PFD report

Victoria Georgia Halliday · Prevention of Future Deaths report

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Issued 20 Oct 2016•Leicester City and South Leicestershire

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
7

Raised in this report

Recipients
3

Named on the report

Responses found
3

Of 3 recipients

Stated actions
19

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised7

  1. Failure to identify the roles and responsibilities of involved health and social care professionals
  2. Lack of a local community support network for patients diagnosed with personality disorder
  3. Failure to review patients after 2 admissions within 6 months
    Part of recurring concern: Failure to provide timely continuing mental health reviews and follow-upPart of recurring concern: Unreliable Care Programme Approach care coordination
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.12

  1. Action

    Engage potential provider organisations to resolve local female PICU capacity and placement options.

    Stated by NHS Leicester, Leicestershire and Rutland Integrated Care BoardStated in progressThe respondent said that this action was in progress when they made their response on 20 October 2016.
  2. Action

    Develop a local support-network model for patients diagnosed with personality disorder.

    Stated by NHS Leicester, Leicestershire and Rutland Integrated Care BoardStated in progressThe respondent said that this action was in progress when they made their response on 20 October 2016.
  3. Action

    Submit the local personality-disorder support-network model for consideration.

    Stated by NHS Leicester, Leicestershire and Rutland Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 20 October 2016.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.8

  1. Position

    A local PICU service cannot currently be commissioned because demand, quality, cost and provider availability cannot all be met.

    Stated by NHS Leicester, Leicestershire and Rutland Integrated Care BoardUnable to actThe respondent said that a constraint prevented them from taking the relevant action.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to identify the roles and responsibilities of involved health and social care professionals

Wider context from the report

“4) The care programme approach (CPA) was not adhered to and NICE guidelines were not followed, specifically in ensuring there was a review after 2 admissions within 6 months, and to ensure the roles and responsibilities of all health and social care professionals involved were identified. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Lack of a local community support network for patients diagnosed with personality disorder

Wider context from the report

“5) There is no local network for the community support of patients diagnosed with personality disorder, although evidence suggested such networks were effective when adopted elsewhere. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to review patients after 2 admissions within 6 months

Wider context from the report

“4) The care programme approach (CPA) was not adhered to and NICE guidelines were not followed, specifically in ensuring there was a review after 2 admissions within 6 months, and to ensure the roles and responsibilities of all health and social care professionals involved were identified. ”

Is this part of a recurring concern?

Yes — Failure to provide timely continuing mental health reviews and follow-up; Unreliable Care Programme Approach care coordination.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Lack of local psychiatric intensive care unit beds for female patients

Wider context from the report

“1) There are currently no local psychiatric intensive care unit beds for female patients and this means all female patients can only be placed out of area, potentially many miles away from home and local support. ”

Is this part of a recurring concern?

Yes — Insufficient psychiatric inpatient bed capacity.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Lack of effective community psychiatric nurse involvement

Wider context from the report

“2) There was no, or no effective, community psychiatric nurse involvement and this was a missed opportunity to monitor and assist Victoria when she was in the community. ”

Is this part of a recurring concern?

Yes — Insufficient social and community care provision to meet care and discharge needs; Unreliable Community Mental Health care access and discharge processes.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to adhere to the care programme approach

Wider context from the report

“4) The care programme approach (CPA) was not adhered to and NICE guidelines were not followed, specifically in ensuring there was a review after 2 admissions within 6 months, and to ensure the roles and responsibilities of all health and social care professionals involved were identified. ”

Is this part of a recurring concern?

Yes — Unreliable Care Programme Approach care coordination.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Unavailability of community support for patients with challenging presentations

Wider context from the report

“3) The “community support” referred to by the in-patient clinicians does not exist in reality for patients with this challenging presentation, leaving discharged patients and their families without adequate support. ”

Is this part of a recurring concern?

Yes — Insufficient social and community care provision to meet care and discharge needs; Unreliable timely provision of appropriate care packages.

Open source report

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Engage potential provider organisations to resolve local female PICU capacity and placement options.

Verbatim wording from the response

“East Leicestershire and Rutland CCG, as the lead commissioners for mental health in LLR would prefer, if possible, for this service to be provided within the LLR border. However, we need to take account of demand, patient quality, cost and provider availability. With this in mind, we are unable, at present, to commission a local service that meets all of these requirements.”

