Good morning and welcome to Manchester Difficult to decide what to include, one persons normal work practice is another persons innovation – So just a glimpse of what happens here in GM – if you are local but not involved and want to be let me know
In GM we have a well established and supported ‘Suicide Prevention Partnership’ This meets on a quarterly basis and is currently chaired by the GM DPH identified as the Suicide Lead. Established in 2002 as noted as a response to the first government strategy for suicide Prevention At that time under Mental Health network and chaired by the MHN Director The membership has grown to include all agencies in the GM area that have an interest in reducing suicide numbers, whether through the use of their services as a method of suicide ie network rail or the services they provide being prevention services (LGF)
Here we have an example of the types of organisation represented As can be seen there are a significant number of statutory agencies as well as support agencies, private organisations and third sector groups. The footprint of the group across GM includes 10 localities, therefore for a number of agencies eg Public Health, there are multiple representatives. I still have PCT commissioners listed, we are working through which posts are relevant and which members wish to continue as members of the partnership in their new roles, needless to say mental health commissioners will be included irrelevant of their employing body.
The group re-visited its terms of reference and strategy in 2010 Last month a facilitated workshop was held to once again review purpose. This workshop was facilitated independently and covered Purpose and expectations of the partnership. Also looking at what was previously done well and what didn’t work so well in order to inform changes for the future. The future strategy and work plan for the group will fall out of these discussions.
over the last few years a significant amount of work has been achieved - in many ways this cannot be quantified through numbers of lives saved but is work towards making systems better, more efficient and robust in order to protect those at risk of taking their own lives. Hotspots Samaritan signs, evidence shows a reduction at hotspot areas . Evidence identified increasing age from young men to middle aged men – campaign is currently under development, once piloted we want to roll out across GM. Information flow –during a discussion the relevant parties realised they were each holding intelligence regarding vulnerable persons which if shared may save life/ increase access to services. Fire training – one borough fire trains multi agency staff to recognise vulnerability ie CPN, Meals on Wheels etc – training two way mental health train fire in recognising mental ill health signs. One of members wanted to share this work and is writing an article in conjunction with fire for a nursing magazine Hot spot work is around building regulations – no regulations include the concept that a person can use the building / structure for deliberate harm – all accidental, needs review on national scale.
issues identified around the interface between the police and place of safety, often A&E, lead to some data collection from GMP incident records which is now being used to support service redesign. Links have been strengthened and improved across GM through high level knowledge of these groups. During discussions an intelligence gap around incidents and outcome was identified, leading to a more robust process of referral with a knock on effect of reducing repeat incidents.
work identified that a repeat attender at A&E did not necessarily have a vulnerable person flag on the A&E system as it was not linked to the liaison / crisis system. Pilot in place such that a flag is placed on the A&E record which identifies if that individual has recently been brought in suicidal, this information is then passed to the liaison / crisis team to assist with prioritisation. The audit tool has been further developed following evidence from the trend analysis of suspected suicide statistics to determine, particularly in near miss cases, if the individual was at increased risk.
Greater Manchester Suicide Prevention Partnership• Initiated in 2002 following the publication of theNational Suicide Prevention Strategy.• Under the governance of the GM Mental HealthNetwork• Attempted to bring together all agencies with aresponsibility for suicide reduction.• Grew to include all agencies affected by suicide,and are therefore interested in suicide reduction
Greater Manchester Suicide Prevention PartnershipMembers of the group:Public HealthLocal AuthoritiesPCT CommissionersMental Health ProvidersPoliceBritish Transport PoliceFire and Rescue ServiceHighways AgencyNetwork RailPrison ServiceNorth West Ambulance ServicesManchester UniversityNational Car ParksMetrolinkPassenger Transport ExecutiveCanal and River TrustVoluntary Sector organisations eg:•Samaritans•Papyrus•LGF•Self Help Services
Greater Manchester Suicide Prevention Partnership• Terms of reference and strategy for the groupre-visited in 2010.• Further review at the end of April 2013 to ensurethe group is ‘fit for purpose’ in the new landscape.• A new strategy and work plan for the group will beadopted outlining future developments.
Greater Manchester Suicide Prevention PartnershipAchievements and Innovative Working•Samaritan signs in hot-spot areas.•Men, age 35-49, Wellbeing campaign.•Vulnerable person systems information flowbetween GMP and BTP.•Article for Nursing magazine around Fire training.•Identification of hotspot incorporated into safercities work.
Greater Manchester Suicide Prevention PartnershipAchievements and Innovative Working•Attempts and section 136 data supporting reviewof services and commissioning.•Links between local safety groups and GMF&RSCommunity Safety Managers.•Identification and rectification ofintelligence gaps between GMP and Highways.
Greater Manchester Suicide Prevention PartnershipAchievements and Innovative Working•vulnerable person flags for repeat attenders in A&Eto ensure Priority action for Liaison/ crisis teams.•Development of the Mental health audit tool usedfollowing in patient incidents of near miss / death.
Greater Manchester Suicide Prevention PartnershipContact Details:Helen MarshPolicy Analyst, GM Public Health NetworkTelephone: 01942 483087Mobile: 07972 640042Helen.firstname.lastname@example.org