A positive and proactive workforce Thursday 26 th June 2014, Birmingham Jim Thomas Marie Lovell.
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A positive and proactive workforce Thursday 26 th June 2014, Birmingham Jim Thomas Marie Lovell
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Transcript of A positive and proactive workforce Thursday 26 th June 2014, Birmingham Jim Thomas Marie Lovell.
A positive and proactive workforceThursday 26th June 2014, Birmingham
Jim Thomas Marie Lovell
Positive and proactive care, &A positive and proactive workforce
All of social care and health
A positive and proactive workforce – SFC & SFH, part of the picture
Skills for Care– NHS Protect
– Mental Health Crisis Care Concordat
– NHS England and LGA Core Principles Commissioning Tool (for services for people who display behaviour that challenges)
– NICE
– Mental Health Act Code of Practice
Page 8
Children and young peopleChildren and young people
People in acute health crisis
People in acute health crisis
People with mental health
problems
People with mental health
problems
NICE Guideline due 2014 / 15Violence & Aggression
People with dementia
People with dementia
Everyone
The Positive and Safe programme
Safewards; making psychiatric wards more peaceful places
DH (due 14 / 15) Positive and Proactive: guidance on support and care of children and young people
People who have a learning
disability / autism
People who have a learning
disability / autism
A place I call home. Winterbourne View Joint Improvement Programme
People in secure settings
Current on-going work, allied projects and future products
NICE Guideline due 2014 / 15, Challenging Behaviour & Learning Disability
Deaths in CustodyHigh level principles
Ministry of JusticeSafer custody: NHS care in prison
Mental Health Crisis Care Concordat
Royal College of Psychiatrists
Health Education England
Care Quality Commission
RCN members’ forum
Restraint Free Futures
NHS England 1. Physical restraint as a patient safety incident 2. Reporting NRLS Safety Board3. Mental Health Expert Working group to consider whether physical restraint will be a priority
Independent restraint advisory panelCare Bill 2014
Review of the Mental Health Act 1983 / 2008 Code of Practice.
More than just ‘restraint’
Page 12
Is this a planned restriction as part of a care plan?
Is there a real risk of serious harm to the individual or someone else?
Does the person have the mental capacity to make
this decision themselves?
has every effort been make to help
them decide ?
Is a restriction in their best interests?
does the restriction need to
be carried out now?
Is the person detained under the mental health act?
Is the restriction necessary for their
treatment?
Is this the least restrictive option?
Key Questions
Pages 15 and 16
A positive and proactive workforce
Who is ‘the workforce? What do they do? where?
When? What skills knowledge,
attitudes do they need? And what do they already have?
When and how can we develop the skills that are needed?
Developing workers to minimise all restrictive practices.
Restrictions
difficulties
Five steps to Mental Wellbeing
How well do our services support people to follow this advice?
http://www.nhs.uk/conditions/stress-anxiety-depression/pages/improve-mental-wellbeing.aspx
1. Connect with family, friends, colleagues and neighbours.
2. Be active – Take a walk, go cycling. Find the activity that you enjoy and make it a part of your life.
3. Keep learning – learning new skills can give you a sense of achievement and a new confidence. So why not a cooking course, learning to play a musical instrument, or to fix your bike?
4. Give to others – even the smallest act can count; a thank you or a kind word. Or volunteering at a community centre.
5. Take notice – be more aware of the present moment; feelings and thoughts, your body and the world around you; "mindfulness"
“people” who use the service and those who work there!
Evidence Risk what is a MICROMORT!
http://understandinguncertainty.org/
Professor David Spiegelhalter FRS. Winton Professor of the Public Understanding of Risk. Statistical Laboratory in the University of Cambridge.
Clown Target Obviously safer
and listen to the murmur of the cottonwood trees,
Send me off forever but I ask you please, “Don't fence me in” “Just turn me loose”
“Let me be by myself in the evenin' breeze,
“I want to ride to the ridge where the west commences, and gaze at the moon till I lose my senses”
“I can't look at hobbles and I can't stand fences”
Risk
“Physical health and safety can sometimes be bought at too high a price in happiness and emotional welfare. What good is it making someone safer if it merely makes them miserable? . . And if this is where safeguarding takes us, then is it not, in truth, another form of abuse?”
Lord Justice Munby
MICROMORT!
http://understandinguncertainty.org/
Professor David Spiegelhalter FRS. Winton Professor of the Public
Understanding of Risk. Statistical Laboratory in the University of Cambridge.
MICROMORT!
http://understandinguncertainty.org/
Professor David Spiegelhalter FRS. Winton Professor of the Public
Understanding of Risk. Statistical Laboratory in the University of Cambridge.
“I felt sick at the thought of sedating him. The staff made it clear that giving him ‘something to help with the behaviour’ would speed up the condition and he would deteriorate quickly.
They said that if I didn’t agree, he would have to be moved to another home, if I did agree he would die sooner!
Even now, I still feel I killed him. As the eldest it was my responsibility to make the decision. I know we discussed it as a family, I know we all agreed it was for the best for him and those around him………but I still feel I killed him.”
Sister of a man with dementia
Please
Questions
