Emergency Health Crisis Situations
Emergency Crisis Situations
Medical emergencies (e.g. self-harm or suicide attempt) call 999 or go to a hospital Accident & Emergency
For non-medical emergencies, contact Halton Assessment/Home Treatment Team first to see if we can deal with the emergency
Halton Assessment/Home Treatment Team – Manager is Matthew Oultram
- Assessment Team is available 24 hours a day, 7 days a week and see all new referrals for people not already being supported by mental health services based in a hospital or clinic rather than in the community.
- The team completes a telephone triage and, if appropriate, face to face assessments to signpost to the appropriate service
- We aim to assess, plan and care for the person within 12 weeks, if we offer intervention in our service (such as Medic input, brief interventions, extended assessments, etc. this can go up to 16 weeks)
- We cover all of Halton for emergencies from 8pm to 8am
- Referrals for Assessment Team will be accepted primarily from GPs, however if the service user was in a crisis/emergency then self-referrals can be made, we will also accept referrals from any professional but again we would primarily ask that they start at the beginning of the treatment pathway with their GP first
- Contact Details: Assessment Team – 0151 422 6804
- Home Treatment Service is available from 8am to 8pm, 7 days a week
- The team is considered an alternative to hospital admission and will only take cases requiring intensive support, have significantly high risks and need a lot of care to ensure they remain out of hospital (i.e. potentially visiting 1-4 times every day).
- From 8pm emergency cases will be dealt with by the Assessment Team night practitioner as mentioned above
- Referrals can only come from a hospital or clinic mental health services (this includes Assessment Team), they will not take referrals from GP’s or self-referrals (unless under a hospital or clinic mental health service and it is out of hours)
- Contact Details: Home Treatment Team – 01928 753981
Halton Recovery Team – Managed by Martyn Veevers
- The Recovery Team is available from 9am to 5pm, Monday-Friday
- The team will take cases needing care co-ordination and longer-term support, those with a diagnosis of a severe and enduring mental illness (i.e. Schizophrenia, Bi-Polar, Severe/Recurrent Depression, etc.)
- We hold a caseload of people under shared-care service for people who are prescribed certain medications that the GP cannot prescribe alone and therefore require a Psychiatrist review every 6-12 months but do not require any other support from mental health services
- We will also take referrals for people who require more intensive psychological therapy, (classed as Step 4 therapy), these people usually have complex symptoms and higher risks
- People who have less complex symptoms and considered as high risk that require psychological therapy will go to Halton IAPT (Improving Access to Psychological Therapies) for Step 2 and Step 3 therapy e.g. depression, anxiety, Obsessive Compulsive Disorder (OCD) or Post-Traumatic Stress Disorder (PTSD)
- Referrals can only be made by other a hospital or clinic mental health service – GPs, professionals or Self-referrals need to go through the Assessment Team first
- Contact Details: Recovery Team – 01928 753968
Health & Wellbeing
Books on Prescription from your local library for information and advice for young people, their families and people worried about symptoms or wanting to find out more about conditions and situations affecting young people
Community Alcohol Partnership – to tackle underage drinking
Family Futures offer a fun way to learn about healthier lifestyles for children and parents
Genito Urinary Medicine (GUM) clinic at Halton General Hospital provides a free, confidential service for anyone with worries about sexual health including tests and treatment
Health Engagement Officers – bridge the gap between health services and community support to help families, children or young people receive the right support at the right time
Health Improvement Team can help you improve your health and wellbeing, including support to quit smoking, lose weight and get fit and healthy.
Live Life Well provides helpful support and services
NHS Choices Healthy Eating information, advice and guidance on healthy eating for the whole family
Physiotherapy for children and young people aged 0-16 (up to 19 if already in the service)
Wellbeing Enterprises – resources, local information/support, self-help guides, plus much more
Easy Read Guides
Annual Health Checks
What are Annual Health Checks?
