Dear Pennine Care NHS Foundation Trust,

We are a group of clinicians & researchers carrying out a national evaluation of liaison psychiatry service provision in NHS hospitals across England. As part of this project, we are submitting FOI requests to all NHS Mental Health Trusts to ask about local policy and practice. We kindly request the following information as per the FOI Act 2000.

Our enquiries relate to the provision of liaison psychiatry services in adult general hospitals, including patients in inpatient wards or A&E departments. This research is conducted as part of an Academic Foundation Programme research post. No specific grant was awarded for this project. All findings will be de-identified from Hospitals or Trusts before publication.

1. At which general hospital(s) does your Trust provide liaison psychiatry services?

For each of the above hospitals, please answer the questions below:

2. Is there a written policy about prioritising patients who have been referred to liaison psychiatry, or determining which referrals to accept? (If No, please move to Question 6).

3. If so, is this policy made available to all (psychiatry and non-psychiatry) clinicians working within the general hospital? If so, please specify where (e.g. Trust intranet)?

4. Please attach the policy document if possible. We aim to extract only certain information from the policy document, so if the complete policy document cannot be sent, please send the following information:

a. Details on which locations this policy covers and which patients (i.e. inpatient ward/A&E/referrals) the policy covers.

b. Details on any guidelines to prioritise or determine which referrals to accept. Specifically:
i. Patients should be medically fit for discharge prior to review
ii. Patients should be medically fit for assessment prior to review
iii. No restriction applied; all patients are reviewed
iv. Any other methods used to prioritise patient referrals (please specify)

c. Whether the policy states which professional group (e.g. psychiatrist, psychologist, nurse) should review the referral and/or assess the patient? If so, please specify.

d. When was the policy last reviewed or updated?

5. When (if at all) was local practice last audited against this policy and what were the findings?

6. At your Trust, how do doctors refer patients to liaison psychiatry for review (e.g. by telephone, by electronic referral system, by email, by fax)?

Many thanks for your time. Please do not hesitate to get in touch by email if you have any questions or clarifications. We look forward to your reply.

Yours faithfully,

Dr George Gillett, 
Academic Foundation Programme Doctor
Department of Psychiatry, University of Oxford 

Dr William Lee, 
Honorary Clinical Senior Lecturer, University of Exeter Medical School.
Consultant Liaison Psychiatrist, Devon Partnership NHS Trust.

PENNINECARE, Foi (PENNINE CARE NHS FOUNDATION TRUST), Pennine Care NHS Foundation Trust



Message from the Information Governance department:

 

Thank you for your email; it has arrived safely in the Freedom of
Information team.  Please be advised, this mailbox is only manned Monday
to Friday, excluding bank holidays.  

Please note, we are not a clinical team and so if your query is of a
clinical nature, please contact your GP.  If you require urgent medical
assistance, please call 999 or visit your local A&E department. 

For information regarding how we will handle your personal data as part of
our FOI process, please see the following address:
[1]https://www.penninecare.nhs.uk/foi/freed...

 

 

 

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PENNINECARE, Foi (PENNINE CARE NHS FOUNDATION TRUST), Pennine Care NHS Foundation Trust

Dear George

FOI ref: 2019/2029

Thank you for your request for information dated 10th December 2019.

We will consider your request under the Freedom of Information Act 2000. You should receive a response within 20 working days - in this case, by 10th January 2020. Please be aware, the information you have requested may not be disclosed to you if it is exempt.

We will inform you if:
• we are unable to achieve the 20 working day deadline. We aim to give you a revised due date as soon as possible.
• we are unable to give you the information as responding to your request exceeds the ‘appropriate limit’. This would apply if it would take us longer than 18 hours to retrieve, collate and provide the information you request.
• your request (in full or in part) needs be transferred to another public authority to obtain the information you have requested

For information regarding how we will handle your personal data as part of our FOI process, please see the following address – https://www.penninecare.nhs.uk/foi. If you require a printed copy, please let us know.

If you have any questions about this request, please contact me quoting the reference number above.

Yours sincerely

Ceri Owen
Information Governance Administrator
Pennine Care NHS Foundation Trust
225 Old Street
Ashton-under-Lyne, OL6 7SR
Telephone: 0161 716 3147
Email: [email address]
SAR Team Email: [email address]
I.G Email: [email address]
Website: www.penninecare.nhs.net

_______________________________________________________________________________________________________________________________________________________

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PENNINECARE, Foi (PENNINE CARE NHS FOUNDATION TRUST), Pennine Care NHS Foundation Trust

2 Atodiad

Dear George,

 

FOI ref: 2019/2029

 

Further to your email below, I can now respond to your request dated 10th
December 2019.

 

Following receipt of your request, searches were conducted within Pennine
Care NHS Foundation Trust (the Trust) to locate the requested information
and I can confirm that the information requested is held by the Trust.

 

Please see below response:

 

1.                   At which general hospital(s) does your Trust provide
liaison psychiatry services?

 

[1]Fairfield General Hospital (Bury)

Rochdale Infirmary

[2]Royal Oldham Hospital

[3]Stepping Hill Hospital (Stockport)

[4]Tameside General Hospital 

 

For each of the above hospitals, please answer the questions below:

 

2.                   Is there a written policy about prioritising patients
who have been referred to liaison psychiatry, or determining which
referrals to accept? (If No, please move to Question 6).

