Evaluation of ambulance innovations and mental health pathways in the East Midlands UK: a mixed-methods study (ENAMHP)

PROJECT TITLE	EVALUATION OF AMBULANCE INNOVATIONS AND MENTAL HEALTH PATHWAYS IN THE EAST MIDLANDS UK: A MIXED-METHODS STUDY (ENAMHP)
Funding body	National Institute for Health and Care Research, Applied Research Collaboration East Midlands
Total funding	£188,444
Team	Dr Gupteswar Patel, CaHRU, University of Lincoln Prof Niro Siriwardena, CaHRU, University of Lincoln Prof Graham Law, CaHRU, University of Lincoln Dr Shihua Zhu, CaHRU, University of Lincoln Ms Despina Laparidou, CaHRU, University of Lincoln Dr Mehrshad Parvin Hosseini, CaHRU, University of Lincoln Dr Harriet Moore, Department of Geography, College of Health and Science, University of Lincoln Helen Auld, East Midlands Ambulance Service NHS Trust Stephanie Dockerty, East Midlands Ambulance Service NHS Trust Dr Vijayendra Waykar, Lincolnshire Partnership Foundation NHS Trust Joanne Wilkinson, Lincolnshire Partnership Foundation NHS Trust Amanda Brewster, Healthier Ageing Patient and Public Involvement (HAPPI) group Nicoya Palastanga, Healthier Ageing Patient and Public Involvement (HAPPI) group
Lived experience panel	Amanda Brewster Nicoya Palastanga
Team/consortium	University of Lincoln East Midlands Ambulance Service NHS Trust (EMAS) Lincolnshire Partnership Foundation NHS Trust (LPFT)
Overarching aim	The aim is to work with mental health care providers, a lived experience panel, and public representatives and patients, to develop recommendations for the future emergency mental health care, by analysing the current state, evaluating effects and costs of new emergency mental health provisions in the East Midlands, and the experiences of both patients and staff.
Objectives	Work Package (WP1): To explore stakeholders’ (patients, relatives, RMNs, ambulance staff, commissioners, and psychiatrists and mental health nurses’) experiences and perceptions of the new mental health services provided by Emergency Medical Services with community and specialty mental health services in East Midlands. WP2: To investigate the numbers and types of 999 mental health emergency calls, response time, types of mental health conditions, and RMNs attendance. WP3: To evaluate the costs and consequences of the new mental health services. WP4: To assimilate and integrate data from WP1-3 to develop recommendations for future services.
Methods	We will use mixed methods, underpinned by a robust theory, the Actor-based Behaviour Change (ABC) framework, and four linked work packages.
Outcomes	We will provide evidence on whether, how, and what effects are achieved by the new mental health provisions of EMAS, as well as a report of findings to the funder, peer reviewed research articles, conference presentations, together with blogs, infographics, and social media to publicise the findings to lay and professional audiences, including patient and public groups, EMAS, relevant NHS stakeholders, academics, commissioners, and policy experts.
Outputs	Publications and presentation
Impact	We aim to create impact by developing recommendations and informing policy for future development of mental health care provided by ambulance services.

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