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Acute & HDU services

With our expertise and optimism, we help people who need a place of safety to stabilise.

Patient profile

  • Patients in an acute psychiatric crisis who are at risk to themselves or others, and need a place of intensive support and safety
  • Patients aged 18 or over, who are detained under the Mental Health Act 1983 (amended 2007), or admitted informally, who are in an acutely disturbed phase of a mental disorder
  • Patients requiring a rapid assessment, admissions and crisis care to maintain safety and minimise risk
  • All patients are cared for within same gender wards

Referral and admission

  • Referrals can be made 24 hours a day, 7 days a week
  • Assessments are usually carried out within two hours, admissions within four hours where possible
  • On admission, patients are introduced to the ward and ward routine policies

72 hour assessment period

  • Introduction to primary nurse and 1:1 care planning
  • Daily medication review
  • Daily mental state review
  • Liaison with home team
  • Liaison with family (supported by staff if necessary)
  • Liaison with GP

Short term high dependency service

  • Daily 1:1 with primary nurse or allocated nurse
  • Daily Responsible Clinician and Associate Specialist review
  • Daily medication review
  • Daily mental state review
  • Reintegration into generic acute ward or return to home team or PICU if a patient does not stabilise

Acute service

Communication with home team - 24 hour report; 48 hour report; 72 hour report; weekly report thereafter

  • Daily 1:1 with primary nurse or allocated nurse
  • Daily liaison with the Responsible Clinician
  • Weekly ward round review with Responsible Clinician
  • Activity programme and S17 leave as necessary
  • Liaison with family
  • Liaison with home team to agree a discharge plan

Acute & HDU services


  • Planned and agreed by all parties
  • TTA Medication provided for 5 days
  • Liaison with familya
  • Liaison with home team
  • Advice regarding future placements
  • A clinical update for after discharge care if appropriate