Quality Accounts
2012/13
Quality Accounts 2012/13
Contents
About Alpha Hospitals
3
Section 3
Our locations and services
4
Review of our performance against the priorities for
Our vision, mission & our values
5
2012 – 2013
Section 1
Statement from the Chief Executive Officer
6
Safety indicators
20
Effectiveness indicators
21
Patient experience indicators
21
Priority 1 – Service user involvement /
22
recovery planning
Section 2
Priority 2 – clinical effectiveness
23
Looking forward to 2013 – 2014:
Priority 3 – care programme approach
28
our priorities for improvement
Priority 4 – physical wellbeing
30
1. Optimising the care pathway
8
2. Physical wellbeing
8
3. Skills for life
9
Ensuring that people have a positive
9
experience of care: staff survey
4. Enabling environments
5. Culture
10
6. Training
10
7. Audit
10
Department of Health mandatory indicators:
31
Treating and caring for people in a
safe environment and protecting
them from avoidable harm
32
Statement of support
34
How to provide feedback
36
Statement of Assurance from the Board
Statement relating to the quality
12
of NHS services provided
Participation in national cinical audits
12
National confidential enquiry into suicide
12
Clinical audit
13
Research
16
Use of the CQUIN framework
16
Regulation with the Care Quality Commission
17
Data quality
18
P2
Quality Accounts 2012/13
About Alpha Hospitals
Alpha Hospitals is one of the UK’s leading providers of low
and medium secure mental health care facilities and services
for adolescents and adults. The company was established in
2002, with purpose built, state of the art hospitals in Bury in
Greater Manchester, Sheffield in South Yorkshire and Woking
in Surrey, providing an extensive range of psychiatric care for
people with mental health conditions. The specialist forensic
mental health services, which are gender specific, include
personality disorders, mental illness, rehabilitation, Deaf, and
adolescent enhanced psychiatric intensive care services.
Alpha Hospitals works in partnership with the NHS
and is committed to providing outstanding levels of
service to patients and partners, that is flexible and
needs led based on the individual’s requirements.
P 3
Quality Accounts 2012/13
Our Services
Alpha Hospital Bury
Services for Adolescents
Psychiatric Intensive Care Services
Low Secure Services
Pre discharge / Step Down Services
Services for Adult Men
Low Secure Services for Men
Low Secure Services for Men who are Deaf
Alpha Hospital Sheffield
Alpha Hospital Woking
Medium Secure Services for Men (Mental Illness) (Personality Disorders)
Services for Adult Women
Services for Adolescents
Locked Rehabilitation
Services for Women
Psychiatric Intensive Care Services
Medium Secure Services for Men who are Deaf
Low Secure Services for Women
Pre discharge / Step Down Services
Services for Adult Women
Services for Adolescents
(Opening 2013)
Services for Adult Women
Locked Rehabilitation
Services for Women
Psychiatric Intensive Care Services
Locked Rehabilitation Services for
Women (opening end of 2013)
Low Secure Services
Low Secure Services for Women
Low Secure Services for Women
Low Secure Services for
Women who are Deaf
Medium Secure Services for Women
(Mental Illness)
(Personality Disorders)
Pre discharge / Step Down Services
Low Secure Services
Services for Adult Men
Locked Rehabilitation Services
for Men (opening end of 2013)
Low Secure Services for Men
Medium Secure Services for
Women who are Deaf
P 4
Quality Accounts 2012/13
Our vision, mission & our values
Vision
Working in
partnership with
the NHS, we will
make a positive
and lasting
difference to
people with mental
health problems.
Mission
To deliver the
highest standard
of patient care,
respecting dignity,
privacy and
individuality in an
outstanding clinical
environment.
Objective
We believe that everyone
in our care can recover
and live a meaningful
life. Our objective is
to help patients take
the best care pathway
for them as easily and
quickly as possible.
Our
values
Transparency
Professional
Complete transparency at every
level of business and clinical
practice means our people,
patients and partners can have
complete confidence in us.
A professional attitude across
our organisation ensures we
meet best practice standards and
put the patient at the heart of
everything that we do.
Supportive
Innovation
Specialist
Inclusiveness and team
work are everything. We
support our staff and
patients at all times.
We embrace innovation
and welcome positive
change in the treatment of
those we care for.
Our services are wholly
clinically led and shaped
by experts in the field.
P5
Quality Accounts 2012/13
1
Statement from the Chief Executive Officer
Patricia Hodgkinson
Chief Executive Officer
I am delighted to welcome you
to our fourth dedicated Quality
Accounts which describe the
quality and standard of the care
and services we provide. The aim
of this document is to illustrate
how important quality is to our
organisation and how it underpins
all of our work. It outlines our
quality achievements during
2012/13 and sets out our objectives
to further enhance the quality
of our services for the benefit of
service users during 2013/14. In
compiling this report we have
liaised closely with our Board, our
clinicians, service users and carers,
our staff and NHS Commissioners
and other key stakeholders.
There have been many challenges
in the last year for the whole
healthcare arena including major
inquiries and the planning for
the new commissioning platform.
As an organisation we have had
our own challenges including a
very serious fire which closed one
hospital building. All our staff and
patients were evacuated safely
and we are extremely grateful
for the help of the Emergency
Services for their outstanding
support. I am extremely proud
of the staff for the way in which
they handled this very serious
situation. Through hard work, grit
and determination we have now reopened the building in a six month
turnaround time. The speed with
which we have been able to do this
has surprised both the market and
our insurers who are delighted.
We have worked very closely with
our regulator, the Care Quality
Commission. This has helped us
look at our systems and improve
the ways we deliver care. We have
made an on-going commitment to
continue to improve the quality of
care and this is demonstrated in our
priorities for the new financial year.
As an organisation we ensure that
we learn from our current practice,
embrace change, innovation, new
ways of working and embed these
in our practice and planning.
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Quality Accounts 2012/13
During 2012/13 we focused on four core
areas which were also prioritised within the
framework for Commissioning for Quality
and Innovation (CQUIN). This report shares
how we have performed in these areas:
1. Service user involvement
We implemented My Shared Pathway across all
adult services in all three hospitals. The work of one
particular patient was recognised at the National
Service User Achievement Awards in February 2013
when the patient won the category “Innovation
in communication - My Shared Pathway”
2. Clinical effectiveness
Our focus on the reduction in length of stay
for adult services has been very successful.
We achieved the target set overall.
3. Care Programme Approach (CPA)
We have successfully embedded the twenty
CPA standards. The My Shared Pathway
recovery and outcomes principles are
fully integrated into this process.
