Service Improvement Project in Older Persons Mental Health

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Service Improvement Project in Older Persons
Mental Health

• Janice Sheath, Project Manager
• Joanne Schofield, Project Leader
• Ian Watson-Co Chair Standard 7 NSF
• Diane Williams, Action Learning Set

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Main objective of the project

• To bring about sustainable improvements in the
  quality of care in Older Peoples Mental Health
  Services in Warrington

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Aims

• To make patient and public involvement real and
  meaningful
• To examine the quality of the current services
  from a user and carer perspective
• To identify areas for improvements and to
  formulate action plans to deliver sustainable
  improvements
• Identify gaps between user/carer/staff
  expectations or aspirations and current service

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• Contribute to a wider older peoples strategy for
  Warrington and the Borough/Trust business plans
• To provide personal development opportunities for
  the participants of the project
• To create a pool of staff within the Borough
  competent in the service improvement
  methodologies and change techniques
• Examine the feasibility of expanding the PDU
  status of Oakdene to include the whole service
• To improve staff morale and boost recruitment and
  retention
• To introduce and support the concept of self
  directed teams

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Project Plan

• Scope the overall plan to determine what should
  be included in respect of in-patient, day care
  and community elements of the service
• Establish a partnership with NIMHE North West who
  would act as partners in facilitating the process
  of change
• In conjunction with the Older Persons Strategic
  lead, determine baseline information re best
  practice, effectiveness and staffing

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• Examine the cross cutting issues with other
  services
• Identify a service improvement group willing to
  engage with the project
• Provide access and opportunities to training for
  the participants to enhance participation/confiden
  ce/skills
• Equip the service improvement group with the
  modernisation methodologies
• Ensure comprehensive consultation regarding
  service improvements with all stakeholders

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• Provide access/awareness raising of key National
  policies which may influence the development of
  services e.g. Choice Agenda, NSF etc
• Create key linkages across the Borough to
  influence and drive change
• To develop agreed methods of evaluation/audit to
  measure the implementation/impact of change

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Planned outcomes of project

• Patient, carer and community participation
  increase as a result of the project
• Participants reflect/ report on having a positive
  experience of being fully engaged in the process,
  resulting in increased ownership of the Older
  Peoples Mental Health Service
• That services act on what users and carers tell
  us and treat them in accordance with their wishes
• Care is provided in a way that we would also wish
  to receive

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• Older Peoples MH service is shaped/influenced
  from a service user perspective
• Evidence of service improvements which are
  sustainable
• Individuals participating in the project report
  an increase in knowledge and skills with which to
  contribute to service improvement
• Participants report an increased
  awareness/understanding of key National policy
  drivers
• Partnerships are strengthened
• Agree performance and monitoring measures that
  support clinical governance and can inform
  Healthcare Commission reviews

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• Older persons NSF standards are achieved and
  sustained
• Realistic and user/carer driven elements of
  choice and access are implemented
• Have greater clarity about the level of service
  that should be delivered by each of the component
  parts i.e. in-patient, day care and community
  services
• Sustain and support the culture of innovation

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Action Learning Model

• A continuous process of learning, supported by
  colleagues,working on real problems through
  questioning and reflecting, with the intention of
  finding solutions to problems and in doing so,
  develops both the individuals and the
  organisation

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L E A D E R S H I P
STEERING GROUP
STAKEHOLDERS
SERVICE IMPROVEMENT PROJECT
ACTION LEARNING SET
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My Experiences as a member of the Action
Learning Set by Diane Williams, Staff Nurse,
Beckett Day Unit-"Being Realistic- We are not
going to change the older peoples service
overnight, but small changes can bring rewards to
all! "
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• Current Work-
• Conference held on Mar 07th
• Over 80 attendees from throughout Warrington
• 32 community members formed sub group to assist
  Peter Fletcher with the process
• Several members invited to mapping event and
  attended

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• Patients journey through services mapped in 4
  stages
• Positive mental health and community
• Primary Care
• 3.Secondary Care
• 4. Rehabilitation, continuing care and community

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• Nimhe North West co- facilitated the event
• Eight groups each identified one quick win
• Soft Targets and formidable tasks also identified

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Andrew Keefe from Nimhe North West said- The
level of community involvement in this project is
a credit to the 5 Boroughs and Nimhe are proud to
be associated with it
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• Way forward-
• Proposal to extend Oakdenes PDU status across
  Warrington Older Peoples in patient services
• Findings from the day are being taken forward
  into the mental health section of the Older
  Peoples strategy for Warrington- by Peter
  Fletcher associates (commissioned by PCT and
  Borough Council)

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