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This policy defines the term Dual Diagnosis in terms of Illicit Substance and Alcohol Misuse and provides guidance and direction to staff on the most appropriate approaches to treat and enhance the wellbeing of the patient and their carers.

This Standard Operating Procedure (SOP) describes the operational aspects of managing referrals from point of entry into Children and Young People's Mental Health Services (CYPMHS) to discharge from service. Including relevant referral pathways depending on priority and / or signposting on to other services. ‘Future in Mind’ calls for all services in supporting children and young people to work together to: Place the emphasis on building resilience, promoting good mental health, prevention and early intervention Simplify structures and improve access Deliver a clear joined up approach Harness the power of information Sustain a culture of continuous evidence based service improvement Make the right investments

As a Public Benefit Corporation, Mersey Care NHS Foundation Trust is required to have a Constitution outlining how the Foundation Trust conducts its business and holds its meetings, including the Council of Governors (and groups) and the Board of Directors (and committees).

To ensure that a thorough and consistently high standard is applied to the assessment of clinical risk in order that the risks identified can be managed effectively and safely.

There have been repeated instances when information sharing could have prevented a child being seriously harmed. When Serious Case Reviews have taken place it has been established that information about historical safeguarding concerns with regard to other children related to adults living with the child, had not been shared between agencies. A recurrent theme within the analysis of Serious Case Reviews is that it is vital for practitioners to share information to safeguard and protect children (Brandon et al, 2009)It is essential that Child Health Records of newborn children must include full details of all siblings, step siblings and other children up to the age of 18 and any adult who may live in the family home of the newborn.

This procedure is to facilitate registered medical, nursing and allied health professional staff to be able to recognise the signs and symptoms of an anaphylactic reaction and to be able give first line emergency treatment of intramuscular (IM) Adrenaline 1:1000 injection i.e. 1mg in 1mL.

The aim of the procedure is to ensure the safe and effective care planning, prescribing and administration of Buccal Midazolam when prescribed for status epilepticus.

WORKFORCE SHARING (MOBILISING COLLEAGUES) IS IN ESSENCE MOVING COLLEAGUES FROM ONE AREA TO ANOTHER. EFFECTIVE WORKFORCE SHARING (MOBILISING COLLEAGUES) ENSURES APPROPRIATE LEVELS OF COLLEAGUES ARE AVAILABLE TO DELIVER SAFE, HIGH-QUALITY CARE TO PATIENTS AND SERVICE USERS. WORKFORCE SHARING CAN BE NECESSARY FOR A VARIETY OF REASONS FOR EXAMPLE STAFFING SHORT FALLS AND DURING BUSINESS CONTINUITY.

The Discharge Medicines Service enables NHS Trusts to send referrals direct to the nominated community pharmacy of patients who are eligible and would benefit from extra guidance around newly prescribed medicines, including a copy of the patient's discharge prescription, aiming to reduce re-admissions to hospital. The automated referral process and eligibility are determined in this SOP.

This Policy, which covers the disposal of surplus / damaged / obsolete / condemned assets, has been developed by the Deputy Director of Finance for the attention of all managers in accordance with the Trust’s Standing Financial Instructions (Policy F02), and the Scheme of Reservation and Delegation of Powers (F03), which are available to view via the Trust’s intranet