DOCSLIB.ORG

Trust and Respect

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Trust and Respect Trust and Respect Final Report of the Independent Inquiry into Mental Health Services in Tayside February 2020 David Strang CBE TRUST AND RESPECT Independent Inquiry and Acknowledgements Chair David Strang was appointed to chair the Independent Inquiry in July 2018. Prior to this he was, for five years, Her Majesty’s Chief Inspector of Prisons for Scotland. This followed a 33 year career in the police service – in London and in Scotland. He was Chief Constable of Lothian and Borders Police from 2007 to 2013. He was awarded an Honorary Doctorate from the University of Stirling in 2018, and a CBE in Her Majesty’s Birthday Honours in 2019. Secretary to the Inquiry Denise Jackson was seconded to the Independent Inquiry by the University of Dundee in August 2018. She has worked in the University’s Library and Learning Centre Services for 26 years, latterly as the Deputy Director. She is also an experienced complaints handler and an accredited mediator with Scottish Mediation. Acknowledgements The Chair would like to thank the following for their contribution to the Independent Inquiry’s work: • All those who gave evidence to the Independent Inquiry – particularly those for whom it was no easy task • Irene Oldfather, Director of the Health and Social Care Alliance (the ALLIANCE), for convening and supporting the Stakeholder Participation Group • NHS Tayside staff who contributed to the Employee Participation Group • The Clinical Advisors to the Independent Inquiry: • Paula Shiels, Senior Nurse, Mental Health and Learning Disability • Dr Ian Clarke, Consultant Psychiatrist, NHS Greater Glasgow and Clyde • Samaritans in Dundee and in Perth for their support for people giving evidence to the Independent Inquiry • The University of Dundee, who hosted and supported the Independent Inquiry • Bill Nicoll, Director of Strategic Change, NHS Tayside, who acted as the key link between the Independent Inquiry and NHS Tayside • The Independent Inquiry team for their research and support TRUST AND RESPECT Contents 1. Introduction ............................................................................................................................ 6 Mental Health in Scotland ...................................................................................................... 6 Independent Inquiry into Mental Health Services in Tayside .................................7 How to read this report ............................................................................................................ 8 Opportunities .............................................................................................................................. 9 2. Executive Summary and Recommendations ...........................................10 Trust and Respect ....................................................................................................................10 What needs to change ............................................................................................................11 Cross-cutting themes ..............................................................................................................11 Recommendations ...................................................................................................................14 3. Governance and Leadership .................................................................................20 Structure ......................................................................................................................................20 Integration of Health and Social Care ��������������������������������������������������������������������������������20 Implications for delivery of services ������������������������������������������������������������������������������������21 Risk Management................................................................................................................... 22 Accountability ......................................................................................................................... 22 Tayside Mental Health Alliance ������������������������������������������������������������������������������������������� 24 Relationships ............................................................................................................................ 24 Staff ........................................................................................................................................... 24 Patients and families ������������������������������������������������������������������������������������������������������������� 25 Boards ....................................................................................................................................... 25 Partners and external relationships �������������������������������������������������������������������������������������27 Performance Management ................................................................................................27 Record keeping and document management ������������������������������������������������������������������27 Learning Culture ��������������������������������������������������������������������������������������������������������������������� 28 1 TRUST AND RESPECT Adverse event reviews ........................................................................................................... 28 Fatal Accident Inquiries (FAI) ������������������������������������������������������������������������������������������������ 29 Complaints...............................................................................................................................30 Monitoring ................................................................................................................................30 National Scrutiny ��������������������������������������������������������������������������������������������������������������������30 Management of Change ........................................................................................................31 Lack of implementation of recommendations ����������������������������������������������������������������� 32 Unplanned changes ............................................................................................................... 34 Senior Staffing challenges.................................................................................................... 