Scottish Patient Safety Programme (SPSP) in Mental Health ...library.nhsggc.org.uk/mediaAssets/CHP Glasgow/Paper... · The SPSP Improvement Team would like to thank all the wards/teams

NHS Greater Glasgow & Clyde Patient Safety Programme in Mental Health Issue 2 – June 2014

Scottish Patient SafetyProgramme (SPSP) in Mental Health

SPSP Mental Health ProgrammeThe Scottish Patient Safety Programme – Mental Health aims to systematically reduce harm experienced by people receiving care from mental health services in Scotland, by supporting frontline staff to test, gather real-time data and reliably implement interventions, before spreading across their NHS Board area.The 4-year programme started in September 2012 and is aimed at adult mental health wards.

NHS Greater Glasgow and Clyde has been piloting work in Rutherford Ward, Gartnavel and Elm Ward, Rowanbank since the start of the programme.

There is work ongoing in each of these work streams in NHS Greater Glasgow and Clyde.

IN THIS ISSUE

• SPSPProgramme

• Workstreams

• StaffCulturalSurvey

• PatientCulturalSurvey

• TeamSite

Issue2

WorkstreamsThe SPSP MH programme is centred around 5 work streams:

1. Risk assessment and safety planning

2. Restraint and seclusion

3. Safer medicines management

4. Communication at transitions

5. Leadership and culture

NEWSLETTER

• TravellingTeams

• NationalandLocalLearningEvents

• MeasurementPlan

• SafetyDialogues

• ProgrammeSupport

NorthWardDykebar Ward4ALeverndaleEastWardDykebar Ward4BLeverndaleIPCU Inverclyde Kershaw Ward Gartnavel RoyalArmadaleStobhill RutherfordWardGartnavelRoyalWard 1 Parkhead Henderson Ward Gartnavel RoyalWard 3 Parkhead McNair Ward Gartnavel RoyalElm Ward, Rowanbank IPCU Gartnavel Royal

Travelling Teams and Ward LeadsTravelling teams have been identified in all participating wards. This is the term used to describe the three members of the ward team that have been selected to attend the National Learning Sessions to develop their skills and knowledge on aspects of the Patient Safety Programme. The role of the travelling team members is to provide leadership and support to the wider clinical team in the ward and drive the programme forward. Each travelling Team should consist of a Consultant Psychiatrist, Nurse and one other member of the clinical team. In addition some Ward Leads has been identified to have protected time to progress the work.

Staff Safety Climate Culture SurveyAStaffSafetyClimateSurveyhasbeendevelopedby the SPSP MH Programme in order to gain information about the perceptions of safety from front-line clinical staff in their clinical area as well as management’s commitment to safety. The Survey has been carried out in all participating wards in NHS GGC. The next step is for wards to meet to discuss the findings from the survey, to acknowledge existing good practice and identify areas where the team can improve and take appropriate actions. These survey reports will also be looked at on an NHS GGC wide basis to identify themes for action and share learning.

Patient Safety Climate Culture SurveyAPatient SafetyClimate Surveyhas alsobeendeveloped and has been used in most of the participating wards. Plans are in place to extend this to all of these wards. Glasgow Mental Health Network have been working with NHS GGC staff to facilitate this survey. This work has been hugely informative and again will be looked at across GGC to identify themes for action.

2. NHS Greater Glasgow & Clyde Patient Safety Programme in Mental Health

Ateamsitehasbeensetupforparticipatingwards.Thesitewillactasarepositoryforallinformation relating to the programme. The team site can be accessed at:-

http://teams.staffnet.ggc.scot.nhs.uk/teams/Partnerships/MHP/SPSPMentalHealth/default.aspx

Local Learning Event 6 March 2014ALocalLearningsessionwasheldon6thMarch2014.Theeventwas extremely successful with staff attending from all wards involved in the programme. HIS (Healthcare Improvement Scotland)werealso inattendanceat the session. Aworldcafé session took place with teams sharing good practice and hints and tips on how to progress the work. Evaluation of the event showed staff were keen to have more group sessions to share learning. In response to this local workshops will be taking place over the coming months, bringing together a few wards and SPSP staff to problem solve and share learning.

Sharon Downie, who has been leading the work in Rutherford Ward, Gartnavel.

National Learning Session 4 19 March 2014

oing for gold

STAFF CULTURAL SURVEY

PATIENT SAFETY CLIMATE SURVEY

DATA

12

34

START

LOCAL LEARNING EVENT MARCH 2014

Staff shared good practice via our ‘Market Place.’ Items on sale included a reduction in self harm, a reduction in hand over time and a reduction in documentation time.

