Clinical Supportive Observation, Intervention and Engagement of Service Users Policy

Size: px
Start display at page:

Download "Clinical Supportive Observation, Intervention and Engagement of Service Users Policy"

Transcription

1 Clinical Supportive Observation, Intervention and Engagement of Service Users Policy Document Control Summary Status: Version: Author/Title: Owner/Title: Approved by: Ratified: Related Trust Strategy and/or Strategic Aims Implementation Date: Review Date: Key Words: Associated Policy or Standard Operating Procedures Replacement. Supersedes: Policy for the Observation and Engagement of Service Users C- YEL-ip-01 Version 2.0 v 1.0 Date: 24/07/2015 Tim Devanney - Lead for Safe Staffing Alison Bussey - Chief Operating Officer/Director of Nursing Policy & Procedures Committee Date: 13 th August 2015 Trust Board Date: 24 th September 2015 Trust Strategic plan to: Provide high quality recovery focused services and Respect inspire and develop our workforce September 2015 September 2018 Observation, Supportive, Engagement, Enhanced, Specialising, Levels. Supportive Observation, Intervention and Engagement of Service Users SOP Contents This Policy at a Glance Introduction Purpose Scope Evidence Base Underpinning the Practice of Observation European Convention of Human Rights, Mental Capacity Act (2005) / Deprivation of Liberty (DOLS.) Training Bank and Agency Staff Student Nurses Process for Monitoring Compliance and Effectiveness References... 8

2 Change Control Amendment History Version Dates Amendments V /07/2015 Supersedes: Policy for the Observation and Engagement of Service Users C-YEL-ip-01 Version 2.0 This Policy at a Glance South Staffordshire and Shropshire Healthcare NHS Foundation Trust is committed to delivering high quality, safe services and this policy describes the practice decisions and standards which our staff will provide when deploying the use of observation and engagement with service users in managing risk on our in-patient wards. This observation and engagement policy covers all Trust staff on our in-patient wards across all directorates and divisions. Observation is a specific skill used by a member of care staff as part of their day to-day duty in the care and assessment of service users under their care. The four levels of observation used by the Trust are: General Observation Intermittent Observation Within Eyesight Constant Observation Within Arms-length Constant Observation Enhanced observation and engagement is an intervention used for the highest risk and often acutely ill patients; members of care staff are required to employ a range of skills to develop therapeutic relationships with patients on enhanced observations. Given this, enhanced observation should not be carried out exclusively by unqualified staff as this is likely to undermine its potential effectiveness All enhanced observations must be carefully planned alongside the activities that shall be engaged in during each period of care. Page 2 of 8

3 1. Introduction 1.1. Observation is a specific skill used by a nurse/clinician as part of their day today duty in the assessment and treatment of service users under their care. The four levels of observation used by the Trust are are: General Observation Intermittent Observation Within Eyesight Constant Observation Within Arms-length Constant Observation 1.2. Observation should not be considered as a stand-alone or passive intervention; rather it must be part of an overall management plan addressing the identified clinical risks. Any planned observation must also be accompanied with a clear description of the activities or interventions and the type of engagement that are planned to take place between the service user and the member of staff allocated to undertake the observation In this way observation should be a supportive intervention that engages the service user It should be based on a risk assessment that considers both the target risks and those associated with the process and act of observation The level of observation should be selected based on the needs of the individual service user, including a historical knowledge of the effectiveness of enhanced observation and a consideration of service user preference to suit the individuals need along with associated interventions and activities designed to reduce the risks Clear explanations and expectations of the duration, activities and responsibilities that will be undertaken during the observation period will be discussed with the service user whenever practically possible and always with the person undertaking the observations The level of supportive observation and interventions will continue under review and will need to be adjusted to suit the individuals risk, clinical presentation and environment. 2. Purpose 2.1. To provide a safe environment for service users, clinical and support staff together with members of the public and visitors This policy has been written with regard to NICE guidance CG25 incorporating the observation and engagement element of the guidance Observation as an exercise in itself has a limited therapeutic value to service users. Being under such surveillance may be interpreted as reassuring, intrusive, threatening or number or other ways. It is therefore essential that any Page 3 of 8

4 such intervention with a significant element of observation should take into account the effect that being observed may have upon the service user Observation may be a significant part of a strategy to reduce risk and it must: Be accompanied by a care plan which describes the planned supportive interventions agreed with the service user Give due regard to the interaction between the person being observed and the person undertaking that responsibility The purpose of this supportive observation policy is to: 2.6. Primarily to ensure the safety of service users with increased risks and to afford them additional intensive care and support until their risks reduce To provide structured supportive observation, intervention and engagement for service users who need enhanced intervention and or monitoring of their mental or physical health. 3. Scope 3.1. Directors Directors are responsible for: - Ensuring the policy is implemented in their Divisions - Bringing the policy to the attention of all clinical staff - Ensuring that all identified staff receive adequate training 3.2. Ward Managers Ward Managers are responsible for: - The implementation of this policy - Ensuring that practice on the ward conforms to this policy 3.3. Nurse in Charge The Nurse in charge is responsible for: - Ensuring there is multi-disciplinary risk assessment and that the level of observation/interventions employed for each patient matches the current level of care need. - Ensuring that effective communication takes place between those members of the MDT responsible for determining levels of observation, those undertaking the duty of observation and service users who are being observed. - Providing times, reviews and changes to the intervention / observation following multidisciplinary discussion. Page 4 of 8