Families with 0-5 years and School-age Children
Concerns about your child’s behaviour or want to learn new parenting skills
Triple P: Positive Parenting Programme may be able to help NOTE: Must be referred by a professional – Self-referrals not accepted.
Healthy Child Programme
- School Nurses deliver the Healthy Child Programme for school-aged children and young people 5-19 years of age and work with their families around health needs to promote health and wellbeing with a focus on early help and support
- School Nursing Facebook page
Midwifery and Health Visitor Services
Breastfeeding Service/Support Groups and Parenting in the Community Service
Midwifery Service based at Widnes Health Care Resource Centre and from GP surgeries on Runcorn. Women can self refer, be referred from other services or be referred by their GP
Health Visiting Service offers health assessments, advice support and interventions to children and families as required in their first years of life
Sleep Disorder Support
Scope Sleep Solutions Support for families of disabled children and/or additional needs, aged 2-19 with severe sleep problems. Providing workshops, clinics, home visits (where appropriate), phone and email support. Further details, Sleep Coordinator 07435 964605
Helping your child sleep advice and tips – For details of local support contact your Health Visitor or School Nurse
Young Mums and Teenage Pregnancy (Family Nurse Partnership)
Teenage Pregnancy – Family Nurse Partnership is a programme to support first time mothers under the age of 20 – Facebook
Local Data (JSNA), Reports and Case Reviews
Halton Children’s Joint Strategic Needs Assessment (JSNA)
The Halton Children’s Joint Strategic Needs Assessment (JSNA) identifies ‘the big picture’ in terms of the health and wellbeing needs and inequalities of the local population. It is based on the analysis of current and predicted health and well-being outcomes and sets out what people want from their services.
The JSNA is underpinned by partnership working, community engagement and evidence of effectiveness.
Healthwatch Halton help local people to influence health and social care services
Learning from Case Reviews – Children with Disabilities and/or who are Deaf
SEND Briefing – provides important information around key findings and key messages for staff from case reviews
Housing & Equipment
Housing and Adaptations
In this section you’ll find information on:
- Minor Adaptations
- Major Adaptations
- Re-housing and Accessible Housing
- Disabled Facilities Grant (DFG) and Halton Home Improvement Agency
- Dropped Kerbs and Vehicle Cross-overs
- Disabled Parking Bays
- Housing Associations
How can I find out more about a medical condition?
- Halton Carers Centre offer support to parents of children with ADHD
- Halton ImPart – help to empower Halton parents/carers of children with disabilities or additional needs to have their voice heard in service design and delivery. I’m Parenting, I’m Participating, I’m Part, for further information – contact Julie Sumner
- Scope Face2Face offer lots of support, parents/carers can self-refer or be referred in using this Referral Form for further information contact Tina Taylor Tel: 07767 346724 – support includes:
Other Useful Contacts/Support
ADHD Foundation for advice/support
Autism/Sensory Processing Difficulties
Cheshire Autism Practical Support CHAPS support families with Autism Spectrum Condition or Aspergers Syndrome (diagnosed or not) Contact email@example.com or if you require details of current activities contact Ruth Bradford on 0844 850 8607
- Attention Card
- Parents meetings
- Children’s activities Please note these are only open to CHAPS members
- Adult services
- Halton Parents Group
Behaviour which challenges
The Positive Behaviour Support Service (PBSS) is a specialist service that works to support behaviour which challenges and improve quality of life for people with autism and/or learning disabilities who engage in challenging behaviour.
Cerebra provide health and social care information for the parents and carers of children aged 0-16 years with neurological conditions
Stick ‘n’ Step offer FREE weekly or twice-weekly conductive education sessions to children and young people with cerebral palsy. A new centre is opening soon at Tudor Hall, York Street, Runcorn – parents can self-refer using the Family Enquiry Form. Eligibility for support by the service is by an assessment. Contacts are Sarah Smithson and Kelly Marks Tel: 01928 573777/0151 638 0888. Case Studies will be added shortly
- Diabetes information to help people with diabetes
Sugar Smart App to help parents see how much sugar there is in everyday food and drink for their children, 4-10 year olds often consume over 5,500 sugar cubes a year which is about 22kg, the average weight of a 5-year-old. Too much sugar can lead to painful tooth decay, weight gain, obesity and it can also affect children’s wellbeing as they are more likely to be bullied, have low self-esteem and miss school
Type 2 Diabetes – Group Education/Information Sessions provides a variety of half day, patient education sessions that provide encouragement, support and information to help manage the condition.
