Local inspirations

Find out more about what excellent mental health crisis care looks like in local areas across England.

Access to support before a crisis

Gloucestershire services to support young people: Website and Video ‘On Your Mind’ (September 2016)

Fire deaths in the South West between 2008-13

Live It Well, Simple Steps to Mental Health and Wellbeing in Kent and Medway

Making it Real in Dudley

Lambeth Peer-led out of hour telephone support service

Solidarity in a Crisis provides out of hours support to people experiencing acute mental health issues.

South West Regional Suicide Reduction Collaborative: Project Zero

The South West Regional Suicide Reduction Collaborative's 'Project Zero' aims to reduce suicides in the region to zero by 2018.

The Manchester Fire and Mental Health Liaison Project

This project was a collaboration between Manchester Mental Health and Social Care Trust (MMHSCT) and Greater Manchester Fire and Rescue Service (GMFRS) to explore and address the high percentage of people who died from fire and were known to mental health services in Manchester.

Information Sharing and Police Training On Vulnerable People in London

“Since the Metropolitan Police Service (MPS) introduced the recording of vulnerable adult information in April 2013, there have been in excess of 20,000 reports, which show that there has been an unmet demand for a mechanism to record information on vulnerable adults” – Metropolitan Police Detective Inspector, Mental Health Team.

Commissioning to allow earlier intervention and responsive crisis services

Haven in Bradford: 365 day a year service (August 2016)

London’s Crisis Care Coordination Function, Mental Health Crisis Care Programme Updates (July 2016)

Good practice: Kent Police and Maidstone and Mid-Kent Mind, Wellbeing Workers within the Police Control Room 2016

London Workforce Strategic Framework, March 2016

Healthy London Partnership: Request for feedback on London s136 pathway and HBPoS specification

The London Crisis Care Coordination Function (March 2016)

London’s Mental Health Crisis Care Summit Event Report (March 2016)

Central and North West London NHS Foundation Trust Video on transforming community mental health services

TFL Rail: Suicide Prevention and Reduction on the Railways

Hertfordshire: Integration of public mental health intelligence into JSNAs to inform priorities, strategic development and commissioning

Barnet, Enfield and Haringey: Overarching Governance Structure Chart (October 2015)

Rotherham Carers Resilience Service Evaluation, September 2015

Rotherham, Doncaster and South Humber: CCG Evaluation October 2015 Adult Mental Health Hospital Liaison Service

Acute Ward Digital Touch Screen Tool at Hollins Park Hospital, Warrington

The Evening Sanctuary service hosted by Mosaic Clubhouse in Brixton

West London Mental Health NHS Trust: local services transformation

The Sanctuary at Mind in Bradford

Stop Suicide Campaign: Cambridgeshire and Peterborough Pathfinder Impact Report

Sheffield’s Children and Young People’s Emotional Wellbeing and Mental Health Needs Assessment

Good Practice: Sandwell’s People’s Parliament and Changing Our Lives

52 Experts by Experience with lived experience of mental health crisis have been supported to develop the local Crisis Care Concordat action plan for Sandwell.

Metropolitan Police Service Commitments to the Mental Health Crisis Concordat in London

The MPS is working towards ten commitments which can be used in local declarations and action plans across London.


London’s Crisis Care Coordination Function, Mental Health Crisis Care Programme Updates (July 2016)

Letter to all local Concordat areas from Rt Hon Alistair Burt MP, Minister of State for Community and Social Care

The Mayor of London’s Care and Support Specialised Housing Fund (CASSH) Phase 2

The Funding prospectus for phase 2 was launched on 24th March 2015. Bids have to be submitted before noon on 30th June 2015.

Annual Public Health Report 2014 – Mental Health and Wellbeing in Kingston

Innovative mental health sanctuary to open in Bristol

Bristol Clinical Commissioning Group has awarded a contract for the first sanctuary in the city where people can go who are experiencing severe emotional distress.

Example of DRAFT Due Regard Statement

A draft Due Regard Statement created by the Mental Health Crisis Task & Finish Group & key stakeholders in Gloucestershire.

Quality of care and treatment in a crisis

SIM: Specialist Support for High Intensity Mental Health Crisis, Sergeant Paul Jennings, Hampshire Constabulary

Healthy London Partnership: Closing the mortality gap for people living with Serious Mental Illness, April 2016

Developing and Delivering a Liaison Psychiatry Service, Presentation by Dr Stella Morris, Hull Royal infirmary

The Sanctuary Manchester

Independent report on The Sanctuary in Manchester prepared by Dr Judith Gellatly from the University of Manchester.

