Why John’s Campaign Matters to Mental health Inpatient Services Good morning Who we are First service to sign up to Johns campaign 17th October 2017 Dr Natasha Lord Paul Stokes Principal Clinical Psychologist Carer Link / Assistant Clinical Practitioner

Our Story Our hearts were won first and then we thought about our minds….. We are all vulnerable and potentially powerless Right thing to do – how were we going to make it happen

Developed a number of resources, drawn on literature to support and feedback from carers and staff Triangle of care AIMS standards Age UK – involving carers from admission to discharge - better quality care, improved patient outcomes, and a better experience for the person and their family Johns Campaign – aid communication, ensure continuity of care, and share their valuabel knowledge of their relative Department of health (2014) carers may experinece barriers to providing care for their loved one and also need to look after their own health and wellbeing National Carers Strategy NHS Constitution and Five Year forward view emphasis the importance of working with carers. Previous evidence suggests no need for restricted visiting times: Francis report Liz Charalambous – nothing on infection control, prevent delirium Central Manchester (stroke unit) - increased communication, staff more available, encouraged to attend review, reduction in formal complaints We know carers of people living with dementia have increased levels of depression and stress, poorer physical health and self-efficacy

Patient, Carer and Volunteer Stories - an overview of what we provide for carers https://youtu.be/FwrhbJwQHUE?list=UUi54QSx5aRHeIniKgfosKGA&t=138

Does John’s Campaign Work in Older Adult Mental Health Services? Yes, It does……

Exploring the impact of John’s campaign… Undertook a Service Evaluation Review of carer check list (data from December 2015 to December 2016) Interviewed 9 members of staff and 6 carers Literature review Recognises the importance of working in partnership, recognising expert knowledge but also recognising carers need their own support 9 staff Ward managers Doctor Carer links Nurses Healthcare support workers 6 Carers 5 interviewed One letter

Outcomes Better understanding of carer needs (level of distress, want to be involved) Flexibility (increased carer wellbeing) Improved communication Working in partnership with carers Carers can continue their caring role whilst being supported (a proportion of carers wanted ongoing support) Opportunity to learn through others (carers and staff) Less pressure on nursing staff Continuation of support (external agencies) Reduced complaints Breaking down barriers and understanding more of what is going on for the carer Staff: More transparent Flexible Increase in job satisfaction, knowledge and understanding which had resulted in improved relationship

Where are we now? Johns Campaign implemented for 2 years Supporting other areas of the trust to implement We have responded to the evaluation and anecdotally we have noticed - John’s Campaign is standard practice Further increase in communication and relationships Further understanding of needs Increase in carers referrals for support (as now recognised) Able to respond to needs sooner Provided support to other trusts to implement – come and visit!

Contact Details Dr Natasha Lord Paul Stokes Clinical Psychologist Assistant Clinical Practitioner New Haven, Princess of Wales Hospital, Bromsgrove, B61 0BB 01527 488480 (ward number) Natasha.lord@nhs.net @natashadlord Paul.Stokes2@nhs.net @paulstokes14