PFD report

Nicholas Jonathan SPOONER · Prevention of Future Deaths report

Pin Get email alerts Request correction

Issued 28 Jun 2021•Brighton and Hove

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.

View original report
Concerns
1

Raised in this report

Recipients
5

Named on the report

Responses found
6

Of 5 recipients

Stated actions
32

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

Open published report

Concerns and recipient responses

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

Concerns raised1

  1. Denial of mental health support for people in crisis with co-occurring substance abuse
    Part of recurring concern: Unreliable dual-diagnosis care 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.13

  1. Action

    Integrate Mental Health Liaison and Dual Diagnosis nursing work through joint meetings and client support.

    Stated by Brighton and Hove City Council and Change, Grow, Live and NHS Surrey and Sussex Integrated Care Board and Sussex Partnership NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 2 November 2021.
  2. Action

    Require new mental health and substance misuse commissioning to address co-existing needs and involve NHS Sussex and the City Council.

    Stated by Brighton and Hove City Council and Change, Grow, Live and NHS Surrey and Sussex Integrated Care Board and Sussex Partnership NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 2 November 2021.
  3. Action

    Recruit two Dual Diagnosis Workers for the East and West Brighton Assessment and Treatment Services.

    Stated by Brighton and Hove City Council and Change, Grow, Live and NHS Surrey and Sussex Integrated Care Board and Sussex Partnership NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 2 November 2021.

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

Denial of mental health support for people in crisis with co-occurring substance abuse

Wider context from the report

“Specialist dual diagnosis service needed with outreach facilities including drop-in and day centres to provide support for those in mental health crisis which is inextricably entwined with their substance abuse and who are often denied that mental health support. ”

Is this part of a recurring concern?

Yes — Unreliable dual-diagnosis care 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

Integrate Mental Health Liaison and Dual Diagnosis nursing work through joint meetings and client support.

Verbatim wording from the response

“Previously we also set out the principles which underpin SPFT's Co-occurring Substance Use and Mental Health 5-year strategy. Since then, we are pleased to be able to update you on the recruitment of two Dual Diagnosis Workers into SPFT's Assessment and Treatment Services (ATS) in Brighton. This has arisen as a result of additional funding being obtained, through the transforming community care plan, and has resulted in a Dual Diagnosis Worker for both East and West Brighton ATSs. Change Grow Live have made progress integrating the work of their Mental Health Liaison nurses with the newly appointed SPFT Dual Diagnosis nurses. Strategic meetings have taken place between Change Grow Live and SPFT managers and the nurses are working jointly to support some clients with dual diagnosis.”

Source location

Response from NHS Social Care
Page 2 · response
Published 2 November 2021

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

Require new mental health and substance misuse commissioning to address co-existing needs and involve NHS Sussex and the City Council.

Verbatim wording from the response

“We committed to ensuring that all new commissioned services for both substance misuse and mental health conditions specifically considers co-existing needs, and our update is that NHS Sussex and the City Council continue to be committed to involving and working with each other in the development of commissioning plans to best meet the needs of people with co-existing needs, and this will be a requirement of all providers of services across mental health and substance misuse. All service developments will be informed by the government guidance on providing better care for people with co-occurring mental health and alcohol/drug use conditions, Better care for people with co-occurring mental health and alcohol and drug use conditions (publishing.service.gov.uk)”

Source location

Response from NHS Social Care
Page 3 · response
Published 2 November 2021

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 two Dual Diagnosis Workers for the East and West Brighton Assessment and Treatment Services.

Verbatim wording from the response

“Previously we also set out the principles which underpin SPFT's Co-occurring Substance Use and Mental Health 5-year strategy. Since then, we are pleased to be able to update you on the recruitment of two Dual Diagnosis Workers into SPFT's Assessment and Treatment Services (ATS) in Brighton. This has arisen as a result of additional funding being obtained, through the transforming community care plan, and has resulted in a Dual Diagnosis Worker for both East and West Brighton ATSs. Change Grow Live have made progress integrating the work of their Mental Health Liaison nurses with the newly appointed SPFT Dual Diagnosis nurses. Strategic meetings have taken place between Change Grow Live and SPFT managers and the nurses are working jointly to support some clients with dual diagnosis.”

