CAMHS Eating Disorders team – Hertfordshire Partnership University NHS Foundation Trust – #MHAwards19 – HC

We are a Specialist Child and Adolescent Mental Health Service (CAMHS) which covers the whole of Hertfordshire. We have a high referral rate and work hard not to have a waiting list for our young people. The nursing team is separated into 4 quadrants to manage the service. Within each quadrant we have an Advanced Practitioner, Eating Disorder Nurse, Support worker/ Trainee Nursing associate and Family Therapists. We also have various clinics within Hertfordshire that we can see our young people, in addition to doing home visits:

#MHAwards19 - Highly Commended

https://www.hpft.nhs.uk/services/community-services/community-eating-disorders-service/

Co-Production

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

Evaluation

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

Find out more

Please briefly describe your project, group, team or service, outlining what you do and why it makes a difference

In eating disorders there is a high risk of heart failure as a result of patients being underweight.  As such, when people first come to our service we have to monitor their physical health closely, including ECG’s and bloods.  At present young people and parents have to attend blood clinics to have their bloods checked which results in long waits.  In relation to ECG’s we have to ask GP’s to complete these which often results in a delay due to availability of time slots at the GP and then in results being returned to us.

 

One of our Support Workers – Lauren, qualified as a Nursing Associate (NA) this year. The course itself is specifically designed to integrate physical and mental health.  Throughout her training Lauren has developed numerous skills around management of physical health concerns, which we are now integrating into our service.  The whole team has embraced the Trainee Nurse Associate role and have worked hard not only to support all the Trainee Nurse Associates coming into the team for placements, but also embracing the new skills developed to enhance our service.

 

Service Users will be able to have ECGs carried out by our Nurse Associate at the clinics in one hour slots, twice a week. There will be an online booking system, so any patient attending for an Eating Disorders assessment can be given a slot to attend for an ECG before they leave.  We have arranged with the Adolescent Unit on site that we can utilise their ECG and clinic room to complete this.  The Nurse Associate will complete an ECG which will then be passed the same day to a Doctor within our team for review and follow up as needed.  As part of this project we are also hoping a nurse will be present who can take bloods so everything can be completed at the same time.

 

This project will result in an increase to patient safety as the wait to complete an ECG and have the results reviewed by a specialist doctor will be dramatically reduced and the risk will be held solely within our team which means we can action concerns sooner.

 

In addition we have created a ‘Trainee Nurse Associate Lead’ role to support our Nurse Associate and the other Trainee Nurse Associates (TNAs) through the service. This has been taken on by Della O’Donnell who has been shortlisted for a mentor of the year award as a result of her inspirational leadership and great passion and understanding for the implementation of the TNA role.

Also, as a team we spent time developing an experience checklist as below in order to facilitate the best learning experience possible for our trainee nurse associates within the context of their four week placements:

 

Trainee Nurse Associate Experiences in the Eating Disorders Team:

ExperienceDate of Completion
Assessments – observe initially and then progress to asking some questions 
Attend follow up sessions for those you have participated in assessments for 
Shadow Support Workers including mindfulness sessions 
Experience meal support:

·      Community

·      Inpatient

 
Visit other community Teams:

·      CCATT

·      Targeted Team

·      CAMHS Team

·      Adult Eating Disorder Team

 
Complete Documentation:

·      Assessment Reports

·      Paris Entries

·      Risk Assessments

·      Care Plans

 
Outcome Measures (supported by Sarah):

·      Scoring

·      Adding to tracking sheet

·      Attaching to Paris

 
Join reflective teams with Family Therapists 
Join Consultations between us and CAMHS 
Attend Ward Round at Forest House 
Attend medical reviews with team Doctor’s 
·      Shadow a variety of clinician’s within the MDT

·      After shadowing spend some time with that clinician reflecting on what you learnt and asking any questions

 
·      Give assessment feedback in the team meeting

·      Handover relevant information in ward round, team meeting and/or CPA meetings

