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Quick Summary

A&E Navigator programmes place a case worker, called a ‘navigator’, in hospital emergency rooms to support young people with a violence-related injury. Programmes can recruit navigators from a range of backgrounds including youth work, social work, nursing, probation, and medicine. Navigators try to develop trusting relationships with the injured young people, provide informal mentoring, and help them access services.

VPP colleagues are working with The Blue Door and NLAG colleagues to plan the implementation of an A&E Navigator service on the south bank of the Humber

The pilot will run from 1 December 2023 until 31 March 2024. The early findings from the pilot will provide a strategic overview and operational guidance for inclusion in the future tender.

The A&E navigators initiative is expected to contribute to improved health outcomes for young people presenting in A&E with violence-related injuries.


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The key service provision objectives during the pilot are:

• Develop and agree referral pathways between A&E and support in the community

• Improved identification of violence-related injuries in A&E and access to support in the community

• Provide a responsive and timely service to victims of violence presenting in A&E

•Improve support to victims of violence by providing immediate interventions in A&E, referrals and follow up support in the community to address factors associated with violence after discharge.

• Support and enhance safeguarding arrangements within each A&E

• Ensure knowledge and skills are shared across A&E and the partnerships

• Reduce immediate risk to young people by equipping them with risk management strategies and tools supporting them to cope and recover

• Utilise ‘reachable/teachable moment’ to reduce the likelihood of young people being involved in violence in the future

During the pilot of this initiative (December – March 2024), the identification of cases will take place in A&E, using existing domestic abuse referral mechanisms.

The service will have responsibility for:

a) Development and implementation of referral pathways

b) Delivery in A&E/NLAG settings

c) Access to clinical systems in NLAG

d) Information Sharing Agreements

e) Use a multi-disciplinary approach and communication with other services to address the causes of violence

For people violence-related injuries, the service will deliver the following:

a) Assessment of the victim’s needs, including safety and risk assessment to safeguard people against immediate harm

b) Referral to services in the community

c) Informal mentoring, advocacy and help to access services

d) Follow up support after discharge

The Blue Door, working with NHS colleagues, will generate monthly monitoring reports of activity that will serve to enhance all partner understanding on Information Sharing to Tackle Violence (ISTV) from February until April 2024. This data should be used internally to inform service development and full implementation of the A&E Navigator Programme, from 1st April 2024.

Following the pilot the service is expected to be rolled out at both the Diana, Princess of Wales Hospital, Grimsby and Scunthorpe General Hospital.

This project is being delivered by The Blue Door, click below to find our more:

Twitter: @TheBlueDoorNL

Facebook: TheBlueDoorSupport

Instagram: @thebluedoornl

Alternatively you can contact the The Blue Door on :

E-mail: info@thebluedoor.org

Tel: (01724) 841 947

Funding Value
VPP Grant Funding £29,999.00

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