Children and Young People – Crisis Care Pathway

A new crisis care pathway is being developed for children and young people across the 10 boroughs of Greater Manchester.

This is an exciting development that will make a real difference to children and young people who are experiencing a mental health crisis.

A young person experiencing a crisis may be a threat to themselves or others through self-harm, suicide or aggression. Or they may be highly vulnerable to danger, for example via absconding, seeking help from people who may harm them, mis-using drugs and alcohol and behaving in a reckless, risk taking way.


The Pennine Care NHS Crisis Care Pathway aims to offer young people the RIGHT help, at the RIGHT time, by the RIGHT person, in the RIGHT place, 100 per cent of the time.

This will dramatically improve their overall experience, along with those who care for them, and help to keep them out of hospital.

About the pathway

The pathway involves the development of new services, or improvements to existing services.  Most of the services will be based in the community and care will be available 24 hours a day, seven days a week.

All new developments will be based on evidence and feedback from children, young people and other key people.

There are seven key areas that make up the pathway:

  1. Medical on call: an on call rota will be set up to make sure medics are available 24 hours a day, seven days a week
  2. Rapid response teams: they will provide risk assessment and management to young people who are experiencing a mental health crisis. Click here for further details.
  3. Safe zones: there will be a network of safe zones in Greater Manchester, staffed by youth workers. These will provide space for young people in crisis to talk and receive support
  4. Crisis beds: two beds will be allocated for young people experiencing a crisis. These will be available for 72 hours to allow time for a care plan to be developed
  5. Assessment centre: this will provide a central point for arranging mental health hospital-based care for a young person. It will help to help to bridge the gap between hospital and community child and adolescent mental health service teams to make sure young people experience joined up care
  6. Enhanced community child and adolescent mental health services: this will be an extension of the existing community child and adolescent mental – this could include, for example, evening and weekend appointments
  7. All age RAID (rapid assesment and rapid assessment interface and discharge): these teams will work in hospitals to provide rapid support to people of all ages that are experiencing a mental health crisis.  This is a seperate project, but will link in with the pathway.

More information

You can read more in the attached pathway booklet or contact the service on the details below.

Who is leading this work?

The pathway is being delivered by Pennine Care, Greater Manchester Mental Health NHS Foundation TrustManchester University NHS Foundation Trust and North West Boroughs Healthcare NHS Foundation Trust.

To ensure the success of this new pathway, Pennine Care  will be working closely with lots of partner organisations in Greater Manchester.  This includes other NHS trusts, local authorities (councils), the private sector and the voluntary, community and social enterprise sector.

By sharing ttheir knowledge, skills, experience and resources, they can develop new and innovative services that are easy for young people to access and better meet their needs.

If you’re interested in finding out more please get in touch at