24 August 2017

A ‘blue light’ initiative to ensure people in the City of London experiencing a mental health crisis have fast access to care has been launched by the Trust and City of London Police.

The pilot Mental Health Street Triage (MHST) service consists of a occupational therapist and social worker who travel with police officers to incidents where there is an immediate threat to life flagged by the 999 control room – someone threatening to self-harm, or commit suicide – or where a third party has contacted the police or ambulance and expressed concern for someone.

The triage is designed to deliver fast and efficient access to care and avoid unnecessary ‘Section 136’ detentions in a place of safety under the Mental Health Act. The place of safety is usually a specialist suite in a hospital setting, where patients are formally assessed by mental health professionals. The section is used when individuals require care or control for their own safety and is used as a last resort by officers.

The MHST team are helping reduce detentions by assessing individuals and identifying appropriate care or support, which can include arranging contact with drug and alcohol services and colleagues from across mental health services.

The service also aims to reduce the amount of time police officers, and other emergency services, spend managing mental health situations and to reduce inappropriate admissions to hospital emergency departments.

The team are based at Bishopsgate Police Station and operate from 5pm-3am Wednesday to Sunday.

The operating hours have been set around the hours when most 136 detentions have occurred and when the ‘night time economy’ of late-night bars, clubs and restaurants is at its peak and officers are at their busiest.

Outside these hours, the response to a mental health crisis will follow the usual processes already in place.

Dean Henderson, Borough Director for City & Hackney Services, said:

“Our goal is to help vulnerable individuals feel calm, safe and reduce the number of people in crisis needing to be taken to places of safety for assessment.

Early indications are that the Street Triage Scheme is doing just that.

This is a better outcome for the people dealt with and a better use of police and NHS resources"

Sergeant Mark Montgomery, who is leading the trial on behalf of the City of London Police, said:

Street triage is a proven tool for stronger partnership understanding and working which provides the best service to our community and most importantly, to the person in need of care.

“Our plan is to use street triage to create a better understanding of mental health for officers and enable them to have the ability to seek specialist advice so better judgements can be made on the street about patient care.

“This is a great opportunity for establishing a solid partnership base between us and East London NHS Foundation Trust which we can grow and expand on, more importantly it provides officers with advice and assistance in making decisions about a person’s vulnerability and welfare.

This partnership will enhance and provide the best possible service available to those in crisis.”

The MHST service started on May 31 and will be piloted until December 2017.

Crisis Service
ELFT also provides a 24 hour mental health crisis response helpline to residents in Hackney and the City of London.
The helpline is for people who already use mental health services who have a crisis, or individuals who find themselves in emotional distress in response to an incident or life event.

The number is 020 8510 8366. Or click on this link for more information about the Crisis Service


  • Joe Frost, 10/01/2019

    Dear ELFT Street Triage Team, RE: Street Triage placement inquiry - Student MHN I am a student mental health nurse at King's College London currently looking to carry out a four week elective placement within street triage. My first clinical placement has been on an acute psychiatric ward with South West London and St George’s NHS Trust and I am about to begin my next placement with South West London Forensic CMHT. Prior to starting my nurse training, I have worked in a variety of social care settings supporting vulnerable adults and young people. Most recently I worked for the British Red Cross based at St Thomas’s Hospital supporting patient discharge and providing community follow-up visits to ensure welfare, adequate practical support and promoting community integration. I am really interested in learning more about mental health street triage and the developing area of multi-agency collaborative working between the emergency services and mental health. The allocated period for my elective placement is 26 August - 20th September 2019. Please let me know if this is a feasible proposition? Happy new year and kind regards, Joe Frost Student Mental Health Nurse - Postgraduate Diploma joseph.frost@kings.ac.uk 07821008687

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