Source location

Response from NHS Social Care
Page 2 · response
Published 2 November 2021

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 substance-misuse outreach, harm-minimisation and dual-diagnosis support through recovery coordinators and specialist nurses.

Verbatim wording from the response

“Additionally, currently, CGL provide substance misuse services which are designed to improve service users’ mental health and well-being, where dual diagnosis has been identified. Specialist recovery co-ordinators support clients living in supported accommodation and benefit from the support of the CGL dual diagnosis nurses to improve access to specialist mental health services. These workers offer outreach support and harm minimisation interventions to those living in supported housing or who are homeless. In June 2021, SPFT, set out its Co-occurring Substance Use and Mental Health (COSUMH) Conditions 5 year strategy. That strategy recognises that more needs to be done and adopts the principles of ‘everyone’s business’, ‘no wrong door’, integrated care plans, clinical leadership and facilitating access to mutual aid.”

Source location

2021-0360-Response-from-BHCC-CCG-SPFT-and-CGL_Published
Page 2 · response
Published 2 November 2021

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 the COSUMH five-year strategy for co-occurring substance-use and mental-health conditions.

Verbatim wording from the response

“Additionally, currently, CGL provide substance misuse services which are designed to improve service users’ mental health and well-being, where dual diagnosis has been identified. Specialist recovery co-ordinators support clients living in supported accommodation and benefit from the support of the CGL dual diagnosis nurses to improve access to specialist mental health services. These workers offer outreach support and harm minimisation interventions to those living in supported housing or who are homeless. In June 2021, SPFT, set out its Co-occurring Substance Use and Mental Health (COSUMH) Conditions 5 year strategy. That strategy recognises that more needs to be done and adopts the principles of ‘everyone’s business’, ‘no wrong door’, integrated care plans, clinical leadership and facilitating access to mutual aid.”

Source location

2021-0360-Response-from-BHCC-CCG-SPFT-and-CGL_Published
Page 2 · response
Published 2 November 2021

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

Commission a 24/7 crisis house for people in mental-health crisis, including those with substance-misuse support needs.

Verbatim wording from the response

“Also, the CCG is in the process of commissioning a new crisis house that will provide support to people in a mental health crisis who require 24/7 support and would otherwise be admitted to hospital. The tender for this service will be issued in October 2021 and the new service will start in the summer of 2022. The service will be for individuals with support needs for their mental health”

Source location

2021-0360-Response-from-BHCC-CCG-SPFT-and-CGL_Published
Page 1 · response
Published 2 November 2021

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

Operate the Staying Well Crisis Café as an out-of-hours community mental-health crisis support service.

Verbatim wording from the response

“Currently, the CCG commission a Staying Well (Crisis Café service) which commenced in January 21. The service provides an out of hours (05:30 – 22:30 Weekdays, 3:30 – 22:30 Weekends) community space, where anyone on the verge of, or experiencing, a mental health crisis (self-defined) can access non-clinical mental health support. The aim of the service is to prevent an escalation of mental health need and/or to avert further crisis, to provide an alternative provision to attending A&E or accessing other urgent care services and to provide a step down from clinical services.”

Source location

2021-0360-Response-from-BHCC-CCG-SPFT-and-CGL_Published
Page 1 · response
Published 2 November 2021

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

Re-commission mental-health supported accommodation with greater care-model flexibility for people with substance-misuse needs.

Verbatim wording from the response

“BHCC and the CCG are also currently jointly re-commissioning mental health supported accommodation services with the intention of providing greater flexibility in the model of care. The timeline for this tender is the same as the crisis house and the same arrangements for people with substance misuse needs will apply.”

