National Policy

The Mental Health Crisis Care Concordat was launched in 2014 and involved more than twenty national bodies responsible for crisis response.  There are many examples of innovation and service improvement in the document.

Building on the Concordat, Implementing Five Year Forward View for Mental Health includes plans for all areas to provide 24/7 CRHT by 2020/21 and extend access to acute hospital mental health liaison services. See also NHS England crisis and acute care.

The NHS Operational Planning and Contracting Guidance 2017-19 provides plans for developing CRHTs and a new CQUIN for improving care for A&E users with mental health needs. The guidance also describes the Urgent and Emergency Care Review plan to develop 24/7 integrated care services for physical and mental health in each STP footprint, including a clinical hub that supports NHS 111, 999 and out-of-hours calls. NHS England has recently published guidance on the urgent and emergency care mental health pathway.

NHS England is making capital funding available for the development of health based places of safety and plans for funding to extend court Liaison and Diversion services.

The Joint Commissioning Panel for Mental Health provides guidance for commissioners on acute care and acute hospital liaison.

The NHS Confederation Briefing Is mental health crisis care in crisis? provides a useful summary and discussion of national policy.

The Commission to review the provision of acute inpatient psychiatric care for adults report ,Old Problems, New Solutions offers recommendations for improving the quality of inpatient care and includes a discussion of the role of quality improvement methodologies.

The Core Study supports quality improvement for CRHTs.