5 - Recording the level of observation and any variation in the care plan. There should be a daily summary recording observation level(s) and progress in the service user s health record. - Nominating a suitably prepared person to undertake the planned interventions / observation, taking into account their experience, gender, knowledge and relationship with the service user. - Ensuring the intervention / observations for the subsequent periods are relevant to the current clinical need, explained to all, and those undertaking the intervention observation duties are clear about their role. - Informing all members of the ward team of the level of observations required and who the nominated persons responsible for in intervention observations are Member of Staff allocated to carry out observations and engagement The member of staff who is observing and engaging with the patient is responsible for: - Ensuring that they are familiar with the service user; their preferences and personal history and circumstances, paying utmost regard to their rights, privacy, dignity and self-respect. - Considering the location and any risk items in the environment taking reasonable steps to remove or mitigate risks. - Use planned interventions engaging the service user in appropriate / suitable activities. If this includes attending a group programme session, etc. the observing clinician should liaise with the group facilitator / therapist to agree how observations are best achieved. - Providing a full verbal report to the nurse/clinician taking over. Where appropriate, the service user should be involved in this process. - Making a record of their work on the service user s health records to document any occurrence and action taken during the observation period. - Being aware of the stresses associated with special observation levels on not only the service user but on the observing nurse/clinician and other service users. - Informing the service user of the rationale for the level of observation being implemented. Staff should be sensitive to service user s mental state when doing this. - Offer a copy of the Care Plan and communicate the intervention with the service user and relatives etc where appropriate. Page 5 of 8

6 4. Evidence Base Underpinning the Practice of Observation 4.1. There is a growing evidence base regarding the use of observation and engagement in mental health settings. Members of staff involved with undertaking and supervising the use of observation and engagement are encouraged to access the sources of evidence listed in the reference section of this policy Enhanced observation and engagement is an intervention used for the highest risk and often acutely ill patients and care staff are required to employ a range of skills to develop therapeutic relationships with patients on enhanced observations. Given this, enhanced observation should not be routinely carried out by unqualified staff as this is likely to undermine its potential effectiveness. (Stewart & Bowers, 2010) 5. European Convention of Human Rights, Mental Capacity Act (2005) / Deprivation of Liberty (DOLS.) 5.1. All those involved in observation and associated interventions must respect at all times the service user s human rights in particular Article 5 A Right to Freedom and Article 8 A Right to Respect for Family Life. The clinician should also have an understanding of the service user s mental capacity and decisions regarding increasing or decreasing levels of observation; this decision needs to take into account a service user s capacity. The level of observation needs to balance therapeutic considerations with safety factors. In practice this may result in restricting the service user s autonomy, personal freedom, privacy and dignity in order to maintain their safety and the safety of others. The activity should be used for the minimum length of time appropriate to the service user. 6. Training 6.1. The ward manager is responsible for ensuring that all staff on the ward are familiar with the policy and aware of their responsibilities. Staff will have their competency assessed on the practice of observation and an exploration of the practicalities of the procedure (Appendix 5) To aid this process there is attached at Appendices 3 & 4 a standard operating procedure and flowchart. Training guidance provided for staff should not be viewed in isolation but opportunities should be taken to support the activity of observation through clinical and managerial supervision The Trust s expectations with regard to observation training are detailed within the Trust s Training Needs Analysis which staff can locate on the Trust s website. 7. Bank and Agency Staff 7.1. On occasions when bank and agency staff are employed on the ward it would be good practice to use the regular staff in the first instance. If it is necessary, to utilise Bank and Agency staff to perform supportive observations; the nurse in charge of the shift will ensure that member of staff understands what is required of them, is familiar with this policy and is competent to carry out the required intervention on that individual service user for that particular duration of the shift. Page 6 of 8

7 8. Student Nurses 8.1. Student nurses are not employees of the organisation and cannot be counted amongst the numbers as member of the nursing or care staff. They are learning through practical experience within the clinical area. Second and Third year students may, once they are assessed as competent, undertake enhanced levels of observation as part of a learning activity Student nurses will not be assigned to carry out enhanced levels of observations with a patient who is at risk of violence and aggression due to the risk associated with this activity The student should be clear what the purpose of the observation is and understand the record keeping requirements. The student should know when to seek support from a qualified practitioner. Students should also be educated as to the roles, responsibilities and functions of the principles and practices on observation and engagement. 9. Process for Monitoring Compliance and Effectiveness 9.1. Auditing of this policy will be undertaken as part of the clinical audit programme to monitor the effectiveness of the policy and practice. It will take into consideration the rationale behind decisions made to commence observation levels incorporating the levels of engagement undertaken. Where compliance is deemed to be insufficient and the assurance provided is limited then remedial actions will be drawn together through an action plan. This progress against the action plan will be monitored at the specified committee / group. Aspect of compliance or effectiveness being monitored Monitoring method Individual or department responsible for the monitoring Frequency of the monitoring activity Group/Committe e/forum which will receive the findings/monitor ing report Committee/ individual responsible for ensuring that the actions are completed Duties Audit Clinical Audit via audit programme Annual QERC QERC Process for observation at differing levels Audit Clinical Audit via audit programme Annual QERC QERC Organisation s expectations in relation to staff training Monitoring Reports Learning and Development Department Monthly HR&ODE Committee HR&ODE Committee Record-keeping Audit Clinical Audit via audit programme Annual QERC QERC Page 7 of 8

8 10. References (Please read in conjunction with the Restrictive Practices Policy) Mental Health Act 1983 as amended by the Mental Health Act 2007 and Revised Code of Practice Great Britain. Mental Capacity Act London: The Stationary Office. Available at: National Institute for Clinical Excellence (NICE) Clinical Guideline 25 Violence The Short-Term Management of Disturbed/Violent Behaviour in Psychiatric In-patient Settings and Emergency Departments (2005) Stewart, D. Bowers, L. (2010) Under the Gaze of Staff: Special Observation as Surveillance. Perspectives in Psychiatric Care 48 p 2-9. Stewart, D. Ross, J. Watson, C. James, K. Bowers, L. (2011) Patient characteristics and behaviours associated with self-harm and attempted suicide in acute psychiatric wards. Journal of Clinical Nursing, 21, p , Stewart, D. Bowers, L. Ross, J. (2012) Managing risk and conflict behaviours in acute psychiatry: the dual role of constant special observation. Jan. p SSSFT (2014) Carer Engagement in Service users Care, SSSFT Online: Page 8 of 8