Dentist – Community Dental Service Bridgewater provide dental treatment for children and adults with disabilities who need specialised care. Local clinic is based at: Dental Dept, Room 6, Lister Rd, Astmoor Industrial Estate, Runcorn WA7 1TW Tel: 01928 593001. Dental charges are as follows:
- Band 1=£19.70
- Band 2 =£53.90
- Band 3 -£233.40
Dental – Oral health– Early years settings supervised toothbrushing programmes. SEND Schools Supervised toothbrushing. Supporting early years structured sessions. Resource boxes for settings and schools. Training for health and community professionals.
Sugar Smart App can help parents see the amount of sugar in everyday food and drinks – too much sugar can lead to painful tooth decay, weight gain, obesity and affect children’s wellbeing as they are more likely to be bullied, have low self-esteem and miss school
Visit https://www.epilepsy.org.uk/ for more information
Hearing and Vision
Audiology – Hearing for Children for children and young people aged 0-18 and their family to help them aims to communicate, learn and interact with others to the best of their ability
Hearing Tests for Children – hearing tests explained
Hearing Impairment Service – support for children, young people, their family, educational settings and colleges
Hearing Screening Unit offer a Newborn Hearing Screen and a school service to all children attending a mainstream school in Halton in the school entry year. Any baby or child failing the screen will be referred on to Audiology for further tests
The Buzz: 8-11 years old – deaf children’s website
The Buzz: 12-18 years old – deaf young people’s website
Hearing – Video Guides
Children’s Eyes – advice on children’s vision
Community Orthoptics – for children who are not progressing at school and have difficulties with reading, writing and spelling can access our specialist team of Orthoptists
- Specific Learning Difficulties Clinic – Orthoptist Referral Process
- Orthoptist Screening Tool for Teachers
Visually Impaired Service for visually impaired children and young people
Vision Support Resource Centre based at the Independent Living Centre in Collier Street, Runcorn
Lots of support, advice and services for Mental Health
Speech and Language Therapy Services
NEW Speech and Language Therapy Service from 1 September ’17
Halton Borough Council and Halton Clinical Commissioning Group (CCG) have been working in partnership on an exciting new development in Children and Young People’s Speech and Language Therapy services. The NEW service will be delivered by a single organisation to all children and young people in Halton with speech, language and communication needs.
The new service will start on 1 September ’17 and will be delivered by ChatterBug Ltd, a national provider of speech and language therapy services
Please note, if children and young people are currently receiving speech and language therapy services they will continue to receive them when the new service starts and where possible from the same therapists
The Council and CCG will share responsibility for all parts of the service and for children and young people’s outcomes. Services will include delivery of high quality, evidence-based provision, specialist assessment and intervention for children and young people with needs at all levels, provided in schools, nurseries and other education settings, in clinic and in a range of community venues.
Other Useful Information
Going to see your GP or attend a Hospital Appointment?
