1. Practice Development Team CPI Conference 2014

3. Black Country Services

4. We provide inpatient care across….. 5 acute mental health wards 3 older adult wards 5 LD areas 1 LSU LD 1 PICU

5. PICU has the highest amount of restraints per month based on occupancy.

6. “Positive and Safe” strategy…. ‘Positive and Proactive Care’ launched April 2014.

7. Positive and Proactive Care 1.Improving Care 2.Leadership, assurance and accountability 3.Transparency 4.Monitoring and oversight

8. Improving Care

9. Person Centred Physical Intervention Protocol “Individualised support plans, incorporating behaviour support plans, must be implemented for all people who use services who are known to be at risk of being exposed to restrictive interventions”. (Paras 35,61,106,108,115)

10. Improving Care Person Centred Physical Intervention Protocol Targeted clinical in reach.

11. Improving Care Person Centred Physical Intervention Protocol Targeted clinical in reach. PCPiP champions

12. Improving Care Person Centred Physical Intervention Protocol Targeted clinical in reach. PCPiP champions. Co facilitating reflective practice with Psychologists.

13. Improving Care Person Centred Physical Intervention Protocol (PCPiP) Targeted clinical in reach. PCPiP champions. Co facilitating reflective practice with Psychologists. ‘Quality’ check of PCPiP’s

14. Leadership, assurance and accountability.

15. Benchmarking work being undertaken

16. Leadership, assurance and accountability. Benchmarking work being undertaken. Deputy Director of Nursing pulling together a working group across divisions.

17. Leadership, assurance and accountability. Benchmarking work being undertaken. Deputy Director of Nursing pulling together a working group across divisions. Work being overseen by Director of Nursing and Quality and currently sits under ‘Professional Steering Group’.

18. Leadership, assurance and accountability. Benchmarking work being undertaken. Deputy Director of Nursing pulling together a working group across divisions. Work being overseen by Director of Nursing and Quality and currently sits under ‘Professional Steering Group’. ‘Restrictive Physical Interventions Policy’ overhauled and ratified in line with guidance.

19. Transparency

20. Transparency….. Weekly Reports : Risk and Governance Coordinators / Divisional Directors

21. Transparency….. Weekly Reports : Risk and Governance Coordinators / Divisional Directors Monthly reports: Service Leads / Divisional Care Governance Meetings

22. Transparency….. Weekly Reports : Risk and Governance Coordinators / Divisional Directors Monthly reports: Service Leads / Divisional Care Governance Meetings Quarterly Reports: Organisational Risk and Governance “board”

23. Transparency….. Weekly Reports : Risk and Governance Coordinators / Divisional Directors Monthly reports: Service Leads / Divisional Care Governance Meetings Quarterly Reports: Organisational Risk and Governance “board” DATIX upgraded for more analytical drilling!!!

24. Monitoring and Oversight

25. CQC inspectors understanding PBS and recognising challenges of acute admissions and PBS???

27. Safewards…. This has been started on our PICU. A team of 8 staff identified as ‘champions’ to drive forward the first four initiatives.

28. Challenges …. Extra training resources. PBS historically a LD model. Long term/rehab vs acute admissions. Risk of sitting with ‘specialised teams’.

29. Thank you for listening!!! Susan.Burns@bcpft.nhs.uk Craig.Smith@bcpft.nhs.uk