1.3 Details of the Directors
Trust Chair
Alison Davis
Alison worked as a registered nurse for 10 years before becoming a qualified solicitor in
1988, focusing on family and mental health law. Alison has been a Non-Executive Director of
various NHS Trusts since 1993 and has been Chair of BLPT since 2001. She is the Trust
champion for people with learning disabilities.
Interim Chief Executive
Dr Patrick Geoghegan OBE
Patrick has worked in the NHS for more than 35 years holding a number of senior clinical
and managerial positions. He is passionate about mental health and learning disabilities,
particularly about addressing the stigma often associated with people who use these
services.
One of Patrick’s many passions is good customer service. He believes that people who use
health services, irrespective of their disability, social or educational status, deserve the
highest respect and to be treated with dignity at all times. He is a national Dignity Champion
for dementia and the only NHS Chief Executive working with the joint WHO/ European
Commission on an pan-Europe plan to reduce stigma in mental health.
Quality Account
His strength is in delivering change management and he describes himself as a
‘transformational leader who keeps his feet firmly planted on the ground’. He sees
leadership, both general management and clinical leadership, as key to improving services.
As a result of his interest in transformational change, Patrick has developed innovative
international links with America, Australia, New Zealand, Italy and other European countries.
2008 -- 2009
2009
2010
2009- 2010
Patrick was shortlisted for two NHS Leadership Awards in 2009 and was awarded the
prestigious NHS Leader of the Year.
Non- Executive Directors
Putting You First
Bernard Harrison (Vice Chair)
Bernard has enjoyed a long and successful career with British Telecom, starting as an
2008 -- 2009
2009
2010
engineering apprentice and progressing through specialties such as marketing, consultancy,
management training and customer service general management. Bernard established his
Statement On Quality From
The Interim Chief Executive
“Quality is everyone’s business” is a phrase which I often use to describe
the approach to ensuring that we deliver services that meet the
expectations of all our stakeholders that use, have an interest in or
commission the services. Lord D’Arzi explained “quality” in this way:
“High quality care should be as safe and effective as possible, with
patients treated with compassion, dignity and respect. As well as clinical
quality and safety, quality means care that is personal to each individual.”
This has applied equally to the services I have led in Bedfordshire and
Luton as it does in south Essex I have a personal commitment to quality
in everything that we do, which I know was also shared by our Chair,
Alison Davis, and all members of our Board of Directors.
It is this commitment to quality by everyone who worked in and with
our organisation that enabled me to look back at 2009/10 and be
proud of the quality of service that was delivered; particularly over this
last year as the Trust prepared for acquisition by a NHSFT (a Glossary of
abbreviations is contained in Appendix 1). I am very pleased that SEPT
was successful in it’s bid to acquire the contract for services provided
by the BLPT following the competitive tendering process and I look
forward to continuing to work with the staff and developing a centre
of excellence in the provision of mental health services. I am absolutely
committed to making sure that the quality of services delivered in
Bedfordshire and Luton are of a consistently high standard with those
already provided in Essex.
1
I have been very impressed by the hard work of the staff of the Trust
during this very difficult period and their continued commitment to
improvement in the quality of service for the people of Bedfordshire
and Luton in the many areas reflected in this report.
Looking forward to 2010/11 we have set out ambitious plans for
continued quality improvement that were identified as a result of
a number of consultation activities that involved many of our staff,
our service users, our members, and our partners. The year will
bring many challenges as we have also made a commitment to
commence a complete transformation programme in Bedfordshire
and Luton that will lead to a new model of service being introduced
that improves overall safety, experience and effectiveness of
services and ensure that we achieve improvements in efficiency
and productivity in light of the economic downturn. These plans are
presented in the SEPT Quality Account.
We are confident that we have effective plans and the right people
with the right skills to deliver all of our quality improvement
objectives. Successful delivery will rely on the commitment to and
responsibility for quality that is shared by each and every member
of staff for it to be a reality for the people that use our services in
Bedfordshire and Luton, as well as in Essex. I therefore ask all of our
staff to deliver services that they would want to receive or that they
would want their friends and families to.
This is the last Quality Account for this Trust, and it is good to be able
to present this report on such a positive note. The improvements
in the quality of services that will continue for the people of
Bedfordshire and Luton will be reported through the SEPT’s 2010/11
Quality Account.
Statement of Accuracy.
I confirm that to the best of my knowledge, the information
contained in this document is accurate.
Dr Patrick Geoghegan OBE
Interim Chief Executive
2
Priorities for improvement in 2010/11 and statements of
assurance from the Board
2.1
Priorities for improvement in 2010/11
Bedfordshire and Luton Mental Health and Social Care Partnership
NHS Trust was dissolved by the Secretary of State for Health on 31
March 2010. The assets, liabilities and contracts for specialist mental
health and learning disability service provision in Bedfordshire and
Luton of BLPT were acquired by South Essex Partnership University
3
NHS Foundation Trust (SEPT) with effect from 1 April 2010. SEPT
has developed priorities for improvement in Bedfordshire, Essex
and Luton as a result of consultation with staff, service users and
stakeholders in all areas where services will be delivered from 1 April
10 and has set these out in it’s Quality Account for 2010/11.
