1. Mental Health Integration Diagram
*Interactive version
For further information please contact:
David Thomson
NHS Quality Improvement Scotland.
Mental Health Projects Manager,
Directorate of Implementation, Improvement and Support & 
National ICP Coordinator,
Patient Safety and Performance Assessment Unit

2. Mental Health Integration Diagram *Interactive version
The following presentation is a PowerPoint based version of an interactive diagram which helps focus on where key drivers and work streams in mental health align, crossover and run parallel.
The diagrams are generated from the developments and successful role out to mental health of
‘Releasing Time to Care’.
These diagrams will evolve as services develop and progress towards excellence. This capacity for change reflects and promotes the principles of quality improvement and the necessity for on-going cycles of improvement as key.
If you would like additional information to be added to the diagrams, please contact
David Thomson -

3. Quality Infrastructure A key requirement to realise our Quality Ambitions is for our systems and actions to be integrated and aligned across the whole NHS system. We need to identify and remove any hurdles and barriers presented by the current approaches to policy development and delivery across Scottish Government and NHSScotland. (The Healthcare Quality Strategy for NHSScotland, The Scottish Government, May 2010 ) By developing diagrammatic representations of key initiatives in mental health, it is intended that promoting better comprehension of integration contributes to removing obstacles to progress and further more, encourage increased confidence from individuals and organisations from all aspects of health care to participate and contribute to service improvement.

4. Rights, Relationships & Recovery
Best Practice Statement
Admissions to
adult mental
health
inpatient services
(BPS)
HEAT Targets
Mental Health
Collaborative
Tissue Viability
Scottish Patient
Safety Programme
(SPSP)
Clinical Quality
Indicators
(CQIs)
Mental Health Act
(MHA)
Joanna Briggs
Institute
(JBI)
Better Together/
Patient experience
Healthcare Associated
Infections
(HAI)
Falls
Nutritional
Care
Scottish Recovery
Indicator
(SRI)
Standards for
integrated
care pathways
for mental health
(ICP)
Considerations
to integration
in mental
Key areas of consideration.
*It should be noted that this
list is not exhaustive and may
alter through time
Releasing Time
to Care
(RTC)
Rights, Relationships & Recovery
Consider the 10 Essential Shared Capabilities for Mental Health Practice
Click for further information on ESC
Consider Leadership
Click for information
on leadership

5. Releasing Time to Care: Modular Content
The Productive Mental Health Ward Modules:
Patient Wellbeing
Therapeutic Interventions
Ward Round
Safe and Supportive Observations
Admissions and Discharges
Shift Handover
Meals
Medicines
Knowing How We’re Doing
Well Organised Ward
Patient Status at a Glance
The Productive Mental Health: Community Hospital
Admissions and Discharges
Forward Planning
MDT Working
Handover
Patient Flow
Managing Drug Administration
Good Stock Management
Patient Involvement
Clinical Leadership
Knowing How We are Doing
Click for examples of practice
*All modular houses are underpinned with Project Leader’s and Executive Leader’s Guides

6. Productive Community Services
Strategic Positioning
Technology
Team Leaders Guide
Well Organised Working Environment
Patient Perspective
Knowing How We are Doing
Patient Status at a Glance
Toolkit
Managing Caseload and Staffing
Planning our Workload
Working Better with Our Key Care Partners
Agreeing the Care Plan with the Patient
Standard Care Procedures
Perfect Intervention
*All modular houses are underpinned with Project Leader’s and Executive Leader’s Guides

7. Pre admission considerations
RTC
Community
Services
Click for RTC information
Pre admission considerations
Advanced statements
and existing care plan
MH(C&T)(S)A – Section 275 p216
Advance statements
Click for MH(C&T)(S)ACT 2003
BPS Section 1(a,b,c,d) p8-12
Pre admission statement
Click for BPS
ICP P9 Referral and Triage
Click for ICP Toolkit
ICP P1-8 (Process Standards)
Click for ICP toolkit
Knowing How We’re Doing (RTC)
Click for RTC information l
Patient Status At a Glance (RTC)
ICP 21
(Measures of need & outcome)
ICP 11
(Risk assessment
and management)
Well Organised Ward (RTC)
Key Points:
Clear benefit
from admission
identified
Consider all potential
options to aid
recovery
Click to view improvement methodologies associated with Process Mapping
Click for examples of practice

8. Best Practice Statement
Considerations
following admission
to inpatient services
ICP Standard 20
(Admission and Discharge Pathway)
Click for ICP toolkit
ICP Standards 10-17
(Generic Standards applicable to all
e.g. Risk assessment, diagnosis. etc)
Click her for ICP toolkit
Best Practice Statement
Admissions to adult mental health
inpatient services
(Risk assessment key points)
(Section 2 – p13)
Risk assessment and management plans
(Subsections 2a-f)
Exchange of information
(Section 3 p20)
Click for BPS
RTC Process
Modules
Admissions and Discharge
Click for RTC information
HEAT
Reduction of re-admissions
Click here for information
on HEAT Targets

