Transcript Slide 1

Essence of Care
“Safety of patients with
mental health needs in
acute mental health and
general hospital settings.”
Essence of Care
“Safety of patients with mental health needs in
acute mental health and general hospital settings.”
Essence of Care arose from :
Making a Difference (1999)
The NHS Plan (2000)
A first Class Service (1998)
Improving Patient Experience and Care through Practice and Quality Improvement
NIPEC Conference, 27th March 2007
Hilton Templepatrick Hotel
Essence of Care
“Safety of patients with mental health needs in
acute mental health and general hospital settings.”
Representation from :
Nursing, (ward based and community)
Psychology
Occupational Therapy
Secretaries
Domestic Services
Medical
Patient representative and a carer.
Improving Patient Experience and Care through Practice and Quality Improvement
NIPEC Conference, 27th March 2007
Hilton Templepatrick Hotel
Essence of Care
“Safety of patients with mental health needs in
acute mental health and general hospital settings.”
Factor 1. Orientation to the Health Environment
Factor 2. Assessment of Risk of patients/clients
with mental health needs harming self.
Factor 3. Assessment of Risk of patient/client
with mental health needs harming others.
Factor 4. Balancing Observation and Privacy
in a Safe Environment.
Factor 5. Meeting patients / clients safety needs.
Factor 6. A Positive Culture to Learn from
Complaints and Adverse Incidents
related to harm and abuse.
Improving Patient Experience and Care through Practice and Quality Improvement
NIPEC Conference, 27th March 2007
Hilton Templepatrick Hotel
Essence of Care
“Safety of patients with mental health needs in
acute mental health and general hospital settings.”
Method: PRESENTING THE EVIDENCE OF CURRENT PRACTICE
Factor 1: Orientation to the Health Environment
Examples best practice
Barriers that prevent achievement of best practice:
Welcome patients to environment
Induction to ward
Orientation to ward should be ongoing process when
necessary.
Restricted areas for both male and female patients
Vulnerable patients given a single room
Key Nurse allocated
Information leaflets informing patients appointments
etc what to expect
Improving Patient Experience and Care through Practice and Quality Improvement
NIPEC Conference, 27th March 2007
Hilton Templepatrick Hotel
Essence of Care
“Safety of patients with mental health needs in
acute mental health and general hospital settings.”
From our discussions a number of recurrent
themes were identified across all six factors.
These were:
1. Orientation to the health environment
2. Safety and risk
3. Resources
4. Complaints
Improving Patient Experience and Care through Practice and Quality Improvement
NIPEC Conference, 27th March 2007
Hilton Templepatrick Hotel
Essence of Care
“Safety of patients with mental health needs in
acute mental health and general hospital settings.”
Orientation to the health environment:
A number of recommendations were made:
An information / communications group should
be established to ensure adequate and
appropriate information is available to staff,
patient / clients and carers.
The core of this will be a resource room with
internet access, books, journals, information
leaflets and audio visual material.
Improving Patient Experience and Care through Practice and Quality Improvement
NIPEC Conference, 27th March 2007
Hilton Templepatrick Hotel
Essence of Care
“Safety of patients with mental health needs in
acute mental health and general hospital settings.”
Safety and risk:
The risk assessment tool has been reviewed and
amended.
The serious risk indicator tool has been audited.
Observation policies have been reviewed.
Review of discharge procedures leading to a pilot study
and the creation of a post for a discharge expeditor.
McCleery report, risk assessment, and discharge
planning is now a priority.
Improving Patient Experience and Care through Practice and Quality Improvement
NIPEC Conference, 27th March 2007
Hilton Templepatrick Hotel
Essence of Care
“Safety of patients with mental health needs in
acute mental health and general hospital settings.”
Resources:
Financial restraints
Value the resources we have:
Families and carers
Staff (Recruitment and retention)
Improvements to the physical environment:
Windsor House is not accepted as adequate to meet
the needs of a modern comprehensive
mental health service.
Improving Patient Experience and Care through Practice and Quality Improvement
NIPEC Conference, 27th March 2007
Hilton Templepatrick Hotel
Essence of Care
“Safety of patients with mental health needs in
acute mental health and general hospital settings.”
Complaints
Essence of Care Group mostly satisfied with the
operation of the Belfast City Hospital Trusts’
complaints policy.
However, more could be done to make make it easier
for patients / clients and carers to make a complaint.
It was recognised that community patients would
have greater difficulty in accessing the complaints
procedure than inpatients.
Improving Patient Experience and Care through Practice and Quality Improvement
NIPEC Conference, 27th March 2007
Hilton Templepatrick Hotel
Essence of Care
“Safety of patients with mental health needs in
acute mental health and general hospital settings.”
Complaints:
Staff should have feedback on outcomes
of complaints.
Improving Patient Experience and Care through Practice and Quality Improvement
NIPEC Conference, 27th March 2007
Hilton Templepatrick Hotel
Essence of Care
Process:
“Safety of patients with mental health needs in
acute mental health and general hospital settings.”
Phase 1 Agree area of practice
Phase 2 Establish a Comparison Group
Phase 3
Agree best practice
Phase 6
Action
Phase 4
Scoring
Phase 5
Comparing / Sharing
Phase 7
Dissemination
Improving Patient Experience and Care through Practice and Quality Improvement
NIPEC Conference, 27th March 2007
Hilton Templepatrick Hotel