UPDATED April 16, 2020
MENTAL HEALTH SERVICES KEY INFORMATION

Urgent referrals to secondary mental health care or crisis:
Call the 24-hr Helpline number 020 7771 5888.
CAMHS Crisis: Call duty team in-hours 9am-5pm on 0208 430900, OOH via above 24-hour adult crisis service.
Please email urgent referral forms  to elft.hub-referrals@nhs.net


For non-urgent advice, including to discuss the support and treatment currently available for potential non-urgent referrals:
Liaison advice via practice EPCS Nurse who will be able to direct to suitable Consultant or other professional as needed.
Exception to this is the South One and North Newham PCN practices – please go via your Community Mental Health Transformation CPNs who will be able to direct you.

For Newham Talking Therapies:
Lots of self-help and referral via website

ELFT NEWHAM MENTAL HEALTH SERVICES STATUS:

Inpatient services

  • Adults/CAMHS (at Newham Centre) / MHCOP (at Mile End) – Functioning. Adult Wards now with specific inpatient consultants – so temporarily service users will have a different consultant when they are inpatients.

Primary care community Mental Health

  • Newham Talking Therapies - Fully functioning remotely and welcoming referrals. Dedicated resources are provided for patients with Covid-19 anxiety. Lots of self-help and referral via website.

Secondary care community Mental Health

  • Adult Crisis Service/Single point of entry - Fully functioning, this is the Newham crisis number 020 7771 5888
  • Community Recovery Teams/Early Intervention Team/Assessment and Brief Treatment Team - Functioning but with face to face contact reduced where possible. Encouraging only urgent referrals. Some routine (eg Outpatients) work paused with a focus on priority situations. However, we are actively working to resume routine work where possible in the coming weeks.
  • Older adults Community Mental Health Team – As for Adult teams, functioning but with face to face contact reduced where possible and focus on priority need. Encouraging only urgent referrals. Well linked with HELP Newham to support basic needs for the most vulnerable.
  • Memory Assessment Clinic – Closed to routine diagnostic referrals until further notice. Risk triage still available for complex and/or vulnerable cases.
  • Secondary Care Psychology – Pathway for new referrals currently under review as the restriction of face to face contact would mean very extended waiting lists. Supporting existing clients via phone contact.
  • EPCS – working mainly over telephone as routine GP surgery appointments are not possible, but with capacity to see people face to face at the EPCS base if needed
  • Clozapine Clinic – working with extended testing intervals where possible to reduce face to face contact
  • CAMHS - Accepting referrals.
  • Children's Eating disorders - Reduced service. Urgent referrals only.
  • Perinatal Community Team Accepting referrals

 ​​Learning Disability and Autism Service

  • We have established a referral process with Help Newham for our Newham clients/families in need to access food/essentials weekly deliveries and/or medication deliveries.
  • Our team will provide phone on-call cover over the Easter weekend (via the main NHLD team number 0207 059 6600)

  • We have a range of easy read information relating to covid-19, self isolation etc

  • We are providing NHLD clients with a one page covid-19 passport (to supplement the Hospital Passport) which gathers specific information re onset and symptoms

  • The Community Nurses are focused on supporting the Continuing Healthcare (complex physical health &/or challenging behaviours) cases. We are making weekly (minimum), often daily contacts to ensure that packages are maintained & supplemented if necessary & infection control guidance is followed. 

  • All non-essential & routine contact has stopped, but we maintain an infection controlled room at Romford Road for essential appointments, i.e. depot injections  

  • All caseloads have been triaged & RAG rated; initially focusing on those living in the family home but now expanded to residential & supporting living. We are ensuring that all Hospital Passports, Behavioural & Care plans are up to date & shared. The team are making daily calls to those that require this & we are supporting cases where behaviours are escalating & are seeing a subsequent increase in PRN requests 

  • There have been two mail drops. Initially focusing on reducing the virus spread & secondly offering additional guidance on behavioural management techniques, local support networks, self-isolation tips, etc

  • We are co-working closely with the Local Authority to reduce escalation & where necessary crisis management. Day services have closed & we are working to put in place sustainable, alternative provisions including potentially a small day service provision for those for whom self isolation at home presents risks. 

  • Easy-read Coronavirus information

COMMUNITY HEALTH SERVICES KEY INFORMATION 

Should you have a query that is not covered below, please contact ELFT CHN SPA on 0208 709 5555

Patient Appliances
Changes to referral pathway? Unchanged
Current position:  
Reduced service  9 -12  Monday to Friday for urgent provision only based at Appleby Health Centre

Foot Health Podiatry and podiatric surgery
Changes to referral pathway? Unchanged
Current position:
Daily triage, Appointments for High Risk referrals only

EPCT
Community nursing services (including district nurses and homeless health) Physiotherapy & Occupational Therapy
Care Navigators and Telehealth
Rapid Response/ D2A

Changes to referral pathway? Unchanged. All hospital discharges pathway 1-3 discharged via  the  Integrated
Discharge Hub (IDH)
Current position:
Home visits prioritised for High Risk/Complex and end of life patients
Rapid response service operational 8am -8pm Mon- Fri. 8am-4pm weekends
Dressing clinics available 

Diabetes Specialist nurses
Changes to referral pathway? Unchanged
Current position:
Daily triage
Face to face appointments for high risk patients only

Cardiac Rehab Service
Changes to referral pathway? Unchanged
Current position:
Daily Triage
Telephone Consultations by clinician at referral. Telephone consultations for reviews.
CR Classes closed & Reduced clinics
Increased Home visits for vulnerable priority patients (over 70, HF and post-surgery)
Exercise sheets sent to patients
Introduction of Activate your Heart for cardiac patients if suitable (issues with pts who don’t have access to internet or understanding of English).
Zoom Chair based exercise class.
Weekly telephone MDT with Cardiologist for HF patients.  

