The campaign so far...


Listening to experience

In November 2011, after a year long independent inquiry, we published our crisis care report Listening to experience. It found that excellent crisis care does exist, but for many the care provided is too little, too late or there's nothing at all.


Going to Parliament

In March 2012, we had our day in Parliament. A group of crisis care champions, who have all experienced crisis care services, met with MPs to explain what happened to them and give their views on what needs to change.

Demanding excellent crisis care

In a survey we found only 14 per cent of people in crisis got all the help and support they needed, while our freedom of information investigations into local crisis care services found that the support you get depends on where you live. We sent briefings on commissioning excellent crisis care and commissioning excellent crisis care for black and minority ethnic communities to all clinical commissioning groups.


Calling for an end to face down restraint

In June we published a campaign report about the use of physical restraint across England. Based on freedom of information investigations it showed huge variation in the use of restraint. In a single year, one trust reported 38 incidents while another reported over 3,000. That’s unacceptable. 


Crisis Care Concordat

In February 22 national bodies involved in health, policing, social care, housing, local government and the third sector – including Mind – signed the Mental Health Crisis Care Concordat, agreeing to  work together better to make sure people experiencing a mental health crisis get the help they need when they need it. By the end of the year there was a concordat agreement in every locality in England. 

National guidance on restraint

In April the Government published new guidance Positive and proactive care for adult health and social care in England. It promotes therapeutic environments and aims to reduce the need for restrictive interventions of all kinds so they are only used as a last resort. It says that prone restraint (face down on your front) should not be used deliberately.


General election

Crisis care was one of the six manifesto themes in our general election campaign. Through our campaigners our manifesto reached 95 per cent of MPs and in January campaigners contacted nearly 1,700 parliamentary candidates and asked them to show their support for the crisis care concordat. All the main parties’ manifestos had a substantial section on mental health.

Crisis Care Concordat

National signatories continued to work on their actions to improve crisis care, while every locality in England produced and later updated its own action plan.

National guidance on restraint

More official guidance was published on restraint and other restrictive interventions as the Mental Health Act 1983 Code of Practice was revised and NICE updated its guidance on violence and aggression. They both emphasise prevention and strongly advise against prone restraint, though they do allow it.


Campaigner guides on restraint

In January we published a two guides to help campaigners better understand the guidance on restraint, and help people campaign on the issue. Restraint in mental health services: What the guidance says and Restraint in mental health services: Influencing change in your area were released in association with the National Survivor User Network (NSUN).


Crisis care reports

Full trust reports

All reports below are in PDF format and contain data from November 2012 and June 2013 FOI requests.

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