Mrs Mairead Mitchell Assistant Director of Service Improvement and Governance

1. Mrs Mairead Mitchell Assistant Director of Service Improvement and Governance

2. Setting The Scene Muckamore Abbey Hospital

3. North and West Belfast Health and Social Services Trust Community and Hospital

4. Background: Population - 160,000 Staff - 3,500 Income - £145M Service Locations - 50

5. A Centre of Excellence in the treatment and care of people with Learning Disabilities since the late 1950’s

6. What Do We Do? • We provide assessment and treatment services for people with learning disabilities who have an additional mental disorder: • Psychiatric Illness • Severe Challenging Behaviour • Co-existing complex neurological disorder

7. Main Services: • Specialist Psychiatric and Nursing Services • Clinical Psychology • Dental Services • Physiotherapy • Speech and Language Therapy • Orthotics • Social Work • Daycare • Podiatry

8. Muckamore Abbey Hospital • Opened in the late 1950s/ early 1960s • Provides a regional specialist assessment and treatment service for people with Learning Disabilities. • Max Patient No.s 1980s - Over 800 • Currently 290 Patients • Staff No’s 620 • Strategic Direction • Resettlement of Long Stay Patients to the Community • Reduction of Inpatient Bed Capacity • Assessment and Treatment Services

9. Strategic Direction • Resettlement of Long Stay Patients to the Community • Reduction of Inpatient Bed Capacity • Assessment and Treatment Services

10. Meeting the Targets “Three major challenges facing the NHS; firstly patients must be put first at each point of contact with health and social care services, second, all of the services that patients receive must be transformed and finally, staff and particularly clinicians must be involved in shaping the change Patricia Hewitt MP Secretary of State for Health

11. Targets • Improving Quality of Service • Access to Services • Working in Partnership • Service User Involvement • Delivering Value for Money

12. In The Midst of Change: • Redevelopment of Hospital Services • Resettlement Programme • Reprovision of Children’s Services

13. Future Hospital Service • Specialist Hospital Services will be for People with Learning Disabilities who live in the community and: • Who require Assessment and Treatment because of associated Mental Health or Behavioural Difficulties. • or • Who require Assessment and Treatment in a semi-secure environment because of their offending behaviour.

14. Phase 1 Assessment and Forensic Units Muckamore Abbey Hospital

15. What Will This Do? Replace This

16. With This

17. Replace This

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19. Quality Agenda • Continuous Quality Improvement • Patient/Carer Involvement • Standards/targets • Development of a multidisciplinary audit tool • Awards

20. Achievements:

21. Service Improvement: Public Servant of the Year

22. User Involvement Aim: To set out a plan to enhance service user involvement and to give guidance and information about involvement issues

23. Three Strands: • Information Dissemination • Consultation • User Participation

24. Developing a Culture • Build Trust • Value People and their views • Must be sustainable • Equal Terms

25. Vision: Valuing people who have a learning disability, ensuring their right to full citizenship, equality of opportunity and self determination