Source location

2021-0360-Response-from-BHCC-CCG-SPFT-and-CGL_Published
Page 2 · response
Published 2 November 2021

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

Require all newly commissioned substance-misuse and mental-health services to consider co-existing needs.

Verbatim wording from the response

“• ensure that all new commissioned services for both substance misuse and mental health conditions specifically considers co-existing needs.”

Source location

2021-0360-Response-from-BHCC-CCG-SPFT-and-CGL_Published
Page 3 · response
Published 2 November 2021

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

Expand alternative provision for people experiencing mental health crisis, including sanctuaries, safe havens and crisis cafes.

Verbatim wording from the response

“We will also expand services for people experiencing a mental health crisis. As part of our COVID-19 response work, for those with severe needs or in crisis, all NHS mental health providers have established 24/7 urgent mental health helplines. In addition, under the NHS Long Term Plan, we will increase alternative forms of provision for those in crisis. Sanctuaries, safe havens and crisis cafes provide a more suitable alternative to A&E for many people experiencing mental health crisis, usually for people whose needs are escalating to crisis point, or who are experiencing a crisis but do not necessarily have medical needs that require A&E admission. These alternatives are commissioned through the NHS and local authorities, provided at relatively low cost and to high satisfaction, and usually delivered by voluntary sector partners.”

Source location

2021-0360-Response-from-Dept.-of-Health-and-Social-Care_Published
Page 3 · response
Published 2 November 2021

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 £13 million to sustain and enhance 24/7 crisis lines during 2021/22.

Verbatim wording from the response

“£58million of this extra £500million announced will be invested to bring forward the expansion of integrated primary and secondary care for adults with severe mental illness and £13million will be used for crisis support to sustain and enhance operation of 24/7 crisis lines in 2021/22.”

Source location

2021-0360-Response-from-Dept.-of-Health-and-Social-Care_Published
Page 4 · response
Published 2 November 2021

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 community-based mental health offer including psychological therapies, physical healthcare, employment support, personalised care, medicines management and support for self-harm and coexisting substance use.

Verbatim wording from the response

“A new community-based offer will include access to psychological therapies, improved physical health care, employment support, personalised and trauma-informed care, medicines management and support for self-harm and coexisting substance use. This includes maintaining and developing new services for people who have the most complex needs and proactive work to address racial disparities. Local areas will be supported to redesign and reorganise community mental health teams to move towards a new place-based, multidisciplinary service across health and social care aligned with primary care networks.”

Source location

2021-0360-Response-from-Dept.-of-Health-and-Social-Care_Published
Page 3 · response
Published 2 November 2021

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

Improve signposting and expand coverage of alternative mental health crisis services.

Verbatim wording from the response

“While these services now exist in a number of areas, we will work to improve signposting, and expand coverage to reach more people and make a greater impact.”

Source location

2021-0360-Response-from-Dept.-of-Health-and-Social-Care_Published
Page 3 · response
Published 2 November 2021

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.19

  1. 1

    Complete procurement and award contracts for jointly recommissioned mental health supported accommodation services.

    Stated by Brighton and Hove City Council and Change, Grow, Live and NHS Surrey and Sussex Integrated Care Board and Sussex Partnership NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 2 November 2021.
  2. 2

    Start the recommissioned mental health supported accommodation services on 1 November 2022.

    Stated by Brighton and Hove City Council and Change, Grow, Live and NHS Surrey and Sussex Integrated Care Board and Sussex Partnership NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 2 November 2021.
  3. 3

    Complete procurement and award the crisis house contract.

    Stated by Brighton and Hove City Council and Change, Grow, Live and NHS Surrey and Sussex Integrated Care Board and Sussex Partnership NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 2 November 2021.
  4. 4

    Facilitate Complex Risk Management Meetings through the Mental Health Homeless Team psychologist.

    Stated by Brighton and Hove City Council and Change, Grow, Live and NHS Surrey and Sussex Integrated Care Board and Sussex Partnership NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 2 November 2021.
  5. 5

    Create and convene the Brighton & Hove Changing Futures Multiple Disadvantage Transformation Programme Place Based Steering Group.