35 Need for whole system response ���������������������������������������������������������������������������������������� 36 Summary .......................................................................................................................................37 Recommendations .................................................................................................................. 38 4. Crisis and Community Mental Health Services .....................................40 Crisis Resolution Home Treatment Team (CRHTT) ....................................................41 Access to treatment .............................................................................................................. 42 Universities ............................................................................................................................. 43 Out of hours/NHS 24 ..............................................................................................................44 Centralisation of Service �������������������������������������������������������������������������������������������������������45 CRHTT location �����������������������������������������������������������������������������������������������������������������������46 Police ........................................................................................................................................ 47 Distress Brief Intervention and Sanctuary Support ��������������������������������������������������������� 47 Context of Community Mental Health Services in Tayside ............................................50 Waiting Times ������������������������������������������������������������������������������������������������������������������������� 54 Community-based therapies ���������������������������������������������������������������������������������������������� 54 Primary care mental health support ����������������������������������������������������������������������������������� 55 Third Sector �������������������������������������������������������������������������������������������������������������������������������� 55 SAMH ......................................................................................................................................... 56 Summary ...................................................................................................................................... 57 Recommendations .................................................................................................................. 57 2 TRUST AND RESPECT 5. Inpatient Services ........................................................................................................... 59 Ward Environment ................................................................................................................... 59 Physical environment ������������������������������������������������������������������������������������������������������������ 59 Patient experience .................................................................................................................60
Load more

Recommended publications
  • NHS Tayside CONSULTANT PSYCHIATRIST
    NHS Tayside CONSULTANT PSYCHIATRIST General Adult Psychiatry VACANCY Consultant in General Adult Psychiatry (x2 posts) Wedderburn House / Carseview Centre: Dundee Community Mental Health Team 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent NHS Tayside is looking for committed, innovative and enthusiastic Consultant Psychiatrists (full or part time) to join our Community Mental Health Team based in Dundee the ‘City of Discovery’. These posts include opportunities to see and treat a wide variety of psychiatric disorders in patients aged from eighteen to sixty-five years old, with the support of our enthusiastic and well staffed multi-disciplinary and multi- agency social work and health Community Mental Health Team with access to our 20 bed inpatient unit. We have local drug and alcohol, forensic, eating disorder, liaison and advanced intervention services as well as psychotherapy and psychology services available for our patients, and enjoy excellent relations with our local General Practitioners and voluntary service colleagues. There are many learning and training opportunities, including the teaching and supervision of 4th year medical students and Specialty Trainees attached to our team. There is a monthly continuing professional development programme and other continuing professional development will also be encouraged. Active involvement in service improvement is available through membership of our Service Improvement Group. We have close links with the University of Dundee division of Neuroscience where academic and research opportunities are available: http://medicine.dundee.ac.uk/medical-research-institute/divisions/division- neuroscience. Dundee is a coastal city on the Firth of Tay estuary in eastern Scotland. Its regenerated waterfront has the new Victoria and Albert Museum which stands on the banks of the Tay and two nautical museums: RRS Discovery, Captain Scott’s Antarctic expedition ship, and 19th-century warship, HM Frigate Unicorn.
    [Show full text]
  • Mental Health Bed Census
    Scottish Government One Day Audit of Inpatient Bed Use Definitions for Data Recording VERSION 2.4 – 10.11.14 Data Collection Documentation Document Type: Guidance Notes Collections: 1. Mental Health and Learning Disability Bed Census: One Day Audit 2. Mental Health and Learning Disability Patients: Out of Scotland and Out of NHS Placements SG deadline: 30th November 2014 Coverage: Census date: Midnight, 29th Oct 2014 Page 1 – 10 Nov 2014 Scottish Government One Day Audit of Inpatient Bed Use Definitions for Data Recording VERSION 2.4 – 10.11.14 Document Details Issue History Version Status Authors Issue Date Issued To Comments / changes 1.0 Draft Moira Connolly, NHS Boards Beth Hamilton, Claire Gordon, Ellen Lynch 1.14 Draft Beth Hamilton, Ellen Lynch, John Mitchell, Moira Connolly, Claire Gordon, 2.0 Final Beth Hamilton, 19th Sept 2014 NHS Boards, Ellen Lynch, Scottish John Mitchell, Government Moira Connolly, website Claire Gordon, 2.1 Final Ellen Lynch 9th Oct 2014 NHS Boards, Further clarification included for the following data items:: Scottish Government Patient names (applicable for both censuses) website ProcXed.Net will convert to BLOCK CAPITALS, NHS Boards do not have to do this in advance. Other diagnosis (applicable for both censuses) If free text is being used then separate each health condition with a comma. Mental Health and Learning Disability Bed Census o Data item: Mental Health/Learning Disability diagnosis on admission Can use full description option or ICD10 code only option. o Data item: Last known Mental Health/Learning Disability diagnosis Can use full description option or ICD10 code only option.