Provide high quality recovery focused services. Mental Health Act; DOLS; Locked door Mental Health Act Policy Mental Capacity Act Policy DOLS SOP

Provide high quality recovery focused services. Mental Health Act; DOLS; Locked door Mental Health Act Policy Mental Capacity Act Policy DOLS SOP Corporate Locked Door: Standard Operating Procedure Document Control Summary Status: Replacement. Replaces: Locked Door Policy (C/YEL/ip/02) Version: v1.0 Date: March 2016 Author/Owner/Title: Kenny Laing

More information

Regional Guideline on the Use of Observation and Therapeutic Engagement in Adult Psychiatric Inpatient Facilities in Northern Ireland

Regional Guideline on the Use of Observation and Therapeutic Engagement in Adult Psychiatric Inpatient Facilities in Northern Ireland Regional Guideline on the Use of Observation and Therapeutic Engagement in Adult Psychiatric Inpatient Facilities in Northern Ireland November 2011 1 Contents 1. Introduction 3 2. Aims of Guideline 4 3.

More information

Clinical Observation and Engagement

Clinical Observation and Engagement Clinical Observation and Engagement Who Should Read This Policy Target Audience (All Inpatient Services) All Inpatient Nurses Consultant Medical Staff All Health and Social Care Professionals within Inpatient

More information

Use of Long Term Segregation: Standard Operating Procedure

Use of Long Term Segregation: Standard Operating Procedure Clinical Use of Long Term Segregation: Standard Operating Procedure Document Control Summary Status: New Version: v1.0 Date: October 2015 Author/Title: Gary Firkins De-escalation Management & Intervention

More information

Positive and Safe Management of Post incident Support and Debrief. Ron Weddle Deputy Director, Positive and Safe Care

Positive and Safe Management of Post incident Support and Debrief. Ron Weddle Deputy Director, Positive and Safe Care Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Positive and Safe Management of Post incident Support and Debrief NTW(C)13 Ron Weddle Deputy Director, Positive

More information

Plymouth Community Healthcare CIC. Observation Policy ( Mental Health Wards and Plymbridge ) Version 2.3

Plymouth Community Healthcare CIC. Observation Policy ( Mental Health Wards and Plymbridge ) Version 2.3 Plymouth Community Healthcare CIC Observation Policy ( Mental Health Wards and Plymbridge ) Version 2.3 Notice to staff using a paper copy of this guidance The policies and procedures page of Healthnet

More information

Observation and Therapeutic Engagement of Mental Health Inpatients in Holywell Hospital and Ross Thomson Unit Reference Number:

Observation and Therapeutic Engagement of Mental Health Inpatients in Holywell Hospital and Ross Thomson Unit Reference Number: This is an official Northern Trust policy and should not be edited in any way Observation and Therapeutic Engagement of Mental Health Inpatients in Holywell Hospital and Ross Thomson Unit Reference Number:

More information

Date ratified May Review Date May 2019

Date ratified May Review Date May 2019 Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Engagement and Observation Policy NTW(C)19 Gary O Hare - Executive Director of Nursing and Chief Operating Officer

More information

Open Door Policy (replacing policy no. 030/Clinical)

Open Door Policy (replacing policy no. 030/Clinical) A member of: Association of UK University Hospitals Open Door Policy (replacing policy no. 030/Clinical) THIS POLICY IS CURRENTLY UNDER REVIEW WITH THE POLICY AUTHOR POLICY NUMBER 138/Clinical POLICY VERSION

More information

Patient Observation Policy

Patient Observation Policy Policy No: MH03 Version: 5.0 Name of Policy: Patient Observation Policy Effective From: 25/08/2015 Date Ratified 24/07/2015 Ratified by Mental Health Act Committee Review Date 01/07/2017 Sponsor Associate

More information

HOME TREATMENT SERVICE OPERATIONAL PROTOCOL

HOME TREATMENT SERVICE OPERATIONAL PROTOCOL HOME TREATMENT SERVICE OPERATIONAL PROTOCOL Document Type Unique Identifier To be set by Web and Systems Development Team Document Purpose This protocol sets out how Home Treatment is provided by Worcestershire

More information

Psychiatric Observations and Engagement

Psychiatric Observations and Engagement Psychiatric Observations and Engagement Please be aware that this printed version of the Policy may NOT be the latest version. Staff are reminded that they should always refer to the Intranet for the latest

More information

Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service

Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service Inspections of Mental Health Hospitals and Mental Health Hospitals for People with a Learning Disability Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service 1 Our Vision,

More information

Policy for the use of Leave under Section 17 of the Mental Health Act 1983 (as amended) Version: 9

Policy for the use of Leave under Section 17 of the Mental Health Act 1983 (as amended) Version: 9 SH CP 52 Policy for the use of Leave under Section 17 of the Mental Health Act 1983 (as amended) Version: 9 Summary: Keywords (minimum of 5): (To assist policy search engine) Target Audience: Policy for

More information

Under 18s Admission to Adult Mental Health Ward: Standard Operating Procedure

Under 18s Admission to Adult Mental Health Ward: Standard Operating Procedure Clinical Under 18s Admission to Adult Mental Health Ward: Standard Operating Procedure Document Control Summary Status: Version: Author/Title: Owner/Title: Replacement. Replaces: Policy on the formal or

More information

Hospital Discharge and Transfer Guidance. Choice, Responsiveness, Integration & Shared Care

Hospital Discharge and Transfer Guidance. Choice, Responsiveness, Integration & Shared Care Hospital Discharge and Transfer Guidance Choice, Responsiveness, Integration & Shared Care Worcestershire Mental Health Partnership NHS Trust Information Reader Box Document Type: Document Purpose: Unique