Search for a GP, Densist, Chemist
Search for your local Doctor-GP Practice, Dentists, Opticians, Hospital
Toolkit/Form to complete before attending medical appointments
This can help you to explain to doctors/medical staff about things that are worrying you/your family. It was developed with disabled young people, parents/carers and other experts. It can help you think about:
- Is going well
- Might help to make it easier to join in everyday activities and make life more enjoyable – there is space for concerns or questions
- You’ll also find a list of medical conditions, areas of function and other things that might be important
Choose the traffic light colour most appropriate:
- Green – if no concerns
- Amber – if some concerns
- Red – if serious concerns
Take this Toolkit-Form to the appointment to help you discuss things
Easy Read Guide – Questions to ask your GP or at a Hospital Appointment
Carers Centre Information Book & Hospital Liaison Service
Care at the Chemist (NHS Minor Ailments Scheme)
The Minor Ailments Scheme (or Care at the Chemist) is available to those exempt from paying prescription charges – because they’re under 16, over 60 or have a prescription prepayment certificate (PPC) – you don’t have to pay for the certain medicine. Information from Boots the Chemist about the scheme
Common ailments that may be treated under the scheme include:
Children in Care Health Services
Children in Care Health Services for those in the care of a local authority
Caring for a disabled child
NHS Choices – Caring for a disabled child – Tips for parents/carers
This is a community based team of experienced specialist nurses and nursery nurses providing support, advice and treatment to children and young people with bowel and/or bladder problems
Continuing Care - Children and Young People
What is Continuing Care for Children and Young People?
It’s a tailor made package of support needed over an extended period of time for children and young people aged 0-18 years with complex health needs due to a disability, accident or illness. Despite accessing all available support from health services a tailor made package of support is still required to meet their health care needs.
National Framework for Children and Young People’s Continuing Care (Department of Health, 2015)
The ‘Framework’ describes the process, led by CCGs, which organisations should go through in assessing needs and putting in place bespoke packages of continuing care for children and young people.
The assessment process is not a set process and may be adapted to meet the needs of the child/young person and their family. In particular, where a child has a special educational need or disability (SEND), which will often be the case, then CCGs and local authorities should endeavour to coordinate the assessment and agreement of the package of continuing care, as part of the process to develop the child’s Education, Health and Care plan.
What’s the difference between Continuing Care and NHS Continuing Healthcare (CHC)?
NHS CHC is for adults who have very severe or complex health needs focusing mainly on health and care needs
Continuing Care for a child or young person should also consider their physical, emotional and intellectual development as they move towards adulthood. The framework offers guidance about Transitional planning and arrangements for young people as they move into adulthood and adult services.
Holistic Care Package
The NHS and Local Authority work together to provide a holistic care package to meet the assessed health, social care and educational needs to provide the best outcomes for both child/young person and their family. Assessments are carried out at a place of the parent/child’s choice usually in the family home.
Continuing Care Personal Health Budgets - Children and Young People
Introduction to Personal Health Budgets in NHS Continuing Healthcare
The national team has published a short animated film showing how personal health budgets can offer more choice for people as part of NHS Continuing Healthcare. Since October 2014, people in receipt of NHS Continuing Healthcare have had a legal right to have a personal health budget, enabling them to receive care and support that best suits them. The film goes through six steps involved in providing people with a personal health budget, and is a great resource for all Continuing Healthcare teams and professionals.
Eating Disorder Services
From April 2017 – 5Borougths Partnership will be delivering a new community-based assessment, treatment and support service for children and young people to provide one-to-one support, family therapy and support from a qualified dietician
Support/Helplines available through B-eat (Beating Eating Disorders)
For support, advice and information for anyone concerned that they or someone they know may have an eating disorder
- Beat’s Youthline Tel: 0345 634 7650 (for children or young people aged 18 and under)
- Beat’s helpline Tel: 0345 634 1414
Halton Community Specialist Learning Disabilities Team
Who are we?
We are Occupational Therapists, Physiotherapists, Speech & Language Therapists and Therapy Assistants. There are Clinical and Assistant Psychologists, Consultant Psychiatrist, Community Matron (Bridgewater NHS Foundation Trust. We also have office staff who answer the telephone, send out appointments and letters and help us run our service. All staff are DBS checked.
Where are we based?
At the Bridges Learning Centre in Widnes, on Crow Wood Health Park, Crow Wood Lane. The Bridges Learning Centre has a ramp outside to the front door and there is a system to help if you have a hearing problem. There is a toilet with facilities for people with physical disabilities. There are disabled parking spaces in our car park, which are near to the building
We work with people living in the Halton area – Runcorn and Widnes. We work with people in many settings; at home, at college, at our office or at your day service or other community places you attend.