    [Show full text]
  • S Letter, for Information, to the Convenor of the Health and Sport Committee and the Auditor General
    Director-General Health & Social Care and Chief Executive NHSScotland Paul Gray T: 0131-244 2790 E: [email protected] Jackie Baillie Acting Convenor Public Audit and Post-legislative Scrutiny Committee Scottish Parliament [email protected] 27 June 2017 Dear Ms Baillie Following my last letter to the Public Audit and Post-legislative Scrutiny Committee on 17 May, please find attached a copy of the Staging Report submitted to me today by the NHS Tayside Assurance and Advisory Group, chaired by Professor Sir Lewis Ritchie. I have considered the findings and I am content with the recommendations. I attach the letter which I am sending today to the Chair of NHS Tayside, setting out my decision to appoint a Transformation Support Team, reporting to me, to work alongside NHS Tayside’s Executive Team to implement the required scale of transformational change across the organisation at pace. The Committee will wish to be aware that the AAG report makes clear that NHS Tayside are delivering well in a number of key areas, and asks the Scottish Government to consider the potential impact of their being required to repay the £33.2m of brokerage outstanding. I am therefore suspending the requirement for NHS Tayside to repay outstanding brokerage meantime, to avoid the prospect of adverse impacts on patient safety, quality and delivery. I will return to this issue once NHS Tayside’s transformation plans are further developed. I am also copying this letter, for information, to the Convenor of the Health and Sport Committee and the Auditor General. Yours sincerely Paul Gray St Andrew’s House, Regent Road, Edinburgh EH1 3DG www.gov.scot Director-General Health & Social Care and Chief Executive NHSScotland Paul Gray T: 0131-244 2790 E: [email protected] John Connell, Chair NHS Tayside 27 June 2017 ___ Dear John Please find attached the final report of the NHS Tayside Assurance and Advisory Group (AAG), chaired by Professor Sir Lewis Ritchie.
    [Show full text]
  • NHS Tayside CONSULTANT PSYCHIATRIST
    NHS Tayside CONSULTANT PSYCHIATRIST General Adult Psychiatry VACANCY Consultant in General Adult Psychiatry Perth Community Mental Health Team 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent NHS Tayside is seeking a Consultant Psychiatrist (full or part time) to join our Community Mental Health Team based in Perth Scotland. This post will include opportunities to see and treat a wide variety of psychiatric disorders in patients aged from eighteen to sixty-five years old, with the support of our enthusiastic and well staffed multi-disciplinary and multi-agency social work and health Community Mental Health Team with access to our 24 bed inpatient unit. Our staff work passionately towards achieving NHS Tayside's vision, aim and values: http://www.nhstayside.scot.nhs.uk/WorkingWithUs/WhyWorkforNHSTayside/PROD_ 204621/index.htm We have local drug and alcohol, forensic, eating disorder, liaison and advanced intervention services as well as psychotherapy and psychology services available for our patients, and enjoy excellent relations with our local General Practitioners and voluntary service colleagues. There are many learning and training opportunities, including the teaching and supervision of 4th year medical students and Specialty Trainees attached to our team. There is a monthly continuing professional development programme and other continuing professional development will also be encouraged. Active involvement in service improvement is available through membership of our Service Improvement Group. We have close links with the University of Dundee division of Neuroscience where academic and research opportunities are available: http://medicine.dundee.ac.uk/medical-research-institute/divisions/division- neuroscience Applicants must have full GMC registration, a licence to practise and be eligible for inclusion in the GMC Specialist Register.
