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The mental health nursing care provided for acute psychiatric patients

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Also try:Mental health services,Psychiatry,Psychiatric hospitals,Psychogeriatrics,Psychiatric units,Community mental health careDisplaying results 1 - 20 out of the top 500 results found. Next pageResults1. Mental health policy implementation guide: National minimum standards for general adult services in Psychiatric Intensive Care Units (PICU) and Low Secure Environments
This document presents the national standards for general adult services in Psychiatric Intensive Care Units and Low Secure Environments

2 May 2002

Publications section

2. The mental health nursing care provided for acute psychiatric patients
This study of 11 sites in three regions investigated how recent changes in the in-patient population of psychiatric wards are affecting the roles and job satisfaction of nursing staff. It also examined patients' perceptions of their nursing care. The authors found the acute in-patient mental health services under severe pressure. They describe the impact of this situation both on care quality and on nursing practice, and make a number of recommendations for health authorities, providers, local authorities and nurse educators. [Book abstract]

1 January 1998

Publications section

3. Patient care in the community community psychiatric nursing summary information for 2000-01 England
Details from this summary include that the number of first contacts with the CPN service has fallen to 564,000 in 2000-01, a fall of 4 per cent since the previous year. First contacts occured at a rate of 11 per 1,000 population with the highest rate of 38 per cent per 1,000 population for those aged over 85 years and the lowest at two per 1,000 population for those aged under 16. In all adult age groups more women (13 per 1,000 population) were seen than men (10 per 1,000 population). Initial contacts which measure the number of new episodes of care started in a year were 328,000 for 2000-01; six per cent less than the previous year. Of initial contacts 58 per cent were women. Hospital staff accounted for 24 per cent of referrals to the CPN service in this period.

20 September 2001

Publications section

4. Refurbishment of psychiatric wards availability of additional capital funding for 2002/3
This letter announces that an additional £10 million is available this financial year to spend on improving the environment of psychiatric acute inpatient care. NHS Mental Health Trusts and Primary Care Trusts which provide mental health acute inpatient care, are invited to consider projects in consultation with their local Acute Care Forum (ACF). Proposals should be sent to SHA mental health leads who are asked to oversee the distribution of the SHA overall allocation.

1 January 2002

Dear colleague letters section

5. An audit pack for monitoring the care programme approach
The care programme approach (CPA) refers to an approach used by specialist psychiatric services to assess the care needs of, and provide a package of care for, people with severe mental illness. This pack contains two booklets: one constitutes a monitoring tool for the CPA while the other provides background and explanatory notes about the content of the tool. The monitoring tool is intended as a self-audit instrument to help services identify organisation or practice issues which might benefit from further examination. Section A considers the structure required for successful CPA, covering the quality of inter-agency working, the presence of policies and procedures, and management and administrative support. Section B contains standards statements relating to each step of the CPA process and Section C looks at outcomes, suggesting some measures to indicate the extent to which CPA has benefited patient care. The person/s responsible, and appropriate methods, for monitoring each element of the tool are suggested. Cites 17 references.

1 January 1996

Publications section

6. Inspection of arrangements for care programme approach/care management Kirklees Metropolitan Council April 1998
The inspection found high levels of integration between health and social services at strategic planning, management and operational levels. A good range of services for people with mental health problems were available, including help for people with long- term mental illness, and some facilities available 24 hours a day. There were good links between mental health and primary health care services. The Care Programme Approach (CPA) was well integrated with the social services care management systems, particularly with regard to allocation of community care funding. Service users and carers were consulted about service design. Approved Social Workers (ASWs) and Community Psychiatric Nurses (CPNs) worked in integrated teams. The report makes 13 recommendations for improvements to the service. [Book abstract]PLEASE NOTE: The scanned image of this publication is not available.

1 January 1998

Inspection reports section

7. Patient care in the community community psychiatric nursing summary information for 2001-02 England
The information in this publication, about patient contacts with the Community Psychiatric Nursing (CPN) service in England is collected on Department of Health annual return KC57. Ten Trusts were not able to provide information about their CPN services for 2001-02. All other Trusts known to provide a service made a return for 2001-02, although a few returns were incomplete. Estimates have been made of the missing data.

25 September 2002

Publications section

8. SSI inspection of SSD arrangements for care programme approach/care management Birmingham, January 1998
The inspection of the care programme approach (CPA) for mentally ill people was carried out in Birmingham during January 1998. It was one of 15 inspections across the country. Inspectors considered the joint policy between the Social Services Department (SSD), Health Authority (HA) and Trusts for implementing the CPA was commendable but the interpretation of the criteria varied between social workers and community mental health nurses and some joint bias had been created. The CPA was health driven with psychiatrists determining what level of CPA was relevant. The SSD was experiencing considerable difficulties in negotiating the reprovisioning of service with the North Trust following the closure of two psychiatric hospitals. Care management was not well integrated with CPA and was confusing to service users and GPs. Considerable progress had been made but there were fundamental issues that required resolution before the implementation of the CPA could be considered effective. [Book abstract].

