Dear Midlands Partnership 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.

FOI (RRE) MPFT, Midlands Partnership NHS Foundation Trust

4 Attachments

Dear Mr. Gillett,

I write to acknowledge receipt of your email in which you requested
information under the FOI Act 2000.

Your request is being considered and you will receive a response within
the statutory timescale of 20 working days, from the date of receipt, as
defined by the Freedom of Information Act 2000.

The Act defines a number of exemptions which may prevent release of the
information you have requested. There will be an assessment and if any of
the exemption categories apply then the information will not be released.
You will be informed if this is the case within 20 working days, together
with your rights of appeal.

If the information you are requesting contains reference to a third party
then they may be consulted prior to a decision being taken on whether or
not to release the information to you. You will be informed within 20
working days if this is the case.

If you have any queries or concerns, please do not hesitate to contact
me.  May l ask that you quote the above reference number on all your
correspondence.

PLEASE NOTE: As of 1^st June 2018 South Staffordshire and Shropshire
Healthcare NHS Foundation Trust has merged with Staffordshire and
Stoke-on-Trent Partnership NHS Trust to become Midlands Partnership
Foundation Trust.

Yours sincerely

 

 

Aled Evans

FOI Officer

Midlands Partnership Foundation Trust

Trust HQ, St George’s Hospital

Corporation Street

Stafford
ST16 3AG

Tel: 01785 221104 Ext 7128998

Email: [1][email address]

 

[2]www.mpft.nhs.uk   [3]cid:image001.png@01D50B3D.BAF5F710  
[4]@mpftnhs      [5]cid:image002.jpg@01D50B3D.BAF5F710   [6]mpftnhs       
[7]youtube_social_squircle_red   [8]mpftnhs

  

[9]cid:image003.png@01D50B3D.BAF5F710

 

 

show quoted sections

FOI (RRE) MPFT, Midlands Partnership NHS Foundation Trust

5 Attachments

Dear Dr. Gillet/Dr. Lee,

Further to your recent request made under the Freedom of Information Act
2000, please see detailed below the Trust’s response:

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?

 

Queens Hospital, Burton-on-Trent

Samuel Johnson Hospital, Lichfield

County Hospital, Stafford

Royal Shrewsbury Hospital, Shrewsbury

Princess Royal Hospital, Telford

 

 

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).

 

There is a policy but it is in draft form and awaiting trust ratification
referrals are seen in line with national guidance (i.e. emergency within
an hour, urgent within 24 hours) or based upon clinical information and
need after discussing with the referring clinician

 

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)?

 

Awaiting ratification then will be shared

 

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.

 

                        Inpatient wards, advice is also offered to
families, carers, service users and health professionals wanting to make a
referral or have a case consultation

 

 

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

 

                        Triage Mental Health assessment tool has been
introduced in A&E, all ward provided with criteria and guidance on what
information to provide for a referral to liaison mental health.

 

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

 

                        There is a general preference for people to be
medically fit after overdoses or self-injury before referral to ourselves,
but the service will see patients prior to being medically fit if clinical
need dictates,               however where no physical health issue is
identified by A&E liaison will assess within the 1 hr timeframe

 

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

 

                        On a ward if a patient is receiving physical
health support but also requires a mental health assessment Liaison will
assess the patient once a referral has been received and provide ongoing
support                until the patient is medically fit for discharge in
which liaison will form part of the discharge plan. If a patient is
intoxicating and or high risk to self then liaison will support the
general hospital                                   but responsibility for
the patient will remain with the Acute trust until medically fit for
discharge.

 

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, and nurse) should review the referral and/or
assess the patient? If so, please specify.

 

No, the policy does not specify this.

 

d.              When was the policy last reviewed or updated?

 

October 2019.

 

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

 

Not audited

 

5.              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)?

 

Any clinical staff can refer to our service, and can do so by electronic
referral or by phone.

 

We would be grateful if you could take a minute to fill out our Freedom of
Information Customer Satisfaction Survey (attached) and let us know about
your experience.

Please contact me (Aled Evans) in the first instance if you have any
queries or questions regarding the Trust's response.  However, if you have
any complaints about the handling of your enquiry, please contact:

Ms Lian Stibbs
Head of Information Governance and Records Access Management
Midlands Partnership Foundation Trust

Trust Headquarters St George's Hospital Corporation Street Stafford
ST16 3SR
Email: [1][email address]

You also have a right of appeal to the Information Commissioner at:

Information Commissioner's Office
Wycliffe House
Water Lane
Wilmslow
Cheshire
SK9 5AF
Telephone: 01625 545700
Website: [2]www.informationcommissioner.gov.uk

PLEASE NOTE: As of 1^st June 2018 South Staffordshire and Shropshire
Healthcare NHS Foundation Trust has merged with Staffordshire and
Stoke-on-Trent Partnership NHS Trust to become Midlands Partnership
Foundation Trust.

Yours sincerely

 

Aled Evans

 

FOI Officer

Midlands Partnership Foundation Trust

Trust HQ, St George’s Hospital

Corporation Street

Stafford
ST16 3AG

Tel: 01785 221104 Ext 7128998

Email: [3][email address]

 

[4]www.mpft.nhs.uk   [5]cid:image001.png@01D50B3D.BAF5F710  
[6]@mpftnhs      [7]cid:image002.jpg@01D50B3D.BAF5F710   [8]mpftnhs       
[9]youtube_social_squircle_red   [10]mpftnhs

  

[11]cid:image003.png@01D50B3D.BAF5F710

 

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