The Complex recovery assessment and consultation (CRAC) service is a Trustwide service that is internally commissioned by CWP as part of the Quality Strategy to improve patient safety, quality and to help address bed flow across the adult complex care pathway.

This work enhances existing care pathways by utilising expertise and specialist skills in complex care management and capturing variance to help inform service development.

The CRAC team, working closely with people who access services, their carers, colleagues and commissioners and care providers to inform and contribute to strategy and achieve best outcomes for all, take responsibility for the following roles:

  • Specialist assessment and consultation for adults with complex mental health needs who require frequent or prolonged acute inpatient care.
  • Specialist assessment and consultation for adults with complex Learning Disability needs who require frequent or prolonged inpatient assessment and treatment.
  • Care co-ordination of people in out of area complex care (MH and LD) placements including secure services.
  • Autism Spectrum Disorder (ASD) Assessment and Diagnostic Service for Cheshire and Wirral


Our aim is to ensure that no one receiving CRAC input loses one more day in the community than essential for their care and treatment, but that everyone needing an inpatient bed is placed in the best bed available for their needs that day.

Team achievements

  • Shortlisted for the Patient Safety Award 2017
  • Won the CWP Team of the Year for Going the Extra Mile in 2016

Featured in the Big Book of Best Practice in 2017