www.nhsprotect.nhs.uk andrew masterman policy lead violence strategy date 26 06 14
TRANSCRIPT
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www.nhsprotect.nhs.uk
Andrew MastermanPolicy Lead Violence Strategy Date 26 06 14
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Collaborative approach
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Timeline
Zero Toleranc
eNHS SMS NHS
Protect
Winterbourne /
Mid Staffs
MINDMeeting Needs
DH guidance
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Minimising the use of physical restraint
RCN - Positive and Proactive
Care
SfHealth/Care - Positive and
Proactive Workforce NHS Protect -
Meeting Needs and Reducing
Distress
MH Crisis Care Concordat
MoJ - Death in Custody principles /
NHS Care in Custody
NICE - Guidelines • Violence & Aggression • LD Challenging Behaviour
RCN Forum
NHS England -NRLS and
Patient Safety Incidents
RCPsych
CQC
Research
Health Education England
National picture
DH Positive & Safe Programme
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•Vulnerable patients
•Other patients
•Staff
•Relatives and carers
•Organisational reputation
Why is this guidance important?
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Our approach
Preventing challenging behaviour and minimising restrictive practices…
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Understand• What is meant by clinically related
challenging behaviour
• Clinical condition or other factors
• How it presents and early signs
• Antecedents and triggers
• Common reasons - physical, cognitive, psychological/emotional, environmental/social
• Translate unmet needs into delivery of care
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Manage risk• Recognise a person’s vulnerability
• Implement strategies to stay safe
• Manage escalating situations
• Deal with immediate, obvious causes
• Consider other strategies, e.g. assistance, observations
• Know when to use physical interventions in emergency situations
• Review incident
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Prevent• Recognise individual's rights and dignity
• Positive engagement, attitudes, communication critical to prevent challenging behaviour
• Information gathering, observation and assessing behaviours when planning care
• Plan individualised care: understand what causes behaviour, what alleviates it, what can we do differently; document and share with colleagues
• Factors: communication, environment, activities, independence, mobility, sleep, rest and nutrition
• Review care plan
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TrainingLevel Core Role specific Targeted
(risk based)
Module Challenging behaviour awareness
CRT Assessment and planning Assault reduction
Physical intervention
Content • Awareness• Recognise• Prevent• Manage risks• Responsibilitie
s• Support
• Risk awareness• Dynamic risk
assessment• Communication• Calming• Responsibilities• Reporting• Support
• Assess & diagnose• Care planning• Individualised care• Prevention• Special observation• Behaviour
management• Problem solving• Recording• Support
• Risk awareness
• Positioning
• Safer practices
• Avoiding blows
• Releases• Guiding &
redirecting
• Policy, law, ethics
• Appropriate restrictive skills
• Medical risks• Duty of care• Teamwork• Leadership• Emergency
response
Audience All staff with direct patient contact Nurses, doctors, AHP Nurses, doctors, AHP in high risk areas
Response teams, security function
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Resources
• Versatile video resource
• Supports guidance
• Learning outcomes
• Relevant to clinical and
non-clinical staff
• Scenarios to understand,prevent, manage behaviour
• Shared expertise and practical advice
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www.nhsprotect.nhs.uk/reducingdistress
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The future?• Guidance, website and video resources
• Project implementation and evaluation
• Future engagement: participate in work streams to minimise restrictive interventions
• Identify opportunities for further work
• Training
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CONTACT DETAILS:[email protected]