2.2
Statements of Assurance from the Board
2.2.1 Review of Services
2.2.2 Participation in Clinical Audits
During 2009/10 BLPT provided 68 NHS services (See Appendix 2). BLPT has reviewed all
the data available to them on the quality of care in these 65 NHS services (defined as
those services for which a service specification was agreed as part of the contracts for
services agreed with commissioners).
During 2009/10 12 national clinical
audits and 1 national confidential
enquiry covered NHS services that
BLPT provides.
The Trust has successfully made a number of improvements through the strategies
implemented during the year. The Trust has not had any healthcare (hospital) acquired
infection as a result of the “Clean and Safe” strategy; the introduction of LEAN Working
methodology, including the Productive Ward approach has improved the efficiency
of services; implementing a system that learns from serious untoward incidents and
near misses and monitors that the actions identified are implemented and reviewed;
significant improvement in the data quality, both in completion and reporting; and
achieving the new Level 1 NHSLA compliance. The focus on quality has been across the
Trust, both in all the services we provide and the support functions behind this, and as
SEPT brings the two systems together will seek to continue to learn from and develop
the best from both organisations.
During 2009/10 BLPT participated in 7
out of 12 (58%) national clinical audits
and 1 (100%) national confidential
enquiries of the national clinical
audits and national confidential
enquiries which it was eligible to
participate in. In three of the topics 2
audits were undertaken.
The Trust reviews data on the quality of care of all services on a monthly basis. A
comprehensive report on performance of all services against all available quality and
performance indicators is produced for the Trust’s Executive Team and senior managers.
In addition Team Dashboards provide an overview of performance against key quality
indicators relevant to each service. Any performance below that expected is identified
and action is identified as a result of this provision of information and action is taken to
address identified issues as appropriate. The Trust Board monitor the data available on all
services on a quarterly basis.
The national clinical audits and
national confidential enquiries that
BLPT was eligible to participate in,
did participate in, and for which data
collection was completed during
2009/10, are listed below alongside
the number of cases submitted to
each audit or enquiry as a percentage
of the number of registered cases
required by the terms of that audit or
enquiry.
The income generated by the NHS services reviewed in 2009/10 represents 98% per cent
of the total income generated from the provision of NHS services by BLPT for 2009/10.
4
Nos of cases submitted to each audit inquiry as
a percentage of the number of registered cases
required percentage of cases expected
Completion Date
POMH Topic 1d Prescribing of high dose and combination
antipsychotics on adult acute and intensive care wards
100% of applicable areas
March 2009
POMH Topic 1e Supplementary follow up of high dose and combined
antipsychotics in Adult acute and PICU (Psychiatric Intensive Care Wards)
100% of applicable areas
February 2010.
POMH Topic 2d Screening for metabolic side effects of antipsychotic
drugs in patients treated by Assertive Outreach Teams
100% of relevant service users on caseload
July 2009
POMH Topic 3 Prescribing of High-dose and combined antipsychotics
for patients on secure services wards
Not yet audited
Not yet audited
POMH Topic 5c Prescribing of high dose and combination antipsychotics
in Adult acute and PICU (Psychiatric Intensive Care Wards)
100% of applicable areas
Mar 2010
POMH Topic 6b Assessment of the side effects of depot antipsychotics
100% (up to local determination)
February 2010.
POMH Topic 7b Re-Audit of monitoring of lithium
Not yet audited
Not yet audited
POMH Topic 8 Medicine Reconciliation
Not yet audited
Not yet audited
POMH Topic 9 Use of antipsychotic medications in people with a
learning disability
100% of applicable areas
September 2009
POMH Topic 10 Use of antipsychotic medication in CAMHS
Not yet audited
Not yet audited
National Falls and Bone Health Audit – March 2009
Organisational level audit
Mar 2009
National Audit of Continence Care
Not yet audited
Not yet audited
Audit Reference and Title
National Clinical Audits
National Confidential Enquiry
National Confidential Inquiry into Suicides and Homicides
5
National Confidential Inquiry into Suicides and
Homicides
The reports of seven national clinical audits carried out by BLPT were reviewed in 2009/10 and the actions identified below will be carried
forward by SEPT to improve the quality of healthcare provided:
Topic
Actions
POMH UK Topic 1. Prescribing of High Dose and
combination Antipsychotics on Adult Acute
and Intensive Care Wards - Supplementary
Audit
Service users to be treated with single antipsychotic and where this is not possible
the rationale provided in casenotes
National Audit on Falls and Bone health
Policy to be reviewed and the risk assessment tool amended.
