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Quality Account
2
Contents
Review of performance 14
Achievements in physical healthcare 15
Case study 16
Clinical tool used by Elysium 18
Benchmarking through peer review 20
Evaluating care 21
Positive risk taking and restrictive practice reduction 22
Regulation 22
Department of Health mandatory indicators 23
Part 3
Our quality objectives for 2017/2018 8
Statement of assurance from the Board 9
Participation in national clinical audits 9
Participation in clinical research 9
Use of CQUIN 10
Statement from the Care Quality Commission and Health Inspectorate Wales 11
Data Quality 11
Information Governance Toolkit 11
Clinical coding error rate 11
Governance 12
Part 2
Our history 3
Our objectives 3
Our values 4
Our services 4
Our sites 5
Board statement on quality 2016/17 6
Part 1
Quality Account3
Elysium Healthcare was formed in December 2016
and is led by Joy Chamberlain, Chief Executive Officer.
The company was formed following the divestment
of 10 sites from Partnerships in Care (previously led
by Joy Chamberlain) and 12 sites from the Priory
Group, both of which were owned by Acadia, a US
listed healthcare company. The divestment was
a result of competition issues identified by the
Competition and Markets Authority.
Elysium entered the market with 22 sites and quickly
acquired Raphael Healthcare adding a further 2 sites to the
portfolio. This brought together three hospital groups that
excelled in the delivery of specialist healthcare provision.
The result is a blend of best practice, best systems and
innovation together with a person centred focus on staff,
patients and residents.
Our history 1: Our objective is to make a difference in
all that we do and encourage hope and
optimism for the future of our staff and
those in our care.
2: We will provide specialist services to patients
and residents which encompass the complete
pathway creating continuity of care.
3: Our focus will always be that each and every
person is unique and this will be reflected in
the individualised care people receive.
4: We will focus on harnessing the digital age.
We will invest in technology, electronic
systems and unique digital visualisation
system for those in our care.
5: We will care for our staff team. Without them
we could not deliver exceptional care.
Our objectives
Part 1
Our history and our objectives
Part
1
4
In March 2017 we consulted with our patients,
residents, staff, management team and our Board on
our values. Shared values unify us and set the standard
for how we manage our decisions and our actions as a
company. Here is what the people of Elysium stand for:
Elysium provides specialist healthcare to
patients and residents with a vast array of
needs including services for those with mental
ill health, learning disabilities and neurological
conditions. We also provide specialist services
for young people, including education.
Our portfolio of services include:
Our values Our services
so we drive forward the standards and outcomes of careInnovation
to encourage all to lead a meaningful lifeEmpowerment
because in partnership we can deliver transformational careCollaboration
because we are ethical, open, honest and transparentIntegrity
show respect, consideration and afford dignity to allCompassion
CAMHS
Eating Disorder Services
Residential Children’s Homes
Adult Rehabilitation Services
Adult Acute Services
Adult Addiction Services
Adult Autism Services
Adult Psychiatric
Intensive Care Units (PICUs)
Adult Low Secure Services
Adult Medium Secure Services
Adult Neurological Services
Adult Private Patient Services
Quality Account5
Our sites
Acute / PICU / HDU services
SItE LoCAtIoN
Arbury Court Cheshire
Potters Bar Clinic Hertfordshire
Brighton and Hove Clinic East Sussex
The Spinney Manchester
Thornford Park Berkshire
Secure Services
SItE LoCAtIoN
Arbury Court Cheshire
The Spinney Manchester
Wellesley Somerset
Cefn Carnau South Wales
Chadwick Lodge and Eaglestone View Buckinghamshire
Farmfield Surrey
Thornford Park Berkshire
The Farndon Unit Nottinghamshire
CAMHS Eating Disorder Services
SItE LoCAtIoN
Rhodes Wood Hospital Hertfordshire
Rehabilitation
SItE LoCAtIoN
Recovery First Widnes, Cheshire
Ty Gwyn Hall Gwent, Wales
Aderyn Monmouthshire, Wales
The Copse Weston super Mare, Somerset
Rosebank Reading, Berkshire
Bromley Road Catford, London
Braeburn House Salford, Manchester
Three Valleys Hospital West Yorkshire
Brierley Court Manchester
Spring Wood Lodge Leeds
Sturt House Walton on the Hill, Surrey
St Neots Hospital Cambridgeshire
Private Patient Services
SItE LoCAtIoN
Rhodes Wood Hospital Hertfordshire
Brighton & Hove Clinic East Sussex
Part 1
Our values, services and sites
6
Our Quality Account for 2016 / 2017 reflects our
formation as a new company which came together just
before Quarter 4 in 2016. Our statement therefore
signifies this short period of operations.
