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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)

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Essence of Care

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Essence of Care

“Safety of patients with mental health needs in acute mental health and general hospital settings.”


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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)


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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.


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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.


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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


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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:

  • Orientation to the health environment

  • Safety and risk

  • Resources

    4. Complaints


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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.


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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.


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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.


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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.


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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.


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Essence of Care

“Safety of patients with mental health needs in acute mental health and general hospital settings.”

Phase 1 Agree area of practice

Process:

Phase 2 Establish a Comparison Group

Phase 3

Agree best practice

Phase 6 Phase 4

Action Scoring

Phase 5

Comparing / Sharing

Phase 7

Dissemination


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