4. Physical wellbeing
Our Nurse Practitioners and Practice
Nurses have implemented a full action
plan aimed at improving and monitoring
the physical wellbeing of patients.
We are extremely proud of our achievements
in the last year. We celebrate these but also
reflect on areas where we need to make further
improvement. Our regulator, the Care Quality
Commission, our Commissioners, and going
forward NHS England are all key stakeholders
and we value their advice and observations
which help us continue to improve the care
that we provide to ensure that the patient
is at the heart of everything we do.
We recognise that the way we work, our culture
and our values are critical to our success. Our
staff are our most valuable asset and we wholly
support them in the work they do with a very
complex patient group. Over the year we have
worked closely with staff to ensure that we are
listening to their needs and being very responsive.
Our Staff Feedback Website, which enables
staff to share compliments or concerns directly
with me has been enormously successful.
As the Chief Executive of Alpha Hospitals
I can confirm that, to the best of my
knowledge, the information contained
in this document is accurate.
This Quality Account was approved
by the Board on 10 June 2013.
Patricia Hodgkinson
Chief Executive Officer
P 7
Quality Accounts 2012/13
2
Looking forward to 2013 – 2014:
our priorities for improvement
We have consulted extensively with key stakeholders to agree our priorities for improvement for 2013
– 2014. We have looked at areas we wish to improve following helpful feedback from our service users,
NHS England and our regulator, the Care Quality Commission. We have set seven key priorities.
Four priorities are for quality improvement which are identified below. These
have been linked with the three domains of quality.
Summary of key priorities 1 – 4 linked with the three domains of quality 2013-2014:
Key Priorities
Patients
Safety
1. Optimising the care pathway
O
Clinical
Effectiveness
P
Patient
Experience
P
We will achieve our goal through:
Monitoring Tool
Measure
nA continued recovery and outcomes focus
CQUIN Goal
Action Plan
Reduced
Length
of Stay
nImproved liaison with community services to aid discharge planning
nClearer care pathways showing the steps to discharge
nGreater involvement by key stakeholders at CPA meetings
nFurther work to embed My Shared Pathway
nGreater service user satisfaction
2. Physical wellbeing
P
P
P
We will achieve our goal through:
Monitoring Tool
Measure
nImplementation of a physical healthcare database linked
to electronic patient records (RiO)
CQUIN Goal
Action Plan
Improvement in
physical screening
and healthcare
promotions based
on NHS targets
reported via
the Service
Quality Report
nImplementation of a screening programme for coronary heart disease
nFurther development of age appropriate physical health screening
nFurther targeting of those at risk of or who have existing long
term physical health conditions such as coronary heart disease,
diabetes, hypertension and metabolic syndrome
nEnsuring that we receive a comprehensive medical history at point of
admission and that service users’ physical health needs are fully
communicated to follow up services at point of discharge
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Quality Accounts 2012/13
Key Priorities
Patient
Safety
3. Skills for life
O
Clinical
Effectiveness
P
Patient
Experience
P
We will achieve our goal through:
Monitoring Tool
Measure
nPrioritising education for all service users
CQUIN Goal
Action Plan
Increase in the
number and
proportion of
patients engaged
in literacy,
numeracy and
vocational
interventions
reported via
the Service
Quality Report
nHelping service users to achieve qualifications
nIncreasing accessibility to information technology and access to
on-line distance learning courses
nContinued work with our local communities to open doors for access to
vocational and education opportunities
nFurther development of in-house vocational opportunities, for example,
service user led café, developing paid work prospects
nProviding access to smaller bespoke modular qualifications for individuals
who may not be able to engage in a full education programme
nContinue to develop and promote skills for peer working
nContinue to provide structured programmes
to support activities of daily living
nThe provision of psychological based support
and staff enablers to promote recovery
4. Enabling environments
P
O
P
We will achieve our goal through:
Monitoring Tool
Measure
nContinuing to create purpose built wards and facilities
CQUIN Goal
Action Plan
Improved
Service User
Satisfaction
nAdaptation of the environment to meet the needs of
the individual client group
nEnsuring appropriate access to facilities that promote
rehabilitation and continuing to expand what is available
nConsultation with service users, families and carers on the environment
nParticipation in peer review networks
nMaintaining a balance between effective risk management
and promoting least restrictive clinical practice
nMaking the environment welcoming and non-threatening
through the implementation of the fifteen steps challenge:
Quality from a patient’s perspective 1
1. The Fifteen Steps Challenge: Quality from a patient’s perspective, Institute for Innovation and Improvement
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Quality Accounts 2012/13
Key priorities 5 - 7
5. Culture
7. Audit
The Francis Inquiry called for a real change in culture
Our Audit Department will be improved so that we can
across the NHS. As a provider of services for the NHS,
more effectively measure each hospital’s performance
Alpha Hospitals will focus on embedding the culture of the
against all of the core standards required by our
organisation throughout the workforce. We will achieve
regulator. This will include a new Group Audit Team
this with training in core values, the implementation of a
and the appointment of an independent company
manifesto and easy access for staff to senior people within
who will ensure that audit is robust, impartial
the company so that they can share worries or concerns.
and results in appropriate action planning.
We will measure our success in this area through
We will measure our success through the results of
focus groups with staff and patients.
the audits and our compliance against the standards
both internally and through external inspections.
6. Staff training
Throughout 2013 – 2014 we will incorporate
further training in the following areas:
nLeadership training for managers and team leaders
nPatient centred culture training
The priorities we have chosen reflect improvement
goals identified through Alpha Hospitals’ own Clinical
Governance arrangements. They also complement
the priorities identified by NHS England and Clinical
Reference Groups for high, medium and low secure
nIndividual care planning training
services and Tier 4 CAMHS through the Commissioning
nPatient rights training
for Quality and Innovation framework (CQUIN).
nTraining in least restrictive practice
Our chosen priorities have been influenced by key
We will monitor and measure our success with this
through our training records, our audit processes
and the inspections carried out by our regulator.
Government strategies such as ‘No Health Without Mental
Health: a cross government mental health outcomes
strategy for people all ages2 , Equity and Excellence:
Liberating the NHS3 , Liberating the NHS: No decision
about me, without me4 , Putting Patients First: The NHS
England Business Plan for 2013/14 – 2015/16, Compassion
in Practice – Nursing, Midwifery and Care Staff – Our
We participated in two
Quality Network Peer Reviews
with excellent results
Vision and Strategy’5 and other key national priorities for
mental health services specifically in relation to patient
safety, personalisation, measurable outcomes, choice,
service innovation and tackling stigma and discrimination.
