Policing should not be used to bridge a capacity gap within the NHS.

Policing should not be used to bridge a capacity gap within the NHS.

I am incredibly proud to be the Chief Constable of British Transport Police . We protect passengers across three countries and our jurisdiction is the biggest geographic area of any UK police force. But sadly, at BTP, we experience – on average – a suicide or an attempted suicide every day. And for every life lost on the railway, we make eight life-saving interventions.

Each of those interventions represents a member of the public, or a member of rail staff, noticing another person’s distress and doing something about it. That can be as simple as asking the person a question, or texting BTP – simply reaching out and saving a life.

Whilst I’m proud of the work we do, I wish we did not have to respond to so many incidents where people find themselves in crisis and I hope for a time when help is available much earlier.

We’re currently working with Network Rail to do just that. Our Harm Reduction Team is a pilot focusing on proactive intervention to support people who are located on a frequent basis at railway stations. It sees mental health practitioners working with specialist police officers to reach out and engage with people in a protective way. Feedback from both health care practitioners and individuals or their families has been incredibly positive. So, my challenge to BTP and rail is whether this is something that could be rolled out nationwide to support colleagues in the NHS and better protect vulnerable people. A true collaboration that benefits everyone.

With 3,000 mental health detentions in the last two years - and an average of eight hours per detention – an incredible amount of our police time is spent responding to and helping vulnerable people. There is a growing dependency on police resources to support and supplement onwards care due to the increasing demand on health services and associated disinvestment. But with that, we must consider the question, “where would you like police responders to be?”

We’re proud to be there when people need us most, but policing should not be used to bridge a capacity gap within the NHS.

As a national force and with one of our ACCs being the National Police Chiefs' Council Police Chief Council lead for Suicide Prevention, we are in a unique position. We work in partnership with 330 local authorities, 220 or more health trusts, 50 plus mental health trusts, as well as 11 ambulance trusts and 44 police forces. We are supported by the rail industry. The number of interested parties across the three countries and a variance in structures can be complex to navigate.

We care deeply about ensuring those in mental health crisis receive the appropriate support wherever they interact with BTP, which is why we are working to influence change.

Vulnerable people have always gravitated to the railway. And so much of vulnerability is linked to mental health. From the thousands of referrals each year regarding child and adult protection, to the vital work of our modern slavery oversight team and the safeguarding carried out by our County Lines taskforce, we work with the purpose of keeping people safe. Our partnership with Railway Children provides children and young people who come to police attention with an opportunity to receive support from their fantastic team, through the referrals we make.

Our reach also extends beyond the confines of policing to the Safeguarding on Rail Scheme. This Department for Transport (DfT) funded scheme is an opportunity for organisations operating on the UK rail network to demonstrate how they are proactively involved in safeguarding vulnerable people. Becoming an accredited organisation provides reassurance to both passengers and staff that there is commitment to protecting those who are most vulnerable. I am pleased that it will be a mandatory requirement for train operators in future DfT contracts.

This scheme is based on the principle that the effectiveness of an organisation’s safeguarding relies on partnership working and a strategy which encompasses leadership, clear policies, practices and communications. There also needs to be a firm emphasis on the importance of well informed and trained frontline staff. Plans are in progress to involve several charities including Railway Children, Rail Chaplains (Railway Mission), Samaritans, Shelter and Crisis to discuss how we can make further improvements to ensure we maximise resources and build positive working practices.

It is also of such importance to acknowledge the profound impact that this work has on our people. They deal with a significant amount of trauma - from the initial call handler and the police responder who attends, to the staff who make the onward referral and those who carry out a post incident visit. Each interaction leaves a trace on responders, never more so than when someone has taken their own life. As loved ones bereaved by suicide deserve to know that everything possible is being done to prevent further deaths, so do first responders who are often affected in the course of doing their job.

So, to decision makers across the UK, we must work together across boundaries, both geographical and organisational, to prioritise mental health, something which has never been more urgent or relevant than in society today.

To my dedicated workforce, keep doing what you do to look after the public and keep people safe. Please look after your own mental health and that of your colleagues, you are making an immeasurable difference and one which you should be proud of, as I am proud of you.

To the public please to talk to someone who needs help by adopting the Small Talk Saves Lives approach and by contacting us on text 61016. We will be here for you.

David F.

Security / Transport / Safety Research Consultant

2 年

This is a serious predicament that has been ongoing and developing since 2010. The cuts to policing, healthcare and key public services have had profound negative impacts on all communities especially on the vulnerable. The police service as the emergency service of last resort has stepped in as one would expect to fill some of these gaps to save lives and protect the vulnerable. It is unfortunate that some senior police leaders chose to ignore the impacts of these cuts on both vulnerable people and the negative impacts on wider police service delivery. When challenged many local police commanders insisted it was back office functions that were being cut and not the front line. Most of us realised this was not the whole truth and this was triangulated by anecdotal reporting from that front line. Chief Officers and other senior ranks needed to be more open and call out the huge impacts of these cuts to those most in need of support and access to public services. Whilst appreciating that there will be those in the service who will not be willing to do this as they may perceive this as being inherently political or fear for their next promotion or medal nomination. Policing is and always been political. Well done to CC D’Orsi.

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Mike F

Elizabethan. On His Majesty's Service. Am Yisrael Chai. Arma pacis fulcra.

2 年

Lucy D'Orsi QPM Superb initiative. It's the same over here- there simply is no one else who will go to deal with these sorts of incidents, and the people who are suffering so much. At 0300 in the morning, or in some rural area hours from the nearest hospital...the only people who will go are the coppers.

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Marcus Matthews

??I help you unlock the most powerful tool you already possess—your Mind ?? ?? Even if no one sees your struggle, you deserve a way out?? ?? Find freedom, confidence & success by being YOU!

2 年

Unfortunately it has become that due to a lack of leadership in resolving problems. Even BTP have been part of that. Fear to look at alternatives and just tick boxes is the key. Would love to have a chat if you are open. I had to leave BTP a job I loved due to the same tick box mentality, hoping you have a different perspective from Paul Crowther. Amazing people have been forced out of the police, would love to help turn that around.

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Jon Gustar

Devon & Cornwall Police

2 年

Ma'am, I could not agree more. Whilst I have the utmost respect for our NHS fellow first responders, there is a clear deliniation and capability gap. The Police, albeit BTP or CoL, MPS; wherever are wrongly being used as the fall back. I read with interest and dismay the post challenging you to find a way to mobilise; I do not agree with that at all. Whilst we as Police have a duty of care, we do not have the true capabilities or capacity to be an extention to the NHS. Rather simplistically, do LAS deal with robberies or dv incidents? Not from a criminal perspective. To be blunt, the Police as an entity need to become more robust in rebutting this crept responsibility; it appears to be from a corporate fear of criticism and in my experience, from the percieved risk that if it goes wrong, we not LAS will be responsible. Hence, LAS, Social Services all throw the ball to us to juggle, state they cannot deal and expect us to, knowing they have passed responsibility. It is wrong, wrong to our Officer, wrong to the Public.

Liam Grindley MCIRO

Lead Service and Infrastructure Manager - Elizabeth line | Transport for London

2 年

This is a great article and for a Chief Constable to recognise the gap that the Police are having to fill that I have seen first hand is really powerful.

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