Development of a referral care pathway who are at risk of osteoporosis
Inclusion of questions in Essence of care module that will examine staff awareness of
the policy
Amend the risk reduction care plan checklist to include the appropriate use of bed
rails
6
The reports of 44 local Clinical Audits were reviewed by BLPT in
2009/10 and SEPT intends to take the following actions to improve
the quality of healthcare provided across the new Trust:
n SEPT will have one consistent audit process across the new Trust,
which will ensure learning points are reported to a central point
for dissemination and action.
n The audits, while demonstrating that there has been
considerable improvement over the year against a number
of measures, for instance service user satisfaction, have also
highlighted areas which require further attention and re-audit.
n The learning from experience focus will continue in 2010/11
with re-audits of suicide prevention, of NPSA PSA/0005 related to
lithium prescribing and a Trust wide staff survey on learning from
experience. Record keeping is also an annual audit carried out in
2009/10 and programmed for 2010/11.
n Where performance has been identified as being weak action has
been taken to correct this through training and re-skilling, and
where necessary direct action.
n Review and changes in policy to improve patient safety and
quality of experience.
n Outcome measures for people who use services have been
identified as requiring development. This has been included as a
target as both a Quality target and in the CQUIN
n Training needs have been identified and are being built into
SEPT’s training programme.
n Many services have carried out local service user surveys to
ensure that services are meeting national and local expectations.
These generally show high levels of satisfaction with local
services and action plans are developed to address any issues
raised. SEPT is planning to develop a consistent approach for
capturing service user experience.
7
2.2.3 Participation in Clinical Research
The number of patients receiving NHS services provided or
sub-contracted by SEPT in 2009/10 that were recruited during
that period to participate in research approved by a research
ethics committee was 53. This figure relates to the total sum of
participants recruited to the UKCRN National Institute for Health
Research Portfolio. Data has not routinely been collected in
relation to recruitment in to student and own account research
studies. As from May 2010 SEPT will be collecting this information
as part of a research audit due to take place. As part of this audit,
information will be requested as to the number of participants
recruited to the study during 2009/10.
2.2.4 Quality and Innovation Goals Agreed With Commissioners.
A proportion of BLPT’s income in 2009/10 was conditional on
achieving quality improvement and innovation goals agreed
between BLPT and any person or body they entered into a
contract agreement or arrangement with for the provision of NHS
services, through the Commissioning for Quality and Innovation
payment framework (CQUIN). Full details of the agreed goals for
2009/10 and for the following 12 month period are available on
request from Elizabeth.Semain@SEPT.nhs.uk .
2.2.5 Registration with, and Results of Periodic/ Special Reviews by the Care Quality Commission
BLPT was not required to register with the Care Quality Commission as registration requirements did not come into force until 1 April 2010 and the Trust
was dissolved by the Secretary of State for Health on 31 March 2010. SEPT has applied to the CQC to vary it’s current registration status to include regulated
activities and locations of services provided in Bedfordshire and Luton.
The Care Quality Commission has not taken enforcement action against BLPT during 2009/10.
BLPT was subject to periodic review by the Care Quality Commission and the last review covered the period up to 31 March 2009 and was published in
October 2009. The CQC’s assessment of BLPT following that review was “Fair” for Quality of Service and “Fair” for Use of Resources.
The interim management team of BLPT has overseen a programme of improvement that has enabled performance for 2009/10 to be much improved. This is
set out in Part 3.
BLPT has not participated in any special reviews or investigations by the CQC during the reporting period.
2.2.6 Data Quality
BLPT submitted records during 2009/10 to the Secondary Uses service for inclusion in the Hospital Episode Statistics which are included in the latest
published data. The percentage of records in the published data:
n which include the patient’s valid NHS number was 99% for admitted patient care and 100% for outpatient care
n and which included the patient’s valid General Medical Practice Code was 100% for admitted patient care and 100% for outpatient care
BLPT’s score for 2009/10 for Information Quality and Records Management, assessed using the Information Governance Toolkit was 61%.
BLPT was not subject to the Payments by Results clinical coding audit during the reporting period by the Audit Commission
8
Review of Quality Performance 2009/10
3.1
Performance against indicators for improvement identified
in 2008/9 Quality Accounts
BLPT produced a Quality Account in May 2009 which reflected on
the quality of services provided in 2008/9 and set out priorities for
improvement in quality to be implemented in 2009/10.
The priorities identified for improvement in 2009/10 were based
on consultations that took place with a wide range of stakeholders,
including staff, service users, carers, Commissioners and other partner
agencies. Feedback from the consultation process was used along
with information routinely used internally (quality and performance
data; complaints, LINks, PALs, service user survey results etc.);
commissioning intentions and other sources to identify the targets
for improving quality during 2009/10.
As at 31 March 2010, we are delighted to report that there has been
excellent progress with taking action that has lead to improvement
in the majority of the priority areas identified:
Improve Service Users Involvement in the Care Planning Process
9
Priority
Target
Baseline
2008/09
2009/10 Actual
In the last 12 months have you had a care review?
48%
42%
63%
Were you told that you could bring a friend or relative to
your care review?
71%
68%
80%
Before the care review meeting, were you given a chance
to talk to your care co-ordinator about what would
happen?
61%
51%
66%
Were you given a chance to express your views at the
meeting?
68%
64%
66%
Although there has been progress the Trust
has not achieved its target to date.
Did you find the review helpful?
