Looking forward to the nice quality standard on service user experience in mental health
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Looking forward to the NICE Quality Standard on service user experience in mental health. Dr Diana Rose Service User Co-Chair Guideline Development Group. Why Mental Health Specifically?. Cinderella service? Approached by NICE differently?

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Looking forward to the nice quality standard on service user experience in mental health

Looking forward to the NICE Quality Standard on service user experience in mental health

Dr Diana Rose

Service User Co-Chair

Guideline Development Group


Why mental health specifically
Why Mental Health Specifically? experience in mental health

  • Cinderella service?

  • Approached by NICE differently?

  • Can be deprived of our liberty and compulsorily treated without committing a crime.


Structure of the gdg
Structure of the GDG experience in mental health

  • Convened and facilitated by the National Collaborating Centre for Mental Health (NCC MH)

  • Two chairs: one provider and one service user

  • Group evenly split between providers and service users


Evidence
Evidence experience in mental health

  • There are no RCTs

  • National patient surveys

  • But also qualitative work

    • Chapters in previous NICE guidance

    • Healthtalkonline


Framework
Framework experience in mental health

  • Considered Picker Institute and Institute of Medicine

  • Adapted

  • Care pathways


Examples of domains for quality standards
Examples of domains for quality standards experience in mental health

  • An environment of optimism

  • Dignity and respect

  • User involvement and shared decision-making

  • Single multi-disciplinary team

  • Timely access

  • Full information

  • Involvement in care planning

  • Those at risk of crisis have a crisis plan


Examples of domains for quality standards hospital
Examples of domains for quality standards: hospital experience in mental health

  • Daily one to one contact with a professional

  • Meaningful and culturally appropriate activities including evenings and weekends

  • CR&RT used competently, safely and as a last resort


Overarching themes
Overarching themes experience in mental health

  • Diversity

  • Parents

  • Carers

  • Combating stigma (also specific QS)


Shouldn t these things be happening already
Shouldn’t these things be happening already? experience in mental health

  • These things not new – service users have been recommending for quite some time

  • We know that practice is good in some places

  • But in others there is a lot to be desired

  • Members of the GDG had experienced both

  • Many mental health professionals need to change their whole approach to their patients


What is new in this guideline and quality standard
What is new in this guideline and quality standard? experience in mental health

  • Rooted in the experience of mental health service users

  • Admits a broader range of evidence


Measures and metrics
Measures and metrics experience in mental health

  • Most unlikely that this quality standard could be measured using techniques such as real time experience or dashboards

  • Mental health service users need time to reflect on their experience of services and treatments

  • Recommended that service users themselves are involved in assessments of how far QS is being met locally

  • Yet still room for quantitative metrics


Conclusion
Conclusion experience in mental health

  • This guideline and quality standard is rooted in the experience of service users and practitioners

  • It was facilitated by the NCC MH and used prior evidence collected by them

  • It results from careful deliberation on the evidence inflected by the experience of the GDG


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