In this section...

  1. Adult community services
  2. Carers corner
  3. Children's services
  4. Community mental health services
  5. Community response to COVID-19
  6. Dementia and older people’s mental health
  7. Health for Homeless Service
  8. Hospital at Home
  9. Learning disability services
  10. Medication
  11. Mental health crisis
  12. Personalised care planning
  13. SilverCloud
  14. Physiotherapy
  15. Spiritual and pastoral care
  16. Suicide Liaison Service
  17. Talking Therapies
  18. Transforming wound care
  19. Tuberculosis Service
  20. Useful information following a bereavement
  21. Wheelchair Service
  22. Video appointments
  23. Workplace flu vaccination clinics

Kernow and Isles of Scilly Keyworking Service

The service offers support to children and young people with a diagnosis of autism and/or learning disability, who are at risk of a mental health hospital admission.

An allocated keyworker will hear and support the voice of the child or young person, agree goals with them and support them in achieving their goals.

Keyworkers deliver interventions and provide resources, working alongside professionals to support integrated and planned care. Keyworkers identify gaps in service and liaise with professionals who can support the child and family in these areas. Keyworkers attend relevant meetings to support the child such as:

  • core group meetings
  • education, health and care plans
  • care, education and treatment reviews
  • multi-disciplinary team review meetings

Referrals

Referrals are made via the Dynamic Support Register. You can request a referral form from us on the contact details above.

A referral to the service can be made by any professional from health, education or social care. The referrer will discuss the referral with the family and gain informed consent for the young person to be placed on the register.

The criteria for support is:

  • a confirmed diagnosis of autism and/or a learning disability
  • under 18 years of age
  • a red risk of admission or care placement breakdown
  • has a care co-cordinator or equivalent lead healthcare professional or case manager

A red risk of admission is assessed at a Dynamic Support Register meeting using the complex needs escalation support tool.

Information for professionals

New referrals will be added to next Dynamic Support Register meeting agenda., which occur every week.

The meeting panel has representation from NHS Cornwall and Isles of Scilly and health, education and social care.

The referral will be triaged by the panel, and recommendations will be made including whether the service will be commissioned. The referrer will be sent a letter via email with these recommendations.

Information for parents and carers

Most of the time, the keyworker will work directly with a young person, but they can support parents and carers as well.

This might be information about autism, communication tools or navigating the referrals and services.

We understand that it can be a difficult time for families when a young person needs risk support, and we are here to listen to your voice too.

Information for young people

Your keyworker can support you with lots of different things in your life and will agree some goals with you for your care plan.

  • We understand you have a lot of professionals to see, and our job can be to make sure your voice is heard.
  • The keyworker might see you at home, in a clinic, at school or somewhere else.
  • You can tell them what you would prefer, and they will try to make that happen.
  • If you do not want to see a keyworker, you do not have to.