Mental Health IAP Crib Sheet

• Add notes to both Rio and Cleo.
• In Cleo, select End Assessment and complete the End Assessment questions.

• Add notes to both Rio and Cleo.
• In Cleo, select End Assessment.
• Select ‘Yes’ for Registered Mental Health Sign Off.
• Answer the remaining End Assessment questions and select Complete.
• The case will land back in the CAS queue, with a sub classification indicating it requires Registered Sign Off.

1. Add notes to both Rio and Cleo.
2. In Cleo, select Follow Up and then Further Urgent Care Follow Up. Add a time and priority for the case once it becomes active, then click Confirm.
3. Select End Assessment and answer the usual questions.
4. The case will close and a new case will open in the Urgent Follow Up queue for the Physical Health Clinical Coordinator to review.
5. Please inform the Shift Manager, who will make the case active straight away, if required.

• What is/ are the physical health symptom/s?
• How long have you had this physical health symptom?
• Has it changed since it started? (ideally noting how it has changed)
• Have you ever had this physical health symptom before?
• Is it the same or different this time? (ideally noting how it is different)
• Is this physical health symptom stopping you from doing anything you can normally do?
• (ideally noting what it is stopping)

Any BSW patients needing support with physical health should be directed the most appropriate route (OGP, NHS111 or 999).

Once agreed, follow the steps below:

1. Add notes to both Rio and Cleo.
2. Document clearly the reason for input from the Physical Health Clinician. Include:
   • Prescription required:
   • Pharmacy:
   • Any allergies:
3. In Cleo, select Follow Up and then Further Urgent Care Follow Up. Add a time and priority for the case once it becomes active, then click Confirm.
4. Select End Assessment and answer the usual questions.
5. The case will close and a new case will open in the Urgent Follow Up queue for the Physical Health Clinical Coordinator to review.
6. Please inform the Shift Manager, who will make the case active straight away, if required.

Any BSW patients needing support with physical health should be directed the most appropriate route (OGP, NHS111 or 999).

If the patient meets the Practice Liaison Service (PLS) criteria, you can select GP to Contact Patient on the End Assessment questions. Please ensure you have clearly documented what input is required by the patient’s own GP within your consultation.

For patients who need an interpreter please use the Language Line, information on accessing this service can be found here – LINK

For hearing impaired patients who require a call back please use Replay UK.

Information for both of these can be found here: LINK

For patients who require either an signing interpreter for video or F2F consultations please use Sign Solutions.

Please use MIDOS (LINK) to check the capacity of local services.

Please follow BrisDoc’s Failed Contact process to record unanswered calls to patients.

Failed Contact SOP – Radar (radar-brisdoc.co.uk) This SOP also provides clinical guidance on closing cases following multiple failed contacts.

• Contact the MH CC to request its availability, via phone or MS Teams.
• If the MHRV is available and the deployment is agreed, add case notes to reflect the patient’s onward pathway and accepted referral to 999.
• Close the Cleo case, marked as referred to 999.
• The MHSD must open a new case on CAD and the management of the patient continues in line with MHRV operation.
• If further intervention is then required by SevernSide/MH CAS, a new case must be opened via the SevernSide Professional Line (0117 244 9283).

The aim of this quick guide is to give Call Handlers more confidence when making safety calls to patients and to help identify any major worsening symptoms.

We do not want you to become clinicians or start giving advice. We want you to be aware of some of the more severe ailments, what to look for and how to react.

There may be some clinicians within the System CAS Service who are PaCCS trained and therefore might be able to request an ambulance electronically for BNSSG patients. Please discuss this with the Shift Manager if you feel this may be required.

Alternatively, please call the ambulance via 999. For BSW patients ambulances must always be accessed via calling 999.