Liaison Mental Health Resources

Improving services for people with mental health needs who present to A&E – the national CQUIN for 2017-19

NHS England have produced guidance to support the implementation of the national CQUIN and have held a webex to discuss the detail and share examples of good practice.  The webex includes a fantastic talk from a service user who has received care from the Durham and Darlington team.

You can access a recording of the webex here:

If you are involved in delivering the CQUIN you should also visit our Managing Vulnerable Frequent Service User page to read about a piece of work NEMHDU have carried out with Crisis Care Concordat Groups on behalf of NECN and North East and North Cumbria Academic Health Science Network (NENC AHSN).  This involved workshops with mental health crisis and liaison teams, emergency departments, police, social care and the ambulance service to develop a better understanding of how the system can support people who are frequent users of urgent and emergency care services.  A report has been produced which shares the findings and recommendations from the 4 workshops held across Northern England.

Additional resources

Devon Integrated Psychological Medicine Service

This aims to offer a triage and assessment service for patients with long term conditions with comorbid mental health conditions, and those with medically unexplained symptoms and functional neurological disorders. It takes referrals from all areas of health care and refers on to a range of providers, including IAPT and mental health services, as well as providing medical psychotherapy. It also offers inpatient treatment in the acute hospital setting where it is integrated into the acute hospital to reduce stigma. The aim is to reduce costs associated with patients with these type of conditions who are treated incorrectly within acute hospitals and primary care settings.

Competency Framework for Liaison Mental Health Nursing

This is a framework that has been developed at national level to ensure liaison nurses have the correct competencies for the role, and also offers a framework for appraisal, revalidation, the identification of training needs and the formulation of personal development plans.

Nursing Development Plan

Complements the nursing competency framework.

The Leeds Liaison Psychiatry Model

This demonstrates an example of a comprehensive liaison service, offering a wide range of treatments including an inpatient unit.

Medically Unexplained Symptoms in Leeds

How the Leeds service tackles patients with medically unexplained symptoms.

Medically Unexplained Symptoms in Durham and Darlington

This service offers a multidisciplinary team approach, working in the community with patients with medically unexplained symptoms from secondary care and those with high complexity. It works on a pathway with the IAPT long term conditions team, taking patients with high risk and complexity which IAPT are not equipped to treat.

Durham and Darlington Liaison Service Evaluation Report

This report from October 2013 describes the configuration of the Durham and Darlington Mental Health Liaison Team at that time. Whilst the team did not operate a 24/7 model it did provide many aspects of an enhanced service such as services for high intensity users of hospital services and people with Medically Unexplained Physical Symptoms (MUPS), often referred to as Persistent Physical Symptoms or functional disorders. The economic benefits of the project have been an estimated reduction in overall costs to the health and social care economy of over £6 million.

Oldham Psychological Medicine Service

This aims to provide support to patients with medically unexplained symptoms and chronic long term conditions. It is integrated into the community musculoskeletal service and the pain team, and also provides a service in both the hospital and primary care settings for these patients. In particular it works with all aspects of the stroke patients pathway.

Tees Elderly Frailty Report

This describes a project in Tees working with the frailty unit to screen for mental health conditions, improve discharge rates from the acute hospital, reduce antipsychotic use on the ward, implement and advise on management plans for the patients, and educate and upskill acute trust staff.

Evaluation of delirium clinic pilot

This pilot project offered follow up for patients with delirium. It improved detection rates for dementia, ensured that the correct patients went to CMHT, and psychoeducation and counselling was offered to families and patients who had suffered delirium.

Tees Induction Package

This is an induction package, developed by Tees, for nurses who are new starters in liaison.

Tees Liaison Psychiatry Service 2014 Service Evaluation

This describes some of the roles and functions of the team along with outcome data relating to reducing length of stay, reducing hospital admissions following self harm, return to usual place of residence, and 16-17 year old avoided admissions.

Tees Liaison Team Service Specification

Tees Liaison Ward Training Case Study

This is a short report detailing the impact of training and support for staff on the orthopaedic ward with a consequent reduction in referrals to liaison as staff become more confident in managing patients with mental health conditions.

Understanding and Managing Challenging Behaviour

Teaching Powerpoint presentation on management of challenging behaviour in dementia aimed at acute trust wards from the Sunderland liaison team.

NTW Liaison Team Training Plan

NTW first week induction timetable for liaison nurses.

Reducing Stigma Training

Teaching for acute trust colleagues aimed at reducing stigma in the acute trust.

Sunderland final PLAN report

The PLAN accreditation report for Sunderland liaison service.

Kings Health Partners model

Liaison Mental Health Event – 7th November 2016

Growing your own Liaison Nurses

Paper 5a. Financial modelling examples part 1 mental health liaison in g.._