Alan KondysIHP Health Sector Framework Director-

VINCI Construction UK

Paula ReaveyProfessor of Psychology & Mental Health

London South Bank UniversityDiMHN Board member – Director of Research +

Education

2017 Launch2018 Case Study

2019 Service User Survey Re-fresh

Pre + Post Occupancy Evaluation Toolkit

2017 Launch2018 Case Study

2019 Service User Survey Re-fresh

Pre + Post Occupancy Evaluation Toolkit

▪ Review benefits realisation outcomes▪ Undertake at 12, 24 & 36 months▪ Share lessons learnt for continuous improvement▪ Deliver a much improved environment▪ Re-balance the system ‘risk + infection averse’

Introduction - Context

Independent Review MHA - extract

“The physical environment of wards needs to be improved, through co-design and co-production with people of relevant lived experience, to maximise homeliness and therapeutic benefit and minimise institutionalisation.”

Pre-OccupancyEvaluation

Post-OccupancyEvaluation

P22 POE - EPP Process: Continuous Improvement

▪ National and Local Strategy drivers▪ GSL complaint Pre and Post Occupancy

Evaluation toolkit▪ captures full range of Outcome

measures▪ ‘before’ and ‘after’ comparison ▪ both new build and refurbishment

schemes.▪ Staff and Patient/Carer Survey Postcards▪ align with NHS England’s Business Case

Requirements

P22 POE - Pre and Post occupancy Evaluation

▪ Inpatient Ward▪ Mental Health inpatient Ward▪ Urgent and Emergency Dept▪ Outpatients▪ Operating Theatres▪ Maternity

▪ Renal▪ SCBU▪ Paediatric Outpatients

P22 POE - Overview

Target a minimum of a 1/3rd patient/carer survey postcard returns

P22 POE – Service User Postcard Surveys ORIGINAL

Co-design

Co-design - ask the right questions

• Introduction• Feeling Valued• Atmosphere – first impressions• Safety• Choice and Control• Ward environment impact• Other comments/suggestions

Co-design – well presented

a smart Hotel

Noisy, un-familiar but quite open, lots of views out

Lots of day-light, and less restrictive on where I could go on the ward than I first thought.

It is a nice environment, made me feel thought about.

More artwork, make it feel less cold, more comfortable sofas.

I felt better when I went outside in the ward garden, I felt worse at night when you could hear everything.

kitchen

not all of the time

I can control my bedroom lights

Having my own bedroom and bathroom

Having to eat my meals with everyone else on the ward

Why do the wards need to have so many people on them, why couldn’t they be more like a shared house?

I missed my pet cat, would the Trust consider letting wards have pets?.

My reading light was broken and took ages to get it fixed, which meant I slept with the main light on all of the time.

Co-production As Existing Feedback

Co-production Post Occupancy Feedback

▪ Share Feedback Report Format

▪ Develop a similar version for Staff Feedback

▪ Roll out + continually improve

▪ Use lessons learnt from Mental Health Survey to re-fresh to update all other Survey Pro-forma across P22

• All available via the ProCure 22 club website

Next Steps

Thank you