Intensive Psychiatric Care Units
|
|
- Sharon Patrick
- 6 years ago
- Views:
Transcription
1 NHS Tayside Carseview Centre, Dundee Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009
2 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have assessed the performance assessment function for likely impact on the six equality groups defined by age, disability, gender, race, religion/belief and sexual orientation. For this equality and diversity impact assessment, please see our website ( The full report in electronic or paper form is available on request from the NHS QIS Equality and Diversity Officer. NHS Quality Improvement Scotland 2009 First published November 2009 You can copy or reproduce the information in this document for use within NHSScotland and for educational purposes. You must not make a profit using information in this document. Commercial organisations must get our written permission before reproducing this document. Information contained in this report has been supplied by the NHS board concerned, unless otherwise stated, and is believed to be reliable on publication.
3 Contents _~ÅâÖêçìåÇ N N lîéêîáéïçñäçå~äãéåí~äüé~äíüëéêîáåéë P O fåíéåëáîééëóåüá~íêáåå~êéìåáíéêçîáëáçå P OKN ^Çãáëëáçåíçfm`r Q OKO jççéäçñå~êééêçîáëáçå Q OKP aáëåü~êöéñêçãfm`r R P aéãçöê~éüáåë R PKN kìãäéêëçñfm`r~çãáëëáçåë R PKO k~íìêéçñ~çãáëëáçåë S PKP j~å~öéãéåíçñçíüéêéçéìä~íáçåöêçìéë S Q iáåâëïáíüçíüéêëéåìêéãéåí~äüé~äíüéêçîáëáçå T R dçîéêå~ååé~êê~åöéãéåíë T S mä~åëñçêëéêîáåéçéîéäçéãéåí T T líüéêéçáåíëíçåçíé U ^éééåçáñnódäçëë~êóçñ~ääêéîá~íáçåë V
4 Background The Scottish Government s national mental health benchmarking project (January 2008) defined intensive psychiatric care units (IPCUs) as: a multi-disciplinary team with specialised training; the ratio of nursing staff will be higher than a general psychiatric ward. The service is recovery focused; it provides intensive treatment and interventions to patients who present an increased level of clinical risk and require an increased level of observation. (Technical Appendix, January 2008). The National Mental Health Services Assessment: Towards implementation of the Mental Health (Care and Treatment) (Scotland) Act 2003 (March 2004) Report highlighted specific challenges faced by IPCUs in light of changes in mental health legislation. In particular, the report outlines the dual function often ascribed to IPCUs where they function as both a low level secure forensic unit and as an extension of general adult inpatient psychiatric services. This is further complicated by the need for appropriate care environments for females, adolescents, older adults and those with learning disabilities. The report concludes that IPCU provision is a small but important part of services and should remain central to planning decisions when implementing the [Mental Health (Care and Treatment) (Scotland)] Act. Introduction to the IPCU project There is very little published UK data about IPCUs. The NHS Quality Improvement Scotland (NHS QIS) 3-year strategic work programme, Improving the Quality of Mental Health Services, recognised this and included a commitment to undertake an audit of IPCUs in Scotland. Before undertaking any work to assess how services are delivered within IPCUs, it is important that we have a clear picture of: how many IPCUs there are across Scotland the arrangements in place in NHS board areas that do not have local IPCU provision how the IPCUs are structured and staffed the relationships between IPCUs and other mental health services, and the referral pathways both in and out of IPCUs. In order to gather this background information it was agreed that the IPCU project would be delivered in two distinct stages. Stage 1 is a national service profiling exercise covering all of the territorial NHS boards in Scotland. In a parallel piece of work during Stage 1, the views and experiences of people who have received IPCU care and their informal carers will be sought. This work is being supported by Better Together, Scotland s national patient kepq~óëáçéwpéêîáåémêçñáäéoééçêíópìêîéóçñfåíéåëáîémëóåüá~íêáå`~êéråáíëekçîéãäéêommvf N
5 experience programme and is being delivered in collaboration with the Mental Welfare Commission for Scotland. This report contains the service profiling information. The user and carer experience information will be included in a national overview report alongside the service profile information. The national overview will be published in spring 2010 and will give a full representation of the national picture from both the perspective of those who provide services, and those who use them. The service profiling findings along with the views and ideas of service providers and service users and carers that have been sought and captured during Stage 1 of the project will inform the detail of Stage 2. The service profiling process has two key parts: local information gathering and follow-up meetings. Using a service profiling questionnaire produced by NHS QIS, each NHS board gathered information on the IPCUs in its local area. These data were submitted, together with supporting evidence if applicable, to NHS QIS prior to the follow-up meetings. Follow-up meetings were held with local staff between May July 2009 to discuss the responses provided by the NHS board and seek clarification on any issues. This report presents the information supplied in the service profile form and the discussions at the follow-up meeting with NHS Tayside on 25 June kepq~óëáçéwpéêîáåémêçñáäéoééçêíópìêîéóçñfåíéåëáîémëóåüá~íêáå`~êéråáíëekçîéãäéêommvf O
6 1 Overview of local mental health services Tayside is situated in the east of Scotland and has a population of around 394,134. Many of the population live in urban areas, of which Dundee and Perth are the largest in the region, although a significant proportion live in rural areas. NHS Tayside s principal organisations are Tayside NHS board, the single delivery unit (SDU) and three community health partnerships (CHPs) in Angus, Dundee and Perth & Kinross. The SDU comprises acute hospital services and provides a wide range of community-based services managed through the CHPs. Additionally the SDU provides mental health services throughout Tayside. Adult mental health services and psychiatry of old age services sit within the CHP in which they are based, eg Dundee adult mental health service sits in Dundee CHP. The adolescent mental health service is based within the women and child health directorate within the acute sector. Substance misuse is hosted in Angus CHP, while the forensic psychiatry service is hosted in Perth & Kinross CHP. There is a range of mental health inpatient provision across NHS Tayside. Adult mental health acute, rehabilitation