 
Complete physical investigations i.e. weight, height, BP, Pulse, Temp 
Reading:

·      Parent Pack

·      Young Persons Pack

·      FBT Manual

·      CBT-E Manual

·      Hunger for Understanding (Shared Drive)

·      Think Good, Feel Good

·      Motivational Enhancement Therapy Presentations (Shared Drive)

 
Attend CEDS team meetings (1st Tuesday of the month at 13.30) 
Spend some time in Forest House School 
Attend Professionals Meetings 
Attend CPA’s 
Medication at Forest House 

 

Any direct interaction with young people & parents, documentation and phone calls will be done with the supervision of a nurse who will countersign and check any written documentation.  The nurse will also ask you to reflect after experiences to help with your development.

Our Nurse Associate has also developed a welcome pack as below for all students and trainee nurse associates on a placement with the team. This helps orientate them to the team and enhance their learning experience:

 

Welcome to the

CAMHS Eating Disorders Team

 

Student Information Booklet

 

Hello and welcome to our team.

We are a Specialist Child and Adolescent Mental Health Service (CAMHS) which covers the whole of Hertfordshire. We have a high referral rate and work hard not to have a waiting list for our young people. The nursing team is separated into 4 quadrants to manage the service. Within each quadrant we have an Advanced Practitioner, Eating Disorder Nurse, Support worker/ Trainee Nursing associate and Family Therapists. We also have various clinics within Hertfordshire that we can see our young people, in addition to doing home visits:

 

  • Saffron ground –Stevenage
  • Waverly road – St Albans
  • Roseanne House- Welwyn
  • Hoddesdon Health Clinic
  • 15 Forest Lane

 

 

Meet the team:

Manager: Penny Smith

Consultant Child and Adolescent Psychiatrist: Linda Zirinsky

Trainee Consultant Adolescent and Child Psychiatrist: Dr Mufti

Speciality Doctor: Jenny Hill

Family Therapists: Brid O’Leary and vacant post

Advanced Practitioners: Tina Fisher & Charmaine Clarke, Ellen Mulroy

Eating Disorder Nurses: Della O’Donnell, Cathy Godfrey, Rachel Williams, Katie Plummer, Abi Johnson and 2 vacant Posts

Trainee Nursing Associate: Lauren Caruana

Support worker: Kerry O’Brian

Assistant Psychologist: Sarah Dunstan

CBT Therapist Lauren Bloom

Team Secretary: Suzanna Anderton

We also have 3-4 beds in Forest House Adolescent Unit (FHAU) which are allocated for the Eating Disorders team when inpatient admissions are required for young people. FHAU is an inpatient unit for young people between the ages of 13-18 years.  It has 15 beds in total. Forest House can also accommodate 72 hours admission for medical monitoring.

 

What do we do:

We know that recovery at home is the best option for young people, so we aim for this if possible. We foster a Family Based Treatment model and try to include families as much as possible. Families are not responsible for young people developing Anorexia Nervosa, but they are very important in the recovery. We try to help families support their young people to recover at home.

 

 

When is inpatient admission required:

Sometimes it is not possible to support young people at home any more, and we need to arrange an inpatient admission. Deciding when admission is required is something we generally discuss as a team in our weekly team meeting. We then attend the CPA meetings arranged by the unit and see the young person at these meetings.

If a young person is not in agreement of the admission we may need to arrange a Mental Health Act Assessment.

 

Example of a recent admission

We are all experienced to carry and manage a certain level of risk but we aim for recovery, and if we can see a young person is not able to be engaged in the treatment program, and if health is at risk we may decide on an inpatient admission. Eating Disorders have the highest mortality rate of any Mental Illness, and as such we are very careful to manage the risk associated with the illness. Deciding on an inpatient admission is not a decision made just on weight. For example a young person may be exercising for several hours a day and restricting eating. This example is of a case we had recently who despite her weight not being particularly low was exercising for several hours each day. She visited us and said she had been waking in the morning in a sweat. We sent her to the GP and her blood sugar was around 2, resulting in hospital admission and then an inpatient admission. The morning sweat was a hypo and left untreated she could have died. If we had just looked at her weight we would not have reacted the same way.

