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Help in a crisis

 

If there is an immediate danger to life, please dial 999 or go to your nearest Accident and Emergency Department.

I am in Gloucestershire

If you or someone you know needs help in a mental health crisis, call our crisis teams.

Call 0800 169 0398.

And choose one of the following options depending on your location:

  • Option 1 for Stroud and Cotswolds
  • Option 2 for Gloucester and Forest
  • Option 3 for Cheltenham, Tewkesbury and North Cotswolds

Please note: telephone calls may be recorded. If you do not want that to happen, please tell the person who answers your call and they will phone you back on a ‘non-recordable’ telephone.

The number is available 24 hours a day, 7 days a week. Occasionally, callers may be asked to leave their name and number on an answerphone. In these circumstances, staff will return the call within one hour.

I am in Herefordshire

If you are in Herefordshire and need support, please call us using one of the following numbers:

  • Monday to Friday, 9am – 5pm, please contact the team or service who currently provide your care.
  • Monday to Friday, 5pm – 9am and 24 hours on weekends and bank holidays, please call our Mental Health Matters Helpline on: 0800 015 7271

These contact numbers are for people already in contact with our services. If you are not currently in contact with us, please call 111 or your GP.

Our out of hours, weekend and bank holiday service is provided by Mental Health Matters.

If you need help but are not in crisis, please contact your GP if in opening hours, or 111. If you don’t have a GP use the NHS service search to locate the nearest one to you. If your query is not urgent, you can find our contact details here.

Are you feeling vulnerable? Do you need to talk to somebody now?

samaritans

Call free on 116 123
If you are experiencing feelings of distress or despair, including those which could lead to suicide, you can call the Samaritans.

Stay Alive App

A pocket suicide prevention resource for the UK, packed full of useful information and tools to help you stay safe in crisis. You can use it if you are having thoughts of suicide or if you are concerned about someone else who may be considering suicide. The app can be accessed through the Apple Store, Google Play and downloaded as a pdf.

childline

Call free on 0800 11 11
If you are a child or a young person you may want to speak to Childline.

selfharm

Call 0808 816 0606
Or text 07537 410 022
A safe, supportive, non-judgmental and informative service for people who self harm, their friends, families and carers.
Opem every day 5pm – 10pm for phone and text support.

A personal reflection from Sarah Morton, Professional Head of Adult Physiotherapy, Gloucestershire Care Services NHS Trust, on a recent visit from the Chief Allied Health Professionals (AHP) Advisor for Wales:

Last week we had a visit from the Chief Therapies Advisor for Wales to discuss some of our extended practice roles in Rapid Response. A service specifically designed to support acutely unwell patients where clinically appropriate, in their own homes preventing unnecessary and disruptive hospital admissions. Her visit was to find out more about the well-established Rapid Response service in our organisation and to take any learning back to contribute to potential development of models in Wales. It was a welcome visit and came about as a result of discussions with our Professional Body.

The Rapid Response service is comprised of Paramedics, Nurses and Physiotherapists all with their own unique skill set and professional backgrounds. With the solid foundation of medical model training the Physiotherapists in this service have developed new competencies along agreed pathways using competency frameworks to support their learning needs. This has included M level post graduate training at University to underpin areas not addressed through core undergraduate training. One of the Physiotherapists incorporates a Clinical leadership role of a Multi-Disciplinary Team as well as expanded scope functions.Earlier in the year, the Chartered Society of Physiotherapy Chief Executive, Karen Middleton had spent a day with us in Gloucestershire Care Services meeting clinicians and discussing professional issues. During one of those conversations, some of our Physiotherapists in Rapid Response were able to talk about their roles as Practitioners within that service, their extended functions and how they had developed new competencies traditionally within the scope of other professions. Karen’s belief endorsed and supported our commitment to continuing to encourage our clinicians to take opportunities to develop and expand our roles within services across all areas of our profession.

Significant learning has been acquired along this journey, much of which could help other areas to develop their own Multi-Disciplinary models where the roles undertaken by clinicians are about the competencies rather than the perceived demarcations of the professions. The professional background is the starting point for what should be lifelong learning allowing for growth, development and expansion of professional roles.

 The recently published Chartered Society of Physiotherapy Advanced Practice Guidance 2016 has been a very welcome document. This helps define the framework which underpins the requirements for existing and emerging roles such as the Rapid Response Practitioner. As commissioning units and provider organisations move forwards with innovative models it is essential to share learning from these evolving services. A degree of consistency in the requirements and evaluation of work based competencies will be essential for robust, sustainable models.  

 With the short supply of highly skilled clinicians across all professional groups, maximising the contribution of clinical contacts and reducing unnecessary clinical duplication is good for patients and for effective streamlined services. However this all has to be underpinned with strong governance frameworks. Our learning during the development of Rapid Response has been that where this has not been in place it has resulted in clinicians feeling unsupported and the model needing to be more clearly defined. The service is now three years into its evolution and will be more fully described by one of the leading Physiotherapists who has been involved since its inception. 

Rapid Response is a key and essential component of our urgent care community services and offers an example of what our profession can contribute when you start thinking outside the role boundary box. It’s good to challenge the delineation.

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