2
Department of Health, 2 February 2011, Policy: Making mental health services more effective and accessible
Department of Health, 12 July 2010, Policy: Making the NHS more efficient and less bureaucratic
4
Department of Health, 13 December 2012
5
Department of Health & NHS Commissioning Board, 4th December 2012
3
P 10
Quality Accounts 2012/13
Our key stakeholders - whose input and vision help Alpha Hospitals shape the services and outcomes focus
Staff
Lead Clinicians
and Managers
Clinical Board
Service users
NHS England
Family members
and carers
Local Area Teams
Board of Directors
Quality Network
Groups
Clinical
Commissioning
Groups
CQC
“I’m doing well, but that doesn’t mean that I’ve forgotten Alpha
and all the staff. I join in almost everything (activities) thought
I’d never do it. I now play on the Wii, gardening, drawing and
painting, walking group and relaxation groups. Soon I will be going
on the mountain bikes – Yes – me on a mountain bike!! Should
be fun. If it wasn’t for Alpha I wouldn’t be writing this letter. ”
P 11
Quality Accounts 2012/13
Statement of assurance from the board
Statement relating to quality of NHS services provided
Information required under the National Health Service (Quality Accounts) Regulations 2010
During the year ending 31 March 2013 Alpha Hospitals provided thirteen types of services on behalf of the NHS.
Alpha Hospitals have reviewed all the data available to us on the quality of care in all thirteen of these NHS services.
The income generated by the NHS services reviewed in the year ending 31 March 2013 represents 100 per cent of the
total income generated from the provision of NHS services by Alpha Hospitals the year ending 31st March 2013.
1
Participation in National Clinical Audits
During the year ended 31 March 2013 three National
Clinical Audits and one National Confidential Inquiry
covered NHS services that Alpha Hospitals provides.
Alpha Hospitals did not participate in the National
nNational Audit of Psychological Therapies
nNational Audit of Schizophrenia
n Prescribing Observatory for Mental Health (POMH)
Clinical Audit programme during 2012/2013, however,
Alpha Hospitals has begun the process of registering
we undertook a programme of local audit of clinical
with the Prescribing Observatory for Mental Health
performance which is reported to the Clinical
(POMH’s-UK) and will be involved in the submission
Governance Committee on each hospital site.
of audits to Prescribing Observatory for Mental
The National Clinical Audits we were eligible to
Health for the reportable year 2013-2014.
participate in for the year ended 31st March 2013 were:
2
National Confidential Enquiry into Suicide
We report to The National Confidential Inquiry into Suicide
and Homicide by People with Mental Illness to identify
individuals on the data sheets for whom we hold medical
records to ensure all cases of patient suicide and homicide
are included in the research undertaken by this group.
We are involved in the following quality improvement
programmes which were underway in the year ending 31
March 2013; The Quality Network for In-Patient Child and
“I feel better now
than I have in
a long time”
Adolescent Mental Health Services (QNIC) and the Quality
Network for Forensic Mental Health Services (QNFMHS).
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Quality Accounts 2012/13
3
Clinical audit
The audit team
audits which can be carried out by Qualified Nurses
We have a dedicated clinical audit department with
dedicated staff who coordinate the clinical audit
whilst engaged in clinical practice for example, use of
seclusion, physical health monitoring, the management
of violence and aggression and rapid tranquilisation.
programme for each hospital. The clinical audit
programme is designed to meet the audit requirements
We have recognised that there is a need to increase our
of government initiatives and demonstrates the
investment in clinical audit. In order to achieve this we are
achievement of group objectives, standardised approaches
recruiting a Group Audit Team. We have already appointed
to care and treatment, outcome measures, and self-
an independent company which specialises in patient
regulation of patient centred care and clinical practice.
safety to ensure that our own audit systems are working.
A clinical audit committee is established and includes
The reports of 16 types of clinical audit were
members of the multidisciplinary team who are
reviewed by us in the year ending 31st March
Patient
Experience
Audit
Clinical
Effectiveness
speciality. We introduce, wherever possible in practice
Patient
Safety
2013. We intend to take the following actions to
improve the quality of healthcare provided:
RAG
involved in carrying out audits within their own clinical
Evidence of good practice
Improvement plans
Carers
Questionnaire
O P P
Of the surveys received the provision
of communication between the MDT
and the carers was considered of a high
standard. This is facilitated through the
designated Alpha social worker.
We will engage in a consultation
with families, friends and carers
to ascertain a way of improving
the contribution to the
carers questionnaire for
the following year.
My Shared
Pathway care
plans
O P P
Care plans were noted to be completed
in partnership with the service users.
They were appropriate to the service
users outcome needs.
Continue to develop for staff
and service users through the
following year.
Catering
satisfaction
survey
O O P
General comments were that the
catering was satisfactory. Service
users are in regular discussion with
the catering department through their
community meetings.
Service users requested more
choices at breakfast and supper
which was agreed with the
catering department and service
users requested a review of
crockery available. Review carried
out and decision to continue to
use the same crockery due to
safety and security.
CPA patient
Questionnaire
O P P
The questionnaires evidenced that the
20 standards were being implemented
at CPA. Some service users had
demonstrated progression to chairing
their own CPA.
Continue to ensure that
20 service user standards
are implemented. Provide
programme of support for service
user to chair their own CPA.
Infection Control
P O O
General results of high standard
with regards to practices of infection
prevention.
To continue review and make
changes to infection prevention
protocols in line with Gov.com
standards and strategies.
P 13
Quality Accounts 2012/13
Patient
Experience
Clinical
Effectiveness
Audit
Patient
Safety
Clinical audit (continued)
RAG
3
Evidence of good practice
Improvement plans
Form T2/T3
capacity and
consent
P P P
Evidence of a high standard of
appropriate consent to treatment
practices and records.
This audit will be undertaken by
pharmacist moving forward.
MAPA
Incidents and
use of physical
interventions
P O P
Demonstration of regular reviews
of MAPA when used and that the
interventions are appropriate to
the service users’ needs at the
time of incident.
To continue to review service
users and plan for reductions of
physical interventions used.
MAPA
Training evaluation
(Bury and
Sheffield)
P O P
Feedback demonstrated that the
course was informative and
appropriate to job roles. Teaching of
the course was to a high standard.
Regularly reviewed
through clinical governance
arrangements.
Patient satisfaction
survey
O P P
High levels of satisfaction
(detailed further below).
Key themes identified and
action taken to address issues.
( detailed further below).
Assessment
tools and
recovery plans
P P P
Assessment tools have been completed
for all service users and there is evidence
that some of these have been completed
with service user input. The information
collected from the assessments has
been considered and used to formulate
recovery and outcome plans.
On-going training on use of
assessment tools and recovery
and outcome planning.
