Community crisis support in Lambeth reduces pressure on A&E
Community‑based mental health services in Lambeth are successfully supporting people through crises and reducing pressure on emergency care, addressing one of the key priorities of the 10-Year Health Plan for England. The Evening Sanctuary at Mosaic Clubhouse had 1,468 visits in 2024/25, with 839 of these visits specifically avoiding an A&E attendance.
The Evening Sanctuary provides a safe, non‑clinical alternative for adults experiencing mental health crisis at night. Open from 6pm to midnight, it offers emotional support, structured activities, and space for people to recover in a welcoming setting. It is commissioned by Lambeth Together’s Living Well Network Alliance.
A recent video produced by the Alliance documents the story of Marcus, who sought help from the Evening Sanctuary during a period of acute distress and avoided returning to A&E through timely, compassionate support. The video was shown at Lambeth Together Care Partnership Board meeting in March.
Guy Swindle, Deputy Director for Lambeth Living Well Network Alliance said: “Stories like Marcus’s remind us why crisis alternatives such as the Evening Sanctuary are essential. They offer dignity, calm and human connection at a time when traditional emergency settings may feel overwhelming. With crisis presentations rising locally, these services play a critical role in preventing hospital admission and helping people stay well in the community.”
Chris Thomas, Chief Executive of Mosaic Clubhouse said: “The Sanctuary is designed to be a welcoming environment which gives people time and space when they need it most. We’re proud to contribute to Lambeth’s wider community‑based mental health offer.”
Lambeth Living Well Network Alliance progress report for 2024-25 highlights a 53% increase in introductions to the Crisis Outreach Service, rising from 242 to 370 in 2024/25. 2024/25 saw a 12% increase in the number of mental health referrals to the Mental Health Liaison Team at St Thomas’ A&E compared with the previous year, and a 76% increase since the Alliance began in 2018/19.