PFD report

Andrew Reid · Prevention of Future Deaths report

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Issued 10 Apr 2018•Manchester South

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
2

Raised in this report

Recipients
2

Named on the report

Responses found
2

Of 2 recipients

Stated actions
22

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 raised2

  1. Failure to provide consistent levels of emergency mental health support and access routes across Greater Manchester
    Part of recurring concern: Inadequate 24-hour mental health crisis support
  2. Unavailability of out-of-hours GP referral routes for emergency mental health care in Trafford
    Part of recurring concern: Unreliable urgent mental health referral and assessment pathways
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.8

  1. Action

    Align Manchester and Trafford mental health service specifications and agree clear cross-border arrangements with other Greater Manchester commissioners and trusts.

    Stated by NHS Greater Manchester Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 4 April 2018.
  2. Action

    Maintain reciprocal commissioning arrangements so patients can access mental health services across Manchester and Trafford borders.

    Stated by NHS Greater Manchester Integrated Care BoardStated completedThe respondent said that this action was complete when they made their response on 4 April 2018.
  3. Action

    Escalate disputed referrals promptly to service managers for timely resolution and use the Cross Border Matrix to clarify registration and residency responsibilities.

    Stated by NHS Greater Manchester Integrated Care BoardStated completedThe respondent said that this action was complete when they made their response on 4 April 2018.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.2

  1. Position

    The breakdown was not due to inappropriate differential commissioning models between Trafford CCG and Manchester commissioners.

    Stated by NHS Greater Manchester Integrated Care BoardDisputes the concernThe respondent disagreed with part of the concern or the basis for it.

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 provide consistent levels of emergency mental health support and access routes across Greater Manchester

Wider context from the report

“1. The inquest heard that when Mr Reid went to see his GP she was very concerned about the risk he posed to himself and wanted him to be seen urgently by the Home Based Treatment Team (HBTT). The initial call was to the Manchester team -because the GP practice was within the City Of Manchester-who accept referrals from GPs. The Manchester HBTT are commissioned to provide a 24/7 Urgent Assessment Team that GPs can refer into. However, as Mr Reid was a Trafford resident the referral was not accepted and the GP called the Trafford HBTT. Under the terms of their commissioned service they cannot accept referrals from GPs and contact is via the RAID team in A and E. In this case that meant Mr Reid was told he would have to go to A and E. The inquest was told that the differences in level of provision for those with mental health are based on the decisions made by each commissioning authority. As a result residents of GM with mental health issues have a different level of support and route to access services. 2. In Trafford the outcome of the commissioning is that there are no emergency GP referrals dealt with OOH. They can only be dealt with Monday to Friday by the CMHT. GPs outside these times dealing with emergency mental health issues for Trafford residents have to ask patients to make their way to A and E for assessment. If they are concerned that a patient may not make it to A and E then they have to ask the Police to check with A and E -as happened in the case of Mr Reid ”

Is this part of a recurring concern?

Yes — Inadequate 24-hour mental health crisis support.

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 out-of-hours GP referral routes for emergency mental health care in Trafford

Wider context from the report

“1. The inquest heard that when Mr Reid went to see his GP she was very concerned about the risk he posed to himself and wanted him to be seen urgently by the Home Based Treatment Team (HBTT). The initial call was to the Manchester team -because the GP practice was within the City Of Manchester-who accept referrals from GPs. The Manchester HBTT are commissioned to provide a 24/7 Urgent Assessment Team that GPs can refer into. However, as Mr Reid was a Trafford resident the referral was not accepted and the GP called the Trafford HBTT. Under the terms of their commissioned service they cannot accept referrals from GPs and contact is via the RAID team in A and E. In this case that meant Mr Reid was told he would have to go to A and E. The inquest was told that the differences in level of provision for those with mental health are based on the decisions made by each commissioning authority. As a result residents of GM with mental health issues have a different level of support and route to access services. 2. In Trafford the outcome of the commissioning is that there are no emergency GP referrals dealt with OOH. They can only be dealt with Monday to Friday by the CMHT. GPs outside these times dealing with emergency mental health issues for Trafford residents have to ask patients to make their way to A and E for assessment. If they are concerned that a patient may not make it to A and E then they have to ask the Police to check with A and E -as happened in the case of Mr Reid ”

Is this part of a recurring concern?