Medicine
prescription cards
including PRN
usage
P P O
Recordings of medication administered
is completed as per policy.
Future audits will be carried out
on each of the tools.
Section 17 leave
authorisation
P O O
All documents were completed
to a high standard.
Will be audited by the
pharmacist moving forward.
Security audit
ward areas
P O O
Evidence shows that routine and
random security checks are carried
out as per medium and low
secure standards.
Regular reviews to continue
to ensure we are maintaining
standards as per Mental Health
Act 1983 (amended 2007).
My Shared
Pathway recovery
and outcomes
implementation
O P P
My Shared Pathway embedded into
clinical practice though MDT, CPA and
care planning
To continue to ensure that
services are promoting the My
Shared Pathway principles into
practice and to continue with
further development.
Measuring Service
User experience
of My Shared
Pathway
O P P
New admissions benefited from having
information about Alpha Hospitals prior
to their admission. Service users are
involved in their outcome planning and
these are reviewed during MDT ward
rounds on a 2 weekly basis.
Continue to work with
care coordinators to
identify move on services.
Continue to provide training
and support on the My Shared
Pathway for new admission.
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Quality Accounts 2012/13
4
Patient satisfaction survey
We carried out patient satisfaction surveys with all service users across our group. Below is a snapshot of some of the results.
Question
Bury
Sheffield
Woking
Percentage of participants
78%
60%
96%
Do you understand why you are here?
92%
95%
96%
Do you understand what section you are on?
92%
100%
100%
Do you understand your rights under that section?
86%
95%
96%
Do you feel safe at Alpha?
72%
68%
82%
Do you feel involved in you care?
68%
74%
65%
Overall, the survey results demonstrated consistently high satisfaction rates. Areas of good practice noted were that
care and treatment received was recovery focussed and service users felt involved in their care and treatment planning.
Areas for improvement are detailed below:
What the service users said
What we said we would do
Response to complaints
within 48 hours
The complaints procedure was reviewed and changes made to ensure that
acknowledgments of complaints reached the complainant within 48 hours.
Access to choice of
social activities
The wards discuss and plan in ward/service social activities as part of the weekly
therapeutic programme. An example of this is the patient café which now runs on a
weekly basis. The occupational therapies team will be working on a programme to
improve access to vocational and educational opportunities to include social aspects.
Improvements to facilities
A new gym instructor has been employed and access to improved gym programmes
and equipment is in place. Further work will be carried out over the year to increase
access to physical health opportunities.
The gym and the multi
faith room
The multi faith rooms on each site have been reviewed and improvements made.
Access has increased.
Involvement in care and
treatment planning
With the implementation of the My Shared Pathway service users now work in
partnership with their MDT on their outcomes and care and treatment.
Involvement in the planning
of the therapeutic time table
The occupational therapist works with the activity support worker and the service
user group to plan and review the weekly therapeutic timetable.
Involvement in service
development
The recovery and outcome groups has been established in the services partnership
forums. This provides opportunities for service users to be involved in service
development.
Some further understanding of
what a section 117 meeting is for
Service users are now more involved in all aspects of their pathway and information
on section 117 meetings are discussed regularly during MDT reviews and CPA at the
point of planning for discharge.
Better understanding of the
side effects of medication
Due to cognitive difficulties some service users find it difficult to access and retain
information. The communication teams work with these individuals and their care
team to increase accessibility.
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Quality Accounts 2012/13
5
Research
During the year ending 31 March 2013 no patients receiving
NHS services provided or sub-contracted by Alpha
nDevelopment of the My Shared Pathway
and patient portfolio.
Hospitals were recruited during that period to participate
nParticipation as a My Shared Pathway pilot site.
in research approved by a research ethic committee.
nResearch opportunities regarding clinical outcome
A core group of professionals with an interest in research
measures in forensic mental health settings.
and development attends regular Research Governance
meetings and reports to the Clinical Governance Committee
nAccessibility of recovery tools for Deaf patients.
in relation to developments in social, psychological
nAnalysis of serious deliberate self-harm in secure
practice, research and clinical guidelines.
female patient population.
We are committed to improving the quality of care
nParticipate as a pilot site for the introduction of
we offer and in contributing to wider healthcare
SAPROF (Structured Assessment of Protective
quality improvement which is demonstrated through
Factors for Violence Risk).
our involvement in clinical networks and research
programmes which include:-
5
Use of the CQUIN payment framework
A proportion of Alpha Hospitals’ income in the year ending 31st March 2013 was conditional on achieving quality
improvement and innovation goals agreed between Alpha Hospitals 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.
Over the course of the year we participated in the CQUIN programme and produced four Quarterly
Service Quality Reports. Our outcomes for CQUIN targets are detailed below.
QUARTER 1
QUARTER 2
QUARTER 3
QUARTER 4
SUCCESS RATE
P
P
P
P
100%
ADULT CQUINS 2012 / 13
Shared pathway recovery and outcomes
Implementing a standard secure pathway
Secure forensic care pathway feasibility project
Clinical dashboard
Service user defined CPA standards
Access to specialised mental health services
Optimising length of stay
Alpha Hospital
Bury
P
P
P
P
O
O
P
Alpha Hospital
Sheffield
P
P
P
P
O
O
O
Alpha Hospital
Woking
P
P
P
P
P
P
P
P 16
Quality Accounts 2012/13
ADOLESCENT CQUINS 2012 / 13
Alpha Hospital
Bury
Education, training and meaningful activity
O
O
P
P
P
Patient participation in recruitment
Access to specialised mental health services
Optimising length of stay
Service user defined CPA standards
6
Alpha Hospital
Sheffield
O
O
O
O
O
Alpha Hospital
Woking
P
P
O
O
O
Regulation with the Care Quality Commission
Alpha Hospitals is required to register with the Care
Alpha Hospitals received un-announced inspections
Quality Commission and its current registration status
in all three hospitals over the course of 2012 – 2013.
is detailed below. Alpha Hospitals has no conditions
In February 2013, the CQC inspected Alpha Hospital
on its registration at the time of this report but it
Woking. The report from the regulator was received
does have Action Plans in place at two hospitals.
on 25th April 2013 and this hospital is working through
The Care Quality Commission has taken enforcement action
against Alpha Hospital Sheffield during the year ending
the adolescent services which will report in the Quality
Accounts for 2013 / 2014. Feedback from the CQC
31st March 2013. The enforcement action related to one
outcome area in which the hospital is now fully compliant.
HOSPITAL
a detailed action plan to make improvements within
has influenced the priorities for the coming year.
