Patient Safety in Mental Health

1. Patient Safety in Mental Health Wednesday 1st April 2015 Chris Stanbury, Director of Nursing and Governance

2. What do we mean by ‘patient safety’? • Embedding a learning culture in the organisation that promotes minimising harmful events and reducing the chance of re-occurrence of harmful events. • Implementing systems and processes to identify and manage potential for harm, risks of harm occurring and monitoring harms that do occur – always focussing on co-production and learning lessons. • Ensuring staff have the passion, knowledge, confidence and skills to eliminate/minimise patient harm and maximise patient safety.

3. Harms in mental health • Tangible harms such as falls, physical health deterioration, health care incidents, health care acquired infections, medication adverse effects and neglect. • Harms associated with mental health such as suicide, para-suicide and self harm. • Harms to others such as verbal and physical aggression, abuse, assault, violence and homicide. • Harder to define harms such as exploitation, vulnerability, loss of dignity/freedom/liberty/control/hope and/or self determination, trauma and psychological injury.

4. Minimising harm and promoting safety Individual clinical risk management Co-production and collaboration Engagement and observation Environmental risk management Learning lessons improvements Safety incident management systems Learning culture

5. Patient Safety in TEWV NHS FT

6. Patient Safety improvements • Board sign up and commitment • Culture of continuous improvement –Kaizen • Staff engagement • Recovery and co-production • User feedback • Estate design • Incident reporting systems • Incident management systems: review and analysis

7. Patient Safety Project Work • LIPS –violence reduction • Falls Pathway • Learning Lessons • Positive Behavioural Support • Physical Health Care • Suicide Prevention • Force Reduction • Risk Management • Safe Staffing

8. Thank you Questions