In 2017 we sent a Freedom of Information request to mental health service providers and found that at least one in 10 people aren’t getting any follow-up in the first week after leaving hospital. We called on NICE to change its guidelines to make sure everyone leaving hospital after a mental health crisis gets followed up within 48 hours.
We also published our ‘Planning for recovery’ guide to help people take part in their own discharge and care planning followed by a briefing which outlined the findings of our survey of over 850 people about their experiences of leaving hospital for a mental health problem and NICE guidance and best practice on what discharge from hospital should look like.
Our 2017 general election manifesto called for the government to change outdated and discriminatory legislation like the Mental Health Act and the definition of disability to ensure everyone with mental health problems gets support and respect.
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 was one of our four manifesto priorities for the 2016 Welsh Assembly elections.
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.
The Mental Health Crisis Care Concordat in Wales was signed in December 2015 by the Welsh government, police forces, NHS, councils and other agencies. At Mind Cymru we’re supporting the work of the Concordat by working with partners to help ensure people get the help and support they need.
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.
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, and the following year saw each local area produce their own action plan.
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.
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.
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.
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.
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.