Safer Care Pathways in Mental Health Project aims to make mental health care pathways safer and more reliable for service users and their families. It is one of ten projects in the national ‘Closing the Gap in Patient Safety’ programme, funded by the Health Foundation.
The project aims to support clinical teams with care pathway improvement and clinical practice improvement in mental health care, making these pathways safer and more reliable for service users and their families. We are focusing on dementia care pathways and adult mental health care pathways.
The Safer Care Pathways project involves all of the five mental health trusts in the East of England, the Cambridge University Engineering Design Centre (as part of the CLAHRC – Collaborations for Leadership in Applied Health Research and Care), University of Hertfordshire and University of East Anglia. We aim to work with all stakeholders including service users, carers, mental health voluntary groups, social care, primary care, and commissioning groups.
There is a project board consisting of all project partners which meets every three months. Oliver Shanley, Deputy Chief Executive at Hertfordshire Partnership NHS FT, chairs the project board. There is a service user adviser and carer adviser on the board. The board reports to the Health Foundation.
There is a project site in each of the five mental health trusts in the East of England:
|North Essex Partnership University NHS Foundation Trust (Colchester)||Older adults functional care ward, and dementia care ward|
|Norfolk and Suffolk NHS Foundation Trust (Norwich)||Dementia care ward and community team (DIST)|
|Cambridgeshire and Peterborough NHS Foundation Trust (Cambridge)||Dementia care ward and older adults functional care ward|
|South Essex Partnership University NHS Foundation Trust (Basildon)||Adult acute ward and CRHT|
|Hertfordshire Partnership University NHS Foundation Trust (Hatfield)||Adult acute day treatment unit and CRHT|
The anticipated outcomes across all project sites include:
- Care pathway and clinical practice improvements – safer and more reliable care
- Strengthened patient safety culture in the care teams
- Acquired patient safety skills in organisations
- Shared learning between organisations
- Improved understanding of the interventions and the application of these in a mental health setting
The Safer Care Pathways in Mental Health project has been making good progress. During the autumn we completed our baseline evaluation data collection and care pathway mapping at our five project sites. We then held a regional a one-day introductory training for the patient safety intervention, followed by a dedicated system safety assessment (SSA) workshop for each of our five care pathway sites. The system safety assessment process was previously called prospective hazard analysis or PHA. This has led to a completed patient safety diagnostic on their chosen care pathway and enabled the clinical teams to prioritise future risks for service improvement activity . Wherever possible we have involved service users and carers in this process.
Next steps in system safety assessment
During February and early March we will complete the SSA second stage with all the project sites. This involves using the Active Risk Control tool (ARC) which helps with identifying and evaluating safety solutions. This process helps teams to move away from an over-reliance on administrative solutions and move more towards designing out risks. Each site will develop and take forward a patient safety improvement project plan from this process.
Human factors training programme 2015
From March through to October, there will be an intensive training programme in human factors in patient safety. Patient safety champions (five from each trust) will undertake a five day training and coaching programme in human factors, and all other clinical team staff will have a one day introduction to the human factors approach. During this period we will also be supporting trust project sites with their patient safety improvement activity, and continuing to evaluate the intervention.
Regional Project Learning Event – 2 July 2015, Newmarket Racecourse, Newmarket
We have recently had a very successful project learning event recently on 2 July which aimed to;
- Provide an overview of project progress ‘One Year on’,
- Share the baseline evaluation findings
- Share the learning and progress from all of the project sites on their safety improvement work to date
- Provide an opportunity for all project stakeholders to work on planning the next phase of the project up until June 2016, including service user and carer involvement
The slides from the event are below;
Service User and Carer Leaflet
|Tim Bryson (Project Manager)||firstname.lastname@example.org|
|Jeremy Wallman (Project Officer)||07719555412||Jeremy.email@example.com|
|Charlotte Copley (Project Administrator)||firstname.lastname@example.org|