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<p>There has been a managed move over the last decade from an over dependence on inpatient
services towards a comprehensive, community-based service, including Crisis Resolution
Teams and Home Treatment Teams.</p><p> </p><p>This means a shift in resources from
inpatient care towards recovery-focused, community based services where the emphasis
is on targeted, timely intervention to prevent crisis, or manage crises closer to
home.</p><p> </p><p>However, the Government has made it clear that beds must always
be available for those who need them.</p><p> </p><p> </p><p> </p><p>The Government’s
2014-15 Mandate to NHS England states that every community must develop plans to ensure
no-one in mental health crisis will be turned away.</p><p> </p><p>In February 2014
we published the mental health Crisis Care Concordat, which describes the roles and
responsibilities of public services for improving outcomes for people experiencing
a crisis.</p><p> </p><p>This makes it clear that local commissioners should commission
a range of mental health services that allows beds to be available for a person in
urgent need. Local areas are expected to commit to and agree to deliver their own
‘Mental Health Crisis Declaration’.</p><p> </p>
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