Source location

Response from East Leicestershire and Rutland Clinical Commissioning Group
Page 1 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Develop a local support-network model for patients diagnosed with personality disorder.

Verbatim wording from the response

“With regard to a local network for the support of patients diagnosed with a personality disorder, this was recently discussed at the Mental Health Clinical Forum which is led by CCG GP and LPT Clinical”

Source location

Response from East Leicestershire and Rutland Clinical Commissioning Group
Page 1 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Submit the local personality-disorder support-network model for consideration.

Verbatim wording from the response

“Leads. A suggested model is currently being developed by Clinicians and will be submitted for consideration during the early part of 2017.”

Source location

Response from East Leicestershire and Rutland Clinical Commissioning Group
Page 2 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Work with regional commissioning colleagues to provide a wider range of female PICU placement options.

Verbatim wording from the response

“In line with the national picture, there is recognition that the availability of general acute mental health and PICU beds is under pressure. This continues to be the case despite extensive efforts to minimise out of area placements. Since April 2016, there have been 10 female out of area placements made with an average length of stay of 45 days.”

Source location

Response from East Leicestershire and Rutland Clinical Commissioning Group
Page 1 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Continue negotiating commissioner contracts for provision of the proposed personality-disorder services.

Verbatim wording from the response

“Further to our response to concern 3, LPT is not commissioned to provide an “enhanced service” to provide support and treatment for people with a severe and complex personality disorder (SCPD) in the community. A group of our senior clinical and operational leaders, with support from Commissioners, are working together to develop an integrated clinical pathway and model for care for people with Personality Disorders. As part of this proposal a dedicated team to provide this enhanced service is proposed, the purpose of which is to provide an intensive community based treatment support for both patients in treatment, and in crisis. The aim is to link the pathway together with supporting services in primary care, social care, and Police. We continue to work with our commissioners to negotiate our 2017/2018 contracts for provision of services, of which this remains an ambition to provide.”

Source location

Response from Leicestershire Partnership NHS Trust
Page 4 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Develop an integrated clinical pathway and care model for people with personality disorders, including a proposed bespoke enhanced community service.

Verbatim wording from the response

“However the community support as mentioned by the inpatient consultants refers to an “enhanced service” for people with severe and complex personality disorder (SCPD) who are difficult to maintain in the community with existing standards services and they inadvertently access acute services (inpatient and crisis services). LPT is currently not commissioned to provide this “enhanced service”. Some Trusts have adopted innovative practice which is commissioned to address this gap and LPT is doing the same with our Commissioners in proposing testing a bespoke service for people with SCPD as part of a wider Personality Disorder service development.”

Source location

Response from Leicestershire Partnership NHS Trust
Page 3 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Ensure team staff understand the process for allocating a community worker after assessment, including through new-starter induction.

Verbatim wording from the response

“In this case, the lack of effective CPN input during the time Victoria was a community patient was an isolated incident, with the assessing CPN failing to follow the standard operating team process, whereby the assessing worker accepts the person onto their case load if they have capacity. If they don’t have capacity the assessing worker should present the outcome of the assessment at the next Multi-Disciplinary team (MDT) meeting in order to allocate to a Community Worker/CPN within the Team.”

Source location

Response from Leicestershire Partnership NHS Trust
Page 2 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Develop a Standard Operating Procedure clarifying CPA roles, care-coordinator allocation, transfers, community allocation and required reviews.

Verbatim wording from the response

“In order to ensure roles and responsibilities of health and social care professionals involved in the CPA process are clear, understood and adhered to, a Standard Operating Procedure (SOP) is under development. Included in this SOP it will confirm and clarify the process to identify a Care Co-ordinator for patients in in-patient services, and will confirm and clarify the transfer and allocation process for the identification of the Care Co-ordinator in the community team, and associated reviews required.”

Source location

Response from Leicestershire Partnership NHS Trust
Page 3 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Complete a formal twice-yearly CPA audit across adult mental health inpatient and community services and develop resulting action plans.

Verbatim wording from the response

“A formal bi-annual CPA audit across AMH in-patient and community services has recently been completed and action plans developed. There are specific questions within the audit in relation to the CPA Care Plan, showing a clear description of needs and there being a description of the action to be taken and by whom. The audit completed in 2014 showed good compliance in these areas.”

