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