49%
51%
50%
There has been a slight reduction on the
baseline score
Establishing Effective Care Pathways
Priority
Target
Baseline
2008/09
2009/10 Actual
Emergency Readmissions within 28 days of discharge
6%
10.5%
95%
96%
90%
94.7%
7.55%
The quarterly information demonstrates
the improvements that have been made
throughout the year with performance
positively below target in both Quarters 3 & 4
7 Day Follow Up on Discharge From Inpatient Units
97%
Gate Keeping of Acute Admissions
98%
Patient Safety - Delivering Single Sex Accommodation
Priority
Target
Baseline
2008/09
2009/10 Actual
Percentage of Compliant Inpatient Units
100%
100%
100%
Number of Breaches
0
n/a
0
10
3.2
Performance against key national priorities and National Core Standards
3.2.1 Care Quality Commission Targets
The Care Quality Commission require providers of mental health and learning disability services to achieve a range of quality improvement
targets. Performance against the relevant targets in 2009/10 was as follows:
Indicator
Indicator
Proportion of people receiving follow-up contact within seven days of discharge from hospital
Admissions “gatekept” (seen by or notified to CRHT prior to admission to identify whether an alternative to admission is appropriate)
% of people discharged from an in-patient setting with a care coordinator identified at the time of discharge
Delayed transfers of care (mental health and learning disability)
Data quality on ethnic group (mental health and learning disability)
Increase the % of drug users who were retained in treatment for 12 weeks or more in effective treatment
Experience of patients
Completeness of the MHMDS
Child & Adolescent Mental Health Services
Best Practice in MHS for people with an LD
NHS staff satisfaction
Learning Disability Campus provision
11
Learning Disability: Number of People with a care plan
Target
Actual 2009/10
95%
97.8%
90%
98%
>80%
93%
<4.3%
4.17%
100%
100%
Increase on 08/09
performance
94% of service users were retained in treatment for 12 weeks or more. The Trust’s
retention rate was 94% for 2008/9. The Trust matched but did not exceed last year’s
score.
Improved results
Awaiting publication of national survey results by CQC
7 fields 100%
4 new fields 90%
7 fields 97%
4 new fields 50%
6 criteria met
The Trust is fully compliant (100%) on all six criteria
Compliance with 12 The Trust achieved ‘Green’ status on 12 out of the 12 key requirements.
criteria
Improved results
Awaiting publication of national survey results by CQC
Not applicable
Not applicable
100%
100%
12
3.2.3 Compliance with Core Standards
During 2009/10 BLPT was compliant with 23 out of 24 Core
Standards for Better Health.
In December 2009 the Trust submitted a bi annual declaration
as a requirement of the CQC Standards for Better Health process.
Following a robust process to examine evidence and assurances
the Trust declared full compliance for all core standards with
the exception of c11b mandatory training. For this area of non
compliance actions were agreed and monitored closely by the
Executive Team Operational Committee. A review of systems was
undertaken and significant improvements were made and the Board
confidently approved full compliance by year end. The Board gained
further assurance after substantial assurance was awarded following
a review by Internal Audit against the Standards for Better Health
process.
As the Lead Commissioner, NHS Bedfordshire has a duty under the
National Health Service Act 2006 to confirm that the Quality Account
contains accurate and relevant information in relation to the NHS
services provided. It should ensure that reasonable steps have been
taken to ensure the data has been checked for accuracy against the
data supplied during the year. This process is part of the contractual
quality monitoring systems.
Annex. 1 Statements from Third Parties
A statement from the Chief Executive assures that the information
used is accurate. Assurance statement evidences that reviews of
quality of care and performance of all services are undertaken
monthly. Quality indicator achievements were not evidenced for
CQUIN (Commissioning for Quality and Innovation Improvement
Framework). (Response: These were and are evidenced in 3.1)
In accordance with the Quality Account Regulations, the Trust sought
statements from all required third parties on 29 April 2010; allowing
30 days for a response to be provided. The Health Overview and
Scrutiny Committees chose not to respond.
Statement received from NHS Bedfordshire (on behalf of NHS
Luton).
NHS Bedfordshire was the Lead Commissioner for services
commissioned from BLPT in 2009/2010. This is the final Quality
Account for BLPT.
13
Following a unique and competitive tendering process South Essex
Partnership University NHS Foundation Trust (SEPT) will be delivering
mental health services within Bedfordshire and Luton from April
2010/2011.
It was noted that the Quality Account included a review of 65 out
of a total of 68 commissioned services. All services provided were
not defined or listed within the report (Response: This has now been
included as Appendix 2).
It is identified that a Policy review is required to improve patient
safety and quality of the patient experience including improvements
in the care planning processes.
Quality improvement performance indicators lack detail in relation to
i.e. the terms ‘quality’ was used throughout however a definition
of quality from both a user/corporate perspective would have
been helpful (Response: An explanation has been included in Part
Clinical Audits are listed. It is noted that further areas require reauditing and NHS Bedfordshire look forward to working with SEPT to 1). It also may have helped if a metric was used for monitoring
effectiveness. The use of abbreviations which referred to both
monitor progress within this area.
national policy directives/indicators and technical terminology could
An assurance statement of BLPT’s engagement with patient and third have been explained in (‘plain English) A glossary of terms and
sector agencies is included within the report.
abbreviations would have made it easier to understand and reduce
confusion (Response: A Glossary has now been included as Appendix
1).
NHS Bedfordshire acknowledges that registration with CQC (Care
Quality Commission) is with SEPT.
