Quality statement 9: Crisis planning

Quality statement

People using mental health services who may be at risk of crisis are offered a crisis plan.

Quality measure

Structure: Evidence of local arrangements to ensure that service users who may be at risk of crisis are offered a crisis plan.

Process:

a)Proportion of service users who may be at risk of crisis offered a crisis plan.

Numerator – the number of people in the denominator who are offered a crisis plan.

Denominator – the number of service users who may be at risk of crisis.

b) Proportion of service users accepting an offer of a crisis plan who have a crisis plan.

Numerator – the number of people in the denominator who have a crisis plan.

Denominator – the number of service users accepting an offer of a crisis plan.

Outcome: Evidence from experience surveys and feedback that service users who may be at risk of crisis are offered a crisis plan.

What the quality statement means for each audience

Service providers ensure systems are in place to offer a crisis plan to service users who may be at risk of crisis.

Mental healthcare professionals offer a crisis plan to service users who may be at risk of crisis.

Commissioners ensure they commission services that offer a crisis plan to service users who may be at risk of crisis.

People using mental health services who may be at risk of crisis are offered a crisis plan.

Source guidance

'Service user experience in adult mental health' (NICE clinical guidance 136) recommendations 1.1.11, 1.1.12 and 1.4.5.

Data source

Structure: Local data collection.

Process: a) and b) Local data collection. The mental health minimum dataset contains data on creation of crisis plans for people on a Care Programme Approach (CPA) only. More information available at HES Online.

Outcome: Local data collection. Providers may be able to use questions contained within the national patient surveys available from NHS Surveys. A question on crisis planning is contained within NHS community mental health survey (Q28).

Definitions

A crisis plan should contain:

  • possible early warning signs of a crisis and coping strategies

  • support available to help prevent hospitalisation

  • where the person would like to be admitted in the event of hospitalisation

  • the practical needs of the service user if they are admitted to hospital (for example, childcare or the care of other dependants, including pets)

  • details of advance statements and advance decisions

  • whether and the degree to which families or carers are involved

  • information about 24-hour access to services

  • named contacts.