open for discussion and can be a group that meets on
a regular basis or a virtual network that can be drawn on when required.
The group will be sub group of the Kent wide Crisis concordat meetings which have been
running since 2014.
The group need to ensure appropriate links are made to the relevant meetings already
working on some of the areas in the plan.
Action AO/LP to map out the various meetings and work going on so that these links
can be made.
It was queried if it is possible to create a virtual data room to allow all agencies to access
required data, Public health has been leading on this.
Action: AO to follow up with Public health to provide an update at the next meeting.
East Kent crisis concordat action plan
The plans for a wellbeing café in Thanet are currently on hold.
The section 136 meetings that were set up a few years ago are still in place and working
well, this will be another meeting to establish appropriate links to.
A concern was raised that currently Turning Point services are sometimes used as crisis
support by some service users as they have an established relationship with the service.
Could there be better support links in place between drug and alcohol services and
secondary mental health and police. This work is expected to be picked up thought the
newly formed dual diagnosis meetings, one meeting has taken place so far and there is a
dual diagnosis protocol in place.
There are also concerns around care of mental health patients on general acute wards, this
work is being picked up in the Liaison psychiatry steering group meetings.
There has also been a bid submitted for liaison psychiatry transformation funding to support
services to achieve core24 provision.
The work on these areas in other meetings needs to be reflected in the action plan.
The new children’s and young person (CYP) mental health contract will also be managed by
each area meaning there will be an east Kent management of the service which can ensure
delivery is focuses on the needs of the area. It was agreed that once mobilised a
representative from the provider will attend these meetings.
Section 136 data was discussed numbers of individuals detained in a police cell under a 136
is low. The changes to the policing and crime bill in relation to section 136 states that from
1st April 2017 no child or young person under 18 is to be detained in a police cell under 136
of the mental health act. Although numbers are low plans need to be in place to ensure this
does not happen also that this does not result in patient being taken to A&E.
Concerns were raised if a person is detained for committing a crime and when assessed at
the police station is then identified as needing to be sectioned under a 136. The transfer to a
mental health placement has proved difficult and taken time to arrange the appropriate
transport.
It was requested to get the data of number of children and young persons detained under
136 to be able to look at how this can be better managed.
Action: VB will liaise with police colleagues to source data of numbers CYP 136s.
There is a need for better training and education across agencies, staff in acute general
hospitals, police and Kent fire and rescue services require training in mental health to equip
them to better understand and support people suffering mental ill-health. Also secondary
mental health services would benefit from understanding the services offers by these other
services in particular the Kent fire and rescue service.
There is some Health Education England funding been made available VB and JM are
currently identifying what this will be used for. Suicide prevention training will be available
through this funding.
There is currently no Armed Forces Network champion in east Kent and the knowledge of
this network amongst primary care is not good. There are champions being trained and will
be in place soon, it had been decided to get these posts in place before publicising this fully
with primary care but this will be happening soon.
The group needs to fully understand the implications of the IACO and STP work as these will
both have an impact on the structure of community services.
Action: LP to share copies of the STP document and details of the listening events
planned in east Kent.
London has just launched a section 136 specification and pathway which could be of
interest.
Action: AO will share the details of the London 136 specification and pathway with the
group for information.
TOR
It was queried if the community mental health teams need to be represented at this meeting
but agreed that KMPT will decide on the appropriate representation from the organisation
once the aims and format of the meeting is agreed.
It was agreed that the group should meet on a bi-monthly basis prior to the Kent wide
meeting. To allow for a lead GP to be involved in the meetings it was agreed to look at
holding the meeting on either a Tuesday morning or Thursday afternoon following the east
Kent strategic improvement group.
It was agreed to keep the meetings at South Kent Coast offices initially, although this can be
changed at a later date if requested.
The membership of the meeting was agreed as noted above in the members list pending the
following additions.
 GP mental health lead
 Service user/Carer rep
 Children’s provider rep (when new service is in place)
If there are any further suggestions of additional members or any further
comments/amendments to make to the ToR please email these to [email protected]
by 17th February.
Action: All to send any additional members, comments/amendments to the ToR to SP
by 17th February.
Action: LP/SP to find a service user/carer rep for the group.
AOB
It was requested to identify the local targets and key data that each organisation are working
towards and collate this so that it is available for the next meeting
Action: All members to identify key targets and data
Action: EKMH team to work towards collating data and targets for the next meeting
It was requested to look at a way of sharing information on patients at risk to allow for
services to be pro-active and prepared when dealing with a situation. There is a system
currently in place in Medway where they are holding regular conference calls to share
information. This does raise a potential confidentiality risk, however it was agreed to look at
a way of doing this.
Kent Fire and Rescue offered to provide an update at the next meeting to inform the group of
the services they now provide.
Margate taskforce will also give a short presentation on the set up and functions of the
taskforce for the group to better understand should the format need to be replicated in other
areas. It was also offered that if there is anything operationally the taskforce can support in
Thanet to ask the team.
The group were informed that Thanet Council have just appointed a safeguarding officer for
Thanet. AB will share the contact details with the group.