 

Building a rapport:

The most important initial part of what we do is engaging the young person and building a rapport. While getting to know the young people and you may find they ask you personal questions, therefore we would recommend that you never discuss your own weight, shape or diet with the young person. We also advise that you do not comment on how they look. Working with Eating disorders we have to be sensitive with the language we use when communicating. Phrases like “you look well” can often be heard as “you look fat”, but don’t worry, we will support you to learn what is helpful and unhelpful to say. Never be afraid to ask us.

Your placement

On your first day you will be allocated a mentor who will be responsible for your learning outcomes and experiences during your placement. You will work closely with your mentor to ensure you gain support and guidance. They will help you to facilitate your learning in Eating Disorders and to understand our treatment pathways for the young people in our service.

There may be times when you will be unable to work with your mentor as young people and their families may not consent to you attending their sessions. However we have other clinicians in the team who can help to facilitate your learning and experiences in the team.

Additionally on the book shelf we have various Eating Disorder books which you can use to increase you knowledge and understanding of Eating Disorders when you are unable to attend a clinical session.

As a community team we are mostly Lone working, facilitating visits in homes, schools and in clinic. Therefore please ensure you read the Long Working Policy and familiarise yourself with this.

Clinicians will aim to include you in the initial assessments of young people and our expectation is that you will then continue to follow those cases throughout their treatment during your placement, attending their regular clinical sessions to see a continuation of care.

 

Other learning experiences available:

  • Attend and participate in assessments, including report writing, documentation, care planning and risk assessments
  • Attend CPA’s, professionals meetings, safeguarding meetings and transition meetings when possible
  • Work alongside Support workers and observe mindfulness sessions and meal support
  • Observe Family Therapy sessions
  • Provide Assessment Feedback and Handovers
  • Learn about Outcome Measures
  • Attend medical reviews
  • Attend ward rounds at FHAU.

 

During your placement you will also have opportunities to experience other specialist teams:

  • Forest House Adolescent Unit
  • C-Catt
  • Targeted team
  • Perinatal Mental Health Team.
  • Adults Eating Disorder Team

 

Breaks:

You are entitled to a break each shift which is 30 minutes. We have a kitchen in Forest Lane where you can use the facilities provided to heat food, store food in the fridge and make hot and cold drinks. There is also a café in King Fisher Court which is where adult wards are located. This is only a short walk away.

 

Sickness:

If you are unable to attend placement due to feeling unwell, please call and leave a message on the office number provide to inform us, in addition to informing your university.

If you have vomiting or diarrhoea symptoms then you should only return to work 48 hours after the last symptom episode. This is to prevent the spread of infection.

 

Shift Pattern:

 

We are 9am-5pm service, which is available Monday- Friday only.

Wednesdays are when we have our team meetings and it will be important and highly valuable to your learning for you to attend these.

 

MeetingFrequencyTime
Team MeetingEvery Wednesday09.30 – 11.30
Reflective Space1st Wednesday of the month11-45-12-45
Peer support Meetings2nd Wednesday of every month11.45-12.45
FBT Supervision2nd Wednesday of every month11.45- 12.45
Practice Governance3rd Wednesday of every month11.45- 12.45
Team Lunch & Case Discussion4th Wednesday of every month11.30-13.30
CQC

Ongoing preparation discussion

5th Wednesday of the month11.45- 12.45

 

Thank you for taking the time to read this information we hope it has been helpful for you. We look forward to having you in our team for the duration of your placement and hope you have a happy learning experience with us.

Within our service we have a strong belief in parity of esteem (integration of physical and mental health) in order to protect our patients from harm caused by their illness and this is demonstrated by our new initiatives to offer integrated care for our service users.