In the months since our inception we have
concentrated on the integration of the sites
to bring together seamless systems, improved
information technology and delivery of care. This
has been challenging and not without its ups and
downs but we have been proud of how staff have
supported the process which in the end enables us
to deliver higher capabilities within each site. We
are grateful for the support we have received from
Commissioners whilst we navigated this transition.
The quality of our buildings is important to us. We
agreed additional investment for a number of sites
to enable them to provide an environment which
is conducive to the best setting for recovery. It was
also important to look at gaps in the care pathway
and embark on a strategic plan to deliver seamless
care at all levels. Our achievements in both these
areas will be shared in our first full Quality Account in
2017 / 2018.
Our governance framework was a critical area to
harmonise as quickly as possible. We ended Quarter
4 in a position where all sites had implemented the
new governance framework and moving into the new
financial year we will ensure practice is embedded
and that the golden thread from Ward to Board and
Board to Ward is truly effective. This has been further
supported across our teams with the implementation
of our staff guide, Quality Governance at Elysium
Healthcare: A guide for all staff.
Board statement on quality 2016/2017
Quality Account7
In healthcare, our workforce is key to our ability
to deliver the best and most compassionate
care possible. To this end we have invested in
core events which have given staff groups the
opportunity to come together to share concerns,
ideas, best practice and lessons learned. It has also
given us as a Board the opportunity to speak to
staff directly to impart our commitment first and
foremost to clinical excellence.
The Board is satisfied that the data presented here
is of a high quality and that it evidences our first
four months of operations. We look forward to
next year when we will be able to present a full
account for Elysium Healthcare.
Joy ChamberlainChief Executive Officer
Dr. Quazi HaqueExecutive Medical Director
Steven WoolgarDirector of Policy & Regulation
Part 1
Board Statement
8
Priority 1: Delivering the Service (providing high quality care)
Complete harmonisation
Embedded governance
Harmonisation of practice and policies
Priority 3: Knowing how we are doing
(quality assurance framework)
Compliance with regulatory standards
Implementation of the Elysium
Quality Governance Strategy
Priority 2: Improving what we are doing
(quality improvement)
Consolidation of It systems
Creation of best practice networks
Implementation of Quality Improvement
objectives and delivery plans (CQUIN)
Updating of clinical models
Our quality objectives for 2017 / 2018In selecting our quality objectives for 2017/2018 we have reflected on feedback from our
key stakeholders including staff, patients, NHS England, Clinical Commissioning Groups, our
peer networks and the CQC. We have also continued to focus on our need for harmonisation
across the group. We have prioritised three core areas for improvement.
2
Part
Quality Account9
Our statements of assurance from the BoardDuring the year ending 31 March 2017 Elysium Healthcare provided six types of services on behalf
of the NHS. Elysium has reviewed all the data available to us on the quality of care in all six of these
NHS services. The income generated by the NHS services reviewed in the year ending 31 March 2017
represents 100 per cent of the total income generated from the provision of NHS services by Elysium
Healthcare for the year ending 31st March 2017.
