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Welcome to Mersey Care’s First Dare to Share Event. Steve Morgan. What is it about?. Sharing deficits in Care and Service provision. Learning how we can improve care. Identifying good practice. A vehicle for staff to openly share and learn from incidents – their own and colleagues .
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Welcome to Mersey Care’s First Dare to Share Event Steve Morgan
What is it about? • Sharing deficits in Care and Service provision. • Learning how we can improve care. • Identifying good practice. • A vehicle for staff to openly share and learn from incidents – their own and colleagues.
What can you expect? • Support. • To be listened to. • To be affected. • To hear about Good and Poor Practice. • To feel challenged.
Focus of the Day • To have raised the profile of suicide and issues of prevention within the Trust. • Identified sharing problems / deficits as important, acceptable safe. • Gain knowledge of monitoring processes and standards set. • Learn from the experience of others.
The Trust’s Response to Suicide Prevention is monitored by: - • Confidential Inquiries into Suicide and Homicide. • Annual Audit of: - - (NIMHE) Preventing Suicide Toolkit • CSIP Suicide Prevention Local Implementation Framework • Strategic Health Authority
The Suicide Prevention Strategy for England was published by the Department of Health in 2002 to support the Saving Lives: Our Healthier Nation target of reducing the death rate from suicide by at least 20% by 2010. This is now a Public Service Agreement.
“Suicide is a devastating event for an individual, their family and the whole community. The prevention of suicide is a test of community resilience and our ability to respond to individuals and their distress.” Professor John Ashton
“Complex partnership working and commitment across organisations is critical to making a real difference, as is the involvement of people with the experience of feeling suicidal or of being bereaved by suicide. Professor John Ashton
Reducing access to lethal methods of self-harm is known to be an effective way of preventing suicide. One reason is that suicidal behaviour is sometimes impulsive, so that if a lethal method is not immediately available a suicidal act can be delayed or prevented altogether. Although ‘method substitution’ does occur, a number of people will not go on to use another method and lives may therefore be saved. S-Kit 2005
Key areas identified by National Confidential Inquiry Absconding from in-patient wards Transition from in-patient ward to the community Use of CPA (ECC) and management of risk Responding when a care plan breaks down Attitudes to prevention Observation on in-patient units Ward environment Dual diagnosis
Adult Mental Health Deaths July 2005 – July 2006 Fourteen people who were provided services were reported to have died between July 2005 and July 2006. Out of these fourteen service users three were female, four were from the Sefton & Kirkby area and ten from the Liverpool area.
Adult Mental Health Deaths July 2005 – July 2006 Breakdown of the Months in which the deaths occurred.
Process in the Trust • System for Reviewing incidents. • Suicide Prevention Group. • Oxford Model and Dare to Share Programmes