 

What makes your service stand out from others? Please provide an example of this.

The Nursing Associate role is a newly created role which has been met with scepticism from some. The Eating Disorders team has gone above and beyond to embrace the role and enrich the experience of Trainee Nursing Associate placements, as well as the team’s own trainee.

Service users will now reap the benefits as the team is embracing the new skills gained within the team to enhance their service and speed up the process for receiving ECG and blood test results, This integration of physical and mental healthcare services will improve patient safety.

 

 

 

Staffing

How do you ensure an effective, safe, compassionate and sustainable workforce?
The Trainee Nursing Associate programme is a two year training course with one day a week at university. Within this course trainees complete six placements giving them experience in a variety of general and mental health settings in the community, in patient, acute, surgical, assessment and nursing homes. The Nursing Associate role was introduced to bridge the gap between Support Workers and Nurses to allow more support to be given to Nurses and improve the delivery of patient care.

HPFT looks after people from the moment they apply for a role and throughout their careers. We believe our staff  are our most valuable asset – and we also believe that investing in colleagues is crucial if we want to enable everyone to reach their full potential.

As a University Trust we recognise the importance of supporting our workforce to deliver the right care in the most effective way. That means making sure staff can access outstanding learning and development opportunities whilst pursuing their careers within the Trust. We offer:

  • A structured leadership and management development programme
  • Core skills statutory and mandatory training programmes
  • A ‘one-stop’ induction programme for all new staff – introducing you to the Trust, our values and our services
  • A structured programme of learning for trainee doctors, student nurses and students across psychological services, social work and allied health professions
  • A coaching network where trained coaches throughout the Trust are matched with staff of all disciplines to provide a powerful development opportunity
  • A wide range of Continued Professional Develop (CPD) opportunities, working with partners – such as University of Hertfordshire, University of Bedfordshire, Anglia Ruskin University and University of Essex – to deliver training and development programmes and support.

We also want to make it easy for people to return to work after a break, to come back to work after they’ve retired and to move around the Trust easily so they can explore new roles and take on new challenges. We also have a number of options for flexible working available.

We offer a Health Hub which helps improve staff health and wellbeing across the Trust – encouraging staff to step away from their work and think about their own health. This includes:

  • Workshops, challenges and social events throughout the year
  • Confidential and safe forums where staff can talk about the emotional impact of their work
  • An equality and diversity staff network providing support to all staff
  • Mindfulness bite size taster sessions
  • Mini health checks
  • Free, confidential counselling services 24/7
  • Reduced gym rates at a number of local health clubs/gyms
  • PAM life: our online personal health management resource which allows staff to set goals, track progress and develop specific, tailored programmes
  • A quarterly staff magazine where staff can share stories and inspire others.

Along with the staff magazine and national NHS Staff Survey we also engage with staff using a weekly e newsletter, quarterly Pulse Survey and Big Listen events. The Chief Executive holds breakfast meetings, approximately bi-monthly, inviting different groups of staff (including Consultants, Student Nurses, Social Workers and HCAs).

We have a robust system for ensuring appropriate supervision is taking place at the correct times

 

Band/gradeNumberWhole-time equivalent
Nurse Associate411
Manager111
Advanced Practitioner in Eating Disorders733
CAMHS Community Eating Disorders Nurses665.7
Support Worker411
Support Worker310.8
Speciality DoctorNA10.6
Child & Adolescent PsychiatristNA10.4
Systemic Family Therapist8a11
Systemic Family Therapist711
Dietitian610.5
Administrator410.8
CBT Therapist710.5

 

Working together

How do you work with the wider system?

We work very closely with the local adolescent mental health unit who hold three beds for eating disorders. The consultant who works for us also works there which enables smooth transition in and out of hospital and also enables us to have very short admissions for those young people admitted, meaning they can return to their home life with family, friends, school etc.as soon as possible.  As a result of this relationship we have arranged with the team leaders and modern matron to use their clinic room and ECG machine to enable us to go ahead with this project.  They have been incredibly supportive of this plan.