More information

Executive Director of Nursing and Chief Operating Officer

Executive Director of Nursing and Chief Operating Officer Document Title Arrangements for Managing Patients Mental and Physical Health Needs across NTW and the Acute Hospital Trusts Reference Number Lead Officer Author(s) (name and designation) Ratified by NTW(C)15

More information

Note: 44 NSMHS criteria unmatched

Note: 44 NSMHS criteria unmatched Commonwealth National Standards for Mental Health Services linkage with the: National Safety and Quality Health Service Standards + EQuIP- content of the EQuIPNational* Standards 1 to 15 * Using the information

More information

Policy: L5. Patients Leave Policy (non Broadmoor) Version: L5/01. Date ratified: 8 th August 2012 Title of originator/author:

Policy: L5. Patients Leave Policy (non Broadmoor) Version: L5/01. Date ratified: 8 th August 2012 Title of originator/author: Policy: L5 Patients Leave Policy (non Broadmoor) Version: L5/01 Ratified by: Policy Review Group Date ratified: 8 th August 2012 Title of originator/author: Consultation Psychiatrist Title of responsible

More information

Luton Psychiatric Liaison Service (PLS) Job Description & Person Specification

Luton Psychiatric Liaison Service (PLS) Job Description & Person Specification Luton Psychiatric Liaison Service (PLS) Job Description & Person Specification Job Title: Psychiatric Liaison Nurse Practitioner Grade: Band 6 Hours: Responsible To: Accountable To: Location 37.5 Hours

More information

LOCKED DOORS AND DOOR CONTROL POLICY

LOCKED DOORS AND DOOR CONTROL POLICY LOCKED DOORS AND DOOR CONTROL POLICY Version: 3 Ratified by: Senior Managers Operational Group Date ratified: November 2013 Title of originator/author: Mental Health Legal Strategies Lead Title of responsible

More information

Date ratified November Review Date November This Policy supersedes the following document which must now be destroyed:

Date ratified November Review Date November This Policy supersedes the following document which must now be destroyed: Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Cleaning Policy NTW(O)71 James Duncan Deputy Chief Executive / Executive Director of Finance Steve Blackburn Deputy

More information

Central Alerting System (CAS) Policy

Central Alerting System (CAS) Policy Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified By Central Alerting System (CAS) Policy NTW(O)17 Gary O Hare Executive Director of Nursing and Operations Tony Gray

More information

Hooper Psychiatric Ward Intensive Care and Acute services

Hooper Psychiatric Ward Intensive Care and Acute services Cygnet PICU and Hospital Acute Beckton Services Hooper Psychiatric Ward Intensive Care and Acute services Hooper Ward is a locked-door service, allowing stability and security for service users to maximise

More information

Mental Health Act Annual Statement November 2009

Mental Health Act Annual Statement November 2009 Mental Health Act Annual Statement November 2009 South West Yorkshire Partnership NHS Foundation Trust Introduction The Care Quality Commission (CQC) visits all places where patients are detained under

More information

Corporate. Health and Safety Policy. Document Control Summary. Contents

Corporate. Health and Safety Policy. Document Control Summary. Contents Corporate Health and Safety Policy Document Control Summary Status: Version: Author/Title: Owner/Title: Approved by: Ratified: Related Trust Strategy and/or Strategic Aims Implementation Date: Review Date:

More information

Document Title: Training Records. Document Number: SOP 004

Document Title: Training Records. Document Number: SOP 004 Document Title: Training Records Document Number: SOP 004 Version: 1 Ratified by: RFL Committee Date ratified: 03.06.2014 Name of originator/author: Directorate: Department: Name of responsible individual:

More information

ALLOCATION OF RESOURCES POLICY FOR CONTINUING HEALTHCARE FUNDED INDIVIDUALS

ALLOCATION OF RESOURCES POLICY FOR CONTINUING HEALTHCARE FUNDED INDIVIDUALS ALLOCATION OF RESOURCES POLICY FOR CONTINUING HEALTHCARE FUNDED INDIVIDUALS APPROVED BY: South Gloucestershire Clinical Commissioning Group Quality and Governance Committee DATE Date of Issue:- Version

More information

Moving and Handling Policy

Moving and Handling Policy Moving and Handling Policy Ratified Quality, Patient Safety and Risk / 16/04/2014 / 2014-40 Status Ratified Issued April 2014 Approved By Quality, Patient Safety and Risk Committee Consultation Quality,

More information

Corporate. Visitors & VIP s Standard Operating Procedure. Document Control Summary. Contents

Corporate. Visitors & VIP s Standard Operating Procedure. Document Control Summary. Contents Corporate Visitors & VIP s Standard Operating Procedure Document Control Summary Status: Version: Author/Owner: Approved by: Ratified: Related Trust Strategy and/or Strategic Aims Implementation Date:

More information

Intensive Psychiatric Care Units

Intensive Psychiatric Care Units NHS Highland Argyll & Bute Hospital, Lochgilphead Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity.