Yes — Unreliable urgent mental health referral and assessment pathways.

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

Align Manchester and Trafford mental health service specifications and agree clear cross-border arrangements with other Greater Manchester commissioners and trusts.

Verbatim wording from the response

“An arrangement does exist between all GM mental health Trusts, which operates to ensure the most appropriate service for a patient resident or registered on or near the border of another service. This incident has highlighted the need to revisit this arrangement to reduce unnecessary variation in service commissioning and ensure that all providers are clear on service arrangements. Service provision must be based on a flexible, common-sense”

Source location

Andrew-REID-Response2
Page 5 · response
Published 4 April 2018

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

Maintain reciprocal commissioning arrangements so patients can access mental health services across Manchester and Trafford borders.

Verbatim wording from the response

“The deceased was a registered patient with a Manchester GP at Chorlton Health Centre and he lived in Stretford in the borough of Trafford. This is important as NHS services are commissioned on the basis of GP registration (so Manchester in this case). Importantly, commissioners across both Manchester and Trafford CCGs have put in place reciprocal arrangements to cover mental health patients needing support but who are registered in separate areas to where they reside. In this case, therefore the GP should have been able to refer to either the Manchester service or the Trafford service.”

Source location

Andrew-REID-Response2
Page 2 · response
Published 4 April 2018

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

Escalate disputed referrals promptly to service managers for timely resolution and use the Cross Border Matrix to clarify registration and residency responsibilities.

Verbatim wording from the response

“In Greater Manchester, required adherence with Responsible Commissioner principles has been communicated across all the GM MH Commissioners and Trusts. This included summary Cross Border Matrix tables to resolve any issues involving the service users registered and residency status shared with all specialist mental health out-of-hours and inpatient services.”

Source location

Andrew-REID-Response2
Page 8 · response
Published 4 April 2018

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 GMMH to identify further measures preventing commissioning differences from causing future incidents.

Verbatim wording from the response

“Trafford CCG and MHCC have been in contact with senior GMMH managers. It has been agreed that any referrals that are being disputed by each other or another team in Manchester are promptly escalated to the Service Manager, so that the issue can be resolved in a timely way. In their response, GMMH also stated that “[The service managers] reminded the teams of their responsibilities in that our priority is ensuring that the service user receives the care they need and to utilise and promote the use of the Cross Border Matrix to resolve any issues involving the service users registered and residency status.” The Trafford and Manchester commissioners have also agreed to work together with GMMH to see what else can be done to ensure the current differences in commissioning priorities between localities does not result in any further incidents.”

Source location

Andrew-REID-Response
Page 4 · response
Published 4 April 2018

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

Maintain reciprocal additional funding for cross-boundary specialist mental health services, including crisis out-of-hours support.

Verbatim wording from the response

“Manchester GPs might be resident in Trafford. On recognition of this, there was also a need to invest additional funding to ensure timely access to local specialist mental health services in Trafford (and vice versa). This was put in place with Manchester commissioners providing specific additional funding for mental health services in Trafford (including crisis out-of-hours support) so that any such patients were supported rapidly with the minimum possibility of confusion related to Responsible Commissioner considerations. The same reciprocal model was enacted by Trafford commissioners providing specific additional funding for mental health services in Manchester (including crisis out-of-hours support).”

Source location

Andrew-REID-Response
Page 3 · response
Published 4 April 2018

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

Coordinate communications and related work across Greater Manchester commissioners and providers to prevent recurrence of confusion or support breakdowns.

Verbatim wording from the response

“The Greater Manchester Health & Social Care Partnership will also now work with mental health commissioners and providers across Greater Manchester to ensure the required additional communications and work is undertaken to remove the risk of such similar confusion or breakdown in support reoccurring.”

Source location

Andrew-REID-Response
Page 4 · response
Published 4 April 2018

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

Communicate Responsible Commissioner requirements and share Cross Border Matrix tables with specialist mental health out-of-hours and inpatient services.

