Bridging The Bedford Gap’ People ParticipationTeam – East London NHS Foundation Trust – WINNERS – Quality Improvement – #MHAwards18

o increase the awareness of service users on Willow and ash ward of what is available upon discharge from the Recovery College and People Participation by April 2018

There are a group of People participation involved service users that identified that they believe if service users on the ward would have access to information and experience of what is on offer from the Bedfordshire Recovery college that they may feel more prepared for discharge and likely to access services on discharge. These service users shared that they had previously been inpatients and then post discharge accessed the Recovery College. They shared that they gained real benefit from accessing the college and reflected that it would have been really beneficial if they had been given access to the college whilst they were inpatient.

WINNERS - QUALITY IMPROVEMENT - #MHAWARDS18

Co-Production

  • From start: Yes
  • During process: Yes
  • In evaluation: Yes

Evaluation

  • Peer: Yes
  • Academic: No
  • PP Collaborative: Yes

Find out more

 

 

Overview

Purpose and aims • To increase the awareness of service users on Willow and ash ward of what is available upon discharge from the Recovery College and People Participation by April 2018

There are a group of People participation involved service users that identified that they believe if service users on the ward would have access to information and experience of what is on offer from the Bedfordshire Recovery college that they may feel more prepared for discharge and likely to access services on discharge. These service users shared that they had previously been inpatients and then post discharge accessed the Recovery College. They shared that they gained real benefit from accessing the college and reflected that it would have been really beneficial if they had been given access to the college whilst they were inpatient.

 

The Patient participation teams have been established across the trust.

There is a PPL lead for each area which coordinates and supports local engagement of service users into service development work, participation in meetings, panels and boards, local audits, interview panels, links with nursing University’s

The have a regular forum called the working together group, in this forum service users decide on their own project and priorities across services.

 

What makes your service stand out from others? 

The working together group decided that they wanted to create their own quality improvement project. Service users that use both ELFT services and MIND BLMK locally were invited to attend an initial meeting to discuss what issues mattered to them and how to then translate that into a quality improvement project.  The suggestion that received most votes was to focus on improving service users’ knowledge of and hopefully use of the recovery college and people participation. Bedfordshire inpatient wards are long distance from Bedford town and therefore it can pose a challenge after discharge when service users integrate back into the community. Majority of the service users that attended the initial meeting have participated in local recovery College activities and/or in People Participation and found it beneficial and wanted other service users to enjoy it too.

We chose to start on one ward, developing to include two wards in the duration of the project.

Since the beginning of the project we have faced several challenges, such as getting initial approval for the project and communication between team members. Travel in Bedfordshire to and from the inpatient ward takes time both by car and public transport. Also, patients are admitted and discharged, so the continuity is not as good as we would like.

On the other hand, we have certainly seen some achievements. We have had excellent feedback from the ward patients following the Tea Party Poetry sessions, and also buy-in from ward staff. Satwinder Kaur, the facilitator said “It has been a long journey from losing my identity to mental illness to finding my voice through my passion of Tea Party Poetry. Service users look forward to future sessions “.

In the light of all this, we can now say that being familiarized with the ELFT QI methodology has enabled us to learn about how to communicate within the team and with the outside world (Ward staff etc.) to meet new people and to overcome anxiety. We have also been supported by our QI coach, Anna Smith. She is creative and encourages us to test our ideas. We are certainly feeling much more confident now.

The team were proud to be using rapid cycle testing to increase the learning and subsequently effect the data.

The PDSA (Plan, Do, Study, Act) ramp cycles included:

    • Delivering Recover College tester sessions on the ward (including Travelling Quilt Project Craft Session and Poetry sessions)

2. Brochure Walkthrough sessions We are happy to provide completed PDSA forms for your viewing.

 

Staffing

The intervention was conducted by service users for service users.

Staff on the ward were involved in supporting the group and they feedback that they gained a lot of knowledge from the service users running the group.

We have started our implementation planning with ideas including learning to be shared at staff inductions, inclusion of the project change ideas as part of the recovery college standard work.

Reflective practice for service user presenters.

The service user team are also sharing their learning to consult with other service users who would like to lead a quality improvement project.

 

Who is in your team? 

Satwinder Kaur (Service User)

Jim Patrick (Service User), 

Felicity Stocker (Service User),

Kamila Naseova (People Participation Lead)  – Band 6        

Evri Anagnostara (Ward Matron) – Band 7

Anna Smith (Quality Improvement Advisor) – Band 8a

 

Working together

The service users linked in with service managers to support the programme and to think through the safety and support required to deliver the group on the ward.

The ward staff supported set up of the group and participated alongside ward service users.

In our trust we have an online improvement project platform that all users can access.

We have shared our project learning through a clear communication plan including social media, project platform and our external website.

People participation is central to our trusts quest to make quality what we do, and as our first service user led project we are now going to facilitate working groups to further enhance our service user involvement

 

Do you use co-production approaches?

This was an example of a project generated from the service users themselves and the staff teams role was to facilitate and unblock any barriers that may stop progress.

This is an exemplar of service user engagement in quality improvement projects and a template for how we might support more service user groups to achieve their defined goals across all of our services. 

This project was innovative in its approach to co-projection, taking this concept a step further by being service user led.

 

Do you share your work with others? 

The project has been shared through trust wide quality improvement celebration events.

The service users presented this project to Bedford CCG who were extremely impressed with the goals and outcomes of the project.

 

Outcomes and evaluation 

% of Service Users and Staff who are aware of what is available through the recovery college and people participation

Our data demonstrates a 24% improvement. This data shows the awareness of service users and staff (subgroup of at least 12 per data point to make this a P chart) who are aware of what is available through the recovery college and people participation. 

 

Has your service been evaluated (by peer or academic review)? 

There has been no formal review process; however their project was completed using validated IHI quality improvement processes and measures.  All of the project details are available on Life QI Platform Project ID#100420

 

Development and sustainability 

We are looking at how we can make these groups more widespread across our wards with the introduction of peer support workers

 

 

Access 

How many people do you see?

The intervention focused on 1 ward as a pilot, with the view that it could be rolled out if successful 

 

How do people access the service?

12 bed male ward and People participation is available to anyone that is using the ELFT services

 

What is your service doing to address and advance equality?

Actively promoting and making accessible courses to service users and carers as well as staff.

Providing service users with employment opportunities.

Empowering service users and focusing on recovery.

Assessing needs and providing care

 

FURTHER INFORMATION

Hours the service operates:

9-5 Monday to Friday

 

Population details

Working adult age Mental health services both community and Inpatient. Bedford Borough is a mixed urban area with 11 spoken languages and isolated rural villages.

Size of population and localities covered: across two wards – Willow and Ash ward with the aim to spread across all Luton and Bedfordshire inpatient units.

Commissioner and providers

Commissioned by (e.g. name of local authority, CCG, NHS England):

CCG as part of central contract

Provided by (e.g. name of NHS trust):

East London Foundation trust

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