What does it take to raise standards in a mental health trust? How can a trust that requires improvement become good or outstanding?
To help answer those questions we visited seven NHS mental health trusts that had achieved significant improvements in their ratings.
North Staffordshire Combined Healthcare NHS Trust has today welcomed the publication of its latest CQC inspection, which - for the first time in the Trust's history - rates every Combined Service as "Good" or "Outstanding". The Trust's overall rating is "Good".
The results mean that Combined Healthcare is the best rated mental health trust across the whole of the Midlands and East of England and third highest in the whole country - only 1 of 3 with every service rated at least Good and at least two Outstanding.
North Staffordshire Combined Healthcare NHS Trust is among just a handful of organisations to feature in a new Care Quality Commission (CQC) report showcasing how mental health trusts have led by example in raising standards.
The CQC’s ‘Driving Improvement’ report focusses on a select few mental health trusts that, like Combined Healthcare, have achieved significant improvement in their CQC ratings.
The draft guideline advises local businesses, community services and prisons on the support people considering suicide need. It says physical barriers like fences and netting in problem areas may be enough to make people reconsider their intentions. Using CCTV could also allow staff to monitor when people may need help.
The service was rated as Requires Improvement for safety, Good for caring, effectiveness and responsiveness and Outstanding for well-led. As a result of this inspection, the trust’s overall rating remains unchanged as Good.
CQC last inspected these services in 2016 and rated them as Requires Improvement. Following that inspection, inspectors told the provider of the actions they must take in order to improve the service.
CQC re-inspected in July 2017 to check whether the required improvements had been made. The trust had only completed three of the eight actions we had told them they must take. We changed our rating of the service to Inadequate overall.
Acute wards for adults of working age and psychiatric intensive care units (PICUs) at West London Mental Health NHS Trust have made good progress in some key areas. The trust had undertaken considerable work to better manage patient flow. This had resolved the issue of patients receiving care on one ward while sleeping on another ward.
The Open Days, which will be held quarterly, offer the opportunity to hear about the [Virginia Mason] work, our journey and our own learning in developing our Transforming Care Production System.
During the day the people present got the opportunity to hear from the teams on the genba about the improvement work going on across the Trust and also got the opportunity to attend our Friday Report Out.
Open access. Patient decision aids (PDAs) are evidence-based tools designed to help patients make specific and deliberated choices among healthcare options. The International Patient Decision Aid Standards (IPDAS) Collaboration review papers and Cochrane systematic review of PDAs have found significant gaps in the reporting of evaluations of PDAs, including poor or limited reporting of PDA content, development methods and delivery. This study sought to develop and reach consensus on reporting guidelines to improve the quality of publications evaluating PDAs.
Open access. This Explanation and Elaboration (E&E) article expands on the 26 items in the Standards for UNiversal reporting of Decision Aid Evaluations guidelines. The E&E provides a rationale for each item and includes examples for how each item has been reported in published papers evaluating patient decision aids. The E&E focuses on items key to reporting studies evaluating patient decision aids and is intended to be illustrative rather than restrictive. Authors and reviewers may wish to use the E&E broadly to inform structuring of patient decision aid evaluation reports, or use it as a reference to obtain details about how to report individual checklist items.
Open access. Emerging evidence suggests electronic health record (EHR)-related information overload is a risk to patient safety. In the US Department of Veterans Affairs (VA), EHR-based ‘inbox’ notifications originally intended for communicating important clinical information are now cited by 70% of primary care practitioners (PCPs) to be of unmanageable volume. We evaluated the impact of a national, multicomponent, quality improvement (QI) programme to reduce low-value EHR notifications.
Audit and feedback improves clinical care by highlighting the gap between current and ideal practice. We combined best practices of audit and feedback with continuously generated electronic health record data to improve performance on quality metrics in an inpatient setting.. To read the full article, log in using your NHS OpenAthens details.
This reluctance to discuss the negative aspects of healthcare, or ill-health in general, make it difficult to have an honest conversation about choice; one in which we talk about both the risks and benefits of each option available.
CNWL has developed a Quality Improvement (QI) Programme and a dedicated website and Twitter feed to share the latest information on the initiative with staff, service users, carers and anyone else interested in quality improvement.