Risk Assessment and Safety Planning Follow us on twitter @spsp_mh #spspmh5
Agenda 11.15 - 11.20 Introduction – Arturo Langa 11.20 - 11.35 Two hours risk assessment experience – Paddy Philpott and Audrey Proctor 11.35 - 11.50 Observations Guidance Review – Anna Wimberley and Jamie Malcolm 11.50 - 12.00 Questions and Answers – All presenters 12.00 - 12.15 Workstream essentials 12.15 - 12.30 Whole group discussion #spspmh5
Two hours risk assessment experience Follow us on twitter @spsp_mh #spspmh5
Risk Assessment – Dr Gray’s Hospital, Ward 4 • Situation Improve Risk Assessment Recording Look at Driver Diagram Focus on Secondary Drivers To complete risk assessment document within 2 hours of admission. #spspmh5
Risk Assessment – Dr Gray’s Hospital, Ward 4 • Background Ward 4 is a 20 bedded acute admission stand alone unit based within the grounds of the general hospital named Dr Gray’s Hospital Pilot Site Driver Diagram – Risk Assessment and Safety Planning Driver Diagram To complete risk assessment document within 2 hours of admission. #spspmh5
Risk Assessment - Dr Gray’s Hospital, Ward 4 • Assessment PDSA 1 was completed. (Attachment) Recording tool Initially a baseline was taken and current trends were recorded #spspmh5
Risk Assessment – Dr Gray’s Hospital, Ward 4 • Assessments • Information Gathering • Information shared • Culture • Awareness • Accountability/Support #spspmh5
Risk Assessment – Dr Gray’s Hospital, Ward 4 • Recommendations Small Steps / Achievable aim 95% completed Engage with staff and get understanding (Process) Share Information – Data Documentation Review Don't make assumption Dummy Folder Conclusion (Staffing/Training/Skill Mix/Situations) #spspmh5
Risk Assessment – Dr Gray’s Hospital, Ward 4 • What Now? Culture Established Audits continue but reduced Continue Education/Awareness/Develop Continue Awareness Continuous learning #spspmh5
Risk Assessment – Dr Gray’s Hospital, Ward 4 Thank you Any Questions? Audrey Proctor Sandra Macgillivray Paddy Philpott Senior Charge Nurse Deputy Charge Nurse Patient Safety Coordinator – Ward 4 Ward 4 Mental Health Dr Grays Dr Grays Fyvie Ward Elgin Elgin Royal Cornhill Hospital Aberdeen Tel no: 01343 567632 Tel No: 01224- 557939 Email: audrey.proctor@nhs.net sandra.macgillivray@nhs.net p.philpott@nhs.net #spspmh5
Review of Good Practice Statement Engaging People, Observation of People with Acute Mental Health Problems Jamie Malcolm & Anna Wimberley
CHANGES AND DEVELOPMENTS • Legislation and policy changes that reflect changing philosophies of care – principle based • Greater emphasis on risk management in care planning, and observation as a tool in overall care and risk management • Greater emphasis on involvement of families/carers • Environmental awareness – new purpose built facilities
• Divergence, in some services, from the original guidance and the use of ‘ intermittent ’ observation • Developments in observation practice - upskilling • Lessons learnt from reviews of the suicides of inpatients since 2008 that have been reported to SRLS and NCISH, and Mental Welfare Commission review of observation • Use in other clinical settings
WHERE HAVE WE GOT TO? • First draft – principles • Improvement framework to: – improve policies – improve practice
REVISION PROCESS • Review Group • Nurse Advisory Group • Reference Group • Consultation: 15 June – 31 July 2015 • National Mental Health Nursing Conference 1 April 2015
REVISION PROCESS • Other events/consultation opportunities? • Publication November 2015 • Implementation and improvement support?
DISCUSSION QUESTIONS 1. What are the challenges to therapeutic observation practice in your clinical area? 2. What improvement and implementation support might your team need to improve practice?
CONTACTS The SRLS Project Team • hcis.SuicideReviewTeam@nhs.net • Pamela Campbell, Project Officer • Jamie Malcolm, Mental Healthcare Advisor • Vicky Rigley, Suicide Reporting Officer • Claire Scrim, Project Officer • Anna Wimberley, Programme Manager Website http://www.knowledge.scot.nhs.uk/suicidereviews.aspx
Questions and Answers Arturo Langa Paddy Philpott Audrey Proctor Anna Wimberley Jamie Malcolm #spspmh5
Risk Assessment and Safety Planning Essentials • Training and refresher training • Risk assessment timing and review – 2 hours on admission, 72 hour review • Live risk assessment – linked to goal setting • Discharge • Inclusion of sexual, physical, social and psychological risk #spspmh5
Workstream essentials – questions/issues • Are they correct? • If not, what should they be? • What are we already doing? • What change packages, bundles, interventions should be developed and tested to deliver them?
Lunch – available outside Strathallan Foyer and opposite Stuart Lounge Storyboard viewing – Strathallan Drop in data surgery - Glenallan
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