Following the terrorist attack in the London Bridge area, we have developed support pathways for staff across NHS systems. These have drawn heavily on the work undertaken in Manchester following the incident in May, and on London’s experts across the NHS, public health and from leading voluntary sector organisations.

The pathways aim to help services and communities respond to the needs of those people who are experiencing distress following the attack. It describes the range of difficulties that may be experienced by people who are affected and the responses from services and the wider community that are most likely to be helpful.

London incident support pathway for adults: This document outlines the multi-agency care pathway for adults who were directly or indirectly affected by the terrorist attack in London on 3 June 2017. The aim is to ensure that the NHS is consistently following a care pathway approach in the provision of support and treatment to affected individuals following a traumatic major incident.

London incident support pathway for children and young people: This document outlines the multi-agency care pathway for children, young people aged up to 18 years and their families who were directly or indirectly affected by the terrorist attack in London on 3 June 2017. The pathway has been developed using the Thrive framework (Anna Freud Centre and Tavistock and Portman NHS, 2014).

Information sheet for GPs: As GPs may be the first point of contact for people affected by the incident, this information sheet gives guidance to GPs and useful resources.

Information sheet for IAPT services: This information sheet gives guidance to those involved in using or delivering IAPT services and useful resources.

Information sheet for CAMHS services: This provides information to those providing CAMHS services and useful resources.

Coping with stress following a major incident: This leaflet signposts members of the public who may be affected to support services.

We are indebted to our mental health colleagues across Greater Manchester whose work in developing a systematic response to the attack in their city has provided the main structure to these pathways. They have been extremely generous in sharing their time, expertise and outputs and we would like to express our heartfelt appreciation to them. We are united in our desire to work together to support those affected by attacks on our cities.

Updated: Download the post-incident support pathways

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