Last week, the Care Quality Commission (CQC) published a report into the quality of care given to people who experience a mental health crisis. The report, “Right Here, Right Now”, focussed on the following three areas:
- Help, care and support in the community;
- Going to A&E for help and support;
- Experiences of detention under section 136 of the Mental Health Act.
The evidence was gathered through data reviews, local area inspections and evidence provided by people who have used crisis care services. The outcome reported that:
- Only 14% of people who have experienced a crisis felt the care received provided them with the right response and helped them to resolve their crisis;
- 65% of local organisations felt that out of hours care was not of an equal standard to the care provided at other times of the day;
- Nearly 50% of people reported that they did not feel confident that they would receive a timely or helpful response if they experienced a future crisis.
In writing the report, CQC have identified a significant difference between the reported experiences of people who had accessed a charity based service to the statutory Community Mental Health team or A&E. 74% of respondents who accessed a charity reported that they felt they received the help they needed in a timely way, compared to only 35% reporting the same feelings when they accessed the Community Mental Health team;
“It is encouraging that a professional working outside of specialist services can get it right and this should act as a challenge to those working in the health service to do the same.”
The report concluded with the following recommendations:
- To ensure that all pathways into crisis care are focussed on providing accessible, available and timely support for all who require it;
- To hold commissioners to account for commissioning crisis services the deliver a quality of care based on evidence-based good practice;
- To engage with local, regional and national partners to ensure innovative approaches to improving experiences of those in crisis are shared within and across local areas.