and secure inpatient services are provided as follows: NHS Tayside Carseview Centre, Dundee Number of beds Acute mental health admissions (adult) 48 IPCU 12 Murray Royal Hospital, Perth Number of beds Low secure forensic psychiatry 28 Acute mental health admissions (adult) 43 Royal Dundee Liff Hospital Number of beds Acute mental health admissions (adult) 2 Sunnyside Royal Hospital, Montrose Number of beds Acute Mental Health Admissions 22 IPCU 6 2 Intensive psychiatric care unit provision NHS Tayside has an IPCU within the Carseview Centre, Dundee. There is also a small, locked ward at Sunnyside Royal Hospital, Montrose which performs some functions as an IPCU. For the purpose of the service profiling exercise the locked ward at Sunnyside Royal Hospital will be considered as an IPCU. This report will focus only on The IPCU at Carseview Centre; a separate report will look at the provision at Sunnyside Royal Hospital. The IPCU has 12 beds, all of which are exclusively for the use of male patients between the ages of There is no provision for female patients at the IPCU, meaning females in need of IPCU care must be accommodated elsewhere, generally at Sunnyside Royal Hospital or within the IPCU in NHS Fife. The IPCU no longer has any smoking rooms following an initiative undertaken by nursing staff. kepq~óëáçéwpéêîáåémêçñáäéoééçêíópìêîéóçñfåíéåëáîémëóåüá~íêáå`~êéråáíëekçîéãäéêommvf P
7 NHS Tayside staff reported that the occupancy rate varies but that it can often be as high as 100%. On occasion, the detention status of patients may be suspended to allow overnight and weekend stays at home, however only a small group of patients would be able to undertake unsupervised detention. 2.1 Admission to IPCU The IPCU operational policy outlines the admissions protocol. Exclusion criteria are in place, these include females, patients under the age of 18 or over the age of 65 and those with a primary diagnosis of a learning disability. There have been very few cases of informal patients being admitted to the IPCU. The IPCU does admit forensic patients and those under (Criminal Procedures [Scotland] Act 1995 assessment orders) CPA52 but this is also not a regular occurrence. 2.2 Model of care provision Medical input on the ward comes in the form of two dedicated consultant psychiatrists who cover all responsible medical officer (RMO) and approved medical practitioner responsibilities. A junior doctor is also available on a shared basis with the rehabilitation service. Social work input is now available solely through locality teams, having previously been available through a dedicated social worker at the IPCU itself. Staff reported that social work was now more difficult to access than before. Allied health professional input is available to the IPCU through both a physiotherapy and occupational therapy service. A newly refurbished gym hosts a regular programme of activities, timetable by occupational therapy and run by physiotherapy. Hydrotherapy swimming classes are also available on a daily basis for those patients who are able to take part. Band 3 staff also take on responsibilities for the organisation of many of these activities. In addition, a physical health screening has been carried out on a group of patients, and there is a regular keep well group and subgroup in Dundee. Additional services, such as IQ assessments, cognitive behavioural therapy and further education can be accessed through in-patient services at Carseview Centre. IPCU staffing profile Medical (covers IPCU/acute admissions and CMHS) General adult psychiatrist Junior doctors Whole time equivalent (WTE) (7.5/ 3.99) kepq~óëáçéwpéêîáåémêçñáäéoééçêíópìêîéóçñfåíéåëáîémëóåüá~íêáå`~êéråáíëekçîéãäéêommvf Q
8 IPCU staffing profile (continued) Nursing 31.4 WTE registered and unregistered Band 7 Band 6 Band 5 Band 3 (unregistered nursing assistant) Clinical Consultant clinical psychologist - psychology Social work Mental health officer - Allied health professionals Occupational therapist Occupational therapy technical instructor - - Administrative staff Administrative officer - Whole time equivalent (WTE) The IPCU has a dedicated nursing team. The minimum staffing complement for any day shift is six staff with five on the night shift. This staffing complement can accommodate one-to-one observations on up to two patients; additional staff would be required if more than two patients require this level of observation. Typically, one newly-qualified nurse on the Flying Start scheme would be taken on at any one time. All other new staff are usually required to have at least 18 months experience before being employed in the IPCU. A one-month development opportunity is being looked at to allow nursing staff to gain experience on the IPCU before the new facility opens later in An appraisal and job planning process is outlined within the job plan of all nursing staff and, as part of this, staff receive a full package of training prior to working within the IPCU. The IPCU is now looking at the focused planning approach, which is currently available across all acute wards. 2.3 Discharge from IPCU Discharge planning depends very much on the beds that are available in other wards, such as rehabilitation and acute admission. The lack of forensic beds does affect discharge planning at the IPCU. Community support and drug and alcohol services also play an important role in providing care for patients on discharge from IPCU. NHS Tayside staff reported that there are unmet needs in the area of drug and alcohol inreach services. This issue has been raised within the wider commissioning framework for NHS Tayside. The IPCU operational policy for NHS Tayside states that the last bed must be kept vacant for a Tayside patient, and would therefore not be available for an out-of-area admission. 3 Demographics The total adult population aged served by the IPCU is 391, Numbers of IPCU admissions Information supplied by NHS Tayside indicates there were 33 admissions to IPCU in There were difficulties in obtaining admission data broken down by sex and ethnicity. Although this data is gathered at the point of referral, it is kepq~óëáçéwpéêîáåémêçñáäéoééçêíópìêîéóçñfåíéåëáîémëóåüá~íêáå`~êéråáíëekçîéãäéêommvf R
