Carers Conference
WELCOME
Why are we here today?
“Hands up” - key concerns
Risk
Assessment
Urgent
Care
Crisis
Beds
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: first
contact with the patient; following any suicidal behaviour; with increased
suicidal ideation; with pertinent clinical change; at CPA reviews; at
discharge.
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 coming
KMPT 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
Discussion
Angela McNab
Chief Executive
Feedback
Angela McNab
Chief Executive
Open Dialogue
Peer Support
Catherine Kinane
Amanda Francis
Annie Jeffrey
Background
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
Optimal principles for organising psychiatric treatment
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
Benefits and strategic fit
Open Dialogue will support our
Clinical Strategy, helping to
prevent admissions and ensuring
we are recovery focused.
Improved prognosis/outcomes
Reduction of symptoms
Longer term relapse rates
Open Dialogue will support our
Commercial Strategy, which
aims to ensure that the Trust can
grow into new markets.
Participation in national network
Attainment of a multidisciplinary
workforce trained in OD
techniques
Open Dialogue will enable us to
deliver our Financial Strategy,
supporting long term viability and
sustainability.
Cost savings from lowering long
term use of community services
Reduced medication use
Reduced bed occupancy
Working together
Angela McNab
Chief Executive
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 0102
info@healthwatchkent.co.uk
Mental health
We’ve heard loud and clear from the
mental health community
 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
All these reports & our recommendations
have been published
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