Service User Involvement

1. Service User Involvement Experiences of Patient Led Audit

2. Introduction – About Us Suzanne, Service User KHH Gareth, Service User KHH Ellie Moore, Clinical Audit Facilitator Claire Linsdell, Student Social Worker Dylan Tibbs, Trainee Education Co-ordinator

3. Introduction – About KHH • Partnerships in Care (PiC) is one of the largest independent providers of secure and step down care, with 23 hospitals across the UK • Kneesworth House Hospital is a 153 bedded unit within PiC; providing medium secure, low secure and both locked and open rehabilitation opportunities • Kneesworth House Hospital provides both male and female Mental Illness and Personality Disorder • services, and male Learning • Disability services Right: Service user’s photograph of Southview, KHH

4. Patient Involvement Stepping Forward Ward Reps Peer+ Scheme Staff training Recovery and Outcomes Patient Council Staff Interviews National / Regional Conferences Patient Involvement at KHH Clinical Audit Clinical Governance Themed weeks / rehab practice EVOS Policy Development Patient Magazine

5. Patient led Audit - Background • KHH employs a designated Clinical Audit Officer, who is responsible for the facilitation of all clinical internal audit at the hospital • Audit process is essential in quality assurance of service provision and care • Over the past year there has been increasing patient involvement in this process • Patient driven topics • Patient Council involvement • Focus groups • Presentation of action plans within Clinical Governance • In Quarter 3 2013, there was a requirement within the PiC Clinical Audit agenda for a ‘Patient Led Audit’ • At KHH, this was considered a key opportunity for service users to be able to identify and audit areas of service most important to them

6. Patient Led Audit – The Process Research Initiative IT skills Analysis Time management Organisation Creating graphs Negotiation

7. Patient Led Audit – The Process Data Interpretation Report writing Team working Problem solving Presenting Communication Interpersonal skills

8. Patient Led Audit – The Process Skill Bank £ Research ITskills Initiative ProblemSolvingTimeManagement Organisation Communication DecisionMaking GeneratingIdeas CreatingGraphs Analysis DataInterpretation ReportWriting Teamworking Presenting

9. Making a difference The patient led audit has allowed us to make a difference at a number of organisational levels…. • Development and consolidation of individual skills • Opportunity for patient involvement in quality assurance PERSONAL

10. Making a difference The patient led audit has allowed us to make a difference at a number of organisational levels…. • Improved communication flows between patient and staff forums • Improved MDT attendance • Cultural change with renewed focus on the importance of community meetings • Increased awareness of audit LOCAL PERSONAL

11. Making a difference The patient led audit has allowed us to make a difference at a number of organisational levels…. ORGANISATIONAL • Opportunity for patient input into organisational practice • Pilot scheme of patient led standardised community meeting agenda LOCAL PERSONAL

12. Patient Led Audit – Lessons Learnt • Consideration of topic • Communication and raising the audit profile • IT & logistical challenges

13. Where next for Patient Led Audit in 2014? • We will be completing the audit cycle and embedding our existing action plan within hospital practice • Service user involvement will continue to be an integral part of the internal audit process at KHH, and we will be promoting opportunities for service user involvement in quality assurance and Clinical Governance matters • Such involvement not only provides service users with the opportunity to identify the areas of service most important to them, but further generates interest and understanding amongst patients that good audit really can facilitate positive change • And, of course, we look forward to starting our next Patient Led Audit!

14. After all, we found that those best placed to voice opinion about effective improvements are often those who are in receipt of the service itself…

15. Service User Involvement Experiences of Patient Led Audit