 

We have very good links with the local CAMHS teams too which means they can contact us for advice and support for those working with the CAMHS team who might have low weight due to other mental health problems and we will often offer consultation appointments to young people and parents with the CAMHS clinician to offer psycho education about the effects of undereating and advice on how to improve this.

 

We have worked alongside Carers in Herts, a voluntary organisation which focuses on supporting Carers of those with mental health problems. They supported our business case for expansion by explaining why the feel it is crucial. We have jointly delivered Carers groups together.

As mentioned above we work closely with schools to help in the early recognition and treatment of those young people suffering with eating disorders.

We already work closely with Paediatric wards if a young person is admitted there suffering with an eating disorder, offering support and advice. Our next step is to develop a working party which will include professionals from our service, Paediatrics and Dietetics to develop clear treatment pathways for those young people needing medical stabilisation of their eating disorder on a paediatric ward.

We also have very good links with a local specialist eating disorders unit which allows us to arrange admissions rapidly when needed and maintain good connections with our patents while they are an inpatient, allowing for smooth transitions.

 

Do you use co-production approaches? 

We constantly use young people’s and parents feedback and stories as part of our recovery model, which young people and parents writing their stories and messages of hope that are passed to future service users. We have also had graduate parents attend the parent support groups to support new parents and help to deliver a message of hope, that recovery is possible.

Parents often express how difficult it is to get an urgent appointment with their GP in order to get an ECG completed which adds to parents concerns when they are already extremely worried about their child.  Parents and young people have also expressed frustration about long waits at blood clinics as this requires them to take additional time off work/school.  This project has therefore been produced to alleviate these issues for parents and young people.

Do you share your work with others? If so, please tell us how.

As a service we are very committed to sharing our work with others. We have appeared on radio and TV talking about the service, what it can offer and encouraging referrals to be made early.
We are also part of specialist interest groups in eating disorders where good practice is shared amongst other professionals.We regularly work with students and professionals who want to gain more understanding about the treatment of eating disorders.

As a result of these integration of physical/mental healthcare projects, Health Education England has published our case study and our Nurse Associate has been asked to present her journey through the programme at the ‘National Implementation Board’ for Health Education England.

The Nurse Associate and Team Manager also presented their story at the Nurse Associate Graduation.

The team have shared their ‘experience checklist’ and ‘student induction’ with CAMHS team within Hertfordshire.

 

What outcome measures are collected, how do you use them and how do they demonstrate improvement?

Welcome Pack and Placement checklist produced for all Trainee Nursing Associates on placement within the Eating Disorders team.

·      Online booking system created for Eating Disorders service users to book ECGs without delay.

·      ECGs and blood tests being carried out by Nursing Associate from Eating Disorders team.

·      This project will result in an increase to patient safety as the wait to complete an ECG and have the results reviewed by a specialist doctor will be dramatically reduced. Results which previously took up to a week, will now be available and reviewed on the same day as the ECG takes place, meaning we can action any concerns sooner.

·      Our Nursing Associate asked to present her journey through the programme at the ‘National Implementation Board’ for Health Education England and the feedback from this is below:

Fellow Nursing Associate said “Lauren spoke with such elegance and professionalism and represented the Trust extremely well.”

Health Education England said: “Lauren – just wanted to say a massive thank you for agreeing to speak at the meeting today and all the comms stuff you did.  You did yourself proud and made the room feel brilliant!  You are exactly the type of TNA that Sam, no doubt, dreamed of at the beginning of this journey!