    Stated by Brighton and Hove City Council and Change, Grow, Live and NHS Surrey and Sussex Integrated Care Board and Sussex Partnership NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 2 November 2021.
  6. 6

    Fully staff the expanded Mental Health Homeless Team with clinical lead, psychiatrist, psychologist and clinical practitioner roles.

    Stated by Brighton and Hove City Council and Change, Grow, Live and NHS Surrey and Sussex Integrated Care Board and Sussex Partnership NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 2 November 2021.
  7. 7

    Start the commissioned crisis house service on 1 November 2022.

    Stated by Brighton and Hove City Council and Change, Grow, Live and NHS Surrey and Sussex Integrated Care Board and Sussex Partnership NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 2 November 2021.
  8. 8

    Maintain system-wide service information sharing through stakeholder groups, newsletters and email updates.

    Stated by Brighton and Hove City Council and Change, Grow, Live and NHS Surrey and Sussex Integrated Care Board and Sussex Partnership NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 2 November 2021.
  9. 9

    Retheme the Co-existing Conditions Steering Group and place it within the Changing Futures Place Based Steering Group.

    Stated by Brighton and Hove City Council and Change, Grow, Live and NHS Surrey and Sussex Integrated Care Board and Sussex Partnership NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 2 November 2021.
  10. 10

    Review the existing co-existing-conditions group and align it with commissioning governance and JSNA implementation structures.

    Stated by Brighton and Hove City Council and Brighton and Hove Clinical Commissioning Group (part of Sussex NHS Commissioners and Change, Grow, Live and Sussex Partnership NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 2 November 2021.
  11. 11

    Establish a joint BHCC–CCG group to oversee strategic implementation of the complex-needs recommendations.

    Stated by Brighton and Hove City Council and Brighton and Hove Clinical Commissioning Group (part of Sussex NHS Commissioners and Change, Grow, Live and Sussex Partnership NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 2 November 2021.
  12. 12

    Monitor service improvements against community needs and provide the coroner with a six-month progress update.

    Stated by Brighton and Hove City Council and Brighton and Hove Clinical Commissioning Group (part of Sussex NHS Commissioners and Change, Grow, Live and Sussex Partnership NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 2 November 2021.
  13. 13

    Maintain information sharing and awareness of existing and new service provision so stakeholders can access available support.

    Stated by Brighton and Hove City Council and Brighton and Hove Clinical Commissioning Group (part of Sussex NHS Commissioners and Change, Grow, Live and Sussex Partnership NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 2 November 2021.
  14. 14

    Produce and use a joint strategic needs assessment for adults with complex needs.

    Stated by Brighton and Hove City Council and Brighton and Hove Clinical Commissioning Group (part of Sussex NHS Commissioners and Change, Grow, Live and Sussex Partnership NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 2 November 2021.
  15. 15

    Publish a high-level drug strategy addressing drug-related deaths and access to higher-quality services.

    Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 2 November 2021.
  16. 16

    Invest £58 million to expand integrated primary and secondary care for adults with severe mental illness.

    Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 2 November 2021.
  17. 17

    Invest almost £1 billion extra in community mental health care for adults with severe mental illness by 2023/24.

    Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 2 November 2021.
  18. 18

    Publish the Mental Health Recovery Action Plan backed by £500 million of targeted investment for support during 2021.

    Stated by Department of Health and Social CareStated completedThe respondent said that this action was complete when they made their response on 2 November 2021.
  19. 19

    Invest an additional £2.3 billion annually by 2023/24 to expand and transform mental health services in England.

    Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 2 November 2021.

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

  1. 1

    Local authorities are responsible for commissioning drug treatment services to meet their populations’ needs.

    Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.

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 procurement and award contracts for jointly recommissioned mental health supported accommodation services.

