RAID - liaison psychiatry services
Pennine Care has established psychiatry liaison services to provide more support to adult patients presenting at A&E with mental health problems, those with alcohol misuse issues and people with dementia.
The liaison psychiatry services will be made up of three key elements - A&E liaison, alcohol liaison and older people’s liaison.
This is based on the RAID (rapid assessment interface and discharge) model developed by City Hospital Birmingham, which has proven to reduce inpatient bed days, support timely discharges and reduce readmissions.
RAID has been developed in partnership with commissioners as part of a £3m investment over the next two years. The main aims of the service are to:
- provide timely mental health assessments to patients in A&E,
- reduce A&E attendances/re-attendances,
- provide effective interventions to people with alcohol misuse problems and
- provide expert clinical support and education to acute staff on caring for people with dementia.
Employed by Pennine Care, practitioners work within the Trust’s neighbouring acute hospitals sites – Fairfield General Hospital in Bury, the Royal Oldham Hospital, Stepping Hill Hospital in Stockport and Tameside General.
Pennine Care already provides access and crisis teams who conduct mental health assessments of patients at A&E and coordinate packages of care.
These teams have been strengthened by new additional A&E liaison practitioners, which allow the teams to provide 24/7 cover to local A&E departments, conducting mental health assessments within two hours of a patient being admitted.
The team will also ensure patients are safely discharged from A&E into suitable mental heath services within four hours, as well as providing follow-up clinic appointments or home visits to patients who have self-harmed the next day.
Dedicated alcohol liaison practitioners work within A&E departments and on hospital wards to assess people with alcohol misuse problems and provide effective interventions.
This may include referring patients to alcohol services who can support individuals to manage and recover, helping to prevent a patient being admitted to hospital and reducing the number of people who attend A&E as a result of alcohol misuse.
Older people’s liaison
Dedicated older people’s liaison practitioners work on hospital wards to provide mental health assessments to people with dementia and ensure their needs are being met.
The practitioners also provide hospital staff with expert clinical advice, training and support on how to care for dementia patients. They will develop staff’s knowledge and understanding of dementia and how to manage challenging behaviour, as well as how to identify and meet each patient’s specific care needs.
This will help to improve the quality of care provided to patients with dementia and help to prevent patients from staying in hospital for long periods of time.