9 not readily available. On average, there maybe around four patients each month admitted to IPCU with an average length of stay of 35 days. 3.2 Nature of admissions All admissions to the IPCU are agreed by way of discussion between the admitting and referring multidisciplinary teams. The IPCU has an admission procedure for non-dundee patients. If patients are unable to be managed at Sunnyside Royal Hospital or Murray Royal Hospital, they may be required to be transferred to the IPCU at the Carseview Centre. Again, admission to IPCU and transfer arrangements would be discussed and agreed between both multidisciplinary teams. The duty co-ordinator at Carseview is ultimately responsible for the transfer arrangements of the patient into the IPCU. IPCU Admissions to Carseview Centre in 2008 Age Under Over 65 Gender Male Female Ethnicity N/A - Detention status Civil law/criminal law Informal (elective) 27* 6 Out-of-area referrals Formal agreement No formal agreement N/A N/A *The total of 27 is for Criminal/Civil Law combined as the information system is unable to break down by category. 3.3 Management of other population groups As previously reported, the IPCU operates exclusion criteria. There are however exceptions to these criteria on certain occasions. Patients who are between the ages of 12 and 16 may be admitted where there are deemed to be exceptional circumstances. An interface policy is in place in relation to child and family psychiatry admissions, and this would only take place with the approval of both the child and adolescent mental health service (CAMHS) and the IPCU consultant. Patients over the age of 65 may also, in exceptional circumstances, be admitted to the IPCU with the approval of the RMO. Similarly, patients with learning disabilities may be admitted to the IPCU where particularly challenging behaviour is deemed unmanageable elsewhere. In all the above cases, an area of the ward can be separated off to allow a separate, more private nursing environment. Communication with CAMHS, older adults and learning disability services would be ongoing in order to find an appropriate bed as soon as possible. kepq~óëáçéwpéêîáåémêçñáäéoééçêíópìêîéóçñfåíéåëáîémëóåüá~íêáå`~êéråáíëekçîéãäéêommvf S
10 4 Links with other secure mental health provision Although there is no formal referral guidance for referral of a patient outside Tayside, admissions are discussed on a consultant to consultant basis prior to admission. NHS Tayside commented that they are undertaking a piece of work to look in more detail at the transfer and referral process. Furthermore, NHS Tayside added that they would greatly benefit from a more formalised process which outlines clear exit points from IPCU to enable a more efficient interface with low secure and forensic psychiatry. Patients stepping down from The State Hospital are not admitted to the IPCU and would instead generally be admitted to the low secure forensic psychiatry unit in Perth. There are plans for the future provision for 32 medium secure forensic psychiatry beds. 5 Governance arrangements The IPCU reports to the Dundee CHP Clinical Governance group with any outstanding governance issues. This group then reports in to the NHS Tayside board clinical governance committee. NHS Tayside reported on the extensive consultation with service users and carers, voluntary and statutory sector partners and the public with regard to the reprovision of mental health services at Carseview Centre. The method of consultation adopted by NHS Tayside on this matter has been endorsed by the Scottish Health Council. NHS Tayside s involvement manager oversees all public involvement activites. 6 Plans for service development NHS Tayside is planning the reprovision of both Carseview Centre and Sunnyside Royal Hospital IPCUs. A new facility will be based at the Carseview Centre site in Dundee and will provide between male and 4 8 female beds in two separate units, but within the same complex and served by the same nursing staff and management. The aim of the flexible bed numbers is to ensure greater flexibility of bed use without compromising the function of the IPCU. NHS Tayside reported that future priorities for staff training are to be outlined in the upcoming Training and Development Plan Summer Among the priorities will be training on suicide prevention and psychosocial interventions. Further guidance on transferring patients seamlessly will be an area for NHS Tayside to look at in the future, in order to develop new models at the new unit. NHS Tayside staff commented that they were keen to see some sort of official guidance or standards developed as a outcome from the service profile exercise. kepq~óëáçéwpéêîáåémêçñáäéoééçêíópìêîéóçñfåíéåëáîémëóåüá~íêáå`~êéråáíëekçîéãäéêommvf T
11 7 Other points to note The reprovision of IPCU at the new unit at Carseview Centre is expected to bring significant benefits, particularly in the area of provision for female patents. NHS Tayside reported particular unmet needs in the areas of pharmacy, occupational therapy and dietetics. Despite the availability of a newly refurbished gym at Carseview Centre, staff still reported that they need more in the way of activities for patients. The make-up of the multidisciplinary teams was not seen as diverse enough at present. A new pharmacy service, including robotic dispensing will be available at Carseview Centre, next to the Carseview Centre, and is expected to feed into the new IPCU. kepq~óëáçéwpéêîáåémêçñáäéoééçêíópìêîéóçñfåíéåëáîémëóåüá~íêáå`~êéråáíëekçîéãäéêommvf U
12 Appendix 1 Glossary of abbreviations Abbreviation CAMHS CHP IPCU NHS NHS QIS RMO SDU child and adolescent mental health services community health partnership intensive psychiatric care unit National Health Service NHS Quality Improvement Scotland responsible medical officer single delivery unit kepq~óëáçéwpéêîáåémêçñáäéoééçêíópìêîéóçñfåíéåëáîémëóåüá~íêáå`~êéråáíëekçîéãäéêommvf V
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 informationNHS 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 informationIntensive Psychiatric Care Units
NHS Greater Glasgow and Clyde Leverndale Hospital, Glasgow Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality
More informationIntensive 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 informationIntensive 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 informationNHS Borders. Intensive Psychiatric Care Units
NHS Borders 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 informationIntensive Psychiatric Care Units
NHS Lothian Royal Edinburgh Hospital Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We have
More informationChild & Adolescent Mental Health Services in NHS Scotland
Publication Report Child & Adolescent Mental Health Services in NHS Scotland Workforce Information as at 30 th September 2013 26 th November 2013 A National Statistics Publication for Scotland Contents
More informationChild & Adolescent Mental Health Services in NHS Scotland
Publication Report Child & Adolescent Mental Health Services in NHS Scotland Workforce Information as at 31st December 2012 26th February 2013 A National Statistics Publication for Scotland Contents Introduction...