Day Hospital & Falls Clinic
Changes to referral pathway? Closed – Referrals to be made to SPA
Current position:
Closed to referrals.
Existing patients contacted directly and given advice
Urgent concerns to be referred to SPA
Enerberi Clinic (Continence)
Changes to referral pathway? Unchanged
Current position:
Daily Triage
Home visits for Vulnerable patients
Clinic appointments for urgent assessments

Tissue Viability Service
Changes to referral pathway? Unchanged
Current position:
All Referrals triaged by the service.
Low risk patients,  -Telephone/video  consultations and a care plan will be put in place for the Practice Nurse  to follow
Leg ulcer clinics to continue for those under 70, supporting patients with self-care where possible.  (Ulcer kits/compression Wraps and shared care guides)
Home visits for over 70‘s & vulnerable.  Self care where possible with telephone follow ups
Routine visits to Nursing Homes – stopped

Pulmonary Rehabilitation
Changes to referral pathway? Closed
Current position:
Pulmonary Rehab classes stopped

Community Neuro-rehabilitation
Changes to referral pathway? Unchanged
Current position:
All referrals triaged by service
High risk face to face sessions carried out if necessary.
Medium, low priority risk pts - telephone review or online sessions if appropriate. Medium and lower priority work stopped

Speech & Language Therapy
Changes to referral pathway? Unchanged
Current position:
New referrals, triaged by service screened to assess urgency, risk and need
High risk - Face to face sessions carried out if necessary
Medium, low priority risk pts - telephone review or online sessions if appropriate. Medium and lower priority work stopped.  

Musculoskeletal service
Changes to referral pathway? Self Referrals stopped
Current position:
Referrals triaged daily to enable  continued referral of emergency and urgent MSK conditions to secondary  care services
Telephone consultations for all new and follow up patients including triage to assess possible Red flag pathologies e.g.  Cauda Equina syndrome
Service users advised MSK  Physiotherapy Self-referral when Service  re opens for face to face consultation if  needed following failed self-management strategies
All other rehabilitation work stopped with patients enabled to self-manage (including rehabilitation groups).

Learning Disability team
Changes to referral pathway? Unchanged
Current position:
Supporting Continuing Healthcare (complex physical health &/or challenging behaviours) cases to ensure that packages are maintained & supplemented if necessary & infection control guidance is followed.
All non-essential & routine contact has stopped, but an infection-controlled room at Romford Road maintained  for essential appointments, i.e. depot injections
Caseload triaged & RAG rated.
Ensuring all Hospital Passports, Behavioural & Care plans are up to date & shared. Daily calls to patients where necessary & support to patients where behaviours are escalating & there is a subsequent increase in prn requests

Two mail drops. Initially re reducing the virus spread & secondly offering additional guidance on behavioural management techniques, local support networks, self-isolation tips

Co-working with the Local Authority to reduce escalation & where necessary crisis management. Day services closed, work in place to provide alternative provisions.

Continuing Health care
Changes to referral pathway? Unchanged although no requirement for DSTs and Reviews
Current position:
Caseload RAG rated and prioritised cases (Complex packages in home settings) shared with CCG. DSTs suspended
Case management  and Safeguarding enquiries as required
Processing negative checklist referrals to determine FNC needs.
Fast Tracks are clinically approved and placements sought.
Conference calls with Integrated Hospital Discharge.
Review packages of care for CHC patients where there is package/placement breakdown

End of life and hospice care (including non-specialist end of life care delivered by community / district nursing teams)
Current position: Closely monitor progress of End of Life patients and where prognosis improves to move patients out to appropriate nursing homes in a timely manner.

Rehabilitation bed based care
Changes to referral pathway? Closed
Current position:
Alternative rehabilitation being offered in patients own homes referral via SPA

Transitional service
Changes to referral pathway? Unchanged
Current position:
Service running normally

Adult safeguarding
Changes to referral pathway? Continue case management but not SARS
Current position:
Safeguarding to be continued to be undertaken by LD&CHC teams. WebEx meeting for monthly Safeguarding meeting to review cases

Phlebotomy
Changes to referral pathway? Unchanged -  Vicarage Lane and Centre Manor Park closed
Current position:
Shrewsbury and Appleby clinics remain opening – am only.

Clinical support to social care, care homes and domiciliary care
Current position: Continue to provide clinical support to social care, care homes and domiciliary care including medication support from Rapid Response & Tissue Viability Nursing.

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