Admin Team

When patient is calling, please ask:

1. Do you have any immediate thoughts to harm yourself or others?

Yes – Discuss with senior GP or 999 in an emergency.

No – Please continue

2. Are you open to a Community Mental health Team (CMHT) e.g. Longridge or Yewcroft.

Yes – Direct them to BSMHFT switchboard on 0121 301 5500

No/Unsure – Please continue

Referral Criteria

Any patients 18+ with mental health concerns.

We will see patients with ASD, ADHD, dementia and memory concerns if there is a co-existing mental health issue (e.g. low mood, anxiety etc.)

Please do not refer for the following criteria:

· Urgent or same day contact

· Crisis patients (those at immediate risk to self or other)

· Patients wanting a diagnosis of a neurodevelopmental conditions or learning disability (e.g. Autism or ADHD)

· Patients wanting a diagnosis of dementia

· First Episode Psychosis (If unsure discuss with senior GP)

· Under 18s

Interventions (what we do)

- All patients to receive a telephone triage to explore their mental health concerns

- Medication review/commencement

- Supporting self-management of emotional wellbeing

- Enhancing and supporting improved access to psychological treatments including talking therapies.

- Onward Referrals

- Coping strategies and crisis planning

- Accessing computerised and virtual therapies and support

QOF 2026-2027 and Medlink

Sophie to check Medlink inbox weekly. Send booking links to patients as appropriate.

Laura / Su to upload patient list at the start of each even numbered month

Download csv of non-responding patients at the end of each month, and the month before. Admin to phone patients and document in EMIS.

Plan of action for monthly care home reviews

Actions - sophie to review Medlink forms

• Asthma - add admin slot for Sav to review form
• AF patients - do CHADSVASC score, send booking link with Farha if needed
• Cancer - Rory to do searches and organise reviews
• CHD - Sophie to review Medlink form and book appt with Pharmacist / Dr if needed
• Cholesterol - book appt with Pharmacist / Dr if needed
• COPD - add admin slot for Sav to review form
• Dementia - review monthly csv download for home visits
• Depression - monthly search and check for reviews due - use Arden time linited searches
• Diabetes - send non-reponders list to Amanda to phone
• Heart failure - send a booking link for appt with Richard
• Hypertension patients needing readings but not doing self checks - book with Sophie / Aliya
• Hypertension patients needing medication review - book with Pharmacist or Dr
• Mental Health - book review appt with Debbie
• NDH - send non-responders list to Amanda to phone
• Stroke & TIA - book with Sophie / Aliya if not responding to self BP requests, book with Pharmacist or Dr if needs medication review
• Vaccines & Imms - Laura to do weekly searches and contact parents for childhood imms. Shingles automated recall via Blinx, need to download list of non-responders monthly.
• BP over 45 - automated Blinx messages sent out weekly BP002 male and non-male (to spread out responses)
• Cytology - autmoated Blinx messages - Cervical Screening Invites CS005 CS006
• Obesity - TBC
• Smoking - "HMP update smoking status" Blinx form available, need to send periodically manually