Welcome Improving Physical Healthcare in a Recovery Setting. Main title slide page Co-brand logo here Improving Physical Healthcare in a Recovery Setting. Welcome

Why… Mortality rate three times as high among mental health service users than in general population usually due to: individual lifestyle choices side effects of psychotropic treatment accessing health care

Welcome What can we do? Picking a focus point. Co-brand logo here Situation Welcome What can we do? Picking a focus point. Service user involvement. Involving other agencies. Main title for slide set Optional sub title or name

Co-brand logo here Background Welcome Documents we use to monitor physical health in an inpatient recovery setting: NHS England – practical tool kit Lester tool Parity of Esteem Lunsers Main title for slide set Optional sub title or name

Co-brand logo here Benefits to patient and staff Welcome Improve mortality rate including decreasing heart disease and diabetes Improve quality of life Work towards parity of esteem Decrease time in hospital Main title for slide set Optional sub title or name

Our Driver Diagram Main title for slide set Optional sub title or name Co-brand logo here Our Driver Diagram Main title for slide set Optional sub title or name

Welcome Measurement Main title for slide set Co-brand logo here Measurement Welcome Main title for slide set Optional sub title or name

Measurement kg

Welcome Engagement continues to fluctuate for a number of reasons: Update Co-brand logo here Welcome Engagement continues to fluctuate for a number of reasons: Medication changes Changes in mental state Difficulty to engage staff Main title for slide set Optional sub title or name

Update What's gone well: Some weight loss Reduction in waist circumferences Increased confidence and motivation Increased engagement in wellbeing sessions, ‘fakeaway’, suppers, reduction in takeaway

Update What’s not gone so well: Collection of data has been tricky – not accurate due to times of day being weight and method of measuring waist. Staff training requirements Consistency with groups and motivation

Welcome PDSA Testing Ramps Main title for slide set Co-brand logo here PDSA Testing Ramps A P S D DATA FEEDBACK TO FRONTLINE STAFF Welcome Main title for slide set Optional sub title or name 1E: Collate information review PDSA Cycle 1D: Weekly waist measurements to be taken at the same time Cycle 1C: Staff training given on reliable waist measurement Cycle 1B: Unreliable results collated Cycle 1A: Weekly MUST (Malnutrition Universal Screening Tool) to include waist measurements following guidelines from National Audit of Schizophrenia

Welcome Recommendations Co-brand logo here Recommendations Welcome Increased staff engagement from physical health orientated training sessions A consistent approach from all staff Encourage healthy snacks when patients ‘socially’ eat together Role modelling “I‘m fed up of being told to lose weight by a load of fat nurses” Main title for slide set Optional sub title or name

Welcome Any questions? Main title for slide set Co-brand logo here Any questions? Welcome Main title for slide set Optional sub title or name