carers conference welcome. why are we here today?
Post on 19-Dec-2015
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Carers Conference
WELCOME
Why are we here today?
“Hands up” - key concerns
Risk Assessment
Urgent Care
BedsCrisis
We want to listen:
- you experience service issues day and night
- you know what’s working, and what’s not
We want to:
- agree the priorities
- agree how to work together (better)
- agree how to communicate
- agree how to meet and how to monitor progress
Summary
- We recognise the worries
- We want to work together
- We can achieve more together
- We need you
Malcolm McFrederick
Executive Director
of Operations
- Website
- Single Point of Access
- A&E Liaison
- Crisis and
Home Treatment Teams
- Beds and Alternatives
Clinical Risk Development
Dr Catherine Kinane
Medical Director
We have a new process for clinical risk assessment
and management which benefits from:
1 A focus on suicide prevention
2 Being organised as a 3 tiered process, so that low risk is dealt with
simply and greater risk/risk complexity is explored more thoroughly
3 Compatibility with the RiO Risk Summary, the primary patient record
for recording clinical risk
4 Understandable by practitioners and patients
5 Readily lending itself to clinical risk assessment and management
training
Tier 1- suicide risk SAFE-T(Suicide Assessment Five-step Evaluation and Triage)
American Psychiatric Association practice guidelines conducted at: firstcontact with the patient; following any suicidal behaviour; with increasedsuicidal ideation; with pertinent clinical change; at CPA reviews; atdischarge.
1 Identify risk factors
2 Identify protective factors
3 Conduct suicide inquiry
4 Determine risk level/intervention
5 Document assessment, intervention and follow-up
Tier 1- suicide risk SAFE-T characteristics
- Guides professional clinical engagement, enquiry,
reasoning and action
- Not a “tick box” exercise
- Does not produce a “score”
- Easy to understand and apply
Tier 2 - suicide risk
Asking about suicidal ideation and intent
Tier 1 - Risk of neglect
Tier 1 - Risk of aggression/violence
Tier 1 - Other risks
Tier 2 - Other risks asking about ideation and intent to commit violence or ‘other’ risk
Tier 3 - Complex risk assessment and management
If clinical uncertainty about risk persists, conduct
detailed, multi-disciplinary risk assessment using
Trust approved risk assessment instrument
described in our policy.
Consider multi-disciplinary meeting on risk
assessment and management.
The outcome is recorded in the RiO Risk Summary.
Trust Developments
Web Based Incident Reporting is comingKMPT is rolling out Datix Web, an online incident reporting system to replace its current paper based IRIS forms
- Instant Feedback for Staff
- Quicker & Easier to use
- Improved Reporting
- System Design Led by Clinical Staff
- Ability to meet Regulations / Statutory Requirements
- Reduction in Costs
- Real Time Information Available
Angela McNab
Chief Executive
Discussion
Angela McNab
Chief Executive
Feedback
Open Dialogue Peer Support
Catherine KinaneAmanda Francis
Annie Jeffrey
1. Immediate response - first meeting within 24 hours after contact
2. Social networks perspective - involvement of the client’s social network and all the professionals involved in the actual crisis
3. Tolerating uncertainty - generating a process for the new conversational community to ‘live’ and talk together
4. ‘Dialogicity’ - increase understanding about the actual crises and the life of our customers
Optimal principles for organising psychiatric treatment
Open Dialogue is a concept developed by Dr. Jaakko Seikkula. There has been significant take up around the world, including Scandinavia, Europe and the USA
Background
Benefits and strategic fit
Open Dialogue will support our Clinical Strategy, helping to prevent admissions and ensuring we are recovery focused.
Open Dialogue will support our Commercial Strategy, which aims to ensure that the Trust can grow into new markets.
Open Dialogue will enable us to deliver our Financial Strategy, supporting long term viability and sustainability.
Improved prognosis/outcomesReduction of symptomsLonger term relapse rates
Participation in national networkAttainment of a multidisciplinary workforce trained in OD techniques
Cost savings from lowering long term use of community servicesReduced medication use Reduced bed occupancy
Angela McNab
Chief Executive
Working together
Steve Inett
Chief Executive
Healthwatch Kent
Healthwatch Kent
Who are we? We are the consumer champion for health
& social care
Our aim is to improve services by ensuring local people’s voices are heard
FREE Information & Signposting service
0808 801 0102info@healthwatchkent.co.uk
We’ve heard loud and clear from the mental health community
All these reports & our recommendations have been published
Mental health
We’ve undertaken a number of projects Enter & View visit to Little Brook Hospital Gathered experiences of patients and families who were moved from Medway into Kent Gathered experiences of the CAMHS service Mental health carers
Mental health carers
Gathered experiences of mental health carers
Used our findings to facilitate a meeting with carers, providers and commissioners to discuss how we can move forward
We all agreed some key points that would benefit everyone. An action group is now taking these forward
Mental health carers : key actions
Improving communications
Establishing a county wide forum for carers to create an effective platform to raise your voice
Agree a Carers Charter with KMPT
Training for staff on the needs of carers
Training for carers on how to support their loved ones
Overcoming the barriers that confidentiality can cause for carers
How can you get involved?
• Sign up for our monthly newsletter
• Complete a Speak Out form – tell us your experience
• Follow us on Facebook/Twitter
• Apply to be a volunteer
Contact us
Freephone 0808 801 0102
info@healthwatchkent.co.uk
@healthwatchkent
hwkent
THANK YOU FOR YOUR TIME
ANY QUESTIONS?
Sarah Russell
Operations Manager
Healthwatch Medway
Angela McNab
Chief Executive
Thank you for
joining us
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