·      Lead role for Trainee Nursing Associates created and she is providing an enriched experience for trainees on their placements within the team (shortlisted for University of Hertfordshire’s mentor of the year award) – see feedback from Trainee Nurse Associates about the Lead Trainee Nurse Associate for the Eating Disorders Team below:

 

Della has been the most inspirational and dedicated mentor, supporting Lauren on her journey as a Trainee Nursing Associate (TNA). She kindly volunteered to be her mentor, not knowing much about the course Lauren was about to embark on; but she believed in her abilities and was keen to develop her learning, skills and experiences. She is an incredible role model, sharing her wealth of knowledge and skills, nurturing Lauren’s learning and development as a professional with patience and commitment. She has taken positive risks for Lauren’s learning, encouraging her to take the lead on low risk cases with her support; allowing her a better opportunity to apply learning. This has at times been daunting and Lauren has doubted her abilities to take the lead, but Della has always reassured her through providing continuous feedback to build confidence, ensuring that she appreciates and acknowledge the work Lauren does. Della has also always made sure to be available for Lauren, joining her in sessions or being contactable by phone whenever Lauren has needed her for advice or guidance on situations; which has made Lauren feel at ease. Nothing has been too much for Della and she has continuously gone out of her way to make sure Lauren feels supported, being kind and compassionate in reminding Lauren to look after herself regularly. She goes above and beyond in her caring approach, being mindful of the pressures on Lauren to work, attend university and complete assignments. Lauren has appreciated every motivational message she has sent to keep her inspired when she has felt bogged down with work. She truly is a one of a kind nurse, embodying the values of the trust. Quote from Ellen, eating disorder nurse in the team: ‘Della is an amazing nurse who is so passionate about her work with young people and their families. It is clear to see that Della translates this to the student TNAs who she has mentored, and she takes real time and care to support them in their learning and always makes sure they receive the most valuable learning experiences while on placement. Della is such a supportive colleague to both the TNAs and her wider team and is always first to offer a hand when needed. Della’s enthusiasm for her work with young people and in supporting TNAs in their learning journey is clear to see and deserves recognition. She is an amazing role model for the profession, both in all her skills and abilities and in her vast kindness and humour’.

Della has a great passion and understanding for the implementation of the TNA role, which has been refreshing to experience, as the role has been met by some scepticism; with some not being as embracing of the role as Della has. For this reason I have felt so fortunate to have had Della as my mentor, as she has made me feel valued and appreciated in this role and it has been acknowledged widely in the team. Quote from Penny, manager for our team: ‘Della has been a strong advocate for the TNA programme and has been an incredible support not only to Lauren who is the TNA within our team but with all the TNA’s who have joined us. Della has worked very hard to ensure that despite very short placements TNA’s are given a full and well-rounded experience, gaining as much knowledge about eating disorders as possible. Della has requested to be the lead for the TNA’s within our team so she can continue to support those coming to us for placement and anyone who wishes to train as a TNA in the future. She is a phenomenal nurse and passionate about supporting those developing their skills further’.

Della has not only supported me from within the team, she has also gone out of her way to make TNA meetings a priority for her to attend; at times being one of a very few that have attended. This shows her incredible work ethic, as she has wanted to make sure we as TNAs had the most positive and diverse learning experiences to meet our needs. Quote from Kirstin the Practice Educator Facilitator for TNAs: ‘I have had the pleasure of working with Della supporting Lauren on the TNA programme. Della has been continually engaged and instrumental in her development. She was kind enough to give a teaching session at the University which was greatly received by all.

Della is warm, approachable and proud of her team. She has supported visiting TNA’s whole heartedly. She is truly an unsung hero!’

Della hasn’t just done an amazing job in supporting me; she has contributed to the learning of my whole cohort. Her love for her job and specialism echoed through when she presented at the university, and I was so thankful for Della to provide an insight into Mental Health Nursing for my cohort, as majority of our teaching was centred on general nursing. This was also such an achievement for Della to do to a class of 50, as presenting is one of the skills she is less confident with; but she role modelled how learning can be developed from moving out of your comfort zone.

Ian a student TNA who attended the team for a placement shared his experience of working with Della: ‘My email pinged and I was notified that my placement was with CAMHS Eating Disorders team, treating children and adolescents. That’s it, I’ve failed I thought. However, I read on and my mentor would be Della; relief felt and my worries started to subside as I remembered who Della was; that lovely, friendly, sweet lady who spoke with so much love, compassion and enthusiasm in our lecture about her team.

