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<p>The national Crisis Care Concordat was published in February to improve service
responses to people in mental health crisis. There is a specific emphasis on delivering
improved outcomes for people in crisis at a local level. Partner organisations are
expected to demonstrate their commitments by signing up to a local declaration and
agreeing a joint action plan to bring about the improvements needed.</p><p> </p><p>
</p><p> </p><p>We are asking every area to develop a shared action plan and commit
to review, monitor and track improvements. In particular, we have asked for a commitment
from all areas to reduce the use of police stations as places of safety.</p><p> </p><p>
</p><p> </p><p>The particular focus on Local Crisis Declarations is designed to enable
each partnership to understand the issues in their area and develop solutions.</p><p>
</p><p> </p><p> </p><p>All localities are working to have their declarations agreed
by all the relevant local agencies by the end of the year. We are working closely
with the mental health charity Mind to support the work in localities.</p><p> </p><p>
</p><p> </p><p>Declarations have already been made by London, Portsmouth, Wiltshire,
Kent, Hertfordshire, Gloucestershire, Leicester, Leicestershire and Rutland, Durham
and Darlington, Bedfordshire & Luton, North Yorkshire & York, Cheshire, Oxfordshire,
Cambridgeshire, Doncaster, Norfolk, Suffolk, Devon & Cornwall and Nottinghamshire.
Plans are in place for all other local areas to agree their local declarations by
the end of the year.</p><p> </p><p> </p><p> </p><p>Signed local declarations and the
agreed action plans have been made available on a national website to demonstrate
coverage across England. This is available at:</p><p> </p><p> </p><p> </p><p>www.crisiscareconcordat.org.uk</p><p>
</p><p> </p><p> </p><p>The Concordat does not specify which organisation should lead
this work locally. As part of Operational Resilience and Capacity Planning for 2014-15
NHS England is asking for evidence of sign up to local mental health crisis care concordat
arrangements as part of local plans.</p><p> </p><p> </p><p> </p><p>Health and wellbeing
boards have a pivotal role in delivery by bringing together health and social care
commissioners, the local community and wider partners. Through the board, these partners
work together to identify the health and wellbeing needs of their local population.
Some areas have managed, and are managing, the agreement of their local crisis declaration
through their Health and Wellbeing Board.</p><p> </p><p> </p><p> </p><p>The Department
has commissioned an evaluation of the impact of the national Concordat.</p><p> </p>
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