1 January 1998

Inspection reports section

9. Patient care in the community NHS community mental health nursing (formerly community psychiatric nursing) summary information for 2002-03 England
This publication provides information about patient contacts with the NHS Community Mental Health Nursing (CMHN) service (formerly Community Psychiatric Nursing service) in England. The information is collected on Department of Health annual return KC57. A copy of the KC57 is at the end of this summary.

24 September 2003

Publications section

10. Hospital hostels an evaluation of four psychiatric care facilities
This report presents a comparative evaluation of hospital hostels for the housing and treatment of people with long term mental illnesses. The quantitative and qualitative methods employed in the study were piloted at a single hospital hostel, and then applied in three further hospital hostels over a one-year period. The study aimed to identify key factors in the therapeutic effectiveness of hospital hostels. Its main finding was that effective outcomes tended to be associated with low levels of restrictiveness, and more specifically with levels of restrictiveness which were appropriate for residents' levels of disablement. A major recommendation is that the term long stay should be dropped in favour of rehabilitation hostels. A series of twelve appendices contain documents relating to the methods used, including questionnaires devised by the author. Cites numerous references.

1 January 1998

Publications section

11. In-patients formally detained in hospitals under the Mental Health Act 1983 and other legislation NHS Trusts, Primary Care Trusts, high security psychiatric hospitals and private facilities 2001-2002
The Booklet provides information on detentions under the Mental Health Act (MHA) 1983. People can be formally detained in hospital under various sections of this Act in the interests of their own health or safety or for the protection of other people. This booklet's main purpose is to present the data provided by individual Trusts, Primary Care Trusts (PCTs) and Health Authorities (HAs). HAs used to collate returns for private mental nursing homes in their area. From April 2002 the National Care Standards Commission (NCSC) performs this role.

28 March 2003

Publications section

12. Community care
Ambulance services, chiropody, clinical psychology, community mental health (psychiatric) nursing, contraceptive services, HIV/AIDS and sexually transmitted diseases, district nursing, health advice and support programmes, learning disability nursing, occupational therapy, physiotherapy, specialist care nursing, speech and language therapy, community and NHS maternity services.

27 July 2004

Health care statistics section

13. Patient care in the community community psychiatric nursing summary information for 1995-96 England
Department of Health publication

1 January 1996

Publications section

14. Patient care in the community community psychiatric nursing summary information for 1998-99 England
Department of Health publication

1 January 1999

Publications section

15. COMMISSIONED STUDIES: ONGOING PSI 19
Project title Inpatient discharge procedures: The effect of a protocol on the transition to primary care of psychiatric patients Lead researcher Mr Simon Naji, University of Aberdeen Project summary The proposed study will assess the impact of a discharge procedure for psychiatric patients in respect of both process and outcome. Approximately 500 patients due to be discharged from acute psychiatric inpatient care will be randomly allocated to the current standard discharge procedure or to a novel discharge protocol designed to facilitate prompt and appropriate care from the primary care team.

10 April 2003

A-Z section

16. COMMISSIONED STUDIES: ONGOING PSI 19
Project title Inpatient discharge procedures: The effect of a protocol on the transition to primary care of psychiatric patients Lead researcher Mr Simon Naji, University of Aberdeen Project summary The proposed study will assess the impact of a discharge procedure for psychiatric patients in respect of both process and outcome. Approximately 500 patients due to be discharged from acute psychiatric inpatient care will be randomly allocated to the current standard discharge procedure or to a novel discharge protocol designed to facilitate prompt and appropriate care from the primary care team.

11 December 2003

A-Z section

17. Patient care in the community community psychiatric nursing summary information for 1996-97 England
Details from this summary include an increase of four per cent in the number of face-to face contacts with CPNs for 1996-97 compared to 1995-96; with 54% taking place in the patient's home, 19% at health centres, GP premises and clinics, and 11% at a hospital site. First contacts had increased by seven per cent in this period to 567,000 compared to the previous year. First contacts occured at the rate of 12% per 1,000 population with the highest rate of 33% for those aged over 85 years and the lowest at three per cent for those aged under 16. More women (14% per 1,000 population) were seen than men (nine per 1,000). Initial contacts which measure the number of new episodes of care started in a year were 380,000 for 1996-97, of which 61% were with women. Hospital staff accounted for 23% of referrals to the CPN service in this period.

