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Help in a crisis


If there is an immediate danger to life, please dial 999 or go to your nearest Accident and Emergency Department.

I am in Gloucestershire

If you or someone you know needs help in a mental health crisis, call our crisis teams.

Call 0800 169 0398.

And choose one of the following options depending on your location:

  • Option 1 for Stroud and Cotswolds
  • Option 2 for Gloucester and Forest
  • Option 3 for Cheltenham, Tewkesbury and North Cotswolds

Please note: telephone calls may be recorded. If you do not want that to happen, please tell the person who answers your call and they will phone you back on a ‘non-recordable’ telephone.

The number is available 24 hours a day, 7 days a week.

Occasionally, callers may be asked to leave their name and number on an answerphone. In these circumstances, staff will return the call within one hour.

I am in Herefordshire

If you are in Herefordshire and need support, please call us using one of the following numbers:

  • Monday to Friday, 9am – 5pm, please contact the team or service who currently provide your care.
  • Monday to Friday, 5pm – 9am and 24 hours on weekends and bank holidays, please call our Mental Health Matters Helpline on: 0800 015 7271

These contact numbers are for people already in contact with our services. If you are not currently in contact with us, please call 111 or your GP.

Our out of hours, weekend and bank holiday service is provided by Mental Health Matters.

If you need help but are not in crisis, please contact your GP if in opening hours, or 111. If you don’t have a GP use the NHS service search to locate the nearest one to you. If your query is not urgent, you can find our contact details here.

Are you feeling vulnerable? Do you need to talk to somebody now?


Call free on 116 123
If you are experiencing feelings of distress or despair, including those which could lead to suicide, you can call the Samaritans.

Stay Alive App

A pocket suicide prevention resource for the UK, packed full of useful information and tools to help you stay safe in crisis. You can use it if you are having thoughts of suicide or if you are concerned about someone else who may be considering suicide. The app can be accessed through the Apple Store, Google Play and downloaded as a pdf.


Call free on 0800 11 11
If you are a child or a young person you may want to speak to Childline.


Call 0808 816 0606
Or text 07537 410 022
A safe, supportive, non-judgmental and informative service for people who self harm, their friends, families and carers.
Open every day 5pm – 10pm for phone and text support.


Text 85258
Shout is the UK’s first 24/7 text service, free on all major mobile networks, for anyone in crisis anytime, anywhere. It’s a place to go if you’re struggling to cope and you need immediate help.


Provided by the Care Home Support Team

The training we provide covers a range of subjects including falls awareness, MUST, accountability and documentation, dignity in care and recognising the sick and deteriorating resident.

The training can include reflective discussions, team workshops and one to one training and takes into account best practice reflecting changes in regulation, national and local health and social care policies. This training is usually delivered at the care home itself.

We also hold CPD events throughout the year and have included such subjects as tissue viability, nutrition and end of life care. These whole day events are great opportunities for care homes to network and gain knowledge of current evidence based practice.

Additional details on dementia training and pathways are available here.

Contact us

Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
GL3 4AW.

Call 0300 421 8293
Email CHST@ghc.nhs.uk

Training sessions


  • Accountability and Documentation – Overview of code of conduct, accountability awareness, duty of candour, documentation. Applies to both nurses and HCAs.
  • Person Centred Care Planning – The training provides support to write care plans in a person centred way.
  • Catheter Care/Continence – Promotion of continence within care homes. General catheter care.
  • Diabetes Awareness – Type 1 and 2 diabetes. Hypo and hyperglycaemia. Complications of diabetes and healthy eating.
  • Dignity in Care – The training provides insight into providing care in a dignified manner.
  • Dysphagia – Under review. Cannot be requested at present.
  • End of Life Awareness – EOL awareness, Shared care Record, ,RESPECT, ‘Just in Case’ bags
  • T34 Syringe Pump – Session includes instruction on how to set up and monitor Syringe pump. Guidance on indications for use, and safe practice.
  • Infection Control – Infection control awareness, precautions and procedures

Occupational Therapy

  • Falls Awareness (mix of PowerPoint and practical) – Methods demonstrated using the CHST Sensory Loss Suit to help staff understand a range of causes of falls to help reduce the risk of further falls for residents. (Specific cases may be discussed in the session and targeted care plans formulated).
  • Mental Capacity Act (2005) – A quick guide for care home staff Aimed at all staff to give a basic understanding of the 5 key points of the MCA, an understanding of the 2 stages to a capacity assessment and how to access further info on MCA and DoLS.
  • Gloucestershire Meaningful Activity and Wellbeing Network (3 hours) – Aimed at activity staff, carers and managers providing activities for people they support. Meetings held in 4 Gloucester localities in March, July and Sept.
  • Sensory Loss Experience (mix of PowerPoint and practical) – A chance for staff to experience hands on how older people with limited movement and/or sensory loss (which may also include dementia) experience their environment. A variety of mobility aids are used. Focus on falls awareness and eating/drinking.
  • Seating awareness – Are your residents sitting comfortably? This training helps care and nursing staff address basic seating and posture management issues faced by residents sitting in standard seating. Offering tips and techniques to address the most common of seating issues where referral to a seating specialist is not appropriate. Can be done as combined sessions or individual.


  • Helping People to Eat and Drink / Oral Health. To understand what makes it difficult for residents to eat and drink independently.
    How to help people to eat and drink
  • Malnutrition Universal Screening  Tool & Nutritional Screening (MUST) – A toolkit to identify residents who are at risk of malnutrition. For nurses and health care assistants.
  • Bowel health/hydration – To understand the importance of adequate hydration and fibre intake in the promotion of bowel health. We will also
    explore how adequate hydration improves general quality of life.

Medicines Management

  • Medication Administration Records (MARs) Training / Missed Dose – Looks at how to complete a MARs correctly, in line with regulations. To understand the consequences of missed medication doses particularly for residents with Parkinson’s disease.
  • PRN – Understand when and how to use as required medicines appropriately.
  • Covert Administration of Medications – Making a mental capacity assessment and a best interest decision, and writing pharmaceutical care plans.

Skin Integrity

  • Pressure Area Prevention/SSKIN Bundle – The training provides an understanding of and how to prevent pressure sores.
  • Tissue Viability Training – Tissue Viability Training on wound care and dressings using the Gloucestershire wound formulary
  • Appropriate Use of Emollients – A short session to introduce the Countywide Guidance for the prescribing and application of Emollients in Care Homes. For nurses and health care assistants.

Recognising the unwell resident

  • Recognising the Sick and Deteriorating Resident/NEWS/SBAR/Sepsis – ABCDE assessment, sepsis, overview of NEWS 2, SBAR
  • NEWS 2 training – Overview of NEWS 2, how to complete using scenarios.

Clinical Skills

  • NEWS 2 chart – How to complete a NEWS 2 chart with scenarios
  • Basic observations – How to take basic observations with competencies
  • Blood glucose monitoring – How to take blood glucose readings with competencies.

Mental Health Specific Training

Please note: It is recommended that people have attended dementia awareness training before coming on any of the below training courses delivered by the mental health team. (To book on 1 day dementia training, please see next page for booking).

  • Communication and practical skills based session (2 hour session) – Top tips for communication. Gain awareness of the process and experience of dementia. Practice skills that will support being able to connect with a person living with dementia.
  • Dementia Doll Therapy (30 minute session) – Introduction and over view to doll therapy and the do and don’ts.
  • Gloucestershire 5 Step Approach (2 hour session) – Explore behaviours that challenge. Personalised care planning.
  • Delirium – (sudden change) (2 hour session) What is delirium and how to recognise it, spot it, treat it and prevent it.