Our quality objectives for 2017/2018
Part 2
Participation in national clinical audits
During the year ended 31 March 2017, no national clinical
audits and no national confidential inquiry covered NHS
services that Elysium Healthcare provides.
The national clinical audits we were eligible to participate in for
the year ended 31st March 2017 were:
n Prescribing Observatory for Mental Health (POMH-UK)
Participation in clinical research
All research involving patients receiving care within
Elysium is subject to approval as described in the
Elysium Research Policy which provides details on
ethical approval and data security.
10
Adult Secure Services (ex-Partnerships in Care sites)
CQUIN Action Q4 Result
Recovery Colleges Implementation of peer led education and training
programmes ✔
Quality Innovation Productivity and Prevention
Refining and reporting on the innovation PathNav
system (see PathNav description) ✔
Reducing Restrictive Practice Training, governance and evaluation relating to
reducing restrictive practice ✔
CAMHS Services
CQUIN Action Q4 Result
Improving care pathway journeys by enhancing the experience of family/carer
Implementation
of audit and
improvement plan ✔
Comprehensive and collaborative assessment of young people’s readiness for independent and successful adult life and identifying individuals’ areas for development
Development of
life skills care plan,
delivery of training
and engagement✔
Use of the CQUIN framework
A proportion of Elysium’s income in the year ending 31st March 2017 was conditional
on achieving quality improvement and innovation goals agreed by the previous owner,
Acadia Healthcare (The Priory Group and Partnerships in Care) and any person or body they
entered into a contract, agreement or arrangement with for the provision of NHS services,
through the Commissioning for Quality and Innovation payment framework.
Elysium Healthcare is only able to state the outcomes for Quarter 4 of 2016 / 2017.
Quality Account11
Our quality objectives for 2017/2018
Part 2
CollaborationInnovation
Empowerment
Harnessing the digital era: Introducing the Pathnav app
Pathnav is a unique software application written to create a visual journey
of care. It promotes genuine collaboration between clinicians and the
patient and enables the patient to be a true partner in their care. The
application focuses on care pathway outcomes and maps each stage of
the recovery journey so the patient can see where they were, where they
are now and what is on the horizon for the future, promoting hope for
recovery. The intense focus aides the patient and the clinical team to
work together reducing length of stay and improving outcomes.
Statements from the Care Quality Commission (CQC) and Health Inspectorate Wales
Elysium is required to register with the Care Quality Commission
and its current registration status is fully registered. There are
no conditions on registration at the time of this report.
Elysium’s Welsh sites are required to register with the Health
Inspectorate Wales. All sites are fully registered and there are
no conditions on registration at the time of this report.
Data quality
Elysium was not required to submit records during 2016/2017 to the
Secondary Uses service for inclusion in the Hospital Episode
Statistics which are included in the latest published data.
Information governance toolkit
Elysium’s Information Governance Assessment Report overall
score for the year ended 31 March 2017 was Level 2.
Clinical coding error rate
Elysium was not subject to the Payments by Results
clinical coding audit during 2016/17 by the Audit Commission.
12
GovernanceQuality Governance combines evidence-based
care, professionalism, effective compliance
and assurance to ensure that patients
receive high quality care. This is achieved in
partnership with patients, their friends and
family, regulators and commissioners.
Everybody has a part to play in quality governance.
Our Quality Governance guide for staff clearly outlines
our expectations from staff and from the company in
supporting staff.
Elements of Quality Governance
n Delivering care safely and with compassion
including safe staffing principles
n Quality monitoring from Ward to Board
n Listening to:
- Patients, service users and residents
- Families and friends
- Commissioners
- Regulators
n Internal assurance through our compliance visits
n Audits
n Proven treatments (clinical strategy)
n Doing as we should (policy and procedure)
n Clear roles, responsibilities and expectations (job
description, supervision and appraisals)
n Values based recruitment and training
Delivering the service
(High quality care)
Knowing how we are doing
(Quality assurance)
Improving what we are doing
(Quality Improvement)
Quality Account13
Our quality objectives for 2017/2018
Part 2
Ways in which we monitor our services:
Our Ward to Board Quality FrameworkThe Elysium Ward to Board Quality Governance Framework enables us to deliver
transparent, effective and responsive care and clarity of reporting throughout our services.