More informationNHSScotland Child & Adolescent Mental Health Services
Publication Report NHSScotland Child & Adolescent Mental Health Services Workforce Information as at 31st December 2011 27th March 2012 A National Statistics Publication for Scotland Contents About ISD...
More informationChild & Adolescent Mental Health Services in NHS Scotland
Publication Report Child & Adolescent Mental Health Services in NHS Scotland Workforce Information as at 31 st December 2014 24 th February 2015 A National Statistics Publication for Scotland Contents
More informationChild & Adolescent Mental Health Services in NHS Scotland
Publication Report Child & Adolescent Mental Health Services in NHS Scotland Workforce Information as at 31 st March 2015 26 th May 2015 A National Statistics Publication for Scotland Contents Contents...
More informationChild & Adolescent Mental Health Services in NHSScotland
Publication Report Child & Adolescent Mental Health Services in NHSScotland Workforce Information as at 31 December 2015 23 February 2016 A National Statistics Publication for Scotland Contents Contents...
More informationReport on unannounced visit to: Young People s Unit, Dudhope House, 17 Dudhope Terrace, Dundee, DD3 6HH
Mental Welfare Commission for Scotland Report on unannounced visit to: Young People s Unit, Dudhope House, 17 Dudhope Terrace, Dundee, DD3 6HH Date of visit: 15 March 2016 OMG APP 11215 Where we visited
More informationWards 1, 2 and the Mulberry Unit at Carseview Centre, 4 Tom McDonald Avenue, Dundee DD2 1NH
Mental Welfare Commission for Scotland Report on unannounced visit to: Wards 1, 2 and the Mulberry Unit at Carseview Centre, 4 Tom McDonald Avenue, Dundee DD2 1NH Date of visit: 22 November 2017 Where
More informationThe following staff are involved in your friend or relatives care. Their names and contact details are below.
The Orchard Clinic The Royal Edinburgh Hospital: An information guide for relatives and carers Useful contacts for you The following staff are involved in your friend or relatives care. Their names and
More informationChild & Adolescent Mental Health Services Workforce in NHSScotland
Publication Report Child & Adolescent Mental Health Services Workforce in NHSScotland Workforce Information as at 31 March 2016 Publication date: 07 June 2016 A National Statistics Publication for Scotland
More informationGrampian University Hospitals NHS Trust. Local Report ~ February Older People in Acute Care
Grampian University Hospitals NHS Trust Local Report ~ February 2004 Older People in Acute Care NHSScotland Board Areas 13 12 15 1 Argyll & Clyde 2 Ayrshire & Arran 3 Borders 9 7 4 Dumfries & Galloway
More informationTatton Unit at a glance:
Tatton Unit Staff are helpful, you can talk to them anytime. Tatton Unit at a glance: 16 - bed Low Secure Unit 18-65 For men aged between 18 and 65 years - admissions can be accepted for those older than
More informationNHS Board Meeting 24 th February 2009
NHS Board Meeting 24 th February 2009 Anne Hawkins: Director Mental Health Partnership Board Paper No. 09/06 THE DIRECTORATE OF FORENSIC MENTAL HEALTH & LEARNING DISABILITY Recommendation: The NHS GGC
More informationManaging 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 informationNational review of NHS acute inpatient mental health services in England: implications for psychiatric intensive care units
National review of NHS acute inpatient mental health services in England: implications for psychiatric intensive care units Nicola Vick, Project lead September 2008 Outline of presentation 1. Overview
More informationChild & Adolescent Mental Health Services Workforce in NHSScotland
Publication Report Child & Adolescent Mental Health Services Workforce in NHSScotland Workforce Information as at 30 September 2016 Publication date: 06 December 2016 A National Statistics Publication
More informationArdenleigh: Forensic children and adolescent mental health services (FCAMHS)
Birmingham and Solihull Mental Health NHS Foundation Trust Ardenleigh: Forensic children and adolescent mental health services (FCAMHS) Secure care services Commissioners information leaflet Ardenleigh
More informationChild & Adolescent Mental Health Services Workforce in NHSScotland
Publication Report Child & Adolescent Mental Health Services Workforce in NHSScotland Workforce Information as at 30 June 2016 Publication date: 06 September 2016 A National Statistics Publication for
More informationSecure care services: Medium secure services for men and women at Ardenleigh, Reaside Clinic and Tamarind Centre
Birmingham and Solihull Mental Health NHS Foundation Trust Secure care services: Medium secure services for men and women at Ardenleigh, Reaside Clinic and Tamarind Centre Secure care services Commissioners
More informationMental Welfare Commission for Scotland Report on announced visit to: Wards 19 and 20, University Hospital Hairmyres, Eaglesham Road, Glasgow G75 8RG
Mental Welfare Commission for Scotland Report on announced visit to: Wards 19 and 20, University Hospital Hairmyres, Eaglesham Road, Glasgow G75 8RG Date of visit: 19 July 2018 Where we visited Wards 19
More informationNHS Borders. Local Report ~ November Clinical Governance & Risk Management: Achieving safe, effective, patient-focused care and services