Source location

Response from Leicestershire Partnership NHS Trust
Page 4 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Provide £400 million of additional investment through 2020/21 to improve community mental health provision.

Verbatim wording from the response

“The Government announced an additional £400m investment up to 2020/21 to improve the quality of community mental health provision as an effective and safe alternative to hospital admission. This builds on the successful National Mental Health Crisis Care Concordat which has seen every local area develop a crisis care action plan to ensure that no-one in crisis is turned away.”

Source location

2016-0370-Response-by-Department-of-Health
Page 2 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Implement comprehensive community-based mental health pathways so people access care at the right time and place.

Verbatim wording from the response

“We want to eliminate unnecessary out of area placements for adult acute mental health care by 2020/21 and reduce significantly delayed transfers of care so that people can move from hospital to care in the community, ensuring that beds are available for those most in need. We appreciate that this will not happen overnight but we are committed to delivering change. Also, through the Five Year Forward View, we will implement a comprehensive set of community-based mental health pathways of care so that people have access to care at the right time in the right place.”

Source location

2016-0370-Response-by-Department-of-Health
Page 2 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Publish a revised Mental Health Act Code of Practice strengthening patient rights and involvement of families, carers and friends.

Verbatim wording from the response

“You have raised concerns about the quality of care planning in Victoria Halliday’s case. We published a revised Mental Health Act 1983 Code of Practice in 2015 which strengthened the guiding principles of the Code. This included strengthening the rights of patients and better involvement of patients’ family, carers and friend in their care so that they can provide the much needed support for patients to manage their condition and support recovery and independent living in the community.”

Source location

2016-0370-Response-by-Department-of-Health
Page 2 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

A local PICU service cannot currently be commissioned because demand, quality, cost and provider availability cannot all be met.

Verbatim wording from the response

“East Leicestershire and Rutland CCG, as the lead commissioners for mental health in LLR would prefer, if possible, for this service to be provided within the LLR border. However, we need to take account of demand, patient quality, cost and provider availability. With this in mind, we are unable, at present, to commission a local service that meets all of these requirements.”

Source location

Response from East Leicestershire and Rutland Clinical Commissioning Group
Page 1 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Direct provision of local female psychiatric intensive care beds is outside the Trust’s commissioning remit.

Verbatim wording from the response

“Service Response LPT is not currently commissioned to directly provide Female Psychiatric Intensive care beds (PICU). Our commissioners are in the process of procuring a local, medium to long term solution, for female Psychiatric Intensive Care Unit (PICU) placements in Leicester, Leicestershire and Rutland. The procurement process is unlikely to be resolved until 2017/18. For patients who are placed out of area, through our Adult Mental Health (AMH) Bed Management Team, we keep in touch on a weekly basis with the placement providers to ensure that length of stay out of area is for an agreed period of time, and that repatriation back to local services is facilitated at the earliest opportunity. In Victoria’s case, referrals to PICU were made from the Bradgate inpatient area due to her challenging presentation and its impact on staff.”

Source location

Response from Leicestershire Partnership NHS Trust
Page 1 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Providing an enhanced community service for people with severe and complex personality disorder is outside the Trust’s current commissioning remit.

Verbatim wording from the response

“However the community support as mentioned by the inpatient consultants refers to an “enhanced service” for people with severe and complex personality disorder (SCPD) who are difficult to maintain in the community with existing standards services and they inadvertently access acute services (inpatient and crisis services). LPT is currently not commissioned to provide this “enhanced service”. Some Trusts have adopted innovative practice which is commissioned to address this gap and LPT is doing the same with our Commissioners in proposing testing a bespoke service for people with SCPD as part of a wider Personality Disorder service development.”

Source location

Response from Leicestershire Partnership NHS Trust
Page 3 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Commissioners are responsible for developing and commissioning the proposed enhanced severe and complex personality disorder community service.

Verbatim wording from the response

“However the community support as mentioned by the inpatient consultants refers to an “enhanced service” for people with severe and complex personality disorder (SCPD) who are difficult to maintain in the community with existing standards services and they inadvertently access acute services (inpatient and crisis services). LPT is currently not commissioned to provide this “enhanced service”. Some Trusts have adopted innovative practice which is commissioned to address this gap and LPT is doing the same with our Commissioners in proposing testing a bespoke service for people with SCPD as part of a wider Personality Disorder service development.”