The Corporate Clinical Governance and Corporate Management Committees meet monthly
and are chaired by Dr Quazi Haque, Executive Medical Director and Joy Chamberlain, Chief
Executive Officer, respectively. The meetings are attended by the Operations Directors and
the operational and clinical leads of all of our service lines. At the meetings, monthly quality
reporting information from each hospital or service is reviewed.
n Audits
n Policy and procedure
n Proven clinical treatments
n Ward to Board /Board to Ward
n Internal and external inspections
n Hospital Risk Registers
n Complaints and whistleblowing
n Listening and responding to feedback
n Continuous learning and development
n Ward quality monitoring by staff and patients
n Staff appraisals
n Patient / Staff Community Meetings
n Patient Experience Lead Visits
n Expert by Experience Visits
14
Review of PerformanceThe results for the review of performance for Quarter 1, 2 and 3 can be
seen by reviewing the Quality Account for Partnerships in Care and The
Priory Group. Below is a summary of the year end position of Elysium sites.
2
Part
3 QI Area Partnerships in Care Priory
Physical Health Improved PH screening ✔ PH assessment as part of admission ✔
Care Planning PathNAV prototype testing ✔ Evidencing patient views in EPR 7
Workforce Preceptorship Academy ✔ N/A
CAMHS Family Involvement ✔ therapeutic Approach N/A
Medication errors N/A Keep below 2.1% ✔
Personality Disorder N/A Reduction in self harm using DBt ✔
Restrictive Interventions RRI Plans ✔ Safewards N/A
Eating disorders EDQ on admission and discharge EDQ on admission and discharge N/A
Quality Account15
Review of Performance
Part 3
Unit No of patients With PH Check Refused PH Check Without PH Check % With / Refused
Aderyn 16 15 1 0 100%
Arbury Court 77 67 10 0 100%
Brierley Court 12 9 2 1 92%
Bromley Road 20 18 0 2 90%
the Copse 23 21 1 1 96%
the Spinney 89 61 26 2 98%
total 237 191 40 6 97%
Physical Health (PH) Check within the last year
Achievements in physical healthcare screening
Improving the physical healthcare of our patients is important.
Here are a selection of results from our screening programme.
16
Results from Outcome Measures Annual Report
To help the clinical team assess the needs of young people in our
care and measure the effectiveness of their treatment programme,
Rhodes Wood Hospital administers a standardised set of self-report
measures on both admission and discharge.
There is a significant decrease in scores
between the point of admission and the
point of discharge, indicating that young
people improve in their social, physical,
and mental functioning during their
hospitalisation. This finding supports
the validity of the holistic model of
treatment implemented at Rhodes
Wood, which focuses on all aspects of
the young person’s growth.
Young people treated in the financial
year of 2016-2017 presented with
higher levels of difficulties on admission
compared to those treated between
April 2015 and March 2016. Similarly,
they were discharged with higher
levels of psychosocial and interpersonal
distress. Importantly, however, the
difference between average scores
on admission and average scores at
discharge has been greater in the last
financial year, indicating a higher impact
of the therapeutic programme.
Description of Measures
Each young person is asked to complete the following measures;
1) HoNoSCA – Health of the Nation outcome Scale (Patient,
Parent and Clinician)
2) EDE-Q - Eating Disorders Examination Questionnaire
3) SDQ–StrengthsandDifficultiesQuestionnaire
4) PCAN – Pros and Cons of Anorexia Nervosa Scale
5) StAI – State trait Anxiety Inventory
6) CHoCI – Childhood obsessive Compulsive Inventory
7) CDI – Children’s Depression Inventory
8) CEt – Compulsive Exercise test
9) MSCARED – Motivational Stage of Change for
Adolescents Recovering from an Eating Disorder.
