1 / 8

S ervices & T rusts I ntegrating T o improve C are in self- H arm

Enhancing care in self-harm through integrated services and trusts to achieve specific quality objectives and reduce incidence of repeat self-harm, hospital admissions, and suicides in Bristol. Presenting significant improvements from past practices to a promising future with innovative initiatives.

phillippennington
Download Presentation

S ervices & T rusts I ntegrating T o improve C are in self- H arm

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Services & Trusts Integrating To improve Care in self-Harm #BHPhitconf

  2. Who’s involved? Sue Dursley UHB David GunnellUoB Amy Green NBT Lucy Griffin AWP Blanka Robertson BCC/Public Health Lisa Foote Sal Ball SISH Dominique Thompson GP Kyla Thomas Public Health Jonathon Benger UHB/UWE Jacky Keane NBT Jon HayhurstCCG NHS England Claire Thompson CCG Rowena Green UHB

  3. What are our aims? • 80%Patients who have self harmed receive psychiatric assessment • >80% Emergency Staff trained in self harm • 10% reduction in the incidence of repeat self-harm in Bristol • Reduced prescriptions of drugs with high lethality when taken in overdose • 50% reduced admission to a hospital bed for self-harm • 20% reduced admission to intensive care of self-harm patients • 10% reduced length of stay in hospital if self harm patient admitted • 20% reduction in suicides in Bristol by those who self harm • Quality objectives: reduce duplication, CQC/NICE compliance, patient satisfaction

  4. That was then: Patient attends ED (A+E) at 7pm following overdose of prescription medication: Poor attitudes Left alone – DNW/absconding risk No mental health assessment No follow-up #BHPhitconf

  5. This is now: • Trained GP aware of local services • Prescription pilot • Ambulance crew with training to recognise self harm and mental health crisis • At reception ‘its personal’ • All attendances recorded – 40 item data set • Patient written resource pack #BHPhitconf

  6. Liaison assessment wait time

  7. This is now • Personal Support Plan if been in before • Triage nurses and ED doctors trained in mental health • Psychiatric staff available 7 days per week • Able to be involved in research • The HOPE project – extra help for people with financial problems prior to self harm • GP specific box information #BHPhitconf

  8. The Future’s Bright: • Training and extra support into AMU/OPAU • Later life (over 65) extra support 12 month pilot • Volunteers into ED (A+E) • NHS England – prescription into parliament • Psychiatric Nurses into GP surgeries: pilot • Update patient evaluation – what do people think now? • Evaluation – new service and 12 month later life service • Research – PPI self harm involvement: CLARHC #BHPhitconf

More Related