More information

Non Attendance (Did Not Attend-DNA ) Policy. Executive Director of Nursing and Chief Operating Officer

Non Attendance (Did Not Attend-DNA ) Policy. Executive Director of Nursing and Chief Operating Officer Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Non Attendance (Did Not Attend-DNA) NTW(C)06 Executive Director of Nursing and Chief Operating Officer Ann Marshall

More information

CODE OF CONDUCT POLICY

CODE OF CONDUCT POLICY CODE OF CONDUCT POLICY Mandatory Quality Area 4 PURPOSE This policy will provide guidelines to: establish a standard of behaviour for the Approved Provider (if an individual), Nominated Supervisor, Certified

More information

Adult Therapy Services. Community Services. Roundshaw Health Centre. Team Lead / Service Manager. Service Manager / Clinical Director

Adult Therapy Services. Community Services. Roundshaw Health Centre. Team Lead / Service Manager. Service Manager / Clinical Director THE ROYAL MARSDEN NHS FOUNDATION TRUST Job Description Job Title Specialist Neuro Physiotherapist - Community Neuro Therapy Service Area of Specialty Adult Therapy Services Directorate Community Services

More information

ECT Reference: Version 4 Effective Date: 28/02/2017. Date

ECT Reference: Version 4 Effective Date: 28/02/2017. Date Chaperone Policy Policy Title: Executive Summary: Chaperone Policy This policy sets out guidance on the use of chaperones within the Trust and is based on recommendations from the General Medical Council,

More information

ADMITTING YOUNG PEOPLE UNDER 18 TO ADULT MENTAL HEALTH WARDS POLICY

ADMITTING YOUNG PEOPLE UNDER 18 TO ADULT MENTAL HEALTH WARDS POLICY ADMITTING YOUNG PEOPLE UNDER 18 TO ADULT MENTAL HEALTH WARDS POLICY Version: 2 Ratified By: Date Ratified: August 2015 Title of Originator/Author Title of Responsible Committee/Group Senior Managers Operational

More information

Corporate. Ligature Risk Assessment and Management Policy. Document Control Summary

Corporate. Ligature Risk Assessment and Management Policy. Document Control Summary Corporate Ligature Risk Assessment and Management Policy Document Control Summary Status: Version: Author/Title: Owner/Title: Approved by: Ratified: Related Trust Strategy and/or Strategic Aims Implementation

More information

Moving and Handling Policy

Moving and Handling Policy Moving and Handling Policy Ratified Status Approved Final Issued 28 April 2016 Approved By Quality, Patient Safety and Risk Committee Consultation Executive Committee Equality Impact Assessment Embedded

More information

Section 18 Absent without Leave Photographing Patients

Section 18 Absent without Leave Photographing Patients Clinical Mental Health Act 1983: Section 17 Leave: Standard Operating Procedure Document Control Summary Status: Version: Author/Owner/Title: Approved by: Ratified: Related Trust Strategy and/or Strategic

More information

Birmingham, Sandwell and Solihull Eligibility Criteria Policy for NHS Non-Emergency Patient Transport (NEPT)

Birmingham, Sandwell and Solihull Eligibility Criteria Policy for NHS Non-Emergency Patient Transport (NEPT) Birmingham, Sandwell and Solihull Eligibility Criteria Policy for NHS Non-Emergency Patient Transport (NEPT) Version: 0.1 Ratified by: Date ratified: 1 st June 2016 Name of originator/author: Name of responsible

More information

Recruitment of Approved Mental Health Practitioners (AMHPs)

Recruitment of Approved Mental Health Practitioners (AMHPs) Recruitment of Approved Mental Health Practitioners (AMHPs) Lead Executive Author with contact details Responsible Committee/Sub Committee Document approved by & date: Document consultation: Patient and

More information

JOB DESCRIPTION FOR THE POST OF Support, Time and Recovery Worker COMMUNITY ADULT MENTAL HEALTH

JOB DESCRIPTION FOR THE POST OF Support, Time and Recovery Worker COMMUNITY ADULT MENTAL HEALTH JOB DESCRIPTION FOR THE POST OF Support, Time and Recovery Worker COMMUNITY ADULT MENTAL HEALTH TITLE: AGENDA FOR CHANGE PAY BAND: DIVISION ACCOUNTABLE TO: REPORTS TO: RESPONSIBLE FOR: Support, Time and

More information

Guide to the Continuing NHS Healthcare Assessment Process

Guide to the Continuing NHS Healthcare Assessment Process Guide to the Continuing NHS Healthcare Assessment Process Continuing NHS Healthcare (CHC) is a package of care arranged and funded solely by the NHS, where it has been assessed that the person s primary

More information

APPROVED CLINICIAN (AC) POLICY FOR MEDICAL STAFF

APPROVED CLINICIAN (AC) POLICY FOR MEDICAL STAFF APPROVED CLINICIAN (AC) POLICY FOR MEDICAL STAFF Version: 1 Ratified by: Date ratified: August 2015 Title of originator/author: Title of responsible committee/group: Date issued: August 2015 Review date:

More information

The Mental Capacity Act 2005 Legislation and Deprivation of Liberties (DOLs) Authorisation Policy

The Mental Capacity Act 2005 Legislation and Deprivation of Liberties (DOLs) Authorisation Policy The Mental Capacity Act 2005 Legislation and Deprivation of Liberties (DOLs) Authorisation Policy Version Number 3 Version Date vember 2015 Policy Owner Director of Nursing and Clinical Governance Author

More information

Clinical CARE CLUSTER POLICY. Document Control Summary

Clinical CARE CLUSTER POLICY. Document Control Summary Clinical CARE CLUSTER POLICY Document Control Summary Status: Version: Author: Amended v1.2 Date: 16 November 2017 Mike Jones MH Payments & Care Cluster Programme Project Manager Approved by: Policy and

More information

Visiting Celebrities, VIPs and other Official Visitors

Visiting Celebrities, VIPs and other Official Visitors Visiting Celebrities, VIPs and other Official Visitors Who Should Read This Policy Target Audience Healthcare Professionals Executive Team Version 1.0 May 2016 Ref. Contents Page 1.0 Introduction 4 2.0

More information

May 2016 March 2019 Mentorship, mentors, sign off mentors

May 2016 March 2019 Mentorship, mentors, sign off mentors Clinical Mentorship of Student Nurses Policy and Procedure Document Control Summary Status: Version: Author/Title: Owner/Title: Approved by: Ratified: Related Trust Strategy and/or Strategic Aims Implementation

More information

Policies, Procedures, Guidelines and Protocols

Policies, Procedures, Guidelines and Protocols Title Policies, Procedures, Guidelines and Protocols Document Details Trust Ref No 2078-28878 Local Ref (optional) Main points the document covers Who is the document aimed at? Author Approved by (Committee/Director)