1. HoNoSCA Client
A StUDY from Rhodes Wood Hospital: Eating Disorder Services
Admission Discharge MeanDifference
18.78 (16.58) 8.76 (7.61) -9.42 (-8.97)
Quality Account17
Review of Performance
Part 3
Mean Emotional symptoms, Conduct problems,
Hyperactivity, Peer problems, Pro social
behaviour, Total Difficulties and Total Impact
scores decreased from admission to discharge,
indicating that the young people reported fewer
difficulties in each of these fields by the time
they had completed the programme.
The reduction in symptoms for young people
admitted and discharged in the year 2016 - 2017
has increased in comparison to the previous
year 2015-16. This indicates that the therapeutic
programme has had a greater impact than in
the previous year and additionally suggests that
the treatment programme has continued to
promote recovery and symptom reduction.
2. SDQ
Subscale Admission Discharge Difference General Population
Emotional symptoms 6.68 (6.61) 4.24 (4.61) -2.44(-2) Normal: 0-5 Borderline: 6Abnormal: 7 - 10
Conduct problems 1.92 (1.78) 1.36 (1.39) -0.56 (-0.39)Normal: 0-3 Borderline: 4Abnormal: 5 - 10
Hyperactivity 4.32 (4.36) 2.92 (3.64) -1.4 (-0.72)Normal: 0-5 Borderline: 6Abnormal: 7 to 10
Peer problems 2.72 (3.53) 2.36(2.78) -0.36(-0.57)Normal: 0-3 Borderline: 4 - 5Abnormal: 6 -10
Pro social behaviour 8.16 (8.03) 7.28 (8.03) -0.88 (0)Normal: 6-10Borderline: 5Abnormal: 0 - 4
Total difficulties 15.64 (16.28) 10.88 (12.42) -4.28 (-3.86)Normal: 0-15 Borderline: 16-19Abnormal: 20-40
18
Clinical Tools used within Adult services at Elysium
tools Description
HoNoS Secure / LD Health of the Nation outcomes Scales (HoNoS) was developed by the Royal College of Psychiatry as a measure of the health and social functioning of people with severe mental illness.
StARt (Short-term Assessment of Risk and treatability)
the StARt is a concise clinical guide for the dynamic assessment of short-term (i.e. weeks to months) risk for violence (to self and others) and treatability.
StARt guides clinicians toward an integrated, balanced opinion to evaluate the patient’s risk across seven domains.
HCR-20v3 the Historical Clinical Risk Management-20, Version 3, is a comprehensive set of professional guidelines for the assessment and management of violence risk.
the Wales Applied Risk Research Network (WARRN)
this was developed in collaboration with Welsh Government in response to a series of homicide enquiries. WARRN risk assessment is now used in all Health Boards in Wales covering mental health, forensic services and CAMHS services along with their associated Local Authorities.
SAPRoF TheSAPROFisaviolenceriskassessmenttoolspecificallydevelopedfortheassessmentofprotectivefactorsforadultoffenders.ThetoolwasintendedtobeusedinadditiontoriskfocusedStructuredProfessionalJudgmentassessmenttools, such as the HCR-20 or the HCR-20V3.
RSVP TheRSVPisasexoffenderriskassessmenttoolthatfollowsthestructuredprofessionaljudgementapproachtotheassessment and management of sexual violence risk.
PathNAV PathNAV is a bespoke electronic tool that facilitates discussion between clinicians and service users helping them to plan the care pathway focusing on the person’s goals, achievements and next steps within set timelines.
Quality Account19
Review of Performance
Part 3
tools Description
My Shared Pathway My Shared Pathway was developed with the Royal College of Psychiatry. It is a recovery and outcome focused model.
