Specialist Triage, Assessment and Referral Team (START)

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    Specialist Triage, Assessment and Referral Team (START)

    This service was previously known as Single Point of Access. START provides functions, which include ongoing assessment, brief interventions and a Case Management function for some services users (SUs).

    The Specialist Triage Assessment Referral and Treatment Team provides timely triage, assessment, onward referral/signposting and treatment for Service Users referred without the need for multiple assessments. The team screens and assesses the needs of all referrals and signposts on to other services, creating a seamless and timely care pathway. The team provide functions which include ongoing assessment, brief interventions and a Case Management function for some service users.

    START will provide functions which include ongoing assessment, brief interventions and a Case Management function for some service users (SUs) and these functions will be described below.

    Through START all referring Lancashire GPs will have access to Consultant opinion for advice, guidance and assessment following an initial screening. 

    The START team comprises of:

    • Consultant Psychiatrists and other medical staff,
    • Mental Health Practitioners,
    • Nurses,
    • Social Workers,
    • Psychologists input,
    • Occupational Therapist input,
    • Administrative staff.

    How to Access to Service

    Specialist Triage, Assessment and Referral team accepts referral from a range of sources including:

    • GPs and other Primary are Health Professionals
    • Multi-Agency Safeguarding Hub (MASH)
    • Mindsmatter Services
    • Community Restart Team/Social Inclusion
    • Carer of Patient relative
    • Self-referral including self-presentation
    • Other Professionals (e.g., Health Visitors, Social Workers)
    • Other agencies (e.g., Probation Services)
    • Third party and voluntary organisations.

    START operates core hours between 9am and 5pm Monday to Friday during a standard working week. 

    After 4.30 pm and out of hours the HT practitioner will act as the duty START practitioner. When a person contacts the team out of hours in need of help, the HT practitioner will support the person as follows:

    • Triage of all referrals, gather additional information as required and decide on the most appropriate pathway.
    • Telephone advice and support will be offered if there is no clear or immediate risk to self or others identified. 
    • Face to face assessment may be offered or signposted. Where local resources make it possible, this assessment will be offered during the out of hours period.  Currently there are areas of the Trust where there is no LCFT service and/or accessible facility to see service user presenting out of hours with severe risk. In these areas the out of hours service is a telephone advice and support service.
    • Where an out of hours face to face assessment is either not available or not required an assessment/referral will be passed to the appropriate team (HT, START, CMHT, EIS, Mindsmatter etc.). This referral will be made as soon as practical and ideally before the end of the HT practitioner’s shift.
    • Direct referral to A&E for service users contacting ATT ‘out of hours’ with a mental health crisis in the absence of medical problems will be avoided wherever possible. However we recognize that some service users contacting ATT out of hours will present at A&E in some circumstances. These circumstances include the consequence of service users/carers or HT professionals contacting ambulance and police services in response to their concerns.
    • When service users present in crisis and express the concern that they do not feel able to keep themselves safe and no face to face assessment is available the practitioner should advise the service user/carers to call emergency services or EDT themselves or to present themselves to A&E. The HT duty practitioner may call an ambulance, contact the police or contact EDT directly under circumstances which include where there is any immediate risk of harm to the service users or others.

    Where the service is provided and how to contact us

    CHORLEY & SOUTH RIBBLE

    Westfields,

    West Paddock,

    Leyland,

    Preston,

    PR25 1HR

    Tel: 01772 676173

     

    Opening Hours

    Monday – Friday 9.00am – 5.00pm

    PRESTON

    West Strand House,

    West Strand,

    Preston,

    PR1 8UY

     

    Tel:  01772 647024

     

    Opening Hours

    Monday – Friday 9.00am – 5.00pm

    WEST LANCASHIRE

    Bickerstaffe House,

    Ormskirk Hospital,

    Wigan Road,

    Ormskirk

    L39 2JW

    Tel: 01695 684161

     

    Opening Hours

    Monday – Sunday 7.30am – 9.00pm

    FYLDE COAST

    Gateway Blackpool Football Stadium

    Blackpool

    FY1 6EQ

     

    Tel: 01253 951640

     

    Opening Hours

    Monday – Friday 9.00am – 5.00pm

    BLACKBURN WITH DARWEN

    Daisyfield Mill

    Daisyfield Business Centre

    Appleyby Street

    Blackburn

    BB1 3BL

    Tel: 01254 226074

     

    Opening Hours

    Monday – Friday 9.00am – 5.00pm

    HYNDBURN, ROSSENDALE & RIBBLE VALLEY

    The Mount,

    253 Whalley Road,

    Accrington,

    BB5 5DE

    Tel: 01254 226006

     

    Opening Hours

    Monday – Friday 9.00am – 5.00pm

    PENDLE & BURNLEY

    Pendle House,

    Nelson

    BB9 9TH

    Tel: 01282 110518

     

    Opening Hours

    Monday – Friday 9.00am – 5.00pm

     

    LANCASTER & MORECAMBE

    East Barn,

    Pathfinder Drive,

    Lancaster,

    LA1 4JJ

    Tel: 01524 550198

     

    Opening Hours

    Monday – Sunday 9.00am – 9.00pm