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.

The Team

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
  • Psychosis

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 – cft.ccdliaison@nhs.net.

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.

Home Treatment Teams

The Home Treatment Teams provide a high level of support to people over the age of 18 in mental health crisis or relapse in their own home.

Home Treatment Teams offer an intensive package of support to people on their caseload who are experiencing acute problems with their mental or emotional health. They will assess the person at home and decide if they need a hospital admission or whether they can be treated at home to avoid admission where it is possible and safe to do so. Intensive support is offered over an agreed period of time, this can include; practical support, help with solving problems, medication, relapse prevention and crisis planning. The Home Treatment Team works between 8am and 10.30pm with night cover from 10.30pm to 8am.

The team are available 24 hours a day to provide Mental Health Act Assessments.

Home Treatment Teams provide support based each person’s individual needs. They work closely with Community Mental Health Teams and Care Coordinators. We accept self referrals or you may be referred by your CPN, GP, or other health services. We have two teams which support people in the east and west of the county.

Self Referrals

For self referrals in office hours, in the first instance please contact your local Integrated Community Mental Health Team (iCMHT). Outside of office hours please contact Home Treatment Team.

Download

Home Treatment Team Leaflet – under review

Support Matters Cornwall Leaflet

Related pages

Home Treatment Teams Contact Information

Team bases

East:

Bodmin Community Hospital, Boundary Road, Bodmin, PL31 2QT

Tel: 01208 256235

West:

Longreach House, Camborne & Redruth Community Hospital, Barncoose Terrace, Redruth, TR15 3ER

Tel: 01209 881818

Telephone support

Support Matters Cornwall is an out-of-hours helpline operating from 5pm to 9am on weekdays and 24 hours a day on weekends and bank holidays. The service is open to all people aged 16+ under the care of the Trust’s mental health services only. Call free on 0800 001 4330.