In-patient food report: Lambeth

SLaM Trust Wide Involvement Group feel that mealtimes are an important part of the day, that food should be a pleasure to eat and that the whole mealtime experience should be good.  SLaM Trust Wide Involvement Group, in partnership with the Psychosis Clinical Academic Group, has undertaken a survey in order to improve the content and context of mealtimes for in-patient service users in Lambeth.

This bench-marking survey was carried out to ascertain how service users currently feel about the food provided and the whole mealtime experience.  This will provide a baseline against which to measure any improvements or changes.

Diners were interviewed on six wards at Lambeth hospital; Eden, LEO, Luther King, McKenzie, Nelson and Tony Hillis.  They were asked to rate each mealtime in terms of quality, choice and portion size.  Additional comments were also noted.

The dining environment was noted and commented on by the interviewers.

The initial findings have shown that the diners are generally satisfied with the portion size but ideally would like to have an increased range of foods to choose from.  Suggestions were received that the occasional cooked breakfast would be welcome.  Service users also expressed their dissatisfaction that the 9.00 p.m. sandwich provision had been withdrawn.  As a result of this the matter is going to be discussed with hotel services.

Food Project Lambeth – 31 October 2012

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Psychosis CAG focus group and content analysis work

Please find attached three project documents from consultations TWIG Ops did for the Psychosis CAG recently.

final coming in

final assessment

final care planning and treatment


Improving the content and context of mealtimes for in-patient service users in Lewisham

A partnership project between: The Psychosis Clinical Academic Group and TWIG Ops

Benchmarking report here: benchmarking Food Project Lewisham


SLaM Trustwide Privacy & Dignity Strategy

As part of the development of a Trustwide Privacy & Dignity Strategy, Natalie Warman (Assistant Director of Nursing with responsibility for physical healthcare) approached the Operational Trustwide Involvement Group in Summer 2011.

The operational arm of the Trust Wide Involvement Group is designed to ensure that a wider range of service users are involved in the improvement and development of SLaM [South London & Maudsley] services, and to look across the Trust and externally to influence and develop good practice, innovation and service user research.

The aim of this consultation was to engage people with experience of using SLaM services in the process of identifying what is important to service users and carers about privacy and dignity.

Read the report here: Privacy and Dignity report

Summary, reader- and presentation-friendly version, with images here: P&D summary and pictoral

Please note we published an incomplete project team list in an earlier version of both of these documents. They were reposted on 7 May: the changes affect page 1 of the report and page 2 of  the pictorial summary. Apologies.


Involvement good practice: Beresford Project

Ex-service user programme to improve treatment engagement and utilisation at the Beresford Project

Introduction

There are many different reasons why service users do not attend their first appointments or fully engage in treatment. This project demonstrates how ‘peer mentors’ or ‘advocates’ can be successfully used to help service users take the initial steps into treatment and to utilise services to maximise their opportunity for recovery.

 Aim

The service user engagement project was designed to improve service user engagement in the treatment process and aid long term recovery.

Objective 1:

A focus group of ex-service users identified what was daunting about first appointments. They were also asked for solutions to these issues and feedback included the idea of using ex-service users to greet and work with new service users at the Beresford. Ex-service users or ‘peer mentors’ on honorary SLaM contracts are now based in reception to answer questions and give service users advice about initial treatment processes.

Objective 2:

Peer mentors, as well as volunteers, now phone new service user to remind them to attend their initial assessment appointments and answer any general queries. Research has shown that interventions like this increase attendance at first appointments. During these phone calls, service users are able to re-book these appointments if necessary. All outcomes from these contacts are passed onto key workers.

Objective 3:

Volunteers or peer mentors are also there to support service users attending other external appointments such as those with their GP, day programme or benefits offices etc.

Objective 4:

There is now an NHS Mail text messaging service at the project so text messages can be sent from SLaM computers to service user’s mobile phones. Once peer mentors have SLaM email access they will be able to remind service users of appointments and other events such as taking their prescribed medication.

Other initiatives at the Beresford Project involving peer mentors include:  

  • Video role plays to enhance training materials
  • Co-facilitation of academic and local clinical training
  • Development of a Beresford service user group
  • Creation of resource materials / room at the Beresford
  • Developing links with community projects
  • Supporting clients in preparation and through inpatient and community detox
  • Attending business meetings / training events at the Beresford

Guidance and recommendations for Service Line Managers and Team Leaders

To use and adapt this successful four stage programme to improve numerous service user engagement and involvement initiatives in your teams.

For further information please contact Dr Tim Meynen, Consultant Clinical Psychologist and Greenwich Lead Addictions Psychologist, South London and Maudsley NHS Foundation Trust, Beresford Project,36-42 Hare Street, Woolwich,London,SE18 6LZ, Telephone: 020 3228 1700

Printable version here: Beresford Project Good Practice SLaM


SLaM Arts Strategy Service user content analysis report

Ten service user focus groups, made up of about 100 participants and led by service user consultants, were facilitated across SLaM in 2011 asking the following questions:

Q1: What art groups do you use or have you used?

Q2: In what ways does being involved in the Arts in SLaM and outside help your recovery?

Q3: What barriers have you experienced to being more fully involved in arts opportunities in SLaM and elsewhere?

Q4: How would you improve the current provision within SLaM?

The project team sought advice from Joe Oliver and his colleagues: Joe consulted Dr Diana Rose, who recommended a content analysis of the data.

The analysis team: D Rosier, Vanessa Bray, Liz Dalton, Bridget Pearce, Daniel Bollingbroke, Carmine De Rosa and Helen Shearn derived & prepared the following 7 high level themes and reports: Therapeutic, Creativity, Stigma, Access, Financial, Affirmation and Recognition, Relationships.

Read the findings report here:  Arts strategy Service user content analysis report


Nightline audit wins first prize at HQIP national awards

The HQIP National Audit Awards and Conference 2011 took place on 10 and 11th October at the Mercure Hotel, Manchester.

A total of 14 NHS organisations were shortlisted for the five awards, including the only double-nominee – South London and Maudsley NHS which was nominated in the Patient and Public Involvement (the Crisis Helpline Audit) and in the Sustained Improvement categories (Audit of Antipsychotic use in Inpatients with diagnosis of Dementia).

The Crisis Helpline Evaluation was announced as the Winner in it’s category of Patient and Public Involvement.  The judges commented that the project was exemplary as it demonstrates the value of including service users in all stages of an audit project from choosing a topic to developing recommendations and implementing changes.  The prize and certificates were collected by Dr. Martin Baggaley, SLaM Medical Director and Sheila Woodward, Corporate Audit Project Manager on behalf of the Audit Lead, D Rosier, Service User Consultant who was unable to make the ceremony.  For further information and to view the poster presentations of either of the SLAM projects, please visit the HQIP website intranet site  http://www.hqip.org.uk/hqip-clinical-audit-awards-2011-and-the-winners-are/