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Saturday 19 January 2019
Derbyshire Healthcare NHS Foundation Trust
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Support for the emergency services

Police officer talking with a nurse from the Mental Health Triage Hub

We provide different forms of support to our partners in the police, ambulance and other emergency services.

Mental Health Triage Hub

We run an advice and assessment hub to help all of Derbyshire’s emergency services to identify the best ways to care for people with mental health problems. We call this hub the Mental Health Triage Hub (MHTH).

How does the hub work?

The hub is based at Butterley Hall in Ripley. It is staffed by mental health nurses and social workers seven days a week, with extended hours at the weekend. The team support staff from Derbyshire Constabulary, East Midlands Ambulance Service, Derbyshire Health United and council social care services.

Through a triage and assessment process, they help these staff to find the most appropriate healthcare pathway for people in mental health crisis or who appear to have mental ill health.

What is the purpose of the hub? 

The hub was created in 2017. It brings together two teams who were previously based separately: the Street Triage team previously based in Ripley and the nurses previously working in the 111 call centre. By bringing the two teams together, the hub aims to create a single service dedicated to getting the right help to individuals at the right time. 

The intention is that this will:

• reduce inappropriate attendances to Accident & Emergency departments

• reduce inappropriate Section 136 detentions and detentions in police custody.

How do I contact the hub?

The service can only be accessed by emergency services staff, not by members of the public.

Joint Engagement Team

The Joint Engagement Team (JET) is a collaboration between our Trust and Derbyshire Police. It forms part of a wider High Intensity Network.​ 

What is the purpose of the team?

JET brings together the police and community mental health services in order to better support people with complex mental health needs and reduce the demand of the highest users for 'blue light' and health services.  

'High-intense users' are a small group of people whose crisis behaviours become repetitive, leading to a large operational demand being placed upon police, ambulance, mental health and A&E teams. It is estimated to cost roughly £20-30,000 each time the cycle is repeated. This cycle includes being detained under Section 136 of the Mental Health Act, attending A&E for injuries or overdose - possibly via an ambulance - and seeing the mental health team.

How does the team operate?

The team works with high-intense users to develop a personalised package of care in the form of response plans. These response plans will be different for each service user, and for each of their specific crisis behaviours. The response plans will tell first responders how best to support the individual. The plans may detail safe places, people (including family and carers) that have agreed to assist, any medications they may need to take and routines that should be followed. Where possible the plans will have been produced with and agreed by the service user, then signed off by them and the team. 

It is hoped that this approach will not only reduce the number of Section 136 detentions and associated costs, but also bring benefits to the individuals and their families, friends and community.