Table 5.

The 24 ideas generated after event 1.

Idea 1: Little Red Book (refers to personal child health record, patient held records, used to carry information between services when a child is born in the English and Welsh National Health Service)

Idea 2: Crisis and Respite Admissions (enabling individuals to have admissions to acute wards for respite periodically without usual referral processes)

Idea 3: Nurse-led Discharges (criteria-led discharge, enabling nurses to discharge patients to reduce delays to discharge awaiting consultant decisions)

Idea 4: Discharge Teams (multiorganizational teams that meet periodically to discuss transitions of care)

Idea 5: Patient Writes Discharge Plan (a discharge plan led by the needs of the patient, this may be in additional to clinical plans)

Idea 6: Mental Health Coordinator in each GP practice (a professional responsible for co-ordinating care and signposting for individuals with mental health problems, not necessarily a clinician)

Idea 7: Building Professional Relationships (a program of activities that focuses on building direct professional relationships between staff in different organizations)

Idea 8: Starting Discharge Planning from Admission (an initiative that encourages ward staff to plan for discharge when the patient is admitted)

Idea 9: MultiAgency Risk Management Plan (a risk management plan that can be used across agencies to reduce duplication of paperwork and also improve information flow between agencies)

Idea 10: Risk sharing between housing and hospital services (an initiative that encourages professionals in health and social settings to take joint responsibility for risk management, through joint procedures, information sharing/documentation, increased communication)

Idea 11: Multiagency Meetings (periodic meetings: face-to-face or technology enabled, between staff from all involved agencies to discuss patient transitions)

Idea 12: Patient Contracts (a coproduced contract that outlines expected behaviour from patients and staff)

Idea 13: Management Practice Weeks (a week where managers from each agency shadow their counterpart in another agency to understand their pressures and encourage relationship building)

Idea 14: Personality Disorder or Cluster 7 and 8 Pathway (a care pathway specifically for individuals with personality disorders and similar diagnosis)

Idea 15: Stepdown Service from Community Mental Health (a service between with care levels in between acute and community that enables higher levels of support and care than community to reduce feelings of loneliness/isolation post-discharge)

Idea 16: Purposeful Admission (ensuring there is a purpose for all admissions onto a ward, e.g. medications resolution)

Idea 17: Admission Avoidance Care Plan (a care plan that focuses on avoiding unnecessary admissions, by signposting other services and identifying triggers and ways of over-coming them in the community)

Idea 18: Zero Tolerance Redefinition (Zero tolerance is an English and Welsh National Health Service Policy to tackle violence against healthcare professionals)

Idea 19: Redefining MDT Meetings (a redefinition what a multidisciplinary team meeting is, who can attend, how often they should be, invitations of community, primary, social and emergency professionals where necessary)

Idea 20: Community Services Discharge Coordinator (a coordinator that is primarily based in the community and coordinates discharges, but that visits patients on the ward bridging the boundaries between community and acute care)

Idea 21: Personal Life Coach (introduction of a life coach service post-discharge that enables individuals to overcome psychosocial challenges associated with transitions from acute services)

Idea 22: Recovery College (an existing initiative that offers educational course for patients in mental health, to be offered post-discharge)

Idea 23: Self-referral to the Crisis Team (to enable patients to refer themselves to the crisis team, rather than through a professional agency)

Idea 24: Better understanding of other agencies through buddying and shadowing