2.2.1 Review of Services
Hospital acquired infections: It was noted of the positive result of
the ‘Clean and Safe strategy’, however as mental health throughout
Statement received from Luton LINk (on behalf of Bedford LINk).
Luton and Bedfordshire is delivered in a variety of settings including
This response is agreed by members of both Luton LINk and
clients homes may we suggest that the accepted term ‘Healthcare
Bedfordshire LINk. It is accepted that the key objective of quality
Associated Infection’ would have been appropriate, particularly as the
accounts is to increase NHS accountability to the public on the
Trust forward plan advocates an increase in ‘Care in the Community’.
quality of the service provided. It is also recognised that quality is
(Response: the wording has been changed to “healthcare (hospital)
complex and multi-dimensional particularly in the field of mental
acquired infection.”)
health, it is accepted that Mental Health Services within Luton and
Bedfordshire have experienced a merger process with South Essex
Partnership Trust (SEPT) which was finalised on the 31st March 2010. 2.2.2 Participation in Clinical Audit.
May we ask what criteria were used to prioritise areas to audit and
reports of Clinical Audit? Are there not other audits besides ‘clinical’
The LINks look forward to meeting with SEPT on a regular basis to
discuss the outcome of audits and how these affect care provided by which are applicable and relevant to mental health users and their
carers? (Response: SEPT will provide information separately)
SEPT.
methodology, impact or identified project leads.
Overall Presentation
Some of the terms used may we suggest need further clarification
National Audit on Falls and Bone health. The results of the audit
on falls must be built into the care provided , particularly for older
people with dementia.
14
Record Keeping: The LINks recognise the importance of good
record keeping and the need for continual improvement in the
quality of these records.
Suicide Audit.
The LINks look forward to receiving a copy of the audit on its
completion. (Response: SEPT will provide information separately
Prescribing Observatory for Mental Health (POMH): This frequently
used term could have been more fully explained. (Response: This is
now included in the Glossary).
3.1 Performance against indicators for improvement identified in
2008/09 Quality Accounts
LINks were not acknowledged as a body which provided data to
BLPT from a users and carer’s perspective (Response: LINks has now
been included).
As SEPT seeks to continually improve services there needs to be an
agreed understanding of what the terminology used in describing
progress in the quality of services for people who have a mental
health problem.
Luton LINk would like to take this opportunity of thanking you for
providing us with the opportunity to comment on the Draft 2009/10
Quality Accounts for the former BLPT
15
It is acknowledge that the last year for providers, staff and users and
carers of mental health services in Luton and Bedfordshire have had
to meet the challenges of change which could not have been easy.
Luton LINk would like to thank all staff during the past year for taking
the time to keep LINk informed of any change which directly affects
the users/carers of mental health services in Luton. We would also
like to recommend that we are part of the process in formulating
Quality Accounts from the beginning and not just comments at
the end when the process is complete. (Response: LINKs members
were invited to and participated in the Planning Event for 2010/11
and meetings have taken place with the Chief Executive. Feedback
from the event and the meetings were used to formulate the Quality
Account)
Glossary
Assertive Outreach Team
B&L
BLPT
CAMHS
CMHT
CRHT
CQC
CQUIN
GP
HoNOS PbR
Lean Working
LD
LINk (s)
MHMDS
NHS FT
NHSLA
NICE
NPSA
OSC
PALS
PEAT
PICU
POMH
Public Health Observatory
Q1
Quality Accounts
SE
SEPT
UKCRN
Works with people who need long-term support due to their mental health problems in the community
Bedfordshire and Luton
Bedfordshire and Luton Mental Health and Social Care Partnership NHS Trust
Child and Adolescent Mental Health Service
Community Mental Health Team
Crisis Resolution and Home Treatment Team
Care Quality Commission
Commission for Quality and Innovation
General Practitioner
Health of the Nation Outcome Scales Payment by Results. An outcome measurement tool.
A process developed to help services evaluate their effectiveness and improve quality, care pathways and cost effectiveness
Learning Disability
Local Involvement Network (s)
Mental Health Minimum Data Set
National Health Service Foundation Trust
National Health Service Litigation Authority
National Institute for Clinical Excellence
National Patient Safety Agency
Overview and Scrutiny Committee. Each local authority has a committee which monitors and gives comment on local health
services
Patient Advice and Liaison Services
Patient Environmental Action Teams
Psychiatric Intensive Care Unit/Wards
Prescribing Observatory for Mental Health
Each Health Authority has a public health department which produces local demographic and health information.
Quarter 1. The financial year has four reporting periods, April-June, July-September, October- December and January to March
All NHS provider organisations are required to produce a report on progress against quality targets in the proceeding year and the
indicators it wishes to use for the coming year.