Registration Category
Registration Category
Registration Category
Registration Category
Treatment of
disease, disorder or
injury
Assessment of medical
treatment for persons
detained under the
Mental Health Act
Diagnosis and
screening
Accomodation for
persons requiring
nursing or personal
care
Alpha Hospital
Bury
P
P
P
P
Alpha Hospital
Sheffield
P
P
P
P
Alpha Hospital
Woking
P
P
P
NA
Our staff have undergone specialist training in personality disorders with Professor
John Livesley, a world renowned academic expert in personality disorders
P 17
Quality Accounts 2012/13
7
Data quality
Alpha Hospitals did not submit records during the year
Our Information Management Strategy was reviewed
ended 31 March 2013 to the Secondary Uses Service for
and approved by the Board providing assurance that the
inclusion in the Hospital Episode Statistics which are
organisation has commitment and support to on-going
included in the latest published data.
improvement of data quality at the highest level. Alpha
Records Management assessed using the Information
Governance Toolkit was Level 2.
Alpha Hospitals Information Governance Assessment
Report score overall score for the year ending 31st March
2013 was Level 2.
Hospitals’ score for the year ended 31 March 2013 for
Information Quality and Records Management was 70%.
Alpha Hospitals was not subject to the Payment by Results
clinical coding audit during the year ending 31st March
2013 by the Audit Commission.
We continue to achieve great success in our
education department with an unprecedented
number of patients achieving formal qualifications
ranging from City & Guilds to University degrees.
P 18
Quality Accounts 2012/13
“It has been a slow, but positive recovery.
Thanks to everyone involved in my recovery”
“I have done more here than in previous
placements. I feel very comfortable
and staff are always polite”
“The occupational therapies department has developed a
patient-run café. Café Central provides a real opportunity
to work for those patients who either have no access to
external working opportunities or who need support within
the hospital as a stepping stone to accessing working
opportunities in the community.”
“Lots of support
for discharge”
“Since I was admitted
here lots of things
have improved”
P 19
Quality Accounts 2012/13
3
Review of quality performance
Safety indicators
Ensuring patient safety is of paramount importance to us
in the delivery of our services. We have robust systems
in place to ensure we are aware of and adhere to new
service users’ safety announcements and guidance.
All safety notices are processed in line with national
guidance and feedback is gained from the clinical areas
as directed. A patient safety report is discussed at
the Clinical Governance Committee each month and
actions taken are cascaded via the meeting minutes.
There have been no breaches of Nationally Specified
serious incidents which have taken place on a quarterly
basis and describe the actions we have taken. This
information is shared across the group and with the NHS.
This demonstrates our commitment to learning from
experience and improving practice. We review all incidents
and accidents on an individual basis and service basis in
the following forums: Multidisciplinary Team Partnership
Forums, Health and Safety meetings and Clinical
Governance. We use the information available to measure
reduction of risk in individual patients and safety on the
wards and we have identified trends through analysis
of data and produce action plans to improve practice.
Events during year ending 31 March 2013. We report
Indicator
Target
Result
Report serious and untoward incidents to NHS Secure
Commissioners within one working day
At least 95% reports
Target met
Achieve compliance with requirements set out in the Best
Practice Guidance: specification for adult medium secure
services and National Minimum Standards for General Adult
Services in Low Secure Psychiatric Intensive Care Units (PICU)
or for Adolescents and Low Secure Environments including
draft low secure guidance
At least 90% compliance
Target met
Compliance with infection prevention
and control guidance
At least 90% compliance
Target met
Compliance with Standards
for Medium Secure Forensic
Services – QNFMHS
At least 90%
Target met
Compliance with NPSA
safety alerts.
100% compliance
Target met
P 20
Quality Accounts 2012/13
Effectiveness indicators
An effective service can be defined as one that puts people who use services at the heart of what it does using ‘No
decision about me without me’ as the governing principle. This section describes some of the indicators we have in
place to measure the effectiveness of our services in providing the right service, to the right person at the right time.
Indicator
Target
Result
All patients will have the opportunity to complete a recovery plan using an
approved recovery tool
All services
Target met
Physical health checks for all patients on admission and annually including
adhering to best practice for chronic disease management
All patients
Target met
Robust and comparable data on ethnicity of service users collated and reported
All patients
Target met
Implementation of service user defined CPA standards
All patients
Target met
Patient experience indicators
We are committed to seeking patient and carer feedback and input to service delivery to support continual improvement
in the patient experience ensuring care is personalised to reflect individual needs, access to information and support
to exercise choice and receive care and treatment in accordance with clinical guidance and which can be measured.
Indicator
Target
Result
Ensure all patients on CPA have a named care co-ordinator to support the
patient’s (eventual) discharge
All services
Target met
Undertake an annual patient satisfaction survey and ensure actions are
taken following the feedback to further enhance the patient experience
All patients
Target met
Undertake regular surveys of the ward atmosphere taking into account
how safe patients feel, how engaged in treatment they feel and the level of
support they have from care staff and other patients they live with
All patients
Target met
All patients have a CPA within 3 months of admission
All patients
Target met
All patients have an initial care plan within 24 hours of admission
Target met
All patients have a detailed care plan within 3 months of admission
Target met
All patients are offered a copy of their care plan
Target met
Complaints are responded to within 2 days and are resolved
within 25 days or an agreed extended period
Target met
P 21
Quality Accounts 2012/13
Our achievements last year
Priority 1
Service user involvement / recovery planning
Our goal was to implement a recovery and outcomes based approach to the care pathway which demonstrated recovery
orientated practice in identifying, planning and achieving joint goals and outcomes with service users and which gave
service users more choice and opportunities to drive their own outcomes.
Service user involvement
and recovery planning
My Shared Pathway
Outcome
Method
My Shared Pathway implemented across the
group and embedded in CPA and recovery &
outcomes planning
New templates designed and implemented
Staff training implemented
National pilot site
Recovery & outcomes groups established
Attendance and participation at Regional
Recovery Outcome Group
Therapeutic programmes reviewed to ensure
that My Shared Pathway themes run through
them
Service user portfolios offered to all existing and
new service users
My Shared Pathway made accessible
to Deaf service users
“I’ve received outstanding care and treatment; the team really make time for
you and meet your needs. They are very focused on your recovery”
P 22
Quality Accounts 2012/13
Priority 2
Clinical effectiveness
of stay of 21.63% for all secure adult patients discharged
Our goal was to identify a number of standard milestones
which aim to ensure that the pathway is efficient, reduces
delays, and improves patient experience. We have
in the year 2012/2013 compared to the previous year.
