Mental Health Services for Older People (MHSOP) in the York and Selby half of the North Yorkshire and York locality of TEWV are commissioned by the Vale of York Clinical Commissioning Group. Services provided include inpatient services, community services, memory services and liaison services to York Hospital. The Director of operations in the North Yorkshire and York Locality is Naomi Lonergan. The clinical director for MHSOP in the North Yorkshire and York Locality is Jeff Clarke and the Head of Service is Clare Abley. The Locality Manager is Jeff Whiley.
The Liaison Mental Health Team (LMHT) for working age adults and the Mental Health Assessment and Liaison Team (MHALT) for older people are managed as part of the TEWV MHSOP directorate.
LMHT was set up in 2016 and is now operational 24 hours a day, 7 days a week within The York Hospital (York Teaching Hospitals Trust) and comprises a multi-disciplinary team of professionals, providing a specialist mental health services to adults aged 16 and over who present at or are an in-patient in The York Hospital, and have a diagnosed or suspected mental health problem.
MHALT provides a mental health service to all wards in York Hospital (Elderly Medicine, Acute Medicine, Surgery, Orthopaedic) for older people aged 65 years and above. MHALT was set up in 2012 to address the mental health needs of older inpatients. The team has had a positive impact on the care pathway of older people who have mental health needs (for example, prompt mental health treatment and management, reduced length of stay by prompt and appropriate treatment, or by transferring suitable patients to mental health units or arranging appropriate mental health follow up in the community to facilitate discharge from hospital).
LMHT and MHALT are commissioned by Vale of York CCG. The MHALT nurses are employed by York Teaching Hospitals Foundation Trust and line managed by the Elderly Medicine Directorate. The MHALT consultants, LMHT consultant and multidisciplinary team and the holder of this post are employed by TEWV.
The post is based entirely in York Hospital, working as a member of both the MHALT and the LMHT.
LMHT operates a single point of access for all referrals from York Hospital for patients attending York ED (all ages) and for inpatient wards for patients aged 16-65 years.
York LMHT has 3 main roles
- 24 hours a day, 7 days a week providing Self-harm and Mental Health assessments to York ED for all patients aged 16 years and above
- 8am-8pm, Monday to Sunday providing Self-harm assessments to all YH inpatients aged 16 years and above
- 8am – 8pm, Monday to Sunday providing biopsychosocial assessments, management advice, treatment and brief intervention to all YH inpatients aged 16 to 65 years
York LMHT also work alongside Substance Misuse Clinical Nurse Specialist for all Substance misuse referrals from York Hospital, 3 days/ week – liaison team covers this work out of hours and when this team member is not available.
York LMHT also work alongside the CAMHS Team (patients aged <16 years), with the duty CAMHS Liaison team member embedded within the Liaison Team 1pm – 9pm. This role is provided by the On-call Psychiatry Trainee outside these hours, with supervision from the On-call Senior CAMHS Clinician.
LMHT will also provide supervision, teaching and support for multidisciplinary professionals working within YH, with individual link roles developed as required.
Self-harm assessments for patients over 65 years are completed by LMHT as well as all assessments in York ED.
LMHT also run a monthly multidisciplinary, multiagency repeat attenders meeting, where complex cases are discussed and individual care plans developed to address each patient’s needs, with the aim of reducing high frequency use of services.
The Consultants within the team provides the Responsible Clinician role for any working age adult detained under MHA in York Hospital.