Verbatim wording from the response

“In Greater Manchester, required adherence with Responsible Commissioner principles has been communicated across all the GM MH Commissioners and Trusts. This included summary Cross Border Matrix tables to resolve any issues involving the service users registered and residency status shared with all specialist mental health out-of-hours and inpatient services.”

Source location

Andrew-REID-Response
Page 3 · response
Published 4 April 2018

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

Escalate disputed referrals involving Manchester teams promptly to the Service Manager for timely resolution.

Verbatim wording from the response

“Trafford CCG and MHCC have been in contact with senior GMMH managers. It has been agreed that any referrals that are being disputed by each other or another team in Manchester are promptly escalated to the Service Manager, so that the issue can be resolved in a timely way. In their response, GMMH also stated that “[The service managers] reminded the teams of their responsibilities in that our priority is ensuring that the service user receives the care they need and to utilise and promote the use of the Cross Border Matrix to resolve any issues involving the service users registered and residency status.” The Trafford and Manchester commissioners have also agreed to work together with GMMH to see what else can be done to ensure the current differences in commissioning priorities between localities does not result in any further incidents.”

Source location

Andrew-REID-Response
Page 4 · response
Published 4 April 2018

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 breakdown was not due to inappropriate differential commissioning models between Trafford CCG and Manchester commissioners.

Verbatim wording from the response

“We appreciate that as the Coroner in this case you have noted concerns that despite this a difference in commissioning arrangements between Manchester and Trafford may have been contributory in the GPs experience of being passed between Trafford HBTT and Manchester UCAT – and then resulting in the service user needing to go to A&E for an assessment. We also note that it is this which prompted the Regulation 28 being issued.”

Source location

Andrew-REID-Response2
Page 8 · response
Published 4 April 2018

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 support breakdown was not caused by inappropriate differential commissioning models between Trafford CCG and Manchester commissioners.

Verbatim wording from the response

“Therefore, it seems the breakdown in understanding and support to this patient does not appear to be due to inappropriate differential models of commissioning of specialist mental health services between Trafford CCG and MHCC commissioners – but further action is clearly needed, as colleagues from MHCC have set out.”

Source location

Andrew-REID-Response
Page 4 · response
Published 4 April 2018

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.14

  1. 1

    Expand psychological therapy access, including integrated primary-care services and specialist support for new parents.

    Stated by NHS Greater Manchester Integrated Care BoardStated in progressThe respondent said that this action was in progress when they made their response on 4 April 2018.
  2. 2

    Reduce inappropriate adult acute out-of-area placements and implement care action plans for patients placed out of area.

    Stated by NHS Greater Manchester Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 4 April 2018.
  3. 3

    Deliver a 24/7 Home Based Treatment service as an enhanced alternative to hospital admission.

    Stated by NHS Greater Manchester Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 4 April 2018.
  4. 4

    Fund increased staffing and enhanced mental health liaison services across three Manchester acute hospitals, including an all-age liaison service.

    Stated by NHS Greater Manchester Integrated Care BoardStated completedThe respondent said that this action was complete when they made their response on 4 April 2018.
  5. 5

    Develop a 24/7 crisis support service for children and young people experiencing severe emotional distress.

    Stated by NHS Greater Manchester Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 4 April 2018.
  6. 6

    Provide greater prevention and earlier-intervention options for children and young people’s mental health in localities.

    Stated by NHS Greater Manchester Integrated Care BoardStated in progressThe respondent said that this action was in progress when they made their response on 4 April 2018.
  7. 7

    Work with Greater Manchester mental health commissioners and providers to undertake additional communications and work preventing cross-border confusion or breakdowns in support.

    Stated by NHS Greater Manchester Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 4 April 2018.
  8. 8

    Invest in early intervention and prevention to deliver a more coherent and equitable mental health offer for children, young people and families.

    Stated by NHS Greater Manchester Integrated Care BoardStated in progressThe respondent said that this action was in progress when they made their response on 4 April 2018.
  9. 9

    Ensure people with severe and enduring mental illness receive appropriate physical health checks.

    Stated by NHS Greater Manchester Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 4 April 2018.
  10. 10

    Enhance Community Mental Health Teams and provide a dedicated Section 136 suite for urgent and crisis care.