South Essex
South Essex Partnership University NHS Foundation Trust
United Kingdom Clinical Research Network
16
Services Provided During 2009/10 Adult mental health services (ADMH)
17
Service name
Property Name
Robin Pinto Unit
Limetrees/Orchard Unit, Calnwood Road, Luton
Keats Ward, Weller Wing (excluding inpatient detox)
Weller Wing, Bedford Hospital, Ampthill Acute assessment Unit, Weller Wing
ditto
Patient Benefits Team For People of Working Age Inpatient services
Limetrees/ Orchard Unit, Calnwood Road, Luton
Oakley Court
Oakley Court, Angel Close, Luton
Oakley Court Assessment Unit
ditto
Townsend Court
(excluding inpatient detox)
The Poplars /Townsend Court (5 Houghton Road) Houghton
Regis
London Road – Recovery Service
105 London Road, Luton
Whichellos Wharf
Whichellos Wharf, Linslade
Cedar House
Cedar House, Bedford Health Village, Kimbolton Road,
Bedford
Progress House
32-38 Kimbolton Road, Bedford
Barford Avenue Day Centre
Social Care property owned by Bedford Borough Council
Day Resource Centre
Florence Ball House and Day Resource Centre, Bedford
Health Village, Kimbolton Road, Bedford
42 Kimbolton Road
Social Care property owned by Bedford Borough Council
Countrywide ECT Therapy Service
Limetrees/ Orchard Unit, Calnwood Road, Luton
Direct Access Psychology Service
Gilbert Hitchcock House, Kimbolton Road, Bedford
Road
Service type
Description
Low secure and
PICU
•
21 beds providing a rehabilitation programme
Inpatient unit
•
For service users experiencing an acute mental health episode who may be detained - 22 beds
Assessment Unit
•
6 bed acute assessment unit (AAU)
Inpatient unit
•
Service users of working age admitted to acute assessment units in Luton and Bedfordshire
Inpatient unit
•
For service users experiencing an episode of severe mental illness who may be detained – 29 beds
Assessment Unit
•
7 bed acute assessment unit (AAU)
Inpatient unit
•
For service users experiencing an episode of severe mental illness – 22 beds.
Recovery unit (short •
•
stay)
Inpatient recovery unit for service users experiencing an episode of severe mental illness
14 beds, of which 2 are for respite care
Residential unit
•
For service users with enduring mental health needs - 16 beds
Residential
•
For service users with enduring mental health needs - 16 beds
Residential
•
Inpatient recovery unit- 10 beds for rehab (6 months) and 2 beds for respite (up to 72 hours). Closed.
Day Centre
•
For service users with mental health problems
Day Centre
•
For services users (POWA) with mental health problems
Supported living
•
6 medium term and 1 respite bed. Closed for refurbishment
Assessment &
Treatment
•
For persons with severe or prolonged periods of illness where other treatments have failed.
Assessment &
Treatment
•
Services users presenting with mental health conditions where psychological therapies are the primary treatment choice (Bedfordshire)
18
Services Provided During 2009/10 Adult mental health services (ADMH)
Service name
Property Name
Luton and South Beds Crisis Resolution/ Home Treatment Team (CRHT)
Limetrees/ Orchard Unit, Calnwood Road, Luton
Bedford Crisis Resolution/ Home Treatment Team (CRHT)
Weller Wing, Bedford Hospital, Ampthill Road, Bedford
Eating Disorder Service
Disability Resource Centre, 1A Poynters Road, Woodside
Estate, Dunstable
Complex Needs Team
ditto
Community Development Workers Team
(Senior CDW base)
Charter House, Alma Street, Luton
Bedford and Mid Beds Assertive Outreach Team
Bedford Heights, Manton Lane, Bedford
Bedford Community Mental Health Team - East
ditto
Bedford West Community Mental Health Team
ditto
Diverse Cultures Team
ditto
Luton East CMHT
Calnwood Court, Luton
Luton West CMHT
ditto
ditto
Luton Assertive Outreach Team
19
South Bedfordshire Assertive Outreach Team
Beech Close Resource Centre, Beech Close, Dunstable
Mid Bedfordshire Community Mental Health Team (CMHT)
Meadow Lodge, Steppingley Hospital, Steppingley
Spring House, Biggleswade Hospital, Potton Road,
Biggleswade
Service type
Description
Assessment team
•
Assessment and support for persons with a severe mental illness who may require hospital admission
Assessment team
•
Assessment and support for persons with a severe mental illness who may require hospital admission
Assessment team
•
Assessment and treatment of service users presenting with eating disorders
Assessment team
•
Assessment and treatment for service users with a co-morbid diagnosis of personality disorder
Community
development
•
For service users of all age groups with mental health problems from black and other minority groups
Continuing support •
team
Service for people experiencing a severe and persistent mental disorder.