More information

Continuing Healthcare Policy

Continuing Healthcare Policy Continuing Healthcare Policy 1 SUMMARY This policy describes the way in which Haringey Clinical Commissioning Group (HCCG) will make provision for the care of people who have been assessed as eligible

More information

Corporate. Supporting Staff following Critical Incidents Policy. Document Control Summary

Corporate. Supporting Staff following Critical Incidents Policy. Document Control Summary Corporate Supporting Staff following Critical Incidents Policy Document Control Summary Status: Replacement Version: V2.0 Date: 18 th January 2017 Author/Title: Owner/Title: Gary Firkins De-escalation

More information

your hospitals, your health, our priority

your hospitals, your health, our priority Policy Name: Policy Reference: SAFEGUARDING VULNERABLE ADULTS POLICY Recognition, Reporting and Investigation of the Abuse of Vulnerable Adults TW10/032 Version number : 4 Date this version approved: AUGUST

More information

Mental Health Commission

Mental Health Commission Code of Practice Code of Practice on the Use of Physical Restraint in Approved Centres Issued Pursuant to Section 33(3)(e) of the Mental Health Act 2001. October 2009 VISION Working Together for Quality

More information

SM-PGN 01- Security Management Practice Guidance Note Closed Circuit Television (CCTV)-V03

SM-PGN 01- Security Management Practice Guidance Note Closed Circuit Television (CCTV)-V03 Security Management Practice Guidance Note Closed Circuit Television (CCTV)-V03 Date Issued Issue 7 Sep 17 Issue 8 Dec 17 Issue 9 Mar 18 Planned Review September- 2018 SM-PGN 01- Part of NTW(O)21 Security

More information

Serious Incident Management Policy

Serious Incident Management Policy Serious Incident Management Policy Standard Operating Procedure Version Version 2 Implementation Date 01 November 2017 Review Date 31 October 2019 St Helens CCG Serious Incident Management Policy Approved

More information

Intensive Psychiatric Care Units

Intensive Psychiatric Care Units NHS Lothian St John s Hospital, Livingston Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We

More information

CONTINUING HEALTHCARE POLICY

CONTINUING HEALTHCARE POLICY BEFORE USING THIS POLICY ALWAYS ENSURE YOU ARE USING THE MOST UP TO DATE VERSION CONTINUING HEALTHCARE POLICY 1 SUMMARY This policy describes the way in which the five Primary Care Trusts in NHS North

More information

NURSE-LED DISCHARGE POLICY

NURSE-LED DISCHARGE POLICY THE NORTH WEST LONDON HOSPITALS TRUST Name: NURSE-LED DISCHARGE POLICY Communication 1. All staff must be aware of this policy. 2. All first line managers must have read and have a working knowledge of

More information

Section 136: Place of Safety. Hallam Street Hospital Protocol

Section 136: Place of Safety. Hallam Street Hospital Protocol MENTAL HEALTH DIVISION Section 136: Place of Safety Hallam Street Hospital Protocol 1. Introduction 2. Purpose 3. Section 136: Place of safety 4. Exclusion Criteria 5. Reception at Place of Safety 6. Initial

More information

1:1 Nursing Care Policy (Specialling)

1:1 Nursing Care Policy (Specialling) 1:1 Nursing Care Policy (Specialling) Name of Policy Author & Title: Jenny Watkins, Safeguarding Adult Nurse Lead; Alison Lambert, Falls Specialist Nurse; Fay Wright, Dementia Nurse Specialist; Name of

More information

My Discharge a proactive case management for discharging patients with dementia

My Discharge a proactive case management for discharging patients with dementia Shine 2013 final report Project title My Discharge a proactive case management for discharging patients with dementia Organisation name Royal Free London NHS foundation rust Project completion: March 2014

More information

Document Title Clinical Risk Assessment and Management Policy. Electronic Systems Development & Training Consultant Risk and Assurance Facilitator

Document Title Clinical Risk Assessment and Management Policy. Electronic Systems Development & Training Consultant Risk and Assurance Facilitator Document Title Clinical Risk Assessment and Management Policy Document Description Document Type Policy Service Application Trust Wide Version 1.2 Policy Reference no. POL 025 Lead Author(s) Name Bob Yardley

More information

Unless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version

Unless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version Policy No: MH27 Version: 2.0 Name of Policy: Care Programme Approach & Care Co-ordination Effective From: 25/08/2015 Date Ratified 24/07/2015 Ratified Mental Health Committee Review Date 01/07/2017 Sponsor

More information

Section 117 Policy The Mental Health Act 1983

Section 117 Policy The Mental Health Act 1983 Section 117 Policy The Mental Health Act 1983 [as amended by the Mental Health Act 2007] DOCUMENT CONTROL: Version: 1 Ratified by: Mental Health Legislation Committee Date ratified: 2 November 2016 Name

More information

JOB DESCRIPTION & PERSON SPECIFICATION JOB DESCRIPTION. Highly Specialist Psychological Therapist

JOB DESCRIPTION & PERSON SPECIFICATION JOB DESCRIPTION. Highly Specialist Psychological Therapist JOB DESCRIPTION & PERSON SPECIFICATION JOB DESCRIPTION JOB TITLE: GRADE: Highly Specialist Psychological Therapist Band 7 and 8a HOURS OF WORK: 37.5 RESPONSIBLE TO: (Line manager) ACCOUNTABLE TO: Clinical

More information

Policy: A4 Alcohol and Illicit Drugs Procedure (Broadmoor Hospital only)

Policy: A4 Alcohol and Illicit Drugs Procedure (Broadmoor Hospital only) Policy: A4 Alcohol and Illicit Drugs Procedure (Broadmoor Hospital only) Policy relates to: D2 Dual Diagnosis policy Version: A4/08 Ratified by: Policy Review Group Date ratified: 24 th September 2015