    Stated by NHS Greater Manchester Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 4 April 2018.
  11. 11

    Ensure people requiring early intervention for psychosis receive NICE-concordant care within two weeks.

    Stated by NHS Greater Manchester Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 4 April 2018.
  12. 12

    Increase Crisis Resolution and Home Treatment Team capacity and develop crisis cafés, safe spaces and other local support options.

    Stated by NHS Greater Manchester Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 4 April 2018.
  13. 13

    Continue developing acute-hospital liaison services to meet all-age needs and deliver Core 24 standards in more than half of acute hospitals.

    Stated by NHS Greater Manchester Integrated Care BoardStated plannedThe respondent said that this action was planned when they made their response on 4 April 2018.
  14. 14

    Deliver multi-agency suicide prevention plans, including intervention for people at greatest risk and investment in suicide bereavement liaison support.

    Stated by NHS Greater Manchester Integrated Care BoardStated in progressThe respondent said that this action was in progress when they made their response on 4 April 2018.

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

Expand psychological therapy access, including integrated primary-care services and specialist support for new parents.

Verbatim wording from the response

“• Continue to improve access to psychological therapies (IAPT) services. Three thousand more people accessed treatment in 2017/18 and this will increase by a further 7,500 delivering a national and GM access rate of 19% for people with common mental health conditions. Approximately two-thirds of the increase is planned to be in new integrated services focused on people with co-morbid long term physical health conditions (such as Diabetes, Cardiovascular disease and Musculo-Skeletal problems), and/ or medically unexplained symptoms, delivered in primary care. We are also rolling out specialist IAPT services to support new parents as we recognise providing timely support to new parents will have longer term benefits for parents and their infants.”

Source location

Andrew-REID-Response2
Page 12 · response
Published 4 April 2018

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 inappropriate adult acute out-of-area placements and implement care action plans for patients placed out of area.

Verbatim wording from the response

“• Support delivery of GM plans to reduce almost all inappropriate adult acute out of area placements by 2020/21 and implementing action plans for all patients who are placed out of area to ensure that they have appropriate package of care.”

Source location

Andrew-REID-Response2
Page 12 · response
Published 4 April 2018

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

Deliver a 24/7 Home Based Treatment service as an enhanced alternative to hospital admission.

Verbatim wording from the response

“Locally, MHCC is funding the delivery of an Adult Acute Mental Health Enhanced Community Model, which will see improved access to services for those requiring mental health care. Urgent and crisis care services will be enhanced through the delivery of 24/7 Home Based Treatment, Enhanced Community Mental Health Teams and a dedicated Section 136 suite will further enhance the current offer to people in mental health crisis.”

Source location

Andrew-REID-Response2
Page 3 · response
Published 4 April 2018

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

Fund increased staffing and enhanced mental health liaison services across three Manchester acute hospitals, including an all-age liaison service.

Verbatim wording from the response

“The transformation programme, which is receiving funding from the GM Transformation Fund (a fund held and allocated at a GM level following devolution of health and social care in the region), incorporates several priority work streams which are aimed at delivering improvements across the acute and crisis care pathways. Significant investment has been provided to support GMMH to deliver an enhanced Mental Health Liaison service across three acute hospital sites in Manchester. These are North Manchester General Hospital, Manchester Royal Infirmary and Wythenshawe Hospital. This investment will fund a significant increase in mental health liaison team staffing and brought together with investment into Children and Young Peoples (CYP) mental health, it will enable the delivery of an All-Age Liaison Mental Health service.”

Source location

Andrew-REID-Response2
Page 3 · response
Published 4 April 2018

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 24/7 crisis support service for children and young people experiencing severe emotional distress.

Verbatim wording from the response

“In addition, we also have detailed plans in place to develop a 24/7 crisis support service that will respond to the needs of children and young people in times of severe emotional distress. Work is also underway in localities to provide greater prevention and earlier intervention options to support CYP mental health.”

Source location

Andrew-REID-Response2
Page 13 · response
Published 4 April 2018

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 greater prevention and earlier-intervention options for children and young people’s mental health in localities.

