Page 11 - 20180222 - Minutes - TSAB v4 - Public

Action Points Action Owner Deadline
1. Karen Agar (KA) to summarise the Mental Health Service KA 24/04/18
document at the April TSAB meeting.
2. Angela Legg to establish if the CQC data can be extracted AL 24/04/18
from the CQC website.

Agenda Item 8 MARAC Review Update Presenter: Sharon Caddell
Discussion Report and Recommendations
Sharon Caddell (SC) provided an overview on the review of the Tees MARAC
Arrangements Report.

MARAC arrangements within the Cleveland Force area were initially implemented
in 2006 and meetings currently take place every 3 weeks across each Local
Authority area. MARAC meetings are currently chaired by a Detective Inspector and
are administered by the Police.

During the review a number of alternative operating models were looked at
including Cambridge, Leeds, Nottingham, and Durham where a combination of
weekly and daily MARACs using ECINs have been adopted

After careful consideration and detailed analysis by the review group the following
new arrangements were agreed:
 From 1 April there will be 2 MARAC Operational Groups that will operate on
a North (Hartlepool and Stockton) and South basis (Middlesbrough and
Redcar and Cleveland) with a focus on problem solving.
 Each of the MARACs will meet on a fortnightly basis. Meeting venues will
be alternated across each of the Local Authority areas.
 A refreshed MARAC operational protocol will provide guidance for
practitioners.

o Appendix A - Review ToR
The Tees MARAC Review Task and Finish Group Terms of
Reference were provided to members for information.

o Appendix B - Standard Operating Protocol
A refreshed MARAC operational protocol to provide guidance for
practitioners was provided to members for information.

o Appendix C - Training Plan
The review group identified that in relation to MARAC referrals the
quality and volume of referrals were identified as problematic with
either insufficient information being provided or inappropriate
referrals being made using the DASH risk assessment tool.
To ensure a common standard for referrals and to ensure that the
professional judgement of the practitioner is the key driver for the
MARAC referral a training plan has been developed; case studies or
similar experiential content will also be used to supplement the
training.

o Appendix D - Independent Chair Job Description
Currently MARAC meetings are chaired by a Detective Inspector,
under new arrangements an Independent Chair is being recruited by
the PCC office. The recruitment for this post is currently underway.

o Appendix E - Strategic Group ToR

Minutes Approved 24.4.2018 11