Crisis Beds

Descriptions

Black Country Healthcare NHS Foundation Trust (BCH) are looking to procure crisis care provision for individuals experiencing mental health crisis as part of improving their crisis pathways and preventing admission into hospital. BCH are looking to commission between 4 and 6 crisis beds in total, which are required to be located in the Black Country areas of Sandwell and Dudley. This PIN invites interested organisations to attend a market engagement event with the aim of testing the viability of delivering the proposed service model and to allow providers to share their views on the specification. This PIN will also allow BCH to understand the market for this service in this area to help inform a potential future procurement process. Overview Regionally and nationally, increasing pressure is being placed on adult acute mental health wards. The increasing number of male and female hospital admissions to local services requires commissioning solutions in order to provide alternatives to admission. Crisis Resolution and Home Treatment Teams (CRHTT) are tasked with providing crisis support and delivering intensive home treatment to support and where applicable treat, service users to remain in the community and avoid hospital admissions. Often a gap still exists between the CRHTT support and acute admission. Some service users will require 24 hour support, ensuring a person's safety but, not necessarily require health staff to provide this care. This support may be required intensively but over a short period in a service which is less institutional than a hospital setting. Crisis houses are an approach to care that provides respite or sanctuary outside of hospital. They have been developed alongside CRHT and hospital based care. They have strong support from service user groups. A community-based crisis services will offer residential support and include: -Services located within community settings. They provide residential services with staff onsite 24/7, and have a highly competent support staff involved in providing care. Night cover will have a minimum of 2 workers with at least 1 a waking night cover. -These services provide a small number of beds aimed at short stays and are fully integrated with CRHT teams. These models support individuals when they are reaching crisis and in most cases prevent admission into an inpatient setting. They can also prevent breakdown of existing placements/homes by allowing a short admission to assess and reformulate care and support plans to enable them to move back into their existing homes.