Royal College of Emergency Medicine Guidance 

The Royal College of Emergency Medicine (RCEM) has clinical guidelines available for professionals working in emergency medicine. This section includes guidance on the following: RCEM Guidance, Toolkits and Best Practice. You will find information and college guidance below regarding the following: paracetamol overdose, mental health, drugs and alcohol and guidance implementation. 

RCEM Guidance

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Mental Health

Learn about Liaison Psychiatry Services

Central and North West London NHS Foundation Trust have produced an excellent video explaining what liaison psychiatry does and how it benefits patients. Watch the video here.
 

Randomised Coffee Trial for ED Mental Health Leads

Let’s get Emergency Physicians talking about Mental Health Care: join our Randomised Coffee Trial (RCT)

The 10th October is World Mental Health Day and also day 2 of RCEM 50 year celebration week when we are focusing on Mental Health.

Today we have published the revised RCEM MH toolkit.

RCEM would love to make contact with ED clinicians who are passionate about good Mental Health care or perhaps are the frustrated lead for Mental Health in their department! We would also like to get you talking to each other to share good practise and encourage each other.

As part of this we will be running a Randomised Coffee Trial for Emergency Medicine Mental Health Care and we would love you to take part.

Sign up here!

Randomised Coffee Trials (RCTs) are a simple but powerful idea. In an era of electronic patient records and complex workloads, we are talking to each other less. We want to get talking to each other again.   So we are going to pair people up and give them the opportunity to have a cup of coffee and a chat together either in person or via skype etc.  There a lots of benefits to RCTs including breaking down silos, getting people to connect and learning from each other.  Hundreds of organisations across the public, private and voluntary sectors have introduced RCTs with great results and we’d like to do it too!

It is really easy to sign up. Just sign up here to say you want to take part and this is what will happen:

  1. We will pair you at random with someone else interested in Emergency Medicine and Mental Health Care. It could literally be anyone.

  2. We will email you on 10 November to introduce you to your RCT partner. 

  3. It is then up to the two of you to get in touch with each other and organise a 30 minute chat over coffee (other beverages are permitted!).

  4. If the two of you live far away from each other, you can have a virtual RCT over Skype or the phone, still with a cup of coffee.

  5. After the RCT, we will send you another email asking how you found the experience.

 Sign up here to get involved and we’ll get you paired up!  Let’s get the kettle on…

Mental Health in Emergency Departments - A toolkit for improving care

Service provision for patients with mental health issues can be very challenging to resolve. Frequently ED and mental health are provided by discrete organisations, and offering a seamless service to the patient can seem impossible. Much of the commissioning structure for mental health is based around different geographical and logistical domains when compared to acute services. This often results in sub-optimal or absent services to patients attending the ED with mental health needs.

The toolkit provides several resources that EDs can use to develop and improve the care provided to patients with mental health issues. Resources include guidelines, example assessment aids, example business cases and standards for EDs.

 

NHS & Mental Health

Read general information about Mental Health on the NHS Choices website

What is the Mental Health Crisis Care Concordat?

The Mental Health Crisis Care Concordat is a national agreement between services and agencies involved in the care and support of people in crisis. It sets out how organisations will work together better to make sure that people get the help they need when they are having a mental health crisis.

Mental Health Crisis Care Concordat - Improving outcomes for people experiencing mental health crisis

On 18 February 2014 the Government published a joint statement about how public services should work together to respond to people who are in mental health crisis. The Royal College of Emergency Medicine is a signatory to the concordat and welcomes and supports this commitment to work together to improve the system of care and support so people in a crisis because of a mental health condition are kept safe and helped to find the support they need, whatever the circumstances in which they need help and form whichever service they turn to first. Find out more about the concordat here: Mental Health Crisis Care Concordat.

The national bodies involved in health, policing, social care, housing, local government and the third sector came together and signed the Crisis Care Concordat. It focuses on four main areas:

Access to support before crisis point – making sure people with mental health problems can get help 24 hours a day and that when they ask for help, they are taken seriously.
Urgent and emergency access to crisis care – making sure that a mental health crisis is treated with the same urgency as a physical health emergency.
Quality of treatment and care when in crisis – making sure that people are treated with dignity and respect, in a therapeutic environment.
Recovery and staying well – preventing future crises by making sure people are referred to appropriate services.

Although the Crisis Care Concordat focuses on the responses to acute mental health crises, it also includes a section on prevention and intervention. The Concordat builds on and does not replace existing guidance. Current service provision should continue while the Action Plan is being devised.

Read the Crisis Care Concordat.

How can I find out more about the Concordat? 

A dedicated website has been established by the charity Mind and the government that provides information about the concordat, what organisations are doing to implement mental health care improvements and details of actions you can take, see more here

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