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Introduction

Under respective section 75 agreements, East London NHS Foundation Trust (ELFT) manage the AMHP
Service on behalf of all the Local Social Service Authorities (LSSAs). Central Bedfordshire Council (CBC)
is commissioned by Luton Borough Council (LBC) and Bedford Borough Council (BBC) to host and provide
the Emergency Duty Team (EDT) on behalf of its partners out of hours, including the AMHP service.

The Joint Practitioner Protocol is a mutually agreed Document Management Suite (DMS) that describes
the responsibilities of the EDT and AMHP services for Bedfordshire and Luton, and the arrangements
for joint working across both services and with partners.

This DMS includes written policies, procedures and practice guidance that are agreed by all agencies to
ensure that support is delivered effectively to people who need access to services across boundaries. It
covers the different processes and functions which support people accessing the AMHP and EDT service
along with the supporting relevant national policy and legislative framework.

EDT AMHP Protocol Introduction EIA Statement 2024

Please note: all editable documents are linked to the professional working area.

Section 1: EDT Operational Policy & Guidance

1.1 EDT Operation Policy Practice Guidance

1.2 EDT On-call Manager Role Practice Guidance

1.3 EDT Admin Practice Guidance

Section 2: AMHP Operational Policy & Guidance

2.1 AMHP Service Practice Guidance

Management and Allocation of AMHP Referrals Appendices:

Assessment Appendices:

2.2 Staff Welfare Practice Guidance

2.2 Appendix 1 – AMHP Competency Record

2.2 Appendix 2 – Reflective Case de-brief

2.3 Partnership Working Practice Guidance

2.3 Appendix 1 – Record for Partners to Raise EDT Concerns

2.3 Appendix 2 – ELFT AD Escalation Protocol

2.3 Appendix 3 – AMHP Escalation Process

2.3 Appendix 4 – AMHP/DSN Bed Escalation Pathway

2.3 Appendix 5 – 12 hr Breach Protocol – Bedford Hospital

2.3 Appendix 6 – 12 hr Breach Protocol – Luton & Dunstable Hospital

2.4 Section 135 Practice Guidance

2.4 Appendix 1 – Section 135 (1or2) Warrant Form Beds Pol

2.4 Appendix 2 – Pathway for warrant applications

2.4 Appendix 3 – Requesting Conveyance for patients detained under the MHA

2.4 Appendix 4 – Undertaking to Pay Form

2.4 Appendix 5 – Mental Health Warrants During Court Hours – SER

2.4 Appendix 6 – MH Warrant Information template

2.4 Appendix 7 – Warrant template Out of Hours

2.5 Section 136 Practice Guidance

Appendix 1 – Phone Numbers for Police- Advice & Consult re Detention under S136

Appendix 2 – S136 MHA – Joint Protocol Flow Chart Bedfordshire Police + ELFT

Appendix 3 – Requesting Conveyance for patients detained under the MHA

Appendix 4 – Agreed Under 18 Care Pathway

Appendix 5 – A brief guide to Section 136 for Emergency Departments

Appendix 6 – S136 MHA Monitoring Form

2.6 Section 140 Practice Guidance

Appendix 1 – s140 Agreement- August 2021

2.7 Guardianship Policy

2.7a Guardianship Practice Guidance

2.8 Displacement Practice Guidance

Appendix 1 – Nearest relative delegation form

Appendix 2 – Local Authority Legal-department-contact-details

Appendix 3 – Displacement procedure flow-chart

Appendix 4-  Nearest relative displacement – court report template

2.9 Approval & Authorisation Practice Guidance

Appendix 1 – AMHP Approval Portfolio

Appendix 2 – AMHP Approval Panel

Appendix 3 – AMHP Confirmation

Appendix 4 – CBC, LBC, BBC Approving Letter

Section 3: Multi Agency Policy & Practice Guidance

3.1 Multi Agency Emergency Department Practice Guidance

3.2 Multi Agency Mental Health in Custody Practice Guidance

Appendix 1 – Samaritans Suicide Prevention Pathway & Police referral pathway

Appendix 2 – Samaritans contact numbers

Appendix 3 – MHAA and Violent offences pathway

3.3 Multi Agency Breathing Space Practice Guidance

Appendix 1 – National Guidance on Breathing Space

Appendix 2 – Debt respite scheme form

Appendix 3 – AMHP Breathing Space referral and outcome form

Appendix 4 – AMHP Breathing Space Consent Form

3.4 Multi Agency EDT AMHP Quality Framework

Appendix 1 – Success stories template

Appendix 2 – Reflective Case de-brief

Appendix 3.1 – ELFT AMHP Report Audit Tool

Appendix 3.2 – EDT AMHP Report Audit Tool

Appendix 4 – AMHP Referral Audit Tool

Appendix 5 – EDT Case Audit

Appendix 6 – No MHAA Audit tool

Section 4: Operational Templates

4.1 EDT Forms

All EDT & AMHP Templates are available in the Professionals Working Area – here

  • AA & PACE Record Form
  • CEO Provision Form
  • Confirmation of Provider
  • EDT Assessment Form
  • EDT Handover Record
  • EDT Initial Strategy Discussion Record – Adults
  • EDT Risk Assessment COVID-19 home visits
  • EDT S.20 Agreements
  • EDT Statement of Expectations for Children
  • EDT Welfare Visit
  • EDT Written agreement- template
  • Legal Instruction Form
  • Record for Partners to Raise EDT Concerns
  • Strategy Discussion (Blank Document)

4.2 Mental Health

All EDT & AMHP Templates are available in the Professionals Working Area – here

  • AMHP Brief Report template (COVID-19) – March 20
  • AMHP CTO Revocation report
  • AMHP CTO Report
  • CTO Referral Form
  • AMHP Guardianship Report
  • Conveyance Form
  • Medical Practitioner Rationale
  • MHAA full report template
  • s.135(1) warrant
  • s.135(2) warrant
  • Warrant MH Information template
  • Warrant Undertaking to Pay

4.3 Mental Health Easy Read

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