Agenda item

(To receive a report by Marc Jones (police & Crime Commissioner) and Claire Darbyshire (Deputy Director of Strategy, Lincolnshire Partnership NHS Foundation Trust) on the Policing and Mental Health Development Plan which highlights opportunities for effective use of system resources, collegiate decision making and sustainable actions to reduce the demand on policing from mental health, with benefits for the entire health and care system)

Consideration was given to a report by the Office of the Police and Crime Commissioner which was commissioned to establish opportunities for collaboration between mental health and policing.  It highlighted opportunities for effective use of system resources; collegiate decision making and sustainable effective actions to reduce the demand on policing from mental health as well as benefits for the entire health and social care system.

It was noted that all actions with the report had been considered against system impact, inclusive of public health and policing outcome measures.  It was also noted that the report was produced prior to the crisis care concordat multi-agency review, and highlighted that they were mutually supportive.

The Health and Wellbeing Board was provided with the opportunity to ask questions to the officers present in relation to the information contained in the two reports and some of the points raised during discussion included the following:

·         It was noted that it had not yet been agreed what funding was available to implement the recommendations.

·         It was agreed that high level oversight was needed.

·         It was commented that there was a need for a commitment from the CCG's on what they would be funding.

·         It was noted that in Lincolnshire, health and policing were not currently considered at the same time.

·         It was clarified that the report on the Multi-Agency Review had not yet been to the CCG's Board and so it had not been signed off yet.  It was noted that a development session had been held two weeks previously where issues for alignment had been discussed.  There was a need to link together the various strategies.  In terms of support from commissioning, it would be queried where money was being spent, was it in the right place and was it helping the right people.

·         In terms of the Crisis services team, it was noted that this was not for those people with severe mental health problems, but for those where something may trigger someone into a situation where their mental health was sub-optimal.  It was highlighted that there was not a system that recognised when a person was in crisis.  This was not about just giving a prescription for the right drug   there was a need for a joint body between health and social care, employment, housing and training.

·         It was noted that the Lincolnshire Safeguarding Adults Board was in the process of developing a prevent strategy which incorporated targeting scamming. 

·         It was noted a number of elements of mental health services were already integrated, but it was acknowledged that this could go further.

·         In terms of governance, it was highlighted that there were clear groups already in existence, and there were two mental health priorities under the Health and Wellbeing Board.  It would need to be considered how these aspects of governance could be dovetailed.  It was suggested that some reporting mechanisms should be worked up.

·         It was commented that it had been highlighted at the LPFT AGM that the amount of out of area treatment had reduced.

·         In relation to scams, it was noted that anyone could be a victim of one, and it was suggested whether solicitors and banks should play more of a role in tackling scams.  It was suggested whether when banks received a request for a large transaction, if the money could be held for a number of days before being released.  The Board was advised that any money that was paid as part of a scam could be recovered if it was sent to a UK bank and the banks were notified within 48 hours.

Both reports were considered and discussed at the same time, however, each set of recommendations were considered separately as follows:

Multiagency Review of Mental Health Crisis Services in Lincolnshire:

RESOLVED

            That the Health and Wellbeing Board note the recommendations of the review and oversee the implementation of those recommendations were agreed by lead commissioners.

Working Together to Create Safe, Well Communities – Policing and mental Health Development Plan:

RESOLVED

            That further work be carried out to identify how this would link with current strategies.