Who we provide a service for?
We work with people:
- from the age of 18 upwards, if young people have complex needs Children’s Services may ask that we get involved at a younger age, so that you know us when you reach age 18. Children’s Services will still take the lead on your care though.
- who have a diagnosed learning disability, this may be written down in your SEN Statement, EHC Plan or in an assessment about your understanding and knowledge.
We do not provide services for people who do not have a learning disability. This includes people with physical disabilities, mental health issues, brain injuries during adult life or autism without a learning disability.
What does are service do?
Our team supports people who have difficulties accessing mainstream services because of their learning disability. We support people who have difficulties with all aspects of their life including day to day tasks, health and lifestyles. We also offer training for families, carers and other professionals.
How can I start using the service?
You can make a referral yourself or ask someone to do it for you. Anyone making a referral on your behalf needs to ask you if you agree to this – Referral Form
We are a small service and sometimes have a waiting list. If we feel another service can give you better help we will tell you who they are. As part of the NHS we do not charge you for our services. Sometimes you may need to buy equipment for yourself, if other services don’t provide it and we cannot find a service to pay for it.
How are decisions made about who can use our service?
When people are referred to our service we check what information is available to show they have a learning disability. If more information is needed we may contact you, your carers or the person who made the referral.
If we are still insure if you have a learning disability we may visit you to carry out an assessment to find out more about you. We can help you understand our decision in different ways. We may talk with you and your carers and can also present information in a report with words and pictures.
How do we communicate with people with learning disabilities and how are they involved in making decisions and planning?
We will talk to you during our sessions and let you and your carers know how you are doing. When we have finished our work with you we send you a report and let your GP know what we have been doing together. We sometimes ask you to tell us what you think about our service.
Who do I contact for further information?
Please ring 0151 495 5302 and ask to speak to a member of our team.
Learning Disability Nursing Team
Team Contact Details
Provide support to access health care services for children and young people with a diagnosed learning disability, complex physical/mental health needs or behaviour that causes a barrier to receiving care or treatment from health care services
|Lisa Birtles-Smith||Clinical Lead Learning Disability Nurse||0151 511 7765|
|Jane Morris||Senior Learning Disability Nurse||0151 511 8986|
|Elizabeth Hall||Senior Learning Disability Nurse||0151 511 6966|
|Julie Hutchinson||Learning Disability Nurse||0151 511 8987|
|James Binder||Learning Disability Nurse||0151 511 6544|
|Kate McCarter||Learning Disability Nurse||0151 511 6068|
|Lisa Fell||Community Care Worker||0151 511 8055|
|Mark Cowell||Community Care Worker||0151 511 7823|
Palliative Care (End of Life Care) for Children
Respite Health Care for Children
For children up to age 5
- Zoë’s Place Baby Hospice offers specialist palliative, respite and end of life care for children up to the age of 5 years with life-limiting or life- threatening conditions
For children and young people from birth to 18
- Claire House Children’s Hospice offers care, support and choice to families whose children won’t live to be adults
Services for Adults and Young People
Adult Community Matron for Learning Disability for people with complex physical health problems
Adult Continence Promotion Service available to all people over the age of 19 years with a bladder or bowel issue
Occupational Therapy for Assistive Technology for information about equipment to support independent living for people with disabilities, their carers, professionals and other organisations
Foot Care service to assess, diagnose and treat lower leg needs for people with a clinical or medical need
Primary Care Psychological Therapies Service available to people 16 years and above
Stop Smoking Service offers free advice and support to help you stop smoking
The Transforming Care Approach
Transforming care is a national programme led by NHS England which is all about improving health and care services so that more people with learning disabilities and/or autism can live in the community, with the right support, close to home and have the same opportunities as anyone else. More information can be found here