More information

CCG CO21 Continuing Healthcare Policy on the Commissioning of Care

CCG CO21 Continuing Healthcare Policy on the Commissioning of Care Corporate CCG CO21 Continuing Healthcare Policy on the Commissioning of Care Version Number Date Issued Review Date V1 28 04 15 29 April 2015 April 2016 Prepared By: Head of Quality & Patient Safety Consultation

More information

Procedure for Discharge from Inpatient Units including 48 hour Follow Up. (Wotton Lawn only)

Procedure for Discharge from Inpatient Units including 48 hour Follow Up. (Wotton Lawn only) Procedure for Discharge from Inpatient Units including 48 hour Follow Up (Wotton Lawn only) Version: Version 3 Consultation: Ratified by: Date ratified: Name of originator/author: Date issued: July 2012

More information

Document Details Title

Document Details Title Document Details Title Quality and Equalities Impact Assessment (QEIA) Process Guidance Trust Ref No 2046-45852 Local Ref (optional) Main points the document This document explains the process for QEIA,

More information

CHILD VISITING POLICY IN MENTAL HEALTH SETTINGS

CHILD VISITING POLICY IN MENTAL HEALTH SETTINGS CHILD VISITING POLICY IN MENTAL HEALTH SETTINGS Reference No: UHB 156 Previous Trust / LHB Ref No: MH Central index 17a Documents to read alongside this Policy The Guidance on the Visiting of Psychiatric

More information

Therapeutic Observation and Positive Engagement Policy

Therapeutic Observation and Positive Engagement Policy SH CP 37 Therapeutic Observation and Positive Engagement Policy Version: 4 Summary: The purpose of supportive observation is to ensure the safe and sensitive monitoring of the persons behaviour and mental

More information

Standard Operating Procedure Discharge/Transfer of Patients from St John s Hospice In-Patient Unit

Standard Operating Procedure Discharge/Transfer of Patients from St John s Hospice In-Patient Unit Standard Operating Procedure Discharge/Transfer of Patients from St John s Hospice In-Patient Unit DOCUMENT CONTROL: Version: 1.1 Ratified by: Quality Assurance Sub Committee Date ratified: 2 February

More information

NPCS001 Observation of In Patients - Routine and Enhanced Observations of Patients

NPCS001 Observation of In Patients - Routine and Enhanced Observations of Patients Policy: NPCS001 Observation of In Patients - Routine and Enhanced Observations of Patients Executive or Associate Director lead Policy author/ lead Feedback on implementation to Director of Nursing, Professions

More information

Care Programme Approach (CPA): Standard Operating Procedure

Care Programme Approach (CPA): Standard Operating Procedure Clinical Care Programme Approach (CPA): Standard Operating Procedure Document Control Summary Status: New Version: v1.2 Date: 22/09/15 Author/Owner/Title: Kenny Laing Deputy Director of Nursing Approved

More information

Policy for Research Health and Safety

Policy for Research Health and Safety Policy for Research Health and Safety 1. Introduction 1.1. As with teaching, research activities are recognized as a vital element of the University s pursuits. Therefore, the research projects and infrastructure

More information

Adult Psychotherapist Specialist Personality Disorder (Mentalization Based Treatment)

Adult Psychotherapist Specialist Personality Disorder (Mentalization Based Treatment) Job Title: dult Psychotherapist Specialist Personality Disorder (Mentalization Based Treatment) Band: 7 Hours: Department: Location: Reports to: Responsible for: 37.5 hours per week Croydon Personality

More information

JOB DESCRIPTION. Acute Services Patient Flow Coordinator. Band of Post: Band 7. Acute Community Services Manager

JOB DESCRIPTION. Acute Services Patient Flow Coordinator. Band of Post: Band 7. Acute Community Services Manager JOB DESCRIPTION Title of Post: Acute Services Patient Flow Coordinator Band of Post: Band 7 Directorate: Reports to: Accountable to: Initial Location: Type of Contract: Hours: Adult Services Acute Community

More information

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE. Health and Social Care Directorate Quality standards Process guide

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE. Health and Social Care Directorate Quality standards Process guide NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Health and Social Care Directorate Quality standards Process guide December 2014 Quality standards process guide Page 1 of 44 About this guide This guide

More information

Section 132 of the Mental Health Act 1983 Procedure for Informing Detained Patients of their Legal Rights

Section 132 of the Mental Health Act 1983 Procedure for Informing Detained Patients of their Legal Rights Section 132 of the Mental Health Act 1983 Procedure for Informing Detained Patients of their Legal Rights DOCUMENT CONTROL: Version: 11 Ratified by: Mental Health Legislation Sub Committee Date ratified:

More information

Health & Safety Policy Statement

Health & Safety Policy Statement Health & Safety Policy Statement DOCUMENT CONTROL POLICY NO. H&S 01 Policy Group Health & Safety Author Andy Howat Version no. 6.0 Reviewer Andy Howat Implementation date 1 st April 2011 Status FINAL Next

More information

Assessment and Care of Children and Young People with Mental Health Needs, who are placed in an Acute General Hospital Ward Policy

Assessment and Care of Children and Young People with Mental Health Needs, who are placed in an Acute General Hospital Ward Policy Assessment and Care of Children and Young People with Mental Health Needs, who are placed in an Acute General Hospital Ward Policy DOCUMENT CONTROL: Version: 1 Ratified by: Clinical Quality and Standards

More information

Managing deliberate self-harm in young people

Managing deliberate self-harm in young people Managing deliberate self-harm in young people Council Report CR64 March 1998 Royal College of Psychiatrists, London Due for review: March 2003 1 2 Contents Background 4 Commissioning services 5 Providing

