Recovery Focused Admission – NW Boroughs Healthcare NHS Foundation Trust – (ARCHIVED)

We are a busy male acute inpatient ward.  We hold daily MDT morning liaison meeting which improve efficacy and communication within our own team and home treatment and recovery team representation is also offered.

Co-Production

  • From start: Yes
  • During process: Yes
  • In evaluation: No

Evaluation

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

Find out more

What We Did

We are a busy male acute inpatient ward.  We hold daily MDT morning liaison meeting which improve efficacy and communication within our own team and home treatment and recovery team representation is also offered. We use a status at a glance board that includes reference to wellness and recovery stages.  We hold in mind a persons’ wellness and recovery stage offering key therapeutic interventions around a bio, psycho, social, spiritual and cultural understanding of the individual.

We support formulation around the reasons for admission rather than just seeing a ‘diagnosis’. Our aim to ‘work with’.

We start with the persons story which is a narrative in our service users own words, we offer an opportunity for understanding via individual formulation, we offer activity scheduling and psycho-educational workbooks and materials. There is both wellness work around both physical and mental health. Our work is individual and group based and from a range of practitioners including nurses, doctors, pharmacists, occupational therapists, psychologists, activity workers and experts by experience.  Patients report that they feel supported and validated through this structure and staff report gaining improved job satisfaction.

 

Wider Active Support

Experts by experience; Local services such as Wigan Libraries, Arts in the Park Project, Living Well services and Pet therapy.

We have rolled this out to all acute adult wards across our Trust which was large project in itself

.

Co-Production

We facilitated both service user and staff focus groups in the development of the pathway across a male and a female acute ward, we used service user artwork on our recovery booklet and have experts by experience who support our extensive group programme.

We co-produce and receive feedback on the previous weeks activities programme each Monday in the patients meeting, this is minuted and forwarded to staff who are able to receive feedback on their/our recovery based groups and interventions and also see what has been requested for this week.  All staff receive recovery and living life well training, along with clinical supervision.

 

Looking Back/Challenges Faced

To let our local recovery teams, home treatment teams, RAID, Early Intervention Teams know about prospective changes rather than have them on ‘catch up’ and have their buy in from the beginning.

Changing the culture of a busy acute ward from ‘admit, risk assess, diagnose, medicate, risk assess and discharge’ to something more person centered, therapeutic and holistic.  Staff believing they had ‘no time’ to have therapeutic interventions, we had to have brave discussions about the changes necessary and valued having some key staff who wanted to drive this forward from the MDT.

 

Sustainability

Audit, training and supervision, weekly patient feedback that is minuted. It seems embedded in the culture and would be passed on as an expectation to new staff.

 

Evaluation

We have audited aspects such as the quality of the formulation meeting the deputy ward manager completed this. Trainee clinical psychologists have completed formal evaluations on our recovery groups.  We gather service users views each week at the patients meeting.

 

Sharing

We have disseminated this across our trust and beyond.

 

Is there any other information you would like to add?

We have advanced our pathway in preparation for a move to Atherleigh Park our 40 million pound mental health hospital which introduces many facilities which will support our Living Life Well Inpatient Pathway.  On the woman’s wards we have further developed the pathway to include a specific self-injury inpatient pathway.