Community Mental Health Services in Manchester

Community Mental Health Teams (CMHTs) provide multi-disciplinary assessment, treatment and care of individuals with severe and enduring mental health problems.  They provide a service to individuals from 16 years of age up to 70 years of age with a diagnosed functional mental health problem, unless the service users’ needs would be best met by the Older Adults CMHT or vice versa.

The Manchester Community Mental Health Teams care for people resident and registered in the City of Manchester who are suffering from mental illness, typically those who are suffering from bipolar affective disorder, schizophrenia, severe affective disorder or a complex personality disorder. We aim to provide the highest quality and comprehensive care to support the recovery of our service users in the community, enabling them to live as independently as possible within their own home environment.

Admission Criteria

Admission to the service is based on assessment against the following eligibility criteria:

  • Individuals requiring ongoing specialist care for severe mental health problems, which reach sufficient levels of disability, severity, risk defined by stepped care principles and NICE Guidelines this includes individuals who are transferred/ stepped down from other secondary care mental health services.
  • Individuals with severe disorder of personality, often involving significant risk, where it can be established that there is likely to be a benefit from continued contact and support within the CPA framework.
  • Individuals who have been assessed as having needs which meet National Eligibility Criteria under the Care Act (2014)
  • Referrals from Child and Adolescent Mental Health Services (CAMHS) for individuals approaching the age of 18 years may be considered for a period of joint working prior to full transfer of care, (transitional protocols should be applied in such circumstances as described the Joint Protocol for the planned transition of young people from CAMHS and Children’s Services to Adult CMHT people from CAMHS and Children’s Services)
  • Individuals with mild learning disability associated with serious mental disorder.
  • The CMHT’s will provide input (in conjunction with drug and alcohol services) for people with a dual diagnosis of severe mental illness and substance/alcohol misuse
  • The Care Act (2014) places a duty on the Local Authority, or the body charged with executing its functions in accord with S.75 Agreement and thereby the Trust, to carry out a needs assessment for all people who have mental health needs requiring care and support. A social care duty may arise when people are assessed in accordance with The Care Act (2014), even though no specialist mental health care provision may be required
  • The Care Act (2014) places a responsibility on GMMH Manchester services to assess a Carer’s needs for provision of services, where the Carer appears to have such needs. The CMHTs will assess the impact of caring on a carer.

The Community Mental Health team may not suitable for those with:

  • Mild to moderate mental health problems, unless the persons social care needs meet the National Eligibility Criteria. Such people will have their needs met in accordance with the stepped care model, as underpinned by NICE guidance.
  • Acquired brain injury, unless this appears to have resulted in a mental disorder.
  • Primary drug or alcohol problem, as this will be coordinated through Drug and Alcohol Services.
  • Primary diagnosis of dementia.

How to Make a Referral

The Gateway team acts as a single point of access for all referrals and information that come into GMMH Manchester services. There are four ways in which the referrals are received by the Gateway team which include the integrated care gateway (ICG), liquid logic, postal referrals and nhs.net email accounts.

The referrals are received from various sources including:

  • GP’s
  • NWAS
  • GMP
  • Housing
  • Service Users directly
  • Family and Friends
  • Local Authority services including Council Services
  • Safeguarding Services
  • Social Care Services

Referrals into the liquid logic are often received through the contact centre or MASH and referrals into the integrated care gateway are GP referrals. The referrals are then opened, read and directed to the appropriate GMMH teams through our internal PARIS system. 

In addition to receiving referrals, the Gateway Teams currently receive ‘additional information’ in regard to service users already under the care of our GMMH Manchester services through the liquid logic system whilst the Manchester Community teams await access to the liquid logic system. This information is opened, read and directed to the appropriate team through our PARIS system. The Gateway team then ensure the relevant CMHT are alerted to any new referrals.

Assessment of need is an essential element of CPA and is pivotal to the whole care planning process. The first point of contact, the Senior Practitioner responsible for referrals will triage the response time of the referral: 

  • Emergency (same day response)
  • Urgent (within 5 days)
  • Routine (within 21 days)

The Senior Practitioner who leads on referrals will collate the relevant information and if the referral is designated same day, will either deal with the emergency or allocate to an appropriately skilled colleague.