Calderdale and Huddersfield NHS Trust: Inter-Agency Information Sharing Protocol

The protocol for the Health Informatics Service run by Calderdale and Huddersfield NHS Trust.

Chilypep Video: On the Edge, Young People’s Experiences of Mental Health Crisis Support

North of England Crisis Project: Classification and Standard Setting for Clinical Interventions in Mental Health Crisis Resolution and Home Treatment

The North of England Crisis Project is a service improvement initiative commissioned by the North of England Strategic Clinical Network for Mental Health and Neuro-Disabilities.

Suicide Crisis: Innovative Crisis Care

Suicide Crisis is a survivor-led, user-led charity that runs the first Suicide Crisis Centre in the country.

Lambeth collaborative Mental Health workshop outputs

Supporting people in crisis in A&E: Lambeth Living Well Collaborative

Leeds Survivor Lead Crisis Service

LSLCS is an innovative and multi award winning charity. They provide services to people in acute mental health crisis, which are alternatives to hospital admission or statutory services.

Recovery and staying well

Options Recovery College at Rotherham, Doncaster and South Humber (RDASH) NHS Trust

Safe Haven at the Time Out Cafe, Aldershot

Use of Skype appointments rolled out by SW London and St Georges Mental Health NHS Trust (December 2015)

The Centre of Excellence for Information Sharing: Work with Surrey CCDG and Safe Havens

Severn and Wye Recovery College

West London Mental Health Trust: Shifting Settings of Care video

Urgent and emergency access to care

Home Office: Alternative Place Of Safety, The West Sussex Pilot Evaluation 2015

Devon, Plymouth and Torbay: Value Stream Maps for acute care pathway (January 2016)

Improving the patient experience of detentions under s136 of the MH Act in Worcestershire (January 2016)

Health in Justice and other Vulnerable Adults Strategic Clinical Network: Vulnerable Groups – The s136 Population (May 2015)

South Western Ambulance Service data set for s136, 2015-16

Mersey Care NHS Trust: Inter-Agency Policy and Procedure for s136 MHA 1983

The Tower Hamlets Experience: An alternative to hospital admission in Mental Health Crisis

Sections 135 and 136: Running a health-based place of safety in Gloucestershire (June 2015)

This research article assesses the impact of the Maxwell Centre, a health-based place of safety adjacent to a psychiatric hospital, which was opened in Gloucestershire in February 2009.

First Response in Bradford

The First Response service offers support 24 hours a day, seven days a week to people of all ages living in Bradford, Airedale, Wharfedale or Craven experiencing a mental health crisis.

Devon Street Triage (2105)

Oldham Mental Health Phone Triage/RAID Pilot Project Evaluation Report

Safety in Mind training film

A film which demonstrates how police, ambulance and hospital staff should work together in mental health emergencies has been launched by South London and Maudsley NHS Foundation Trust, the Metropolitan Police and the London Ambulance Service.

Central and NW London NHS Foundation Trust: Liaison Psychiatry Service video

An animated video from Central and North West London NHS Foundation Trust explaining the role of liaison psychiatry and how a specialist department can help in all hospitals.

Operation Serenity: pilot project with Southern Health NHS Foundation Trust and Hampshire Constabulary

Operation Serenity is an innovative pilot project in Hampshire to improve the response from police and mental health services for people in mental health crisis.

North West London Mental Health Referral, Assessment and Care: core processes and standards

Core processes and standards and template shared care letters

North West London’s Urgent Care Assessment & Care Pathway Redesign

Excellent, integrated mental health services to improve mental and physical health, secured through collaboration and determination to do the best for the population of North West London

An Ambulance Service and Police Conveyancing Policy in the North West

“The policy has brought clarity to a very complex area of service. It has dispelled a few myths and unrealistic expectations held between agencies and placed the vulnerable person at the centre of day to day responses to mental ill health” – Greater Manchester Police

Liaison psychiatry at Department of Psychological Medicine, Hull Royal Infirmary

The A&E mental health liaison team operates seven days a week from 8am until 10pm. It is a multidisciplinary team which includes a range of professionals who focus on people who deliberately self-harm and/or who have mental health problems within the acute care pathway.

The Dedicated 136 Number in Lincolnshire

“Our central number for police has helped reduce the waiting time for people in crisis who need urgent health interventions” – Lincolnshire Partnership Foundation Trust.

Street triage pilots

The Department of Health is funding pilot schemes, managed by nine police forces, in partnership with local NHS organisations. Some other forces already have schemes in operation, including Leicestershire Police.

A new vision for Urgent Mental Health Care in North West London

Shaping Healthier Lives is North West London’s mental health transformation strategy, 2012–15. It involves collaborative work between eight clinical commissioning groups and two mental health trusts.