Assessment team
•
Service for people with a severe and enduring mental health and short term psychological problems
Assessment team
•
Service for people with a severe and enduring mental health and short term psychological problems
Assessment team
•
For service users of all age groups with mental health problems from black and other minority groups
Assessment team
•
Services for people with a severe and enduring mental health and short term psychological problem
Assessment team
•
Services for people with a severe and enduring mental health and short term psychological problem
Assessment team
•
Service for people experiencing a severe and persistent mental disorder who may have not sought treatment historically
Continuing support •
team
Service for people experiencing a severe and persistent mental disorder
Assessment team
Service for people with a severe and enduring mental health and short term psychological problems
•
20
Services Provided During 2009/10 Adult mental health services (ADMH)
21
Service name
Property Name
South Bedfordshire Community Mental Health Team (CMHT)
Beacon House, 5 Regent Street, Dunstable
Crombie House, 36 Hockcliffe Street, Leighton Buzzard
Renaissance Employment
Social Care property owned by Bedford Borough Council
Community Forensic Team
Limetrees/ Orchard Unit, Calnwood Road, Luton
Prison Inreach
Based in hospital wing of Bedford prison
ACE
60-62-64 Collingdon Street, Luton
Ashanti
Social Care property owned by Luton Borough Council
Roshni
Social Care property owned by Luton Borough Council
Approved Mental Health Practitioners (AMHPs) Service
No base – linked to various CMHTs
Service type
Description
Assessment Team
•
Services for people with a severe and enduring mental health and short term psychological problem
Employment
•
Support for service users with severe and enduring mental health problems who wish to gain or maintain employment.
Community
support
•
Assessment team working with ‘secure’ level service users
Community
support
•
Service for prisoners in HMP Bedford with severe mental health or LD with mental health needs
Employment
•
Support for adults with mental health conditions who need work skills training, further education, employment, voluntary work and accessing mainstream opportunities.
Community service •
team
Services for people from the African and Caribbean Communities with mental health problems in Luton
Community service •
team
Services for people from the Asian Communities with mental health problems in Luton
Assessment team
Organises and undertakes emergency Mental health Act assessments for referrals received in office hours.
•
22
Services Provided During 2009/10 Children and adolescent mental health services (CAMH)
23
Service name
Property Name
Paediatric Psychology- based at Luton and Dunstable Hospital.
Trend House, Dallow Road, Luton
CLDT
Twinwoods, Clapham Hospital, Milton Road, Clapham
Children Looked After Service
5/7 Rush Court, Grove Place, Bedford
Primary Child Mental Health Worker Team
Based in social care teams
SCRIPT
Trend House, Dallow Road, Luton
Youth Offending Team Mental Health Worker
Based in social care teams
Youth Offending Team Mental Health Worker
Based in social care teams
Early Intervention in Schools – Luton
Trend House, Dallow Road, Luton
Bedfordshire Core CAMH
5/7 Rush Court, Grove Place, Bedford
24 Grove Place, Bedford
9 Rush Court, Grove Place, Bedford
Dunstable Health Centre, Dunstable
Luton Core CAMH
Trend House, Dallow Road, Luton
Young Persons Service
9 Rush Court, Grove Place, Bedford
Early Intervention (In Psychosis) Service
Bedford Heights, Manton Lane, Bedford
Service type
Description
Assessment team
•
Assessment of children presenting with psychological, emotional and/or behavioural difficulties
Assessment team
•
Children with LD and challenging behaviour
Assessment team
•
Moderate to severe mental health problems
Assessment team
•
Mild and emerging emotional, behavioural and mental health problems
Assessment team
•
Moderate to severe mental health problems
Assessment team
(Bedfordshire)
•
Adolescents presenting with mental health and behavioural problems
Assessment team
(Luton)
•
Adolescents presenting with mental health and behavioural problems
Assessment team
•
Mild and emerging emotional, behavioural and mental health problems as well as hard to engage service users with moderate and more severe mental health issues
Assessment team (3 •
teams – South Beds,
North Beds and Mid
Beds)
Service for children with moderate to severe mental health problems.
Assessment team
•
Service for children with moderate to severe mental health problems.
Assessment team
•
Support for service users with aged 16-25 who require intensive psychotherapy for borderline personality disorder, serious self-harming behaviour, childhood sexual abuse or a history of abuse
Assessment team
•
EIS support individuals experiencing a first episode of psychosis (FEP) who are presenting for the first time to mental health services
24
Services Provided During 2009/10 Learning disability services
Service name
Property Name
Wood Lea Clinic
Bromham Hospital, Northampton Road, Bromham
Intensive Support Team
ditto
Specialist Community Healthcare Team
Twinwoods, Clapham Hospital, Milton Road, Clapham
Beech Close Resource Centre, Beech Road, Dunstable
The Willows
Bromham Hospital, Northampton Road, Bromham
Services Provided During 2009/10 Substance misuse services
25
Service name
Property Name
Keats Ward, Weller Wing
Weller Wing, Bedford Hospital, Ampthill Road, Bedford
Townsend Court
The Poplars/ Townsend Court (5 Houghton Road), Houghton
Regis
Specialist Substance Misuse Services
15-17 Cardiff Road, Luton
Health Link, 26-28 Bromham Road, Bedford
Service type
Description
Secure unit
•
Secure unit for detained adults and older persons with LD (10 beds)
Inpatient unit
•