 

[5]Fairfield General Hospital (Bury) – Not currently – The service is in
the process of developing to a Core 24 model. There is no written standard
operating procedure in place for the Core 24. There is a 1^st draft in the
process of being developed but will not be completed until the
commissioners agree our model. There is an outdated MH Liaison Protocol
which has been attached.

 

[6]Rochdale Infirmary – Not currently – The service is in the process of
developing to a Core 24 model. There is no written standard operating
procedure in place for the Core 24. There is a 1st draft in the process of
being developed but will not be completed until the commissioners agree
our model. There is an outdated MH Liaison Protocol which has been
attached.

 

[7]Royal Oldham Hospital   - Not Currently  -  The Policy and Standard
Operating Procedure is now in final draft and will soon be sent for
ratification.

 

[8]Stepping Hill Hospital (Stockport) - No - all referrals accepted and
triaged by the liaison team

 

[9]Tameside General Hospital  - No

 

 

3.                   If so, is this policy made available to all
(psychiatry and non-psychiatry) clinicians working within the general
hospital? If so, please specify where (e.g. Trust intranet)?

N/A

 

4.                   Please attach the policy document if possible. We aim
to extract only certain information from the policy document, so if the
complete policy document cannot be sent, please send the following
information:

 

a.       Details on which locations this policy covers and which patients
(i.e. inpatient ward/A&E/referrals) the policy covers.

N/A

 

b.      Details on any guidelines to prioritise or determine which
referrals to accept. Specifically:

 

 

i.                    Patients should be medically fit for discharge prior
to review

ii.                  Patients should be medically fit for assessment prior
to review

iii.                No restriction applied; all patients are reviewed

iv.                 Any other methods used to prioritise patient referrals
(please specify)

 

N/A

 

c.          Whether the policy states which professional group (e.g.
psychiatrist, psychologist, nurse) should review the referral and/or
assess the patient? If so, please specify.

N/A

 

d.         When was the policy last reviewed or updated?

N/A

 

5.       When (if at all) was local practice last audited against this
policy and what were the findings?

N/A

 

6.          At your Trust, how do doctors refer patients to liaison
psychiatry for review (e.g. by telephone, by electronic referral system,
by email, by fax)?

 

[10]Fairfield General Hospital (Bury) - The current service has different
referral pathways to the service – please see attached

 

[11]Rochdale Infirmary  - The current service has different referral
pathways to the service – please see attached

 

[12]Royal Oldham Hospital - For the Emergency arm of Mental Health Law,
they accept telephone and face to face referrals from doctors (or triage
nurse). For the Urgent arm of Mental Health Law, they accept referrals
online via the ‘Evolve’ electronic system on the Pennine Acute Hospitals
Trust intranet

 

[13]Stepping Hill Hospital (Stockport) - ED refer via bleep / telephone

               
                                                                     
Wards refer via fax / email

 

[14]Tameside General Hospital  - Our Acute Trust Doctor's refer service
user's via telephone using the bleep system. Providing relevant referral
criteria and demographics.

 

 

 

Complaint Rights

 

Your attention is drawn to the details below, which outline your right of
complaint. 

 

For information regarding how we will handle your personal data as part of
our FOI process, please see the following address –
https://www.penninecare.nhs.uk/foi.  If you require a printed copy, please
let us know.

 

Should you have any further queries concerning this matter, please email,
write or contact the team on telephone number 0161 716 3147 quoting the
reference number above.

 

Yours sincerely

 

Francesca Higgins

FOI Team

Pennine Care NHS Foundation Trust

225 Old Street

Ashton-under-Lyne

OL6 7SR

 

Telephone: 0161 716 3149

 

Email: [Pennine Care NHS Foundation Trust request email]

Website: www.penninecare.nhs.uk

 

 

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COMPLAINT RIGHTS

 

Are you unhappy with how your request has been handled or do you think the
decision is incorrect?

 

You have the right to request the Trust review their decision.  However,
please be advised, as per the Freedom of Information Code of Practice
(2018), the Trust is not obliged to undertake a formal internal review on
any complaints received  40 working days after the date of response.  If a
request for internal review is received after 40 working days, the Trust
may not accept your request for formal review, but will take steps to
assist you. 

 

Prior to lodging a formal complaint you are welcome and encouraged to
discuss the decision with the case officer that dealt with your request.

 

Ask to have the decision looked at again –

 

The quickest and easiest way to have the decision looked at again is to
telephone the case officer.

 

That person will be able to discuss the decision, explain any issues and
assist with any problems.

 

Complaint

 

If you are dissatisfied with the handling procedures or the decision of
Pennine Care NHS Foundation Trust made under the Freedom of Information
Act 2000 regarding access to information, you can lodge a complaint with
Pennine Care NHS Foundation Trust to have the decision reviewed.

 

Complaints should be made in writing and addressed:

The Head of Information Governance

Pennine Care NHS Foundation Trust

225 Old Street

Ashton-under-Lyne OL6 7SR

 

If email is prefered, complaints may be sent to [Pennine Care NHS Foundation Trust request email].

 

The Information Commissioner

 

After lodging a complaint with Pennine Care NHS Foundation Trust if you
are still dissatisfied with the decision you can make an application to
the Information Commissioner for a decision on whether the request for
information has been dealt with in accordance with the requirements of the
Act.

 

For information on how to make an application to the Information
Commissioner please visit their website at www.ico.org.uk
Alternatively, phone or write to:

 

Information Commissioner's Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

Phone:  01625 545 700

 

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