The hospital will continue to strive to achieve a further
reduction in length of stay.
worked collaboratively with service users to achieve key
Each secure service within the group identified a number of
milestones with the aim of reducing length of stay.
specific internal and external obstacles and how working
The strategic plan for the reduction of length of stay has
been implemented during 2012-2013. Across the group
Alpha Hospitals has demonstrated a reduction in length
Need for
clear and
measurable
aims
differently could improve the current care pathway.
Examples of the types of work being undertaken to reduce
length of stay are as follows:
nBy fully introducing the principles of My Shared Pathway
into secure services and working within the framework
of the ‘Shared Understanding’ and ‘My Outcomes,
Plans and Progress’
nMy Outcomes, Plans and Progress document sets very clear
and measurable treatment objectives and can help reduce
the possibility of the drift of these objectives which can
increase length of stay
nThe use of structured and validated assessment tools
of progress / risk ensure that progress can be measured
in a robust transparent manner
Difficulties in
identifying
appropriate step
down placements
for service users
with complex needs
nLocked rehabilitation services have been opened to
help service users move through the care pathway
nA Deaf residential service is planned for 2013
nA step down / pre discharge service for adolescents
was launched
nLocked rehabilitiation services are due to come on
line in 2013 at Alpha Hospital Woking
nAn adolescent community residential service is
planned for 2013
P 23
Quality Accounts 2012/13
Priority 2 (continued)
Promoting active
involvement
of care
coordinators
Appropriate
treatments are
available to treat
complex difficulties
Ensuring that
quality information
is provided at
pre-admission phase
nThe early identification of care coordination responsibilities
has been a priority for our clinical teams. Members of the
clinical team continue to work closely with the gatekeeping
services for all our service users and collaborative working is
crucial for clarifying future care pathway plans
nWe continue to invite care coordinator to weekly multi-
disciplinary team meetings and all other important review
meetings to identify the optimal care pathway at an early
stage and to engage relevant agencies earlier in the process
nPsycho-educational programmes are available to all
service users, based on their needs including:
nMental health awareness
nDrugs and alcohol
nPersonality disorder
nDBT skills
nThe multidisciplinary team liaise with the Contracts
Compliance Department to gather as much necessary
information as possible. This planning allows the teams
to write quality pre-admission reports and put in
place appropriate risk management and care
plans before a service user is admitted, so that
treatment commences immediately
P 24
Quality Accounts 2012/13
Service users experience of the Standard Secure Pathway and My Shared Pathway has been measured through
questionnaires distributed during Quarter 4. This was an opportunity for each service to bench mark the work that has
been undertaken to embed the principles and practice into the care pathway and highlight areas for improvement.
Alpha Hospital Sheffield low secure services – results of service user questionnaire
6
5
4
3
2
PARTLY
NO
0
G
pr ive
e- n i
ad nf
m or
iss m
Gi
ve
io ati
n
n on
in
as a
fo
se bo
rm
ss u
m t
at
en
io
n
t
ab
ou
th
Gi
ve
os
pi
sp n o
ta
ea pp
l
W
o
k
as
w rtu
ith n
‘M
y
a ity
Sh
bu to
a
dd
ex re
y
pl d P
ai a
ne th
Of
d w
fe
to ay
re
d
yo ’
a
u?
pa
tie
nt
Cl
e
po
ne ar
rt
a
ed b
fo
lio
to ou
t
do w
Fe
h
lt
to a
in
m t yo
vo
ov u
lv
e
ed
on
in
go
al
pl
an
R
M eci
ni
OJ ev
ng
co es
Ou
rre co
tc
sp pie
o
on s
at me
de of
M s/g
nc
DT o
e
& als
CP re
A vie
m w
ee ed
Cl
e
tin
yo ar
gs
u ab
ar ou
e t
go w
in he
Aw
g re
ar
ne
ca e
xt
re of
co wh
or o
di th
na e
to ir
ri
s
YES
1
Comments on the results
To address some of the issues raised by the
survey at Sheffield:
nWe introduced a new format for our community
nWe have reviewed our ward round templates to
ensure there is opportunity for service user input and
have developed our recording processes with staff and
service users in order to help the handover process and
consistency of care
meetings that is more patient focussed and led by
their needs within a structure that supports them
leading their care and treatment
nThe Responsible Clinician set up new ‘Drop In Clinics’ in
order to meet patients more frequently and
encouraged them to lead these clinics
nWe have set up Reflective Meetings every evening with
“Alpha has helped me
a lot. With therapy I
am learning to cope
with my illness”
service users leading this process to reflect on their day
P 25
Quality Accounts 2012/13
Alpha Hospital Bury secure services overall – results of service user questionnaire
70
60
50
40
30
20
PARTLY
YES
10
0
G
pr ive
e- n i
ad nf
m or
iss m
Gi
ve
io ati
n
n on
in
as a
fo
se bo
rm
ss u
m t
at
en
io
n
t
ab
ou
th
Gi
ve
os
pi
sp n o
ta
ea pp
l
W
o
k
as
w rtu
ith n
‘M
i
y
a ty
Sh
bu to
dd
ex are
y
pl d P
ai a
ne th
Of
d w
fe
to ay
re
d
yo ’
a
u?
pa
tie
n
Cl
tp
e
or
ne ar
tf
ed ab
ol
o
io
to u
do t w
Fe
ha
lt
t
o
in
m t yo
vo
ov u
lv
e
ed
on
in
go
al
pl
an
R
M eci
ni
OJ ev
ng
co es
Ou
r
c
re op
tc
sp ie
o
on s
at me
s
de of
M /g
nc
DT o
e
& als
CP re
A vie
m w
ee ed
Cl
e
tin
yo ar
gs
a
u b
ar ou
e t
go w
in he
Aw
g re
ar
ne
ca e
xt
re of
co wh
or o
di th
na e
to ir
ri
s
NO
Comments on the results
A large number
of our patients
were supported in
submitting artwork to
the Koestler Awards
and patients were
awarded certificates
for artwork, craft
and writing.
nWe will continue training and giving information
to service users on the My Shared Pathway
nWe are making patient portfolios more individualised
to ensure that all service users have the opportunity
to have one that is meaningful to them
nWe are engaging with community teams to be able to
identify appropriate move on services for service users
nWe are engaging with the commissioning teams
to identify deficits in care co-ordination
P 26
Quality Accounts 2012/13
Alpha Hospital Woking low secure services – results of service user questionnaire
25
20
15
10
PARTLY
5
NO
0
G
pr ive
e- n i
ad nf
m or
iss m
Gi
ve
io ati
n
n on
in
as a
fo
se bo
rm
ss u
m t
at
en
io
n
t
ab
ou
th
Gi
ve
os
pi
sp n o
ta
ea pp
l
W
o
k
as
w rtu
ith n
‘M
y
a ity
Sh
bu to
a
dd
ex re
y
pl d P
ai a
ne th
Of
d w
fe
to ay
re
d
yo ’
a
u?
