SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

To provide specialist input (NB. As with other specialist input, the psychiatric liaison
team will be responsible for the advice they provide, but responsibility for the overall
care of the patient will remain with the UCC).
To provide advice on onward referral of psychiatric patients and support UCCs to
manage this process.
To provide UCC clinicians with training designed to improve their ability to identify
and treat psychiatric patients.
In support of the principle of integrated clinical governance, the proposed Joint
Clinical Governance Groups will require Mental Health representation in order to be
quorate (in line with current ED practice).
The UCC clinician will determine whether the patient‟s condition requires specialist input
from the psychiatric liaison team, transfer to ED, or referral back to their GP. In the majority
of cases the patient can be seen and treated by a UCC clinician.
The escalation path is UCC clinician, then psychiatric liaison team / on-call psychiatrist. This
escalation route relates purely to the nature of the mental health issue. A patient whose
clinical condition deteriorates significantly would be transferred to the ED (as for any other
type of patient).
7.14.6 Referral and discharge
Figure 7.40: Referral and discharge
7b. Work of the Emergency and Urgent Care CIG 162