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.

Short Break and Home Care Service Contact Information

Gwyn Dowr

Higher Pengegon

Camborne

TR14 7TZ

Tel: 01209 715215

Layland

Old Road

Liskeard

PL14 6DJ

Tel:  01579 345786

Email: cpn-tr.Layland@nhs.net

Roston

Crane

Camborne

TR14 7PW

Tel: 01209 710706

Short Break and Home Care Service

The Short Break and Home Care Service have three homes that give ‘short breaks’ or respite to families who have a child with a learning disability and physical health needs. These breaks are provided from homes called Gwyn Dowr, Layland and Roston.

Short breaks are provided from homes called Gwyn Dowr, Layland and Roston. The Homecare service provides care to your child in your home. To access this service, your child will also be supported by a community or Diana Nurse.

Short Breaks

Gwyn Dowr is a large detached house in a quiet residential area of Camborne. Our leaflets for parents and children provide more information.

Roston is also in Camborne. It is a large detached bungalow in a quiet residential area close to the shops and local amenities. Our leaflets for parents and children provide more information on what to expect when staying at Roston.

Layland is a large detached bungalow in a quiet residential part of Liskeard. It can support up to four children at a time. Read our leaflet for parents and children for more information.
The short break service is available to children and young people aged between 3 and 18.

                         Layland poster April 2019

Layland poster

Layland map

Home Care

This service provides care to your child in your home. To access this service, your child will also be supported by a community or Diana Nurse. They can make a referral for home care on your behalf. Your Consultant Paediatrician or Social Worker can also refer you to this service.
The level of support received will depend on the needs of your child and your family. We will discuss and agree this with you.

The policies for our Short Break and Homecare Service can be found in the Document Library.

Short Break Leaflets for parents and children

Gwyn Dowr for parents

Gwyn Dowr for children

Layland for parents

Layland for children

Roston for parents

Roston for children