EQ-5D (EuroQol) Applicabletoawiderangeofhealthconditionsandtreatments,itprovidesasimpledescriptiveprofileandasingleindexvalueforhealth status.
Recovery Star the Recovery Star developed by the Mental Health Providers Forum, is an outcomes measure which enables people using services to measure their own recovery progress, with the help of mental health workers or others. there are a number of Stars which service users can choose to work with.
the Lester tool the Lester Positive Cardiometabolic Health Resource is an intervention framework for adults with psychosis on antipsychotic medication.
MUSt Malnutrition assessment tools are designed to help identify adults who are underweight and at risk of malnutrition, as well as those who are obese.
Health Action Plans National requirement for adults with a learning disability.
NEWS (National Early Warning Score)
this is a standardised national tool across service providers. It tracks 6 physiological parameters and alerts the nurse who is taking physical observations when a parameter varies from the norm and that intervention is required.
20
Benchmarking through peer reviewElysium is committed to reporting clinical
performance in a way that will support the creation
of aligned national frameworks to permit comparison
across NHS and independent service providers.
We participate in peer review networks which enable our
performance to be reviewed in an independent and transparent
way. We learn from peer reviews and they help us make policy
and procedure change which supports the mandate for greater
patient involvement and engagement.
Over the course of 2016/2017 five hospitals providing services
for medium and low secure patients participated in peer reviews.
All hospitals scored highly with The Spinney achieving a score
of 96% against the standards in Low Secure Care and 97% for
Medium Secure Care.
Rhodes Wood Hospital participated in the Quality Network for
Inpatient CAMHS but at the time of this report the results of the
review had not been received.
Site Location Low Secure Score Medium Secure Score
Arbury Court Cheshire78% 76%
Chadwick Lodge Buckinghamshire78% 76%
Farmfield Surrey73% 77%
the Spinney Manchester96% 97%
thornford Park Berkshire86% 87%
Quality Network for Forensic Mental Health Services
There is a very good leadership at the service and a
non-hierarchical culture, with senior management being
approachable and lines of communication open between all staff,
ensuring that teams work well together and are confident to voice
their opinions and challenge decisions. Peer Review Team comment
Quality Account21
Review of Performance
Part 3
Evaluating services through feedback: Patient satisfactionWe have looked at the different patient evaluation tools in
place across the sites and developed a harmonised annual
survey for the future.
It is important to us that patients and residents are true
partners in their care and we welcome input and feedback
that help us improve what we do.
Patients are placed
at the centre of their care and
are actively involved in developing their
care plans and reviewing the progress
against their recovery goals. Patients
can also chair their own CPA meetings.
Peer Review Team comment
The provision of care for
the elderly in secure settings on one
of the wards is impressive and addresses
the particular needs of this population,
with the emphasis being placed on
physical healthcare and support tailored
for patients with dementia.
Peer Review Team comment
22
Positive risk taking and restrictive interventionsElysium is committed to the strategies set out by the Department of Health to
deliver positive and proactive care delivered by a proactive workforce. Each site
has a restraint reduction action plan. The graph below shows good use of early
intervention skills with the use of seclusion as an intervention of last resort.
RegulationWe welcome the regulatory inspection programme of both the Care
Quality Commission and the Health Inspectorate Wales. In addition to
inspection by these bodies many of our services undergo external peer
reviews. We also report to the NHS and the General Medical Council with
respect to the revalidation of all our doctors.
Our Hospital Directors and clinical teams also work closely at local level to
liaise with safeguarding teams, community mental health teams, police and
medical health organisations.
Care Quality Commission InspectionsDuring the year 2016/2017 the CQC inspected eighteen of our services.
Reports have been received for fifteen inspections. Thirteen services
received a ‘good rating’ and two were reported as ‘outstanding’.
Two services received an overall rating of ‘requires improvement’.
Health Inspectorate WalesFour services were inspected by the Health Inspectorate Wales. Reports
have been received for three and the required standards are being met.