9. Scottish Patient Safety Programme HEAT Reduction of suicide
RTC Safe &Supportive
Observations
Click for RTC information
BPS Section 2(f) (p19)
(Risk assessment and
management
plans in relation to
observation levels)
&
Section 4 (p27)
(Assessment and
planning for recovery)
Click for BPS
ICP Standards
10 (Holistic assessment)
Click here for ICP toolkit
11 (Risk assessment)
17 (Single care plan)
Click her for ICP toolkit
HEAT
Reduction of suicide
Click here for information
on HEAT Targets
Scottish Patient
Safety Programme
Click here for information on the

10. & RTC Patient Wellbeing Falls ICP Standard 13(Physical
Click for RTC information
ICP
Standard 13(Physical
health assessment
& management)
Click here for ICP toolkit
&
16 (Person
centred care)
BPS Section 5
(Holistic assessment:
psychological
/occupational
/physical
needs & strengths)
Click for BPS
Tissue viability
click for tissue
viability online
Nutritional Care
Click for information on
nutritional care
Pressure Area Care
CQI
Click for information
on the CQI
Food, fluid & nutrition
Falls
Click here for
information on falls
Falls CQI

11. ICP Scottish Patient Safety Programme RTC Medicines BPS Assessment and
Click for RTC information
BPS
Assessment and
Planning Recovery
Section 3(e)p27
Click for BPS
ICP
Standard 18
(Recording Medications)
Condition Specific Standards
15,16 &32
(considers medication monitoring)
Click for ICP toolkit
Scottish Patient
Safety Programme
Click here for information on the
Click for information on improvement methodologies - LEAN

12. BPS ICP RTC Shift Handovers Section 2a (p15)
Click for RTC information
ICP
Standards
7&38
(applying use of variance reporting
and how information is conveyed)
Click for ICP toolkit
BPS
Section 2a (p15)
(conveyance of risk information)
Section 2f
(ensuring robust systems of communication)
Click for BPS
Consider principles of
SBAR
(Situation-Background-
Assessment-Recommendation)
Click here for information on SBAR

13. ICP RTC Therapeutic Interventions BPS Click for examples of practice
Click for RTC information
ICP
Standard 15
(Psychological/Psychosocial interventions)
Click here for ICP toolkit
BPS
Section 5 (p31)
(Holistic assessment of psychosocial,
occupational and physical
needs and strengths)
Click for BPS
Click for examples of practice
Consider the 10 Essential Shared Capabilities for Mental Health Practice
Click for further information on ESC

14. RTC Meals Module ICP BPS Nutritional Care Tissue Viability
Click for RTC information
ICP
Standard 13(Physical health
assessment & management)
Click here for ICP toolkit
&
16 (Person centred care)
BPS
Section 5b (p33)
(Guidance on physical
needs assessment)
Click for BPS
Tissue Viability
click for tissue
viability online
Nutritional Care
Click for information on
nutritional care
Pressure Area Care
CQI
Click for information
on the CQI
Food, fluid & nutrition
Also consider guidance within
Health Facilities Scotland
Click here for information on HFS
Click here for information on improvement methodologies - PDSA

15. RTC Ward Round ICP BPS Consider principles of SBAR
Click for RTC information
ICP
Standard 7
(Recording & sharing information)
Click here for ICP toolkit
& 17 (Single care plan)
BPS
Section 3 (p20)
(Admission to hospital/exchange
of information)
Click for BPS
Consider principles of
SBAR
(Situation-Background-
Assessment-Recommendation)
Click here for information on SBAR

16. RTC Community Services Pre and Post Discharge Considerations
MHA Chapter 5
Section 227 (p82)
Assessment of need for
community care
Chapter 7 (p122)
Assessment of Need
Click for MH(C&T)(S)ACT 2003
BPS
Section 6 (p35)
Pre/post discharge arrangements
Section 4
(Measures of
quality & experience)
Click for BPS
Scottish Recovery
Indicators
(Informing service
improvements)
Click for information on SRI/
ICP
Standards 38 & 39
(Use of variance
reporting to inform
service improvements
Click for ICP toolkit
Consider quality
measures and
monitoring patient
experience via for example
‘my view’ & SPSP
SPSP
Click here for information on the
Scottish Patient
Safety Programme
Better Together
Click here for information on
patient experience
RTC
Admissions and Discharge
Click for RTC information
RTC
Community
Services
Click for RTC information
Click to hear about patient experiences
Click for improvement tools re stories