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Andrew Masterman Policy Lead Violence Strategy Date 26 06 14

Andrew Masterman Policy Lead Violence Strategy Date 26 06 14. Collaborative approach. Timeline. NHS SMS. Meeting Needs. DH guidance. Zero Tolerance. NHS Protect. MIND. Winter bourne / Mid Staffs. National picture. Minimising the use of physical restraint.

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Andrew Masterman Policy Lead Violence Strategy Date 26 06 14

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  1. Andrew Masterman Policy Lead Violence Strategy Date 26 06 14

  2. Collaborative approach

  3. Timeline NHS SMS Meeting Needs DH guidance Zero Tolerance NHS Protect MIND Winter bourne / Mid Staffs

  4. National picture Minimising the use of physical restraint DH Positive & Safe Programme MH Crisis Care Concordat MoJ - Death in Custody principles / NHS Care in Custody RCN - Positive and Proactive Care SfHealth/Care - Positive and Proactive Workforce NHS Protect - Meeting Needs and Reducing Distress • NICE - Guidelines • Violence & Aggression • LD Challenging • Behaviour NHS England -NRLS and Patient Safety Incidents RCN Forum RCPsych Research Health Education England CQC

  5. Why is this guidance important? • Vulnerable patients • Other patients • Staff • Relatives and carers • Organisational reputation

  6. Our approach Preventing challenging behaviour and minimising restrictive practices…

  7. Understand • What is meant by clinically related challenging behaviour • Clinical condition or other factors • How it presents and early signs • Antecedents and triggers • Common reasons - physical, cognitive, psychological/emotional, environmental/social • Translate unmet needs into delivery of care

  8. Manage risk • Recognise a person’s vulnerability • Implement strategies to stay safe • Manage escalating situations • Deal with immediate, obvious causes • Consider other strategies, e.g. assistance, observations • Know when to use physical interventions in emergency situations • Review incident

  9. Prevent • Recognise individual's rights and dignity • Positive engagement, attitudes, communication critical to prevent challenging behaviour • Information gathering, observation and assessing behaviours when planning care • Plan individualised care: understand what causes behaviour, what alleviates it, what can we do differently; document and share with colleagues • Factors: communication, environment, activities, independence, mobility, sleep, rest and nutrition • Review care plan

  10. Training

  11. Resources • Versatile video resource • Supports guidance • Learning outcomes • Relevant to clinical and • non-clinical staff • Scenarios to understand,prevent, manage behaviour • Shared expertise and practical advice

  12. www.nhsprotect.nhs.uk/reducingdistress

  13. The future? • Guidance, website and video resources • Project implementation and evaluation • Future engagement: participate in work streams to minimise restrictive interventions • Identify opportunities for further work • Training

  14. CONTACT DETAILS: andrew.masterman@nhsprotect.gsi.gov.uk

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