Verbatim wording from the response

“In our original response we noted that NHS Sussex (formerly Brighton and Hove CCG) is in the process of commissioning a new crisis house to provide support to people in a mental health crisis who require 24/7 support and would otherwise be admitted to hospital. We want to update you that the procurement process has been completed, the contract has been awarded to Mental Health Matters and the service will start on 01 November 2022. We also noted that Brighton & Hove City Council and NHS Sussex are jointly re-commissioning mental health supported accommodation services with the intention of providing greater flexibility in the model of care. The timeline for this tender is the same as the crisis house, we want to update you that the procurement process has completed, the contract has been awarded to two experienced providers and the services will start on 01 November 2022.”

Source location

Response from NHS Social Care
Page 1 · response
Published 2 November 2021

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

Start the recommissioned mental health supported accommodation services on 1 November 2022.

Verbatim wording from the response

“In our original response we noted that NHS Sussex (formerly Brighton and Hove CCG) is in the process of commissioning a new crisis house to provide support to people in a mental health crisis who require 24/7 support and would otherwise be admitted to hospital. We want to update you that the procurement process has been completed, the contract has been awarded to Mental Health Matters and the service will start on 01 November 2022. We also noted that Brighton & Hove City Council and NHS Sussex are jointly re-commissioning mental health supported accommodation services with the intention of providing greater flexibility in the model of care. The timeline for this tender is the same as the crisis house, we want to update you that the procurement process has completed, the contract has been awarded to two experienced providers and the services will start on 01 November 2022.”

Source location

Response from NHS Social Care
Page 1 · response
Published 2 November 2021

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 procurement and award the crisis house contract.

Verbatim wording from the response

“In our original response we noted that NHS Sussex (formerly Brighton and Hove CCG) is in the process of commissioning a new crisis house to provide support to people in a mental health crisis who require 24/7 support and would otherwise be admitted to hospital. We want to update you that the procurement process has been completed, the contract has been awarded to Mental Health Matters and the service will start on 01 November 2022. We also noted that Brighton & Hove City Council and NHS Sussex are jointly re-commissioning mental health supported accommodation services with the intention of providing greater flexibility in the model of care. The timeline for this tender is the same as the crisis house, we want to update you that the procurement process has completed, the contract has been awarded to two experienced providers and the services will start on 01 November 2022.”

Source location

Response from NHS Social Care
Page 1 · response
Published 2 November 2021

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

Facilitate Complex Risk Management Meetings through the Mental Health Homeless Team psychologist.

Verbatim wording from the response

“The psychologist within the team will be facilitating the Complex Risk Management Meeting (CRMM) which will increase coordination efforts between rough sleeping, mental health, substance misuses, and physical health services.”

Source location

Response from NHS Social Care
Page 2 · response
Published 2 November 2021

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

Create and convene the Brighton & Hove Changing Futures Multiple Disadvantage Transformation Programme Place Based Steering Group.

Verbatim wording from the response

“In our original response we noted that Brighton & Hove City Council and NHS Sussex were planning the establishment of a joint group to oversee the strategic implementation of the recommendations and review of the existing co-existing conditions group and implement the changes. Our update is that Brighton and Hove, along with East and West Sussex, has been awarded a three-year ‘Changing Futures’ grant to focus on supporting individuals with multiple disadvantages. To manage this programme and oversee implementation Brighton and Hove City Council and NHS Sussex have created the Brighton & Hove Changing Futures Multiple Disadvantage Transformation Programme - Place Based Steering Group. The aims of the Steering Group are to set the strategic direction for addressing health inequalities for those with multiple disadvantage in Brighton and Hove as follows;”

Source location

Response from NHS Social Care
Page 1 · response
Published 2 November 2021

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

Fully staff the expanded Mental Health Homeless Team with clinical lead, psychiatrist, psychologist and clinical practitioner roles.

Verbatim wording from the response

“In our original response we noted that Brighton and Hove had been awarded national funding to support the homeless and rough sleeping population within the city to tackle underlying mental ill health and reduce rough sleeping in the city. The additional services form part of co-ordinated efforts to ensure that rough sleepers have better access to NHS mental health support – joining up care with existing outreach, accommodation, drug and alcohol and physical healthcare services. We want to provide an update that the expansion of the Mental Health Homeless Team is fully staffed, the expanded roles include a Clinical lead, psychiatrist, psychologist, and a clinical practitioner. The enhanced team allows for increased support to individuals sleeping rough or in emergency accommodation.”

