Covid 19 referral Information
Covid 19 Referral Guidance to Complex Care and Dementia Psychiatric Liaison Service
These guidelines apply to ALL acute and community hospitals throughout Cornwall.
We are a nationally recognised Psychiatric Liaison Accreditation Network (PLAN) accredited service. The team is based at Royal Cornwall Hospital (RCHT), Treliske. The service is managed by the Complex Care and Dementia Liaison Service Clinical Lead. The team will provide a service to all hospital sites Monday to Friday 09:00-17:00hrs excluding bank holidays during the escalation of Covid 19.The multi-disciplinary team comprises Registered Mental Health Nurses (RMNs), Consultant Psychiatrist, Core trainee in Psychiatry and team administration.
What we do
The Liaison Service is an essential component of the Complex Care and Dementia Service line. We meet patients with many different mental health problems, such as:
- Being worried about memory
- Patients living with dementia with complex needs
- Patients experiencing delirium with complex needs and behaviours
- Problems with worry, stress or depression
- Medically unexplained physical health problems
The Liaison Service provides comprehensive both telephone triage, advice and support as well as, face to face mental health assessment of the patient and management advice to the referring team. We communicate effectively with all those involved in the persons’ care including family members where appropriate to ensure our advice is based upon all relevant information available regarding the patient’s presentation and background history. This is with a view to:
- Provide advice and guidance on mental health nursing and care.
- Provide advice and guidance on treatment options including appropriate use of psychotropic medication, taking into account local policy and only with the support of the Doctors in the multi-disciplinary team.
- Ensuring that a patient’s mental health issues do not unnecessarily contribute to prolonged hospital admissions.
- Improving detection and treatment of pain and other physical factors that may contribute to confusion and Behavioural and Psychological Symptoms of Dementia (BPSDs).
- Offering advice and support to Carers.
- Contributing to prompt and effective discharge planning for patients with mental health needs in liaison with the Onward Care Team.
- Legal and National frameworks (Mental Health Act, Mental Capacity Act, including best interests consideration, Deprivation of Liberty safeguards and processes around safeguarding of vulnerable adults).
In providing ongoing assessment and treatment whilst the patient remains in the hospital, we work collaboratively with health care professionals in the general hospital setting to meet the needs of the patient and promote patient centred care. During this time, the hospital wards clinicians have overall responsibility for the patients’ care until discharge.
The team also support complex discharge planning and where appropriate arrange community follow up. After discharge the patients GP (and other relevant agencies) will be notified by way of an assessment letter to ensure continuity of care.
CC&D Psychiatric Liaison Service or the medical team can signpost the patient into other appropriate services.
Who we see
- Patients who are confused due to suspected or known dementia, of any age.
- Patients with functional mental illness who are 75 years or over.
Who we do not see
- Patients who are already on the caseload of the Adult Integrated Community Mental Health Team (ICMHT) should be referred to the Adult Psychiatric Liaison Service.
- Patients presenting with deliberate self-harm (these patients should be referred for initial assessment and risk by the Adult Psychiatric Liaison service for RCHT patients and CMHT’s with other hospital settings).
- Patients who are dependent on alcohol or other substances (these patients should be referred for assessment by the specialist Alcohol Liaison team within RCHT).
- Patients requiring ongoing psychological therapies/interventions.
Referral to the service
We accept referrals from professionals in health and social care.
Referrals to the service can must be completed via Maxims (internal hospital referral system) selecting “Psychiatric Liaison Service” – Complex Care and Dementia. This is the preferred route.
If refers do not have access to Maxims referrals should be made using the team referral form. This should be sent to the team’s generic email address – firstname.lastname@example.org.
We aim to make contact with all referrers to the service for an initial telephone triage by the end of the following working day. However we will endeavour to respond to more urgent referrals in particular from the Emergency Department (ED) on the same working day where at all possible. Urgent enquires can be made via telephone – 01872 252930.
Complex Care Community Team Contact Information
Complex Care Community Team
The Complex Care and Dementia Community Team supports the family and carers of people referred to the service and signposts services that might offer help within the community.
The Complex Care and Dementia Community Team offers support to people with dementia or complex mental health needs while they are in the community and can be accessed through the Community Mental Health Teams.
The Complex care and Dementia Service has Community Mental Health Teams that are based across the county providing locally based services supporting people in their own homes and in a variety of care settings. The community services accept referrals from primary care e.g. GP, district nurse, specialist service, social care and voluntary services. Self refferals can be made, although individuals are encouraged to make links with their GP.
We have a wide remit providing assessment and treatment services to people with dementia and those with severe mental health problems and complex physical health needs. We work closely with the wider health community, social care providers and voluntary sector in helping to maintain people’s independence and their mental health.
CMHT bases are open, Monday to Friday between 8.45am and 5.15pm