Incidences requiring the use of interventions
Early Intervention Physical InterventionBreakaway Seclusion
MonthDec 2016
25.51
5.02
1.67
6.27
21.79
8.47
4.44
2.82
25.39
8.61
2.58
6.16
30.82
9.25
7.32
3.470
10
20
30
5
15
25
35
Jan2017
Inci
dent
s pe
r 10
,000
bed
day
s
Feb 2017 Mar 2017
Quality Account23
Review of Performance
Part 3
Department of Health mandatory quality indicatorsThe NHS (Quality Accounts) Amendment Regulations 2012 set
out a core set of quality indicators, which we are required to
report against in our Quality Account.
We have reviewed the indicators and are pleased to provide our
status against them.
Ensuring that people have a positive experience of care: staff survey Friends and Family Test with staff.
Treating and caring for people in a safe environment and protecting them from avoidable harm:Patient safety incidents, the number and, where available,
rate of patient safety incidents reported and the number and
percentage of such patient safety incidents that resulted in
severe harm or death.
Patient safety incident statisticsOur intention is to use data from 1st April 2017 to 31st March
2018 to form a baseline for the reporting of patient safety
incidents going forward. In the short reporting period to
31st March 2017 we focused on establishing our culture of
openness and transparency, calibrating our care information
and reporting systems and the integration of separate groups
coming together as one. Our commitment to technology is
evidenced by the fact that we have further developed our
CareNotes system. We have rolled this out to all sites. We have
also integrated our incident reporting system, IRIS so that it is
linked to CareNotes. This enables the clinical team to see real
time data fully integrated for each and every patient.n 66% of staff were likely or
extremely likely to recommend
Elysium as a good place to work
9%
25%
66%
Would recommend
Would not recommend
Neutral & don’t know
24
Senior staff have welcomed the CareNotes and IRIS system
The move from paper to electronic allows for a much
more comprehensive quality of care. The system
moves away from over reliance on qualified nursing to
capture information and gives the wider workforce of
staff who have day to day interactions with patients the
opportunity to capture the detail that sometimes would
have been missed on paper.
The link of IRIS to care notes will allow staff to gain a lot
of time back. The ability for IRIS to capture the incident
and share and import information into all of the patients
potentially involved in the incident will drastically reduce
time needed to accurately capture the data. The ability to
then capture themes and trends via the dashboards will
allow for closer monitoring and understanding of incidents
in real time for all from patients through to board.
Phil Coombes, Clinical Director, The Farndon Unit
(previously Raphael Healthcare)
As a hospital we have begun a real
improvement in practice this year by
adopting Elysium CareNotes and the IRIS
reporting system; I’ve been delighted by
the response from frontline clinical staff to
the introduction of the new linked systems
that enable staff to make better quality,
more timely and detailed records and far
easier than was the case previously. From a
risk management and learning perspective
this is enabling our multidisciplinary teams
to start to use far more meaningful and
accurate information to underpin decision-
making and this ultimately benefits both
staff and patients.
Geoff Keats, Hospital Director, Chadwick Lodge
(previously Priory Group)
Quality Account25
Review of Performance
Part 3
An affirmation by a service user
U P F R o M t H E D E P t H S
I’m powerful, I’ve come up from the depths
I am steadyI am strong
There is light here nowThere is moistureThere is warmth
I’ll grow - bear fruit
I will be luscious
I will be strongI will be steadfast
I will win - become myselfStay myself
And grow.
Exhibited in the Tate Gallery London as part of the Koestler Awards
www.elysiumhealthcare.co.uk
We welcome feedback on our Quality Account.
Please contact us using the details below,
orcallourheadoffice:
020 8327 1800Email us on: [email protected]
Central referrals
0800 218 2398
Elysium Healthcare
2 Imperial Place
Maxwell Road
Borehamwood
Hertfordshire
WD6 1JN