Della and her own TNA made me a welcome pack with printed articles, information on re-feeding and how weight for height is used rather than BMI. Della and the rest of the team made me feel welcome; they answered all my questions and involved me with their reflective supervision meetings.

Della displayed the values of HPFT to the highest standard to her patients, theirs families and all staff. Della is not expected to go above and beyond but she does this, without complaining and whilst seemingly enjoying it.

Della has all the attributes of an unsung hero, a hidden gem that is rare to find, never seeking attention and nor credit. She inspired me like the rest of her team did but she understood me deeper and more personally because her natural ability to nurture and support’.

Della is such a devoted nurse who is an absolute credit to the trust and we as a team feel so grateful to have her as part of our team.

Quote from Tina, Della’s supervisor: ‘I have had the pleasure of working with Della for several years now. Her loyalty to the team and HPFT, is outstanding. In a crisis situation Della leads with calm professionalism, and is a shining example to the team. She is warm, engages well with the young people she works with, and is a delightful member of staff. She is quiet in her approach and does not put herself in the limelight. It’s an honour to be her colleague and I cannot think of a more deserving winner.

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

HPFT was rated as outstanding overall at this year’s inspection.

We have been reviewed by commissioners (on a quality visit) which gave very positive feedback.

We are peer reviewed annually by the QNCC-ED with some very positive feedback.

We also consistently receive 100% positive feedback from the Friends and Family Tests.

We were asked to complete a peer review for another service by the East of England Network as we consistently meet the waiting time standards for young people accessing treatment.

Development and sustainability

How will you ensure that your service continues to deliver good mental health care?
Within our service we have a strong belief in parity of esteem (integration of physical and mental health) in order to protect our patient’s from harm caused by their illness.  We have a whole team approach and everyone working in it is invested in ensuring we continue to deliver to best care possible for young people are parents, to ensure they have the best chance of reaching health and achieving full recovery.

 

We have been advised that all CAMHS Eating Disorders Services will be receiving additional funding over the next two years and part of this funding will be allocated to additional Nurse Associate Posts.

 

What aspects of your service would you share with people who want to learn from you?

We are happy to share any aspect of our service with those who wish to learn from us.  We are active participants in peer reviews for other services.  We are also active members of the East of England Network and regularly share information about our service.  As an example, the manager recently presented to the network on physical health monitoring as our team was identified as ‘an example of good practice’.  We also offer training to anyone who requests this including schools and in the last four weeks (May/June 2019), ESMA (educational support for medical absence).

Feedback received:

Thank you so much for coming along to the ESMA training this morning.

Your presentation was fantastic and exactly the information and input the team needed, it will really help the ESMA teachers feel more confident and informed when supporting young people with Eating disorders, thank you’.

 

Size of population and localities covered:

Hertfordshire Partnership University NHS Foundation Trust provides health and social care for over 40,000 people with mental ill health, physical ill health and learning disabilities across Hertfordshire, Buckinghamshire, Norfolk and Essex. It delivers a range of nationally commissioned specialist services, including Tier 4 services for children and young people, perinatal services and medium and low secure learning disabilities services. It employs approximately 3,000 staff across 47 sites and 18 registered locations.

The Trust provides 426 inpatient beds across 38 wards, 16 of which are children’s mental health beds.  It provides mental health and learning disabilities inpatient care, along with treatment in the community for young people, adults and older people in Hertfordshire.  In addition, it provides: learning disability services in Buckinghamshire; well-being, learning disability and community-based mental health services for adults in Essex; and forensic and learning disability services in Norfolk.

The Trust’s work is driven by a very strong set of values: Welcoming, Kind, Positive, Respectful and Professional. It provides services which make a positive difference to the lives of patients, service users and their carers, underpinned by choice, independence and equality.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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