Staff highlighted the following prioritites for 2014

•Improved communication

•Team site

•Medication management

•Multidisciplinary team working

Staff Safety Culture Results

0%10%20%30%40%50%60%70%80%90%

100%

Ru th erford Elm

Dyke bar- Eas t

Levernd

ale - 4b

GRH - IP CU

McNair

He nderso

n

Armadale

Ward

% P

erce

ntag

e

OverviewOur programme in now well underway and we are beginning to see a lot of positive activity in our 14 pilot sites.

6 of the sites have completed the staff and patient surveys and have either begun or are about to begin collecting process data.

5 sites have still to complete the surveys and are anticipated to do so in the first quarter of 2014.

3 sites, including 2 newly identified wards, have yet to complete any activities.

We have successfully tested process bundles on Risk Assessment and Transition. These Bundles will be rolled out in the second quarter of 2014.

All wards are participating in the collection of outcome data.Patient Climate Survey Results - Phase 2

0%

10%

20%

30%

40%

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100%

Dykebar East Dykebar North Leverndale 4B Henderson McNair

Ward

% P

erce

ntag

e

NHS GGC Rutherford Ward Overall % Risk Assessment compliance Mar 2013 to October 2013

Service user w ithheld consent

Medics not onboard

Patient transfered to A&E

Medical staff reminded of protocol

0%

10%

20%

30%

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100%

15March2013

15 April2013

15 May2013

15 June2013

15 July2013

15August

2013

15 Sept2013

15thOct2013

Date Data Collected

Overall % compliance

On track towards patient safety

IPCU

Rutherford HendersonMcNair

PH – Wd 3

PH – Wd 1 Kershaw

Dykebar East Elm

Leverndale

ArmadaleDykebar

North

The SPSP Improvement Team would like to thank all the wards/teams for their continued enthusiam and hard work.

3. NHS Greater Glasgow & Clyde Patient Safety Programme in Mental Health

ANational LearningEventwasheldon19thMarch2014atHiltonDunblaneHydro. Thiswasattended by over 300 participants. NHS GGC was well represented with over 40 members of staff in attendance. Staff attending found the event very useful, hearing good practice in other areas andsharinglearning.AposterwassubmittedfromNHSGGConourworkintheprogrammesofar.

Measurement PlanParticipating teams have been collecting monthly outcome data which is shared with the National Team. Phase two of the programme is looking to:

• Consolidate and support existing good practice around improvement and harm reduction.

• Promote and support the use of data for improvement

• Test areas that have not yet been tested across the workstreams.

AspartofPhase2anewmeasurementplanhasbeen issuedwithclearerdefinitionsondata itemsforcollection.ThishasbeenissuedinresponsetofeedbackfromNHSBoards.Dataissubmittedviaspreadsheets on the team site and collated by Clinical Governance Support Unit for submission to HIS. Inadditioneachwardisencouragedtousetheirdatalocallytoidentifyareasforimprovement.Datacollection has been a major challenge for the programme and Clinical Governance staff are working closely with the wards to improve this.

Safety DialoguesLeadership walk rounds are an improvement tool that connects senior leaders with their frontline staff to help build a culture of safety within an organisation. In NHS GGC a decision was made to call theseeventsSafetyDialoguesinordertoembracethefocusofthembeingatwo–waydialogueratherthanatopdownprocess.SafetyDialogueswillbecarriedoutinallwardsparticipatingintheSPSPprogramme over the next year.

SPSP Programme SupportSPSP staff supporting the project are listed below. If you require any further information on any aspect of the work please get in touch.

[email protected]

Consultant Psychiatrist Clinical Lead

[email protected]

Consultant Psychiatrist Clinical Lead

Irene [email protected]

Clinical Governance ManagerProgramme Manager

Karen [email protected]

Clinical Effectiveness Co-ordinator CGSU

Brenda [email protected]

Clinical Risk Co-ordinator CGSU

Jonathan O’ReillyJonathan.O’[email protected]

Clinical Effectiveness Co-ordinator CGSU

Janice [email protected]

Clinical Effectiveness Co-ordinator CGSU

Ivy [email protected]

ClinicalEffectivenessAssistant CGSU

Susan [email protected]

Clinical Effectiveness Co-ordinator CGSU

If you feel you need support now please get in touch we will be more than happy to guide you.

4. NHS Greater Glasgow & Clyde Patient Safety Programme in Mental Health

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@ SPSP_MHFollow us on

Further information on the programme can be found on the Knowledge Network:

www.knowledge.scot.nhs.uk/spspmh.aspx