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Essence of Care

Essence of Care. “Safety of patients with mental health needs in acute mental health and general hospital settings.”. Essence of Care. “Safety of patients with mental health needs in acute mental health and general hospital settings.”. Essence of Care arose from : Making a Difference (1999)

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Essence of Care

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  1. Essence of Care “Safety of patients with mental health needs in acute mental health and general hospital settings.”

  2. Essence of Care “Safety of patients with mental health needs in acute mental health and general hospital settings.” Essence of Care arose from : Making a Difference (1999) The NHS Plan (2000) A first Class Service (1998)

  3. Essence of Care “Safety of patients with mental health needs in acute mental health and general hospital settings.” Representation from : Nursing, (ward based and community) Psychology Occupational Therapy Secretaries Domestic Services Medical Patient representative and a carer.

  4. Essence of Care “Safety of patients with mental health needs in acute mental health and general hospital settings.” Factor 1. Orientation to the Health Environment Factor 2. Assessment of Risk of patients/clients with mental health needs harming self. Factor 3. Assessment of Risk of patient/client with mental health needs harming others. Factor 4. Balancing Observation and Privacy in a Safe Environment. Factor 5. Meeting patients / clients safety needs. Factor 6. A Positive Culture to Learn from Complaints and Adverse Incidents related to harm and abuse.

  5. Essence of Care “Safety of patients with mental health needs in acute mental health and general hospital settings.” Method: PRESENTING THE EVIDENCE OF CURRENT PRACTICE Factor 1: Orientation to the Health Environment Examples best practice Barriers that prevent achievement of best practice: Welcome patients to environment  Induction to ward  Orientation to ward should be ongoing process when necessary.  Restricted areas for both male and female patients  Vulnerable patients given a single room  Key Nurse allocated  Information leaflets informing patients appointments etc what to expect

  6. Essence of Care “Safety of patients with mental health needs in acute mental health and general hospital settings.” From our discussions a number of recurrent themes were identified across all six factors. These were: • Orientation to the health environment • Safety and risk • Resources 4. Complaints

  7. Essence of Care “Safety of patients with mental health needs in acute mental health and general hospital settings.” Orientation to the health environment: A number of recommendations were made: An information / communications group should be established to ensure adequate and appropriate information is available to staff, patient / clients and carers. The core of this will be a resource room with internet access, books, journals, information leaflets and audio visual material.

  8. Essence of Care “Safety of patients with mental health needs in acute mental health and general hospital settings.” Safety and risk: The risk assessment tool has been reviewed and amended.  The serious risk indicator tool has been audited. Observation policies have been reviewed. Review of discharge procedures leading to a pilot study and the creation of a post for a discharge expeditor. McCleery report, risk assessment, and discharge planning is now a priority.

  9. Essence of Care “Safety of patients with mental health needs in acute mental health and general hospital settings.” Resources: Financial restraints Value the resources we have: Families and carers Staff (Recruitment and retention) Improvements to the physical environment: Windsor House is not accepted as adequate to meet the needs of a modern comprehensive mental health service.

  10. Essence of Care “Safety of patients with mental health needs in acute mental health and general hospital settings.” Complaints Essence of Care Group mostly satisfied with the operation of the Belfast City Hospital Trusts’ complaints policy. However, more could be done to make make it easier for patients / clients and carers to make a complaint. It was recognised that community patients would have greater difficulty in accessing the complaints procedure than inpatients.

  11. Essence of Care “Safety of patients with mental health needs in acute mental health and general hospital settings.” Complaints: Staff should have feedback on outcomes of complaints.

  12. Essence of Care “Safety of patients with mental health needs in acute mental health and general hospital settings.” Phase 1 Agree area of practice Process: Phase 2 Establish a Comparison Group Phase 3 Agree best practice Phase 6 Phase 4 Action Scoring Phase 5 Comparing / Sharing Phase 7 Dissemination

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