1. 04/02/20161 Donegal Mental Health Services HSE West The Quality Agenda A Nursing Perspective Kevin Mills Area Director of Nursing

2. 04/02/20162 Profile of your local Mental Health Services The Donegal Mental Health Services HSE West provides a comprehensive multidisciplinary community and hospital based psychiatric service to 151,828(CSO, 2011)

3. 04/02/20163 35745 73182 22446 20451

4. 04/02/20164 Where are we now ?? Nursing -The journey of Change

5. One Sizes Fits all services We know best Seniority (top down) Paternalistic Poor investment Little Vision Leader /Follower Restricted consumer/citizen participation Politics Unresponsive to external factors Little Risk Taking 04/02/20165 Old Paradigm,

6. 04/02/20166 Mental Health -Quality Agenda New Paradigm Legislation and Regulation (MHC) Regulatory Authority (NMBI) Voice and Choice Agenda Strategy Clinical Governance Clinical Care Programme Service User Expectation Advocacy Services (Steer) Learning

7. 04/02/20167 Sat Nav Mental Health Act 2001 Mental Health Commission Vision for Change 2006 Quality Frameworks 2007 Clinical Care Programmes (first episode psychosis, self harm, eating disorders 2014) (adhd, dual diagnosis 2016) Vision for Psychiatric Nursing 2012 Nurses Act 2011 NMBI Connecting for Life 2015

8. 04/02/20168 Quality, Doing my Best

9. 04/02/20169 Where does Quality Fit

10. Medical Model v Psycho Social

11. Systemic Approach-

12. Bottom Line Change Agenda (Organisational/ Attitude) Professionalism Continuous Professional Development Under graduate Nursing programme Encouragement Understanding Quality in its broadest sense. Audit and Metrics Performance Feedback Reflective Practice Corporate Responsibility Personal Responsibility 04/02/201612

13. Change in a nutshell Lao Tzu 604 B.C. offered the following advice about change and leadership. (summary) “ Go to the people. Learn from them. Live with them. Love them. Start with what they know. Build with what they have. But the best of leaders when the job is done, when the task is accomplished, the people will all say we have done it ourselves”.

14. Are we there yet ???

15. Thank You Questions Kevin Mills 04/02/201615