Source location

Response from Leicestershire Partnership NHS Trust
Page 3 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Commissioners are responsible for procuring a local medium- to long-term solution for female psychiatric intensive care placements.

Verbatim wording from the response

“Service Response LPT is not currently commissioned to directly provide Female Psychiatric Intensive care beds (PICU). Our commissioners are in the process of procuring a local, medium to long term solution, for female Psychiatric Intensive Care Unit (PICU) placements in Leicester, Leicestershire and Rutland. The procurement process is unlikely to be resolved until 2017/18. For patients who are placed out of area, through our Adult Mental Health (AMH) Bed Management Team, we keep in touch on a weekly basis with the placement providers to ensure that length of stay out of area is for an agreed period of time, and that repatriation back to local services is facilitated at the earliest opportunity. In Victoria’s case, referrals to PICU were made from the Bradgate inpatient area due to her challenging presentation and its impact on staff.”

Source location

Response from Leicestershire Partnership NHS Trust
Page 1 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

The lack of effective community psychiatric nurse input was an isolated incident, not evidence that community support generally did not exist.

Verbatim wording from the response

“A standard community service exists within LPT for people with personality disorder in the form of community mental health team (CMHT), Crisis Resolution Team (CRT) and Specialist Personality Disorder Service (FDL). Victoria was accessing all these services during the course of her contact with LPT. An identified Community Psychiatric Nurse (CPN) from the CMHT, CRT was present during professional and CPA meetings whilst Victoria was an inpatient. Due to the nature of Victoria’s presentation of presenting in different areas of the country in a crisis covering CPNs and CRT professionals tried to ensure continuity as much as possible.”

Source location

Response from Leicestershire Partnership NHS Trust
Page 2 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Local clinical commissioning groups are responsible for commissioning psychiatric intensive care beds because they assess and meet local community needs.

Verbatim wording from the response

“You have raised concerns about the availability of psychiatric intensive care beds locally for women. Psychiatric intensive care beds are commissioned locally by clinical commissioning groups (CCGs) as they are best placed to assess and meet the needs of their local communities.”

Source location

2016-0370-Response-by-Department-of-Health
Page 1 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Local mental health commissioners and providers are responsible for taking necessary action when care-planning shortfalls are identified.

Verbatim wording from the response

“You have raised concerns about the quality of care planning in Victoria Halliday’s case. We published a revised Mental Health Act 1983 Code of Practice in 2015 which strengthened the guiding principles of the Code. This included strengthening the rights of patients and better involvement of patients’ family, carers and friend in their care so that they can provide the much needed support for patients to manage their condition and support recovery and independent living in the community.”

Source location

2016-0370-Response-by-Department-of-Health
Page 2 · response
Published 20 October 2016

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.7

  1. 1

    Appoint a Band 7 nurse to lead implementation of guidance on reducing restrictive interventions across inpatient areas.

    Stated by Leicestershire Partnership NHS TrustStated completedThe respondent said that this action was complete when they made their response on 20 October 2016.
  2. 2

    Recruit additional psychologists to strengthen psychologically minded inpatient care.

    Stated by Leicestershire Partnership NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 20 October 2016.
  3. 3

    Tailor and structure psychological support and reflective sessions for ward staff managing patients with personality disorder.

    Stated by Leicestershire Partnership NHS TrustStated completedThe respondent said that this action was complete when they made their response on 20 October 2016.
  4. 4

    Make up to £15 million of additional funding available to develop more health-based places of safety.

    Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 20 October 2016.
  5. 5

    Reduce significantly delayed transfers of care so people can move from hospital to community care.

    Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 20 October 2016.
  6. 6

    Provide a full response to the acute inpatient psychiatric care review by the end of 2016/17.

    Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 20 October 2016.
  7. 7

    Eliminate unnecessary out-of-area placements for adult acute mental health care by 2020/21.

    Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 20 October 2016.

Recipient positions A position is what a recipient says about a concern when they do not describe a specific action.1

  1. 1

    National access to mental health beds is characterised primarily as a discharge and community-alternatives issue rather than a bed-capacity issue.