1 January 1997

Publications section

18. The primary care of schizophrenia a conference organised by Research and Development for Psychiatry and the Department of Health and chaired by the Royal College of General Practitioners
This publication contains papers based on presentations at a conference on the primary care of schizophrenia. It aims to provide insights into the nature of schizophrenia, and its effects on patients and their families. It also covers what can be done to help them, with the emphasis on general practice and other primary care support networks. Thecomplexity of dealing with schizophrenia in the community is stressed. A wide range of residential facilities, day care and community support is called for to cover the functions previously served by mental hospitals. The impact of this on GPs is discussed, as well as the relationship between community mental health and primary care teams in dealing with schizophrenia. The roles of health authorities are also discussed. Areas meriting further study are identified including : research into the epidemiology of schizophrenia; improving education about the illness; and developing long-term management protocols. References cited at the end of each chapter.

1 January 1996

Publications section

19. Inspection of SSD's arrangements for care programme approach/care management for adults with mental health problems Newham January 1998
This inspection was part of a national programme carried out by the Social Services Inspectorate (SSI) to evaluate the social services role in inter-agency co-operation in the provision of services for people eligible for registration on the Care Programme Approach (CPA) to mental health. An inspection team of two SSI inspectors, a nurse advisor, a researcher and a lay assessor interviewed users, carers and staff from the Newham Social Services Department and NHS in January 1998. They also saw housing staff from the local authority and independent sector, visited a residential care home and examined case records and other documents. The inspection found that, after a slow start in implementing CPA, a joint strategy for mental health services had been agreed in 1996, with a plan for action. Considerable effort had been put by all the agencies involved into securing additional resources needed to improve existing services. Three multi- disciplinary community health and two supported living teams had been set up. Priority should now be given to the co-ordination of CPA and care management and pulling services together into a coherent pattern with a comprehensive operational policy. An agreed model for risk assessment and management was urgently needed. The report made 26 recommendations. [Book abstract]PLEASE NOTE: The scanned image of this publication is not available.

1 January 1998

Inspection reports section

20. Social work practice with depressed mothers in child and family care
The link between maternal depression, child care and child welfare, together with its significance for policy and practice, has become increasingly acknowledged in recent years. Only recently, however, has this link begun to be reflected in social work research and practice. This book reports the results of a pathfinding study on work with depressed mothers in child and family care. It draws on research with over 300 families, and includes key aspects of interviews with nearly 100 depressed mothers and their social workers. Amongst the main issues examined are implications of maternal depression for partnership; child protection; family support and the needs of both the mothers and children. The findings include detailed analysis of the processes and practice, including the women's experiences of these processes. These findings have major implications for policy and practice in the areas of both childcare and mental health, and recommendations are made for the future. [Book abstract]

9 February 2001

Publications section

PLEASE DO NOT GIVE UP HOPE FOR LIGHT !!!!!!!

KIND REGARDS COMMUNITY VOLUNTARY TEAM

PATIENT SAFETY KEY DOCUMENTS

The Independent victims helpline (uk)
Patient safety key documents
DH-published documents about patient safety.
Coding for Success: Simple technology for safer patient care
Published: 16 February 2007

New guidance to promote and support use of auto identification (barcoding and similar technologies) to increase patient safety and improve efficiency has been launched. There is evidence of real improvements to patient safety when coding systems are used to match patients to their care – reduced medication errors, reduced risk of wrong site surgery, accurate track and trace of surgical instruments, equipment and other devices and much better record keeping. Using coding to manage supplies and purchasing electronically can cut costs dramatically as well as improve efficiency.

This document has been written in partnership with DH, NPSA, MHRA, CfH and PASA. It recommends both industry and NHS adopt the GS1 system of coding standards and sets out an action plan that supports both NHS and industry.


Coding for Success: Simple technology for safer patient careSafety first: a report for patients, clinicians and healthcare managers
Published: 15 December 2006

This report was commissioned by Sir Liam Donaldson, Chief Medical Officer, to reconsider the organisation arrangements currently in place to ensure that patient safety is at the heart of the healthcare agenda. The report makes a number of key recommendations to build on the progress already achieved in embedding patient safety in the NHS.

Safety first: a report for patients, clinicians and healthcare managersRisk assessment of spinal procedures
The Chief Medical Officer's report An Organisation with a Memory set a goal for reducing to zero the number of patients dying or being paralysed by maladministered spinal injections. Among other measures toward this target, the Department of Health has been working to identify a safe spinal connector solution. The National Patient Safety Agency recently produced a risk assessment of spinal procedures with current safeguards and with three proposed new connector design options. An executive briefing explores Department of Health work to date.

