The NHS Long Term Plan was published in early 2019 and sets out the strategic direction and core objectives for the NHS over the next 10 years. Our network provides new ways of working that help to deliver at least 15 of these national aspirations.View document
Published in 2011, the NHS Constitution is a national set of principles, values, rights, pledges and responsibilities. It outlines how the NHS will provide care to the population, what rights you have as a patient and what it expects from its staff. In this document we outline how our network and the teams within it, comply with the Constitution and help to deliver these national objectives.View document
The SIM London team produced this leaflet in April 2018. It was co-produced with Service Users.
Although written for people living in London, the information applies to all teams around the UK.
Shortly after the launch of a Street Triage crisis response car on the Isle of Wight, a small number of service users who were calling in crisis repetitively were identified by the team.
If better crisis response wasn't working, then how could we provide better clinical care to these specific patients. We needed a more intensive and preventative support package.
SIM was developed and tested from 2013-2015 placing the patient at the centre of their own care as much as possible.
Here is the full Project Pilot Report.
An incredibly useful insight outlining the factors that influence why NHS trusts choose to adopt an innovation.
One of our teams (SHIPP) is profiled in the report.
Published: 5th November 2018
Written by Aileen Jackson and Josh Brewster, our SIM project management team in South London, this report will guide project management staff around the country.View document
All the teams on the network operate to a set of quality standards that we have developed over a number of years.
By delivering all these 12 standards in the same team design, we believe this provides the highest quality of care.
We are currently operating 4 different models of SIM based teams.
3 employ a police officer/staff member in a specialist/dedicated/protected role (officers can do this full time or part time).
1 employs a police officer/staff member whose main role is not managing high intensity callers but who is allocated a client alongside their MH care coordinator.
e.g. a community police officer or PCSO may have a regular crisis caller living on their beat. They complete the training course with that person's MH care coordinator and then for x number of sessions a week, they jointly engage with and support the individual.
Some teams now operate using a local combination of these models. For example in Derbyshire, 50% of patients on their programme are supported using Model 2 and 50% are supported using Model 3.
Want to know what a high intensity mentor does in a typical day?
There are two core staff in a mentoring team: a mental health care coordinator and a police officer. This team will have attended a national training course, will also have ongoing online training resources and be able to contact similar teams in other areas of the country for advice. They will probably support multiple patients within the same NHS Trust as they will have been given protected time to work with specific service users. The team has 2 core tasks:
Task 1: To work with patients struggling with complex trauma and intensive emotions. These patients will often be demonstrating their distress in unsafe ways in public places (hence why we use police officers too). The team use a mentoring approach with the patients. They do this when the individual is not in crisis so that they can make plans that will ensure the patient and the community are safer, should they experience another crisis moment. The patient is taught how to write their own crisis care plan. The mentors will also contribute to what is written in this plan. This joint approach ensures that the patient still gets adequate support but the emergency service staff can also be better briefed and make better decisions.
Task 2: Once the crisis care plan is finished and the patient, mental health nurse and police officer have all signed it, then the mentor's job now is to ensure that local 999 staff understand the plans and have access to them, just in case the document is needed in an emergency.
By reading this document, you will understand how the NHS and Police Service together, have helped to develop this specific role. When a service user presents risk to both themselves and other people, the best solution lies with combining medical leadership and community safety leadership.
The SIM model of care is supported by the NHS Innovation Accelerator Programme.
Select 'View Document' to download the 2018 NIA Brochure.