Each referral will be triaged and discussed with the Consultant Psychiatrist for the locality. The appropriate response will be co-ordinated. This information will be conveyed to both the referrer and the person referred. If the person referred is not suitable for CMHT assessment, advice & guidance/signposting will be offered to the person referred and the referrer.

Timescale of Response to Referrals

Urgency of referral Timescale of response Criteria

Timescales:

Routine
  • All patients accepted to be seen as a routine referral, will aim to be seen within 21 days 
  • People who have substantial and complex mental health needs which cannot be met by primary care, the IAPT Service or other community services
  • Ongoing severe mental illness which is impacting on day to day functioning
  • Has requirements under the Care ACT
Urgent

During working hours

  • Urgent referrals may arise via telephone or in writing to the Gateway service and forwarded to the appropriate CMHT by Gateway/or by telephone direct the senior practitioner dealing with referrals (see contact information)
  • Urgent referrals will be accepted and assessed by CMHT during normal working hours.
  • An urgent referral requires assessment within 1-5 days from referral.
  • The CMHT will contact referrers and the patient referred  to inform on progress of the of the referral

Outside of working hours

  • After 5pm urgent referrals can be made/discussed via the 0161 271 0325
  • Reason to believe that there is a risk of significant harm (immediate and serious risk to self and/or others) occurring as a result of a mental disorder, or suspected mental disorder, if no action is taken before the next community referrals allocation meeting, i.e. within one week
  • The level of cognitive functioning that places the person at immediate risk of harm to self or others including carers (e.g. due to wandering, self-neglect, abuse) and physical/medical causation has been excluded
  • Patient will have been ill enough to have seen by the ‘referrer’ who has knowledge of the patient and considers the risk for urgency to be linked with a perceived mental health problem
  • Support network not coping or sudden loss of social support network resulting in risk to patient
  • Assess urgently if mental health might improve with rapid treatment/medication. Urgency may vary depending on the nature of the behaviour, i.e. physical or antisocial
  • Request to provide a medical assessment for a Mental Health Act assessment
  • Assessment requested as part of a Safeguarding Adult enquiry (Protection of the Vulnerable Adult) where urgent protection of vulnerable adult is needed. Level of urgency may depend upon nature of risk and need for a protection plan

Emergency

  • Same day response /24-hour response
  • Immediate concern about risk to self /severe relapse of mental illness
  • Patient is at risk of abuse/vulnerable and is in a location that is not safe.
  • Patient may require home based Treatment as an alternative to admission.

 

Contact Details

           

Contact details:

South Manchester North Mersey

Kingslea House, Francis Road, Withington M20 4XP

0161 271 0291  07436838432 07436838432 Nigel Spencer

South Mersey

Brian Hore Unit, Elizabeth Slinger Road, Withington M20 2LR

0161 271 0289 07484900474 07484900474 Nicola Beaumont 
Central Manchester

Central West

Kath Locke Centre, 3 Moss Lane East, Manchester M15 5DD

0161 271 0180 07484544158 07917571765 Wendy Daniels

Central East

Rawnsley Building, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL 0161 271 0631 07553387244  07917573792 Stewart Lee
North Manchester North West

McCartney House, Beech Mount, Harpurhey M9 5XS

0161 271 0599 07990344214 07917512114 Ashley Welby
North East

Harpurhey District Offices, Moston Lane, M9 4AD

0161 219 2168  07779005551 07917579181 Linda Lewis
Trafford North Trafford

Crossgate House, Cross Street, Trafford, M33 7FT

0161 358 1390      
South Trafford

Brook Heys, 2a Craven Drive, Broadheath, Altrincham, WA14 5JF

0161 357 1340      

 

Emergency/Urgent referrals

Emergency or Urgent referrals can be discussed via the Gateway and marked urgent, or, can be made to the locality CMHT which covers the neighbourhood/GP location.

If you wish to make or discuss urgent referrals, please contact the Gateway on 0161 271 0260, or the relevant locality CMHT telephone numbers as follows:

After 5pm urgent referrals can be made/discussed via the 0161 271 0325 (your query will be answered by the Home-based treatment team.