Roles and responsibilities
In Lincolnshire, the Enhanced Support and Liaison Service within Lincolnshire Partnership NHS Foundation Trust (LPFT) has oversight of the DSR.
The most appropriate children and young people’s mental health team in LPFT is responsible for their caseload on the DSR, this includes:
- ensuring appropriate consent is given to be part of the DSR or a capacity assessment undertaken and best interest documents completed
- reviewing DSR cases on a weekly basis, including a multi-disciplinary team (MDT) meeting with other relevant professionals
- ensuring all autistic children and young people or those with a learning disability accessing CAMHS crisis and enhanced treatment team are placed on the DSR (with appropriate consent) as either amber or red
- updating the DSR where risk has changed, adding or removing individuals as appropriate
- completing an urgent admission avoidance plan
- allocating a CYP keyworker to support those identified as red or amber on the DSR
For children and young people who are in 52-week residential school or college placements, their social worker or lead practitioner is responsible for their caseload on the DSR. This will be supported by the CYP liaison practitioner within the Enhanced Support and Liaison Service.
If a professional external to LPFT notifies and has an individual accepted onto the DSR, they are responsible for them while they remain unopen to an LPFT team. They will be supported by the CYP liaison practitioner within the Enhanced Support and Liaison Service.