pa
tie
nt
Cl
e
po
ne ar
rt
ed ab
fo
lio
to ou
t
do w
Fe
h
lt
to a
in
m t yo
vo
ov u
lv
e
ed
on
in
go
al
pl
an
R
M eci
ni
OJ ev
ng
e
c
Ou
or s c
re op
tc
sp ie
o
on s
at me
de of
M s/g
nc
DT o
a
e
& ls
CP re
A vie
m w
ee ed
Cl
e
tin
yo ar
gs
u ab
ar ou
e t
go w
in he
Aw
g re
a
ne
ca re
xt
re of
co wh
or o
di th
na e
to ir
ri
s
YES
Comments on the results
nThe Buddy system set up during Quarter 4 for
all new admissions to low secure service will
continue with its roll out
nThe hospital will continue to work with referrers,
commissioners and Ministry of Justice in identifying
and referring to follow on services and keeping
the service user involved at each stage
nResponsible Clinicians meet individually with
service users to discuss MOJ correspondence
and any issues that arise from this
“I am happy with this
hospital. All the staff and
Doctors are helping me
improve. I am learning new
things and am working
hard. My new medication
is helping me improve. In
therapy I am learning things
and improving. Want to
say thank you to staff for
helping me improve.”
P 27
Quality Accounts 2012/13
Priority 3
Care Programme Approach
Our CPA goal was to put people who use services at the heart of what we do. This was achieved through empowering
patients and carers to be equal partners with professionals in the CPA process through the implementation of CPA
standards which have been defined by service users.
What we achieved:
nService user defined 20 standards have been
nThe Deaf Service at Bury has set up a monthly joint
embedded into the Care Programme Approach process.
service user-professional meeting: The “Deaf
The My Shared Pathway recovery and outcomes
Recovery and Outcomes Meeting” (DROM). This
principles are fully integrated into this process.
group is working towards embedding the shared
nThrough the implementation of the My Shared
Pathway service users are encouraged and
supported to be involved in all aspects of their
Care Programme Approach and work in partnership
with the multidisciplinary team.
pathway practice and principles and linking the process
of MDTs, CPAs and recovery and outcome plans etc.
The group has good attendance by service
users from the Deaf Male low secure service and
senior MDT representatives.
“I like going to lunch club on a Thursday morning
until 1 o’clock. It helps me meet other people and
helps me to get into the community meeting people
again. It is a good form of therapy; we play bingo and
have a chat over coffee and lunch. It’s a good form
of communication which I have lacked for a while.
I enjoy going. I would advise anyone else to go.”
P 28
Quality Accounts 2012/13
CASE STUDY
Deaf Services
Empowering Deaf service users to chair CPA meetings and
ward rounds in a secure mental health setting
Tim (not his real name) is a Deaf man who communicates using British Sign Language. He is currently
an inpatient in the Deaf secure service with a diagnosis of schizophrenia. A neuropsychological
assessment identified significant cognitive deficits, including problems with planning and sequencing.
He also had problems understanding various concepts and instructions. Tim was a service user
representative in the Deaf services Recovery and Outcomes group and attended the regional recovery
and outcomes meetings. Tim has been fully engaged and supported the implementation of Shared
Pathway practice and principles. His contribution to this process and other service user’s feedback
has supported recovery and outcome focussed working within the Deaf service and Hospital.
Tim was fully engaged and motivated to support positive changes to his CPA and suggested some new
standards. Tim has been incredibly proud of his achievements. These include:
nAttendance at the Deaf service and regional
Recovery and outcome meetings.
nMotivated and contributed to review of
nTim won the national service user
achievement award in category “Innovation in
communication - My Shared Pathway”.
CPA practice and implementation
As well as CPA meetings, the way ward rounds
of CPA standards.
are conducted has changed significantly. Tim was
nFully participates and is supported
to chair his ward round.
nInvolved in planning meetings, pre CPA
meetings to understand and adapt agenda
into an accessible format.
participating in the whole ward round and chairs
the discussion. Tim appreciated being involved
from the beginning and there were no fears that
anything was being kept from him.
Increasing autonomy is a goal to strive towards
for all service users no matter what degree
nChairing his CPA meetings.
of cognitive disability. This has resulted in a
nDeveloped with the support of his therapists
noticeably improved confidence in Tim’s daily
a visual/BSL based personal recovery book
called” Help me stay well book”.
interactions and his therapeutic relationship with
staff involved in his care has been enhanced.
nSupporting another service user to give him
the confidence to chair his CPA meeting
P 29
Quality Accounts 2012/13
Priority 4
Physical wellbeing
Our goal was to ensure more people with mental health problems have good physical health. We aimed to achieve this
through continuing our commitment to establish parity between the quality of physical health services which can be
accessed by the general public and the physical health services accessed by those with mental illness. This included
health promotion and establishing healthy life styles which can be continued in the community.
Routine care:
On admission:
nA full physical health assessment
nGP service throughout the year and GP clinics
held twice weekly (Tuesday & Wednesday)
nBlood clinic: coordinated on a weekly basis
nECG: Initial baseline assessment for new admissions;
routine examination for patients on psychotropic
medications (3-6monthly) and also for patients with
suspected cardiac problems. Trained more ward
based staff on ECG taking.
nDietician services
nNurse practitioner assessments
nChiropodist clinic
nHealth Education
nOptician clinic
nSmoking cessation
nWeekly/monthly physical health monitoring
of patients by ward staff
nLiaison with specialist teams
P 30
Quality Accounts 2012/13
Department of Health mandatory quality indicators
The NHS (Quality Accounts) Amendment Regulations 2012 set out a core set of quality indicators, which we are
required to report against in our Quality Accounts from 2012/13 onwards. We have reviewed these indicators and are
pleased to provide our position against all indicators relevant to our services for the last year.
Ensuring that people have a positive experience of care: staff survey
The percentage of staff based on survey responses who would recommend Alpha Hospitals as a provider of care to
their family or friends.
Results
Alpha Hospital Bury
61.3%
Alpha Hospital Sheffield
89%
Alpha Hospital Woking
80%
Mental Health / Learning Disability Trust Average 2012:
60%6
To note: Staff survey results are based on a sample of our workforce not all staff employed by, or under contract to, us.