Source location

Response from NHS Social Care
Page 2 · response
Published 2 November 2021

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

Start the commissioned crisis house service on 1 November 2022.

Verbatim wording from the response

“In our original response we noted that NHS Sussex (formerly Brighton and Hove CCG) is in the process of commissioning a new crisis house to provide support to people in a mental health crisis who require 24/7 support and would otherwise be admitted to hospital. We want to update you that the procurement process has been completed, the contract has been awarded to Mental Health Matters and the service will start on 01 November 2022. We also noted that Brighton & Hove City Council and NHS Sussex are jointly re-commissioning mental health supported accommodation services with the intention of providing greater flexibility in the model of care. The timeline for this tender is the same as the crisis house, we want to update you that the procurement process has completed, the contract has been awarded to two experienced providers and the services will start on 01 November 2022.”

Source location

Response from NHS Social Care
Page 1 · response
Published 2 November 2021

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 system-wide service information sharing through stakeholder groups, newsletters and email updates.

Verbatim wording from the response

“We also committed to ensuring that there is continued information sharing and awareness of all existing and new service provision across the system so that all stakeholders know who has access the provision that is there. Our update is that timely and efficient information sharing and awareness of services is facilitated by a network of groups to which all partners and stakeholders are invited, including the Changing Futures Multiple Disadvantage Steering Group and the emerging trends and harm reduction group. Regular newsletters and email updates are circulated”

Source location

Response from NHS Social Care
Page 2 · response
Published 2 November 2021

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

Retheme the Co-existing Conditions Steering Group and place it within the Changing Futures Place Based Steering Group.

Verbatim wording from the response

“In our original response we noted that NHS Sussex and BHCC will review the existing co-existing conditions group and make changes to include assurance that the group has a direct link in to the commissioning governance structures of NHS Sussex and BHCC and that is an appropriate strategic fit with the proposed new governance structures to implement the JSNA. Our update is that the Co-existing Conditions Steering Group is being retheened and will sit within the Brighton and Hove Changing Futures Multiple Disadvantage Transformation Programme Place Based Steering Group mentioned previously.”

Source location

Response from NHS Social Care
Page 2 · response
Published 2 November 2021

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

Review the existing co-existing-conditions group and align it with commissioning governance and JSNA implementation structures.

Verbatim wording from the response

“In the future and, as a result of the further collaboration that has taken place following receipt of the Regulation 28 Report the CCG/BHCC will:”

Source location

2021-0360-Response-from-BHCC-CCG-SPFT-and-CGL_Published
Page 2 · response
Published 2 November 2021

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

Establish a joint BHCC–CCG group to oversee strategic implementation of the complex-needs recommendations.

Verbatim wording from the response

“BHCC and the CCG are establishing a joint group to oversee the strategic implementation of the recommendations. This group will seek to develop a more inclusive approach to supporting people with multiple complex needs, including patients with both mental health needs (at all levels of need) and substance misuse needs.”

Source location

2021-0360-Response-from-BHCC-CCG-SPFT-and-CGL_Published
Page 2 · response
Published 2 November 2021

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

Monitor service improvements against community needs and provide the coroner with a six-month progress update.

Verbatim wording from the response

“We believe that the above plans and actions will lead to a substantial improvement in the provision of services for those patients in the City of Brighton who are managing co-occurring conditions. We will monitor those improvements to ensure they meet the needs of our community and will write to provide you with an update in 6 months’ time. In the meantime, if you have any questions regarding the content of this response or if we can further assist please do not hesitate to contact any one of us.”

Source location

2021-0360-Response-from-BHCC-CCG-SPFT-and-CGL_Published
Page 3 · response
Published 2 November 2021

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 information sharing and awareness of existing and new service provision so stakeholders can access available support.

