Trust wide, Top down and Bottom Up Quality ImprovementAHP Collaboration in Acute Mental Health Care

The culture we want to nurture

A listening and learning organisation

Empowering staff to drive improvement

Increasing transparency and

openness

Re-balancing quality control, assurance and

improvement

Patients, carers and families at the heart of all

we do

How QI Works

Make it feel meaningful

Make it feel possible

Make it feel valued and permanent

Provide skills and support

AIM:To provide the highest

quality mental

health and community

care in England by

2020

Acute Mental Health Inpatient Therapies - Quality Improvement ProjectOur QI Team: Arts Therapies, Occupational Therapy, Psychology, Ward staff

Service user take up and satisfaction with the groups offeredTherapists understanding of each others’ work

Measures

Driver Diagram – a framework for QI

Project Aim

the right care at the right time

*Developing a joint timetable of therapeutic groups* *Regular, clinically focused therapies meetings* * Providing care pathways linked to need* *Improving understanding of each others’ work* *Improving liaison and feedback to the MDT* *Information strategies for patients and staff*

What are we testing?

Aim:To provide high quality, efficient (flexible, co-

ordinated use of resources) therapeutic input throughout the

in patient journey

Multidiciplinary working

OT, AT and psychology working

together

understand each others knowledge and skills - what we offer

3 Overlapping contexts for in patient therapies: implement

represent each other

transparancy and communication :

- what we can offer

clear, co-ordinated carepathway for in patient therapies

know the needs of the patients, their

families, staff duty triage

open assessment groupss

develop rolling groups and tailored

interventions

written information about therapies,

groups etcward round and care planning

Patient choice

understand the VOC

therapies and care plan clinic

People Participation attending PTD for information and

feedback

Primary Drivers Secondary Drivers Change Ideas

1 2 3 4 5 6 7 8 9 10 11 120

1

2

3

4

5

lead co-worker

I could explain to a patient how my colleague could help them

very well

reasonably wellsatisfactorily

a little bit

not at alljoint group

From co-working to co-creating

a recovery focused group integrating knowledge and skills

Dance Movement Therapist & Occupational Therapist

What a QI framework has helped to deliver in this project:

Service users engagement:• Greater focus and attention supported by shifts between verbal discussions and

embodied experiences

• Ability to stay and engage for the whole duration

• Receptivity – different levels

• Engaged at a deeper level both verbally and non-verbally

• Inclusive: verbal and non-verbal

Occupational Therapy & Dance Movement Therapy partnership:• Synergy: organic flow of creative ideas

• Stronger multi-modal containment of service users experiences

• Learning from each others professions and approaches to treatment

• Staff satisfaction

• unplanned outcome from the project work!

“Helpful, peaceful, kindful”

Find out more about our

Our Website is full of QI Resources to share:

qi.elft.nhs.uk Follow us on Twitter:

@ELFT_QI