More information

Policy Document Control Page

Policy Document Control Page Policy Document Control Page Title: Section 17 (Leave of Absence) Policy Version: 9 Reference Number: CL7 Supersedes Supersedes: Section 17 (Leave of Absence) Policy V8 Description of Amendment(s): Updated

More information

Agenda Item: REPORT TO PUBLIC BOARD MEETING 31 May 2012

Agenda Item: REPORT TO PUBLIC BOARD MEETING 31 May 2012 Agenda Item: 5.1.1 REPORT TO PUBLIC BOARD MEETING 31 May 2012 Title Lead Director Author(s) Purpose Previously considered by Ratification of the Strategy for the Care of Older People Siobhan Jordan, Director

More information

Intensive Psychiatric Care Units

Intensive Psychiatric Care Units NHS Greater Glasgow and Clyde Stobhill Hospital, Glasgow Intensive Psychiatric Care Units Service Profile Exercise ~ November 009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and

More information

Prevention and control of healthcare-associated infections

Prevention and control of healthcare-associated infections Prevention and control of healthcare-associated infections Quality improvement guide Issued: November 2011 NICE public health guidance 36 guidance.nice.org.uk/ph36 NHS Evidence has accredited the process

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Implementation Policy for NICE Guidelines

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Implementation Policy for NICE Guidelines The Newcastle upon Tyne Hospitals NHS Foundation Trust Implementation Policy for NICE Guidelines Version No.: 5.3 Effective From: 08 May 2017 Expiry Date: 02 March 2019 Date Ratified: 23 February 2017

More information

Executive Director of Nursing and Operations Tony Gray Head of Safety and Patient Experience Craig Newby Patient Safety Officer

Executive Director of Nursing and Operations Tony Gray Head of Safety and Patient Experience Craig Newby Patient Safety Officer Document Title Reference Number Security Management Policy NTW(O)21 Lead Officer Author(s) (name and designation) Executive Director of Nursing and Operations Tony Gray Head of Safety and Patient Experience

More information

DOCUMENT CONTROL Title: Use of Mobile Phones and Tablets (by services users & visitors in clinical areas) Policy. Version: Reference Number: CL062

DOCUMENT CONTROL Title: Use of Mobile Phones and Tablets (by services users & visitors in clinical areas) Policy. Version: Reference Number: CL062 DOCUMENT CONTROL Title: Version: Reference Number: Use of Mobile Phones and Tablets (by services users & visitors in clinical areas) Policy 5 CL062 Scope: This Policy applies all employees of the Trust,

More information

Medicines Governance Service to Care Homes (Care Home Service)

Medicines Governance Service to Care Homes (Care Home Service) Medicines Governance Service to Care Homes (Care Home Service) Locally Enhanced Service Authors: Ruth Buchan, Senior Pharmacist Medicines Management 4th Floor F Mill Dean Clough Halifax HX3 5AX Tel-01422

More information

Intensive Psychiatric Care Units

Intensive Psychiatric Care Units NHS Tayside Carseview Centre, Dundee Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have

More information

NHS Grampian. Intensive Psychiatric Care Units

NHS Grampian. Intensive Psychiatric Care Units NHS Grampian Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have assessed the performance

More information

MULTIDISCIPLINARY MEETINGS FOR COMMUNITY HOSPITALS POLICY

MULTIDISCIPLINARY MEETINGS FOR COMMUNITY HOSPITALS POLICY MULTIDISCIPLINARY MEETINGS FOR COMMUNITY HOSPITALS POLICY (To be read in conjunction with Handover Policy) Version: 3 Ratified by: Date ratified: August 2015 Title of originator/author: Title of responsible

More information

Guidelines for the Management of Patients who are End of Life

Guidelines for the Management of Patients who are End of Life Guidelines for the Management of Patients who are End of Life This procedural document supersedes: PAT/T 65 v.1 Management of Patients who are End of Life. Did you print this document yourself? The Trust

More information

Norfolk Island Central and Eastern Sydney PHN

Norfolk Island Central and Eastern Sydney PHN Norfolk Island Central and Eastern Sydney PHN Activity Work Plan 2016-2018: Norfolk Island Coordinated and Integrated Primary Health Care Services Mental Health and Suicide Prevention Drug and Alcohol

More information

Continuing NHS Healthcare for Adults in Wales. Public Information Leaflet

Continuing NHS Healthcare for Adults in Wales. Public Information Leaflet Continuing NHS Healthcare for Adults in Wales Public Information Leaflet June 2014 Printed on recycled paper Print ISBN 978 1 4734 1510 2 Digital ISBN 978 1 4734 1508 9 Crown copyright 2014 WG22137 What

More information

Solent. NHS Trust. Patient Experience Strategy Ensuring patients are at the forefront of all we do

Solent. NHS Trust. Patient Experience Strategy Ensuring patients are at the forefront of all we do Solent NHS Trust Patient Experience Strategy 2015-2018 Ensuring patients are at the forefront of all we do Executive Summary Your experience of our services matters to us. This strategy provides national

More information

High Risk Patients - Their Management at Broadmoor Hospital

High Risk Patients - Their Management at Broadmoor Hospital Policy: H4 High Risk Patients - Their Management at Broadmoor Hospital Version: H4/03 Ratified by: Broadmoor SMT Date ratified: December 2013 Title of originator/author: Clinical Director High Secure Services

More information

Heading. Safeguarding of Children and Vulnerable Adults in Mental Health and Learning Disability Hospitals in Northern Ireland

Heading. Safeguarding of Children and Vulnerable Adults in Mental Health and Learning Disability Hospitals in Northern Ireland Place your message here. For maximum impact, use two or three sentences. Heading Safeguarding of Children and Vulnerable Adults in Mental Health and Learning Disability Hospitals in Northern Ireland Follow

More information

HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES:

HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES: HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES: A Review of the arrangements in place across the Welsh National Health Service ACTION PLAN - UPDATED August 2010 RECOMMENDATION

More information