Verbatim wording from the response

“• ensure that there is continued information sharing and awareness of all existing and new service provision across the system so that all stakeholders know how to access the provision that is there; and”

Source location

2021-0360-Response-from-BHCC-CCG-SPFT-and-CGL_Published
Page 3 · response
Published 2 November 2021

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

Produce and use a joint strategic needs assessment for adults with complex needs.

Verbatim wording from the response

“BHCC have also recently produced a joint strategic needs assessment (JSNA) for “adults with complex needs”, this definition includes 2 or more of the following:”

Source location

2021-0360-Response-from-BHCC-CCG-SPFT-and-CGL_Published
Page 2 · response
Published 2 November 2021

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 high-level drug strategy addressing drug-related deaths and access to higher-quality services.

Verbatim wording from the response

“The Government has looked closely at these recommendations and on 27 July 2021, published an initial response on the urgent action we can take to turn the tide on drug-related deaths and get more people access to higher quality services³. A commitment has been made in the initial Government response to publish a high-level drug strategy by the end of 2021.”

Source location

2021-0360-Response-from-Dept.-of-Health-and-Social-Care_Published
Page 2 · response
Published 2 November 2021

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 £58 million to expand integrated primary and secondary care for adults with severe mental illness.

Verbatim wording from the response

“£58million of this extra £500million announced will be invested to bring forward the expansion of integrated primary and secondary care for adults with severe mental illness and £13million will be used for crisis support to sustain and enhance operation of 24/7 crisis lines in 2021/22.”

Source location

2021-0360-Response-from-Dept.-of-Health-and-Social-Care_Published
Page 4 · response
Published 2 November 2021

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 almost £1 billion extra in community mental health care for adults with severe mental illness by 2023/24.

Verbatim wording from the response

“Under the NHS Long Term Plan, by 2023/24, we will invest almost £1billion extra in community mental health care for adults with severe mental illness. This funding will give 370,000 adults and older adults with severe mental illnesses greater choice and control over their care and support them to live well in their communities by 2023/24.”

Source location

2021-0360-Response-from-Dept.-of-Health-and-Social-Care_Published
Page 2 · response
Published 2 November 2021

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 the Mental Health Recovery Action Plan backed by £500 million of targeted investment for support during 2021.

Verbatim wording from the response

“In addition to the funding we are providing through the NHS Long Term Plan, as part of the Government’s commitment to build back better, we have published our Mental Health Recovery Action Plan, backed by a one-off targeted investment of £500million, to ensure that we have the right support in place this year.”

Source location

2021-0360-Response-from-Dept.-of-Health-and-Social-Care_Published
Page 4 · response
Published 2 November 2021

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 an additional £2.3 billion annually by 2023/24 to expand and transform mental health services in England.

Verbatim wording from the response

“In addition, I would like to assure you that we are absolutely committed to our ambitions in the NHS Long Term Plan to expand and transform mental health services in England and to investing an additional £2.3billion a year by 2023/24.”

Source location

2021-0360-Response-from-Dept.-of-Health-and-Social-Care_Published
Page 2 · response
Published 2 November 2021

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 authorities are responsible for commissioning drug treatment services to meet their populations’ needs.

Verbatim wording from the response

“Evidence based, high-quality treatment is the most effective way of tackling illicit and other harmful drug use. It enables people to recover from dependence, improves their physical and mental health and reduces the harm caused to themselves and people around them. Local authorities are responsible for commissioning drug treatment services to meet the needs of their population and we are providing support through the provision of data, guidance and targeted support and funding via the Public Health Grant. The Public Health Grant will be £3.324billion for 2021/22, representing a £45million increase from 2019/20. An additional £80million has been allocated to addiction treatment from January 2021 as part of a wider crime package.”

Source location

2021-0360-Response-from-Dept.-of-Health-and-Social-Care_Published
Page 1 · response
Published 2 November 2021

Open published response
Back to top

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