We have taken and will continue to take the following actions to further improve this percentage:
nDiscuss feedback from the survey with key staff
representatives and develop local action plans
nContinue to conduct an annual staff survey for all of
our staff and more frequent localised staff surveys to
ensure we continue to be aware of any areas
requiring improvement
nContinuing to encourage staff feedback to the Chief
Executive Officer via a confidential website and
continuing to regular feedback to staff on the actions
taken in response to that feedback
nProviding corporate feedback to all staff from the
Chief Executive about staff survey results and
associated actions
6. Greater Manchester West Mental Health NHS Foundation Trust
P 31
Quality Accounts 2012/13
Treating and caring for people in a safe environment and
protecting them from avoidable harm: patient safety incidents
The number and, where available, rate of patient safety incidents reported and the number and percentage of such patient safety
incidents that resulted in severe harm or death.
The total number of patient safety incidents recorded in 2012/13 is set out below.
None of our patient safety incidents resulted in death:
Alpha Hospital Bury
Number of indicents
4965
Alpha Hospital Sheffield
Number of indicents
960
Alpha Hospital Woking
Number of indicents
1590
We have taken and will continue to take the following actions to improve these numbers:
nImproving incident reporting - All staff will continue
Follow up meetings will be held to formally review
to receive training in incident reporting to continue to
action plan progress. Incidents will be reviewed
encourage complete, accurate and timely reporting
monthly at Clinical Governance meetings. Weekly
of patient safety incidents. Our plans to implement
serious incident review panels are led by our
electronic patient records during the forthcoming year
Executive Directors. This panel reviews incidents at
will further enhance current reporting systems.
Levels 3, 4 and 5 and decides the type of investigation
nContinuing to learn from incidents - As part of our
safety strategy we will continue to learn from safety
incidents and to make improvements in practice.
All incidents and related trends will continue to
be reviewed and action plans devised to identify root
required to identify the contributory factors and
root cause which led to the patient safety incident.
All completed investigations are presented at the
monthly Post Incident Review panel with identified
actions agreed and followed up.
causes, remaining risks and actions to address
required improvements.
P 32
Quality Accounts 2012/13
“Yes, I am really happy with the
ward staff they do a lot to meet
our special needs”
“Very good level of
care and treatment,
I feel secure while on
the unit, I haven’t
felt like that in other
hospitals”
“Since being at Alpha Sheffield I have attended groups
that have helped me build a better perception of myself.
Through this I felt able to try some volunteer work which
has been the best thing for me, it’s helped me build
up my confidence, my self-esteem and give me hope
for my future, knowing that even though I have been
ill it won’t hold me back from achieving my goals.”
The Education Department won the NIACE (National Institute
for Adult Continuing Education) National Life Skills Project
Award for their Adult Learners’ Week 2013
P 33
Quality Accounts 2012/13
Statements of support
NHS England has reviewed Alpha Hospitals Quality Accounts for 12-13. They have
demonstrated a commitment to high quality care in 2012-13 which is reflected
in their Quality Accounts. They should be commended on their achievement of
Commissioning for Quality and Innovation goals (CQUIN) and their progress with
local priorities with improvements in lengths of stay and a number of initiatives
which are working to produce a more shared care approach for their patients.
It is disappointing to see that the organisation has received a recent Care Quality
Commission inspection which requires a significant number of improvements to be made.
The organisation should consider strengthening its processes for assuring that patient
privacy, dignity and respect are key components of its action planning moving forward.
We are looking forward to working with and supporting the Organisation in
seeking to improve patient experience and clinical outcomes in 2013-14”
Cheshire Warrington And Wirral Area Team
NHS England
Staff and service users from Alpha Hospitals have been an integral part of the My
Shared Pathway Programme. Their involvement from the very beginning ensured that
all the approaches and documentation developed were informed both by staff but most
importantly by service users from both the Deaf and women’s services. The services’
creative and enthusiastic approach has helped steer the programme ensuring that its focus
has always been person centred and service user driven. Staff and service users have been
involved at a local, regional and national level attending and presenting at involvement
forums, workshops and conferences. This work was recently acknowledged by winning
an award at the National Service Users Award Ceremony and the regional Recovery and
Outcome Groups. This was well deserved. The Shared Pathway Programme success has been
due to the incredible commitment, enthusiasm and skills from key partners such as Alpha.
Rosie Ayub
National Shared Pathway Lead
North of England Specialist Commissioning Group
P 34
Quality Accounts 2012/13
During the past few years, staff and service users from Alpha Hospital Bury have been
instrumental in the development, implementation and success of My Shared Pathway
both locally and nationally. As influential and committed members of the steering and
development groups, staff and service users have contributed from the beginning to
devising the materials for My Shared Pathway and the training packages that accompany
them. Alpha Hospital Bury was a key pilot site – staff and service users were so familiar
with the materials that the evaluation group learned a great deal from their feedback.
Moreover, staff and service users from Alpha Hospital Bury have been key to the
adaptation of the materials used in My Shared Pathway for groups of service users with
different communications needs, in particular deaf service users, but also people with
learning disabilities. The materials they have produced have assisted not only their own
service users, but many others around the country and have inspired many more service
users to benefit from My Shared Pathway than I’m sure otherwise would have done.
As one of the judges for this year’s National Service User Achievement Awards, I was
delighted that one of the service users from Alpha Hospital Bury won the ‘Innovation
in Communication of My Shared Pathway’ category. The winning service user not only
made some wonderful adaptations to the My Shared Pathway materials, but also
developed a visual and BSL-based personal recovery book. He was also involved in
developing many other initiatives to support the accessibility of the whole CPA process
to deaf service users and was certainly a very deserving winner of the award.
The DVD ‘My Shared Pathway – A Guide to Good Practice’, has also benefited greatly from
the input of staff and service users from Alpha Hospital Bury. From the development
of the script, to acting in several scenes, alongside the interpretation and signing for
the version for deaf and hard of hearing people, staff and service users have made
an enormous contribution to the project and we owe them a great deal of thanks.
The contribution of staff and service users from Alpha Hospitals in all of these areas
has been greatly valued and appreciated. As ongoing members of the Recovery and
Outcomes Steering Group and as regular attendees and contributors to the Regional
Recovery and Outcomes Groups, I look forward to service users benefitting in the
future from the energy, drive and commitment to improving our experience of secure
services and the quality of care we receive. Alpha Hospitals have certainly made a
big difference so far, and I’m sure they will continue to do so well into the future.
Ian Callaghan
National Service User Lead, My Shared Pathway
April 2013
P 35
How to provide feedback
We welcome feedback on our Quality Accounts for 2012 / 2013.
To share your feedback please contact us using the details below:
Zsara Thomas
Business Development Director
Alpha Hospitals Ltd
1 Vincent Square
London
SW1P2PN
Tel: 07956 536 259
Email: zsara.thomas@alphahospitals.co.uk