Verbatim wording from the response

“In addition, we also have detailed plans in place to develop a 24/7 crisis support service that will respond to the needs of children and young people in times of severe emotional distress. Work is also underway in localities to provide greater prevention and earlier intervention options to support CYP mental health.”

Source location

Andrew-REID-Response2
Page 13 · response
Published 4 April 2018

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 Greater Manchester mental health commissioners and providers to undertake additional communications and work preventing cross-border confusion or breakdowns in support.

Verbatim wording from the response

“The Greater Manchester Health & Social Care Partnership will also now work with mental health commissioners and providers across Greater Manchester to ensure the required additional communications and work is undertaken to remove the risk of such similar confusion or breakdown in support reoccurring.”

Source location

Andrew-REID-Response2
Page 9 · response
Published 4 April 2018

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

Invest in early intervention and prevention to deliver a more coherent and equitable mental health offer for children, young people and families.

Verbatim wording from the response

“Further to the activities listed above, we are investing significant amounts in early intervention and prevention work to transform mental health services for children and young people, delivering a more coherent and equitable mental health offer for young people and their families. We recognise that 50% of adult mental health problems begin before the age of 14,”

Source location

Andrew-REID-Response2
Page 12 · response
Published 4 April 2018

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 people with severe and enduring mental illness receive appropriate physical health checks.

Verbatim wording from the response

“• Ensure that people with severe and enduring mental illness have access to appropriate physical health checks as a key part of our commitment to parity of esteem between physical and mental health recognising that many such individuals face life expectancy 20 years less than people without mental health problems.”

Source location

Andrew-REID-Response2
Page 12 · response
Published 4 April 2018

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

Enhance Community Mental Health Teams and provide a dedicated Section 136 suite for urgent and crisis care.

Verbatim wording from the response

“Locally, MHCC is funding the delivery of an Adult Acute Mental Health Enhanced Community Model, which will see improved access to services for those requiring mental health care. Urgent and crisis care services will be enhanced through the delivery of 24/7 Home Based Treatment, Enhanced Community Mental Health Teams and a dedicated Section 136 suite will further enhance the current offer to people in mental health crisis.”

Source location

Andrew-REID-Response2
Page 3 · response
Published 4 April 2018

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 people requiring early intervention for psychosis receive NICE-concordant care within two weeks.

Verbatim wording from the response

“• Ensure that at least 53% of people requiring early intervention for psychosis receive NICE concordant care within two weeks, and meeting a rising target of 60% by 2020/21.”

Source location

Andrew-REID-Response2
Page 12 · response
Published 4 April 2018

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

Increase Crisis Resolution and Home Treatment Team capacity and develop crisis cafés, safe spaces and other local support options.

Verbatim wording from the response

“• Develop local options to support Adults who may be in mental health distress and crisis by increasing the capacity of existing Crisis Resolution and Home Treatment Team services and other support options such as crisis café’s and safe spaces in the community”

Source location

Andrew-REID-Response2
Page 11 · response
Published 4 April 2018

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 developing acute-hospital liaison services to meet all-age needs and deliver Core 24 standards in more than half of acute hospitals.

Verbatim wording from the response

“• Continue to work towards the national 2020/21 ambition of all acute hospitals having mental health liaison services that can meet the specific needs of people of all ages including children and young people and older adults; and delivering Core 24 mental health liaison standards for adults in more than 50% of acute hospitals (this is subject to hospitals being able to successfully recruit). This development of Liaison Mental Health services in acute hospitals will mean that more people who are inpatients in hospital who may experience distress have access to specialist mental health assessment and treatment”

Source location

Andrew-REID-Response2
Page 11 · response
Published 4 April 2018

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

Deliver multi-agency suicide prevention plans, including intervention for people at greatest risk and investment in suicide bereavement liaison support.

Verbatim wording from the response

“• Deliver against multi-agency suicide prevention plans, working towards a national 10% reduction in suicide rate by 2020/21. Work is ongoing and in development to ensure that we identify and intervene with people at greatest risk, for example people who may self-harm, men aged 35-64 and people who are in custodial settings. Money is also being invested into a Greater Manchester Suicide Bereavement Liaison service so that families of people who died by suicide get the right help and support”

Source location

Andrew-REID-Response2
Page 11 · response
Published 4 April 2018

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