    Stated by Department of Health and Social CareDisputes the concernThe respondent disagreed with part of the concern or the basis for it.

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Appoint a Band 7 nurse to lead implementation of guidance on reducing restrictive interventions across inpatient areas.

Verbatim wording from the response

“We have also appointed a Band 7 nurse to lead on the implementation of the “Positive and Proactive Care: Reducing the Need for Restrictive Interventions” guidance across all inpatient areas of the Trust. This is anticipated to reduce the need for higher environmental restrictions (in Victoria’s case, referral to PICU) and better management in acute ward settings.”

Source location

Response from Leicestershire Partnership NHS Trust
Page 2 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Recruit additional psychologists to strengthen psychologically minded inpatient care.

Verbatim wording from the response

“We have since tailored and structured psychological support and reflective sessions for ward staff who manage patients with personality disorder and are in the process of recruiting more psychologists to strengthen the psychologically minded approach to care. This will ensure that NICE clinical guidance 78 is followed for inpatient stays.”

Source location

Response from Leicestershire Partnership NHS Trust
Page 1 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Tailor and structure psychological support and reflective sessions for ward staff managing patients with personality disorder.

Verbatim wording from the response

“We have since tailored and structured psychological support and reflective sessions for ward staff who manage patients with personality disorder and are in the process of recruiting more psychologists to strengthen the psychologically minded approach to care. This will ensure that NICE clinical guidance 78 is followed for inpatient stays.”

Source location

Response from Leicestershire Partnership NHS Trust
Page 1 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Make up to £15 million of additional funding available to develop more health-based places of safety.

Verbatim wording from the response

“You may also be aware that the Government made available £15m to develop more health based places of safety as appropriate places for people with mental health problems who are detained by the police. The Prime Minister announced this month that we will make further additional funding available, up to £15m, to build on this successful work.”

Source location

2016-0370-Response-by-Department-of-Health
Page 2 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Reduce significantly delayed transfers of care so people can move from hospital to community care.

Verbatim wording from the response

“We want to eliminate unnecessary out of area placements for adult acute mental health care by 2020/21 and reduce significantly delayed transfers of care so that people can move from hospital to care in the community, ensuring that beds are available for those most in need. We appreciate that this will not happen overnight but we are committed to delivering change. Also, through the Five Year Forward View, we will implement a comprehensive set of community-based mental health pathways of care so that people have access to care at the right time in the right place.”

Source location

2016-0370-Response-by-Department-of-Health
Page 2 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Provide a full response to the acute inpatient psychiatric care review by the end of 2016/17.

Verbatim wording from the response

“You may be aware that the Commission to review the provision of acute inpatient psychiatric care for adults, led by Lord Crisp, published its review in 2015. The review found that access to mental health beds nationally was not so much an issue of bed capacity but an issue of discharge policies and alternatives to hospital admission in the community. We are committed to providing a full response to the review by the end of 2016/17.”

Source location

2016-0370-Response-by-Department-of-Health
Page 1 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Eliminate unnecessary out-of-area placements for adult acute mental health care by 2020/21.

Verbatim wording from the response

“We want to eliminate unnecessary out of area placements for adult acute mental health care by 2020/21 and reduce significantly delayed transfers of care so that people can move from hospital to care in the community, ensuring that beds are available for those most in need. We appreciate that this will not happen overnight but we are committed to delivering change. Also, through the Five Year Forward View, we will implement a comprehensive set of community-based mental health pathways of care so that people have access to care at the right time in the right place.”

Source location

2016-0370-Response-by-Department-of-Health
Page 2 · response
Published 20 October 2016

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

National access to mental health beds is characterised primarily as a discharge and community-alternatives issue rather than a bed-capacity issue.

Verbatim wording from the response

“You may be aware that the Commission to review the provision of acute inpatient psychiatric care for adults, led by Lord Crisp, published its review in 2015. The review found that access to mental health beds nationally was not so much an issue of bed capacity but an issue of discharge policies and alternatives to hospital admission in the community. We are committed to providing a full response to the review by the end of 2016/17.”

Source location

2016-0370-Response-by-Department-of-Health
Page 1 · response
Published 20 October 2016

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026