Lewisham’s Crisis Plus shortlisted for HSJ Award

An initiative to help people who regularly use South London and Maudsley NHS Foundation Trust’s acute and crisis services has been shortlisted for a Health Service Journal (HSJ) Patient Safety award.

Staff and patientPart of the Intensive Case Management Service in Lewisham, Crisis Plus was set up in 2019 to work with service users who are repeat users of acute and crisis psychiatric services. These service users may have difficulty engaging, be seen by different teams, and known by other agencies including emergency services. They are often clinically complex, transdiagnostic and present with a high level of risk.

The Crisis Plus model uses data from South London and Maudsley NHS Foundation Trust services to better identify and understand this group of service users, known as High Intensity Users (HIUs). The team support HIU with co-produced multi-service, multi-agency care and crisis plan, working with their carers and care coordinators. In doing so, Crisis Plus brings services and agencies together to improve communication, risk sharing and decision-making.  

The team have seen reductions in admissions and liaison presentations and received positive feedback across Lewisham about the support they have offered service users and services.  For service users it has meant being out in the community longer and feeling more confident in how they and others support them. There has been a reduction in hospital admissions, bed days and presentations to psychiatric liaison services.

As part of Reshaping our Services, the team is working with other operational managers, clinicians and service user experts to look at how to bring this model to other parts of the Trust.

The HSJ Patient Safety Awards help drive improvements in culture and quality across the NHS by celebrating the teams and people putting patient safety first.

Speaking about the nomination, Ketan Sonigra, clinical lead in intensive case management and principal forensic psychologist, said:

We are really proud to be shortlisted for HSJ Mental Health Initiative 2020. It shows what can be done by a small team offering a dedicated focus to this vulnerable cohort of service users. I am really excited about the next steps, including how we expand across the Trust and other HIU groups. We’re immensely grateful to the network of professionals who have used our model to improve the service users' experiences of crisis and acute services. 

If you have any questions or would like to discuss the service in more detail, please contact the clinical lead Ketan Sonigra at ketan.sonigra@slam.nhs.uk.