Support for adults with a learning disability with challenging behaviour or mental health problems. Includes the Coppice inpatient unit
Assessment team
•
Services for adults with a recognised learning disability
Residential (short
stay)
•
For persons with LD and additional complex physical and mental health needs
Service type
Description
Inpatient
Detoxification
•
1 bed for drug and/or alcohol detox where this cannot be carried out in the community
Inpatient
Detoxification
•
3 beds for drug and/or alcohol detox where this cannot be carried out in the community. For Luton and Bedfordshire
Assessment teams
•
Detoxification services for adults aged 18-65 years (Healthlink in Bedford and LDAS in Luton)
26
Services Provided During 2009/10 Older peoples mental health services (OPMHS)
Service name
Property Name
Milton Ward
Weller Wing, Bedford Hospital, Ampthill Road, Bedford
Beech Ward
Limetrees/ Orchard Unit, Calnwood Road, Luton
Chaucer Ward
Weller Wing, Bedford Hospital, Ampthill Road, Bedford
Poplars Ward
The poplars/Townsend Court (5 Houghton Road), Houghton
Regis
Fountains Court
Fountains Court, Bedford Health Village, Kimbolton Road,
OPMHS - Luton Community Mental Health Team (CMHT)
Limetrees/ Orchard Unit, Calnwood Road, Luton
OPMHS - Bedford Community Mental Health Team (CMHT)
Bedford Heights, Manton Lane, Bedford
OPMHS - Mid Bedfordshire Community Mental Health Team (CMHT)
The Lawns Health Clinic, The Baulk, Biggleswade
OPMHS - South Bedfordshire Community Mental Health Team (CMHT)
The poplars/Townsend Court (5 Houghton Road), Houghton
Regis
Services Provided During 2009/10 Other services
27
Service name
Property Name
Health Psychology
Disability Resource Centre, 1A Poynters Road, Woodside
Estate, Dunstable
Neuropsychology Services
(Acquired Brain Injury)
ditto
Service type
Description
Acute inpatient unit •
Inpatient Acute Assessment Unit for Organic Mental Illness - 15 beds
Inpatient unit
•
Inpatient Acute Assessment Unit for Organic Mental Illness - 16 beds
Inpatient unit
•
Inpatient Acute Assessment Unit for Functional Mental Illness - 15 beds
Acute inpatient unit •
Inpatient Acute Assessment Unit for Functional Mental Illness - 16 beds
Residential
•
Residential unit for older persons with organic mental health (Dementia / Alzheimers) - (26 beds)
Assessment team
•
For services users experiencing a severe mental illness - organic or functional
Assessment team
•
For services users experiencing a severe mental illness - organic or functional
Assessment team
•
For services users experiencing a severe mental illness - organic or functional
Assessment team
•
For services users experiencing a severe mental illness - organic or functional
Service type
Description
Assessment &
Treatment
•
•
Provided at Beds and Luton Foundation Trust Hospital and Bedford Hospital
Services commissioned by Luton & Dunstable Hospital, Bedford Hospital and Macmillan’s Cancer Care
Assessment &
Treatment
•
Provided at the Disability Resource Centre
28
29
30
1.3 Details of the Directors
If you need
Alison Davis
• Face to Face interpreters
Alison worked as a registered nurse for 10 years before becoming a qualified solicitor in
• Document translation into other languages
1988, focusing on family and mental health law. Alison has been a Non-Executive Director of
various NHS Trusts since 1993 and has been Chair of BLPT
since 2001.
Shelevel
is the 3)
Trust
• Signing
(at BSL
champion for people with learning disabilities.
• Document translation into Braille
• Document translation onto audio tapes
Interim Chief Executive
Dr Patrick Geoghegan OBE
• Over the phone translation
Trust Chair
Patrick has worked in the NHS for more than 35 years holding a number of senior clinical
and managerial positions. He is passionate about mental health and learning disabilities,
particularly about addressing the stigma
often associated
with people
who useand
theseLiaison Service)
Contact
PALS (Patient
Advice
services.
for more information on 0800 0131 223 or
One of Patrick’s many passions
is good
customer service. He believes
that people
who use 07775 033 960
email
pals.ppi@sept.nhs.uk
or our
text service
health services, irrespective of their disability, social or educational status, deserve the
These
available
highest respect and to be treated with dignity at all times.
Heservices
is a nationalare
Dignity
Champion
for dementia and the only NHS Chief Executive working
with the-joint
WHO/9.00
European
Monday
Friday
-17.00
Commission on an pan-Europe plan to reduce stigma in mental health.
His strength is in delivering change management and he describes himself as a
Foundation
trusts are
public
in improving
quality on
in health
services.
‘transformational
leader
wholeaders
keeps his
feet firmly planted
the ground’.
He They
sees are part of the NHS – yet decisions about what they do
leadership,
management
and clinical
leadership,
key to
to improving
services.
and
how theyboth
do general
it are driven
by independent
boards.
Boardsas
listen
their elected
governors and respond to the needs of their members
As
a
result
of
his
interest
in
transformational
change,
Patrick
has
developed
innovative
– patients, staff and
international links with America, Australia, New Zealand, Italy and other European countries.
the local community.
Patrick was shortlisted for two NHS Leadership Awards in 2009 and was awarded the
Foundation
provideofwhat
the health service wants, yet are also free to invest quickly in the changes the local community needs, in
prestigioustrusts
NHS Leader
the Year.
striving to be the best, and in putting their patients first.
Non- Executive Directors
Bernard Harrison (Vice Chair)
Bernard has enjoyed a long and successful career with British Telecom, starting as an
engineering apprentice and progressing through specialties such as marketing, consultancy,
management training and customer service general management. Bernard established his