    [Show full text]
  • Scotland) 15 June 2021
    Version 1.6 (Scotland) 15 June 2021 ISARIC/WHO Clinical Characterisation Protocol UK (Scotland) Recruitment Procedures for FRONTLINE CLINICAL RESEARCH STAFF The most up to date versions of the protocol and case report form are available at isaric4c.net/protocols/ A virtual site visit is available at isaric4c.net/virtual_site_visit/ AIM: Please recruit the following patients only: • Vaccine failure (positive COVID test - rather than displaying symptoms – >28d after having received a vaccine) • Reinfection (proven after proven) • Co-infection (flu/RSV) • COVID associated hyper inflammation (MIS-A/MIS-C/PINS-TS) at any age • Samples from patients with pathogens of public health interest including people identified as infected with SARS-CoV “variants of concern” • All children CONSENT: once the form is signed by a participant it is hazardous. To record consent, we suggest an independent witness observes the completed form then signs a fresh copy outside of the isolation area. Consent can also be obtained by telephone from participants or from relatives for proxy consent. RECRUITMENT PACKS: Sample collection kits will be supplied to sites. Sample collections kits can be requested from: [email protected] Each kit will have a specific kit ID number, with each component within showing this kit ID and its own respective component ID for audit purposes. Pods and bio-bags for shipping will also be supplied to sites. These can be requested from [email protected] OBTAIN SAMPLES according to the schedule. You can find out which tier you are operating at in the front page of the site file. If you have capacity to recruit at TIER 2: Day 1 2 3 4 5 6 7 8 9 28 days after discharge Samples R S S C Sample priority 1 2 3 4 R: recruitment sample; S: serial sample; C: convalescent sample.
    [Show full text]
  • 26 February 2020
    Trust and Respect Final Report of the Independent Inquiry into Mental Health Services in Tayside February 2020 David Strang CBE TRUST AND RESPECT Independent Inquiry and Acknowledgements Chair David Strang was appointed to chair the Independent Inquiry in July 2018. Prior to this he was, for five years, Her Majesty’s Chief Inspector of Prisons for Scotland. This followed a 33 year career in the police service – in London and in Scotland. He was Chief Constable of Lothian and Borders Police from 2007 to 2013. He was awarded an Honorary Doctorate from the University of Stirling in 2018, and a CBE in Her Majesty’s Birthday Honours in 2019. Secretary to the Inquiry Denise Jackson was seconded to the Independent Inquiry by the University of Dundee in August 2018. She has worked in the University’s Library and Learning Centre Services for 26 years, latterly as the Deputy Director. She is also an experienced complaints handler and an accredited mediator with Scottish Mediation. Acknowledgements The Chair would like to thank the following for their contribution to the Independent Inquiry’s work: • All those who gave evidence to the Independent Inquiry – particularly those for whom it was no easy task • Irene Oldfather, Director of the Health and Social Care Alliance (the ALLIANCE), for convening and supporting the Stakeholder Participation Group • NHS Tayside staff who contributed to the Employee Participation Group • The Clinical Advisors to the Independent Inquiry: • Paula Shiels, Senior Nurse, Mental Health and Learning Disability • Dr Ian Clarke, Consultant Psychiatrist, NHS Greater Glasgow and Clyde • Samaritans in Dundee and in Perth for their support for people giving evidence to the Independent Inquiry • The University of Dundee, who hosted and supported the Independent Inquiry • Bill Nicoll, Director of Strategic Change, NHS Tayside, who acted as the key link between the Independent Inquiry and NHS Tayside • The Independent Inquiry team for their research and support TRUST AND RESPECT Contents 1.
    [Show full text]
  • FINAL DRAFT Tayside Mental Health and Wellbeing Strategy 1
    FINAL DRAFT Tayside Mental Health and Wellbeing Strategy 1 Contents Page Acknowledgement: ............................................................................................................. 4 Collective Service User Statement .................................................................................... 5 About the strategy .............................................................................................................. 7 SECTION 1 - MENTAL HEALTH AND WELLBEING STRATEGY ..................................... 10 1. Introduction ............................................................................................................ 10 2. Strategic Context .................................................................................................... 11 3. Independent Inquiry - Trust and Respect ............................................................. 12 4. Mental Health - A Public Health Priority ................................................................ 17 5. Tayside Population ................................................................................................. 23 6. Human Rights and Independent Advocacy .......................................................... 28 7. Protecting People in Tayside - Police Scotland ................................................... 29 8. Protecting Children and Young People’s Mental Health ...................................... 31 9. Adult Protection ....................................................................................................