NHS Borders Local Report ~ November 2009 Clinical Governance & Risk Management: Achieving safe, effective, patient-focused care and services NHS Borders Local Report ~ November 2009 Clinical Governance
More informationInequalities Sensitive Practice Initiative
Inequalities Sensitive Practice Initiative Maternity Unit Report - 2008 Royal Alexandria Hospital 1 Acknowledgment I would like to take this opportunity to thank the staff from the maternity services in
More informationNHS GRAMPIAN. Local Delivery Plan - Mental Health and Learning Disability Services
NHS GRAMPIAN Board Meeting 01.06.17 Open Session Item 8 Local Delivery Plan - Mental Health and Learning Disability Services 1. Actions Recommended The Board is asked to: Note the context regarding the
More informationI. SERVICES 1. Services for elderly people
I. SERVICES 1. Services for elderly people 1.1 Independent (private and voluntary) nursing homes for elderly people 1.2 Private residential care for elderly people 1.3 Voluntary residential care for elderly
More informationAnnounced Inspection Report care for older people in acute hospitals
Announced Inspection Report care for older people in acute hospitals Hairmyres Hospital NHS Lanarkshire Healthcare Improvement Scotland is committed to equality. We have assessed the inspection function
More informationNATIONAL MENTAL HEALTH SERVICES ASSESSMENT LOCALITY REPORT FIFE. December 2003
NATIONAL MENTAL HEALTH SERVICES ASSESSMENT LOCALITY REPORT FIFE December 2003 1 Introduction The remit for the National Assessment means that the focus in the locality reports is on what needs to be done
More informationConsultant psychiatrist job description and person specification
Consultant psychiatrist job description and person specification The following job description is provided as a resource to the recruiting trust and may be used as a template. It is not designed to be
More informationReport on announced visit to: Amulree and Rannoch Wards, Murray Royal Hospital, Muirhall Road, Perth PH2 7BH
Mental Welfare Commission for Scotland Report on announced visit to: Amulree and Rannoch Wards, Murray Royal Hospital, Muirhall Road, Perth PH2 7BH Date of visit: 25 January 2017 Where we visited Amulree
More informationMental Health Services 2010 Mental Health Catchment Area Report
Mental Health Services 2010 Mental Health Catchment Area Report MENTAL HEALTH CATCHMENT AREA (SUPER CATCHMENT AREA) HSE AREA MENTAL HEALTH SERVICES Limerick, North Tipperary, Clare West Limerick, Clare,
More informationHOME 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 informationHospital 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 informationMental Health Services 2010 Mental Health Catchment Area Report
Mental Health Services 2010 Mental Health Catchment Area Report MENTAL HEALTH CATCHMENT AREA (SUPER CATCHMENT AREA) HSE AREA MENTAL HEALTH SERVICES Dublin West, South West, South City Dublin Mid-Leinster
More informationLuton 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 informationINVERCLYDE COMMUNITY HEALTH AND CARE PARTNERSHIP - DRAFT SCHEME OF ESTABLISHMENT
EMBARGOED UNTIL DATE OF MEETING Greater Glasgow and Clyde NHS Board Board Meeting Tuesday 17 th August 2010 Board Paper No. 2010/34 Director of Corporate Planning and Policy/Lead NHS Director Glasgow City
More informationGrampian University Hospitals NHS Trust. Local Report ~ January Specialist Palliative Care
Grampian University Hospitals NHS Trust Local Report ~ January 2004 Specialist Palliative Care List of NHSScotland Board Areas 13 12 15 1 NHS Argyll & Clyde 2 NHS Ayrshire & Arran 3 NHS Borders 9 7 4 NHS
More informationIntegrated Care Pathways for Child and Adolescent Mental Health Services. Final Standards June Evidence
Integrated Care Pathways for Child and Adolescent Mental Health Services Final Standards June 2011 Evidence Healthcare Improvement Scotland is committed to equality and diversity. We have assessed these
More informationChild and Adolescent Mental Health Services Waiting Times in NHSScotland
Publication Report Child and Adolescent Mental Health Services Waiting Times in NHSScotland Quarter ending 30 September 2017 Publication date 12 December 2017 A National Statistics Publication for Scotland
More informationMeadows Male, Meadows Female, Balcarres Male and Balcarres Female wards; Royal Edinburgh Hospital, Morningside Terrace, Edinburgh, EH0 5HF
Mental Welfare Commission for Scotland Report on announced/unannounced visit to: Meadows Male, Meadows Female, Balcarres Male and Balcarres Female wards; Royal Edinburgh Hospital, Morningside Terrace,
More informationAHP Services Data Definitions Guidance. Guidance for monitoring the Ministerial AHP 13 Week Access Target
AHP Services Data Definitions Guidance Guidance for monitoring the Ministerial AHP 13 Week Access Target 2015/16 Status Live from July 1 st 2014 Version Control Number of this Version: Date of this Version:
More informationPROTOCOL FOR LOCATING A CAMHS TIER 4 BED AT CRISIS PRESENTATION
PROTOCOL FOR LOCATING A CAMHS TIER 4 BED AT CRISIS PRESENTATION Title: Protocol for locating a CAMHS Tier 4 Bed at crisis presentation Reference Number: Version No: V1 Issue Date: December 2017 Review
More informationExecutive Summary / Recommendations
Learning Disability Change Programme A Strategy for the Future Proposed Service Specification for Adult Learning Disability Services in Greater Glasgow & Clyde Executive Summary / Recommendations 1 1.
More informationGuideline scope Intermediate care - including reablement
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Intermediate care - including reablement Topic The Department of Health in England has asked NICE to produce a guideline on intermediate
More informationSafety in Mental Health Collaborative
NHS Tayside Safety in Mental Health Collaborative Improving Safety in Mental Health Programme Aims supported by an Improvement Advisor: Dr Noeleen Devaney Support 4 UK organisations to: reduce harm improving
More informationLiaison Psychiatry Services National Overview of Services 2010
Liaison Psychiatry Services National Overview of Services 2010 The Royal College of Psychiatrists has described Liaison psychiatry as the subspecialty which provides psychiatric treatment to patients attending
More informationJOB DESCRIPTION. Lead Haematology/Chemotherapy Clinical Nurse Specialist Head of Nursing Medicine
JOB DESCRIPTION Job Title: Department: Medicine - Haematology Day Care Unit Reports to: Lead Haematology/Chemotherapy Clinical Nurse Specialist Head of Nursing Medicine Liaises with: Lead Haematology/Chemotherapy
More informationPICU and Acute Services Psychiatric Intensive Care and Acute services
PICU and Acute Services Psychiatric Intensive Care and Acute services All of our services have 24 hour medical cover and admissions can occur 24-hours-a-day Introduction As a national provider of specialist
More informationThe State Hospitals Board for Scotland. Transfer/Discharge Care Programme Approach (CPA) and Multi Agency Public Protection Arrangements (MAPPA)
The State Hospitals Board for Scotland Transfer/Discharge Care Programme Approach (CPA) and Multi Agency Public Protection Arrangements (MAPPA) Annual Review (01 July 2015 30 June 2016) Page 1. Introduction
More informationLeeds City Council Adults and Health Adult Social Work Service
Leeds City Council Adults and Health Adult Social Work Service Student Welcome & Introduction Working with people to develop services is a central theme in Leeds City Council s Better Lives Strategy which
More informationJOB DESCRIPTION. Dubai, but occasional travel may be required across the UAE. Chief Medical Officer, Maudsley Health
Job Details Job Title: Grade: JOB DESCRIPTION Consultant Psychiatry (Four posts required; CAMHS, Addictions, Forensics and Older Adults) Consultant Hours: 40 hours 2 years Fixed Term Contract initially
More informationTHE STATE HOSPITALS BOARD FOR SCOTLAND. The Care Programme Approach (CPA) A policy for the care and treatment planning of patients.
THE STATE HOSPITALS BOARD FOR SCOTLAND The Care Programme Approach (CPA) A policy for the care and treatment planning of patients. Policy Reference Number Lead Author Contributing Authors CP12 Issue: 2
More informationReport on visit to: HMP Edinburgh, 33 Stenhouse Road, Edinburgh, EH11 3LN
Mental Welfare Commission for Scotland Report on visit to: HMP Edinburgh, 33 Stenhouse Road, Edinburgh, EH11 3LN Date of visit: 27 September 2016 OMG APP 11215 Where we visited HMP Edinburgh is a large
More informationGlasgow City CHP Item No. 6
Glasgow City CHP Item No. 6 CHP Committee Meeting Date: Thursday, 28 th February 2013 Paper No 2013/006 Subject: Presented by: Recommendation(s) Summary/ Background Scottish Patient Safety Programme -
More informationHEALTH & SAFETY. Management of Health & Safety Policy
NHS TAYSIDE HEALTH & SAFETY Management of Health & Safety Policy Author: Chief Executive Review Group: Strategic Risk/ Management Group Review Date: January 2014 Last Update: January 2013 Document : HS/03
More informationFindings from the Balance of Care / NHS Continuing Health Care Census
Publication Report Findings from the Balance of Care / NHS Continuing Health Care Census Census held 31 Publication date 23 June 2015 A National Statistics Publication for Scotland Contents Findings from
More informationClinical Strategy
Clinical Strategy 2014-2018 Contents About the clinical strategy Page 2 About our Trust Page 3 What we stand for Page 6 Our clinical services Page 9 Supporting our staff Page 12 The five year plan Page
More informationCollaborative Commissioning in NHS Tayside
Collaborative Commissioning in NHS Tayside 1 CONTEXT 1.1 National Context Delivering for Health was the Minister for Health and Community Care s response to A National Framework for Service Change in the
More informationAIMS Rehab Annual Report Editors: Hannah Rodell and Kanza Raza. Published: May Publication Number: CCQI 230
AIMS Rehab Annual Report 2016 Editors: Hannah Rodell and Kanza Raza Published: May 2016 Publication Number: CCQI 230 Contents Foreword... 5 Introduction... 6 Network Activity... 7 Membership... 7 Accreditation...
More informationBusiness Case Authorisation Cover Sheet
Business Case Authorisation Cover Sheet Section A Business Case Details Business Case Title: Directorate: Division: Sponsor Name Consultant in Anaesthesia and Pain Medicine Medicine and Rehabilitation
More informationPERTH AND KINROSS COUNCIL. Housing and Health Committee. 2 November Integrated Health and Social Care Model for Dalweem Care Home, Aberfeldy
PERTH AND KINROSS COUNCIL 7 (16/472) Housing and Health Committee 2 November 2016 Integrated Health and Social Care Model for Dalweem Care Home, Aberfeldy PURPOSE OF REPORT Report by Director (Housing
More informationNHS Tayside. Local Report ~ May Out-of-Hours Emergency Dental Services
NHS Tayside Local Report ~ May 2009 Out-of-Hours Emergency Dental Services NHS Tayside Local Report ~ May 2009 Out-of-Hours Emergency Dental Services NHS Quality Improvement Scotland (NHS QIS) is committed
More informationJOB DESCRIPTION. Higher Speciality Trainee (ST4-ST6) in Assertive Outreach Team and Community Forensic Psychiatry
JOB DESCRIPTION _ Job title: Hours: On Call: Disclosure Required: Service: Location: Reports to: Accountable to: Job Outline: Higher ity Trainee (ST4-ST6) in Assertive Outreach Team and Community Psychiatry
More informationCare Coordination and Care Programme Approach Practice Guidance Note Learning Disability Admissions Urgent Care Only V02
Care Coordination and Care Programme Approach Practice Guidance Note Learning Disability Admissions Urgent Care Only V02 Date issued Issue 2 Dec 15 Issue 3 Dec 17 Author/Designation Responsible Officer
More informationGreater Manchester Neuro-Rehabilitation Services information for patients and carers
THIS BOOKLET IS BEING TRIALLED Greater Manchester Neuro-Rehabilitation Services information for patients and carers Greater Manchester Neuro-Rehabilitation Services gmnrodn@srft.nhs.uk All Rights Reserved
More informationEarly: 07:30 to 15:30; Late: 13:30 to 21:30; Night: 21:00 to 08:00
At Norfolk and Suffolk NHS Foundation Trust we provide mental health, secure, substance misuse and learning disability services across Norfolk and Suffolk. We believe in recovery and wellbeing, and we
More informationShetland NHS Board. Board Paper 2017/28
Board Paper 2017/28 Shetland NHS Board Meeting: Paper Title: Shetland NHS Board Capacity and resilience planning - managing safe and effective care across hospital and community services Date: 11 th June
More informationAdult 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 informationReport on announced visit to: Royal Edinburgh Hospital, Orchard Clinic, Morningside Terrace, Edinburgh, EH10 5HF
Mental Welfare Commission for Scotland Report on announced visit to: Royal Edinburgh Hospital, Orchard Clinic, Morningside Terrace, Edinburgh, EH10 5HF Date of visit: 16 June 2016 Where we visited The
More informationJOB DESCRIPTION. Community Mental Health Nurse, CMHT Band: Band 6 27,635-37,010 plus DIA per annum pro rata
JOB DESCRIPTION 1. JOB IDENTIFICATION Job Title: Community Mental Health Nurse, CMHT Band: Band 6 Salary: 27,635-37,010 plus DIA per annum pro rata Hours of work: 37.5 (1 WTE) Reporting to: Senior CMHT
More informationMental Welfare Commission for Scotland. Report on announced visit to: Kingsway Care Centre, Dundee DD2 3BT. Date of visit: 28 September 2016
Mental Welfare Commission for Scotland Report on announced visit to: Kingsway Care Centre, Dundee DD2 3BT Date of visit: 28 September 2016 Where we visited The Kingsway Care Centre is an old age psychiatry
More informationForensic Mental Health Service. Referrals to and Discharges from the Leicestershire Partnerships NHS Trust
Referrals to and Discharges from the Leicestershire Partnerships NHS Trust Contents 1. Introduction... 3 2. Aims and Objectives of the Policy... 3 3. Referral Criteria... 3 4. Referral Procedure... 3 5.
More informationINSPECTORATE OF MENTAL HEALTH SERVICES CATCHMENT TEAM REPORT INSPECTION 2013
INSPECTORATE OF MENTAL HEALTH SERVICES CATCHMENT TEAM REPORT INSPECTION 2013 HSE AREA CATCHMENT AREA MENTAL HEALTH SERVICE South Carlow, Kilkenny, South Tipperary Kilkenny POPULATION 75,703 NUMBER OF SECTORS
More informationSCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN
Appendix-2016-59 Borders NHS Board SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Aim To bring to the Board s attention the Scottish
More informationMental Welfare Commission for Scotland. Report on announced visit to: The Ayr Clinic, Dalmellington Road, Ayr KA6 6PJ. Date of visit: 12 April 2018
Mental Welfare Commission for Scotland Report on announced visit to: The Ayr Clinic, Dalmellington Road, Ayr KA6 6PJ Date of visit: 12 April 2018 Where we visited The Ayr Clinic is an independent hospital
More informationForensic Community Mental Health Team. Service Information Leaflet
Forensic Community Mental Health Team Service Information Leaflet 1 2 Introduction We hope this leaflet will provide you with information that you need about the range of services which the Forensic Community
More informationJoint Commissioning Panel for Mental Health
Joint Commissioning Panel for Mental Health Guidance for commissioners of forensic mental health services 1 www.jcpmh.info Guidance for commissioners of forensic mental health services Practical mental
More informationNHS Information Standards Board
DSC Notice: 29/2002 Date of Issue: September 2002 NHS Information Standards Board Subject: Data Standards: Mental Health Minimum Data Set Implementation Date: 1 st April 2003 DATA SET CHANGE CONTROL PROCEDURE
More informationMental health and crisis care. Background
briefing February 2014 Issue 270 Mental health and crisis care Key points The Concordat is a joint statement, written and agreed by its signatories, that describes what people experiencing a mental health
More informationAPPROVED 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 informationSECONDMENT OPPORTUNITY FROM 19 JULY 2014: PSYCHIATRIC ADVISER TO THE SCOTTISH GOVERNMENT
Health and Social Care Integration Directorate Mental Health and Protection of Rights Division T: 0131-244 3749 E: geoff.huggins@scotland.gsi.gov.uk Associate Directors Mental Health Medical Managers In
More informationThe Mental Health (Wales) Measure Part 1 Scheme. Local Primary Mental Health Support Services. for
The Mental Health (Wales) Measure 2010 Part 1 Scheme Local Primary Mental Health Support Services for BETSI CADWALADR UNIVERSITY HEALTH BOARD ANGLESEY COUNTY COUNCIL GWYNEDD COUNCIL CONWY COUNTY BOROUGH
More informationIndependent Mental Health Advocacy. Guidance for Commissioners
Independent Mental Health Advocacy Guidance for Commissioners DH INFORMATION READER BOX Policy HR / Workforce Management Planning / Performance Clinical Estates Commissioning IM&T Finance Social Care /
More informationEating Disorder Services
Eating Disorder Services Adult Eating Disorder Personality Disorder / Eating Disorder Dual Diagnosis www.cygnethealth.co.uk 1 Welcome Cygnet Health Care was established in 1988. Since then we have developed
More informationThinking about a career in nursing or midwifery?
Thinking about a career in nursing or midwifery? cancer travel What is nursing? What is midwifery? page 2 Where can I study? page 9 What qualifications do I need? page 4 How much will it cost me to go
More informationAdult Mental Health Services. A National Service Framework for Wales
Adult Mental Health Services A National Service Framework for Wales April 2002 National Service Framework for Mental Health Wales 1. The National Service Framework for Mental Health in Wales (NSF) has
More informationHooper 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 informationReport on unannounced visit to: Banff Ward, Leverndale Hospital, Crookston Road, Glasgow G53 7TU
Mental Welfare Commission for Scotland Report on unannounced visit to: Banff Ward, Leverndale Hospital, Crookston Road, Glasgow G53 7TU Date of visit: 2 December 2015 Date sent to service: 18 January 2016
More informationUnless 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 informationChild and Adolescent Mental Health Services Waiting Times in NHSScotland
Publication Report Child and Adolescent Mental Health Services Waiting Times in NHSScotland Quarter ending 30 June 2017 Publication date 5 September 2017 A National Statistics Publication for Scotland
More informationOXLEAS NHS FOUNDATION TRUST JOB DESCRIPTION. Forensic & Prisons Nurse Rotation Scheme. Band 5 registered Mental Nurse (RMN)
OXLEAS NHS FOUNDATION TRUST JOB DESCRIPTION JOB TITLE: GRADE: DIRECTORATE: HOURS OF WORK: RESPONSIBLE TO: ACCOUNTABLE TO: Forensic & Prisons Nurse Rotation Scheme Band 5 registered Mental Nurse (RMN) Forensic
More information5. ADULT MENTAL HEALTH PLANNING FRAMEWORK. 5.1 Analysis of Local Position
5. ADULT MENTAL HEALTH PLANNING FRAMEWORK 5.1 Analysis of Local Position 5.1.1 The Joint Planning, Performance & Implementation Group (JPPIG) in Renfrewshire has lead responsibility for planning of Adult
More informationReport on announced visit to: Blackford Ward, IPCU, Royal Edinburgh Hospital, Edinburgh EH10 5HF
Mental Welfare Commission for Scotland Report on announced visit to: Blackford Ward, IPCU, Royal Edinburgh Hospital, Edinburgh EH10 5HF Date of visit: 24 January 2018 Where we visited Blackford Ward is
More informationWorcestershire Early Intervention Service. Operational Policy
Worcestershire Early Intervention Service Operational Policy Document Type Service Operational Unique Identifier CL-158 Document Purpose To Outline The Operation Of The Early Intervention Service Document
More informationNORTH OF SCOTLAND PLANNING GROUP
North of Scotland Planning Group TIER 4 Child and Adolescent Mental Health Services Pre-Visit Information Pack and Questionnaire NORTH OF SCOTLAND PLANNING GROUP This pack is designed to be used to prepare
More information