Download Executive Summary (PDF, 33K)Design for patient safety
Published: 01/02/2004

The Design for Patient Safety report was jointly funded by the Design Council, a body that advises businesses and organisations on design, and the Department of Health. It follows an initial study undertaken by teams at The Robens Centre for Health Ergonomics, The Helen Hamlyn Research Centre and the Cambridge Engineering Design Centre.

Design for patient safetyHSC 2003/010 - Updated national guidance on the safe administration of intrathecal chemotherapy
This circular sets out the minimum requirements of an NHS Trust providing an intrathecal chemotherapy service. It also sets out what to do in the exceptional circumstance where an intrathecal chemotherapy procedure needs to take place in a Trust that should not normally provide this service. This guidance replaces circular, HSC 2001/022.

HSC 2003/010 - Updated national guidance on the safe administration of intrathecal chemotherapyAnnual report of the Chief Medical Officer 2002
This annual report highlights selected health issues from 2002 and the actions taken to overcome health problems.

Annual report of the Chief Medical Officer 2002Delivering the NHS Plan: next steps on investment, next steps on reform
Published: 18/04/2002

In this document the Secretary of State for Health presented a progress report on the NHS Plan. He detailed what had been achieved to date and the programme of changes yet to come. This document presented a progress report on the NHS plan up to 2002. Achievements to this point and planned changes to the programme were detailed.

Delivering the NHS Plan: next steps on investment, next steps on reformBuilding a safer NHS for patients - implementing an organisation with a memory
Published: 17/04/2001

'Building a safer NHS for patients' sets out the Government's plans for promoting patient safety.

Building a safer NHS for patients - implementing an organisation with a memoryExternal Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001
Published: 19/04/2001

The report details the work of the enquiry into the circumstances surrounding the death of this patient, who received, by intrathecal (spinal) administration, the correct treatment followed by Vincristine which 'should never be administered by the intrathecal route because it is nearly always fatal'.

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001The prevention of intrathecal medication errors: a report to the Chief Medical Officer
Published: 19/04/2001

Administration of Vinca alkaloids such as vincristine by the spinal route, rather than intravenously, invariably causes death or neurological damage. This catastrophic clinical error has arisen because of confusion of the drug with a cytotoxic agent intended to be given intrathecally (usually methotrexate). Five such incidents have occured in NHS hospitals in the past decade, representing an estimated rate of about three per 100,000 intrathecal chemotherapy treatments. This report adopts a systems approach to identify factors which have contributed to these errors and explores safety measures to reduce risk. Recommendations are made for an immediate action plan, implemented by national guidance and reinforced by clinical governance. Key elements are: formal designation within each Trust of medical staff competent to give intrathecal chemotherapy; steps to ensure that intrathecal and intravenous cytotoxic drug treatments are given at different times, by different people and in different clinical locations. Cites 10 references [Book abstract]

The prevention of intrathecal medication errors: a report to the Chief Medical OfficerAn organisation with a memory
Published: 13/06/2000

Adverse health care events cannot be eliminated from complex modern health care but the recommendations of this expert group are designed to ensure that lessons from the past are used to reduce the risk to patients in the future. The cost of adverse events is increasing; there is also a distressing similarity present in some of them. With clinical governance comes an opportunity to focus upon this problem. The extent of the serious failures in healthcare is outlined but the reporting and information systems of the NHS give an incomplete picture. Very little research on reporting and information systems has been done in UK. Specific types of adverse events are seen to repeat themselves at intervals, thus demonstrating that lessons have not been learned. To make progress four key areas need to be addressed throughout the service; these are detailed in ten recommendations. Cites 69 references in chapter order.

An organisation with a memory

PATIENT SAFETY

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Patient safety
Ensuring the safety of everyone who comes into contact with health services is one of the most important challenges facing health care today.
About patient safety
Patient safety is the process by which an organisation makes patient care safer. This should involve : risk assessment, the identification and management of patient-related risks; the reporting and analysis of incidents; and the capacity to learn from and follow-up on incidents and implement solutions to minimise the risk of them occurring (source: Seven steps to patient safety)

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The National Patient Safety Agency (NPSA) is a Special Health Authority created to co-ordinate the efforts of all those involved in healthcare, and more importantly to learn from patient safety incidents occurring in the NHS.

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A new, flexible IT system for distributing alerts, CAS subsumes the Safety Alert Broadcast System (SABS) and Public Health Link (PHL) into a more robust and suitable technology for distributing safety alerts, emergency alerts, drug alerts, Dear Doctor letters, and MDA alerts.

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