    [Show full text]
  • Mental Health Nursing Standards for Person Centred Care Planning
    Mental Health Nursing Standards for Person Centred Care Planning Implemented May 2019 Review May 2020 FOREWORD INTRODUCTION Description & Scope of the Standards I am delighted to endorse the Mental Health Nursing Standards for The Mental Health Nursing Standards for Person Centred Care Person Centred Care Planning developed for use across our Mental Planning provides a framework to support the development of Health services in Tayside. person centred care plans and will enable a consistently high quality approach to care planning for nurses working in all Person Centred Care Planning is a fundamental role for Mental mental health settings within NHS Tayside. Health Nurses and these Standards recognise the importance of working in partnership with people to engender hope, opportunity A nursing care plan is a therapeutic tool that identifies, in and promote recovery. The Standards recognise the diversity collaboration with the person for whom care is being provided, and uniqueness of individuals and ensure that what matters to the the detailed plan of nursing care agreed with them and where person is a key consideration within their care plan. possible with their carer’s. The care plan is a dynamic document that follows on from a comprehensive assessment and I would like to thank all the Mental Health Nurses who have been formulation of the persons needs. It focuses on their involved in the development of the Standards through the Care individuality, describing explicit interventions that are central to Planning Collaborative and the Care Plan Audit Tool Short Life care delivery. Working Group. In particular, Jenny MacDonald, Senior Nurse Practice Development for her leadership in the development of the The care plan ensures continuity of care and effective Standards.
    [Show full text]
  • Consultant in Psychiatry of Old Age, Perth and Kinross Health and Social Care Partnership
    Consultant in Psychiatry of Old Age, Perth and Kinross Health and Social Care Partnership Information Pack Closing date: Wednesday 6 November 2019 Reference Number: CM.23.19 Welcome from Grant Archibald, Chief Executive, NHS Tayside Thank you for your interest in this post. As you’ll see we have put together some information on this site both about NHS Tayside and where we are located in Scotland. I hope that you find this useful and that you translate your interest in this post into a formal application. NHS Tayside has a strong track record in delivering high-quality, safe and effective care for all our patients. However, like other NHS Boards across Scotland, NHS Tayside is facing significant challenges including growing demand for all services, workforce challenges that are impacting upon how we deliver services and continuing pressures on our finances. In response to these challenges, NHS Tayside has embarked up on a programme of transformation to ensure that services are safe, affordable and, importantly, sustainable for the future. Transforming Tayside aims to deliver Better Health, Better Care, Better Workplace and Better Value for the population of Tayside. The programme is clinically-led and is being delivered in partnership with our staff and trades unions and our local health and social care partnerships. It is structured to respond to issues and make changes to services in the short to medium-term, as well as presenting an ambitious vision of transformation for Tayside in the longer term. It will provide clear and credible choices for transforming the future of local healthcare.
    [Show full text]
  • Partnership Improvement and Outcomes Division.Dot
    Balance of Care / Continuing Care Census Definitions and data recording manual Revised September 2009 CONTENTS 1 Introduction 1.1 Purpose of this Paper 3 1.2 Background 3 1.3 Coverage and context of census 3 2 Data Requirements 2.1 Census Data 4 2.2 Census Date 4 2.3 Data Quality 4 2.4 Guidance for Data Input 4 2.4.1 Example of Excel Spreadsheet 4 3 NHS Continuing Care Census Data Items 3.1 Location Code 5 3.2 Location Name 5 3.3 CHI (Community Health Index) 6 3.4 Patient Identifier 6 3.5 Patient Name 7 3.6 Gender 7 3.7 Date of Birth 7 3.8 Date of Admission 8 3.9 Ethnicity 9 3.10 Speciality 10 3.11 Patient’s Postcode of Home address 12 3.12 Patient’s town/city of residence (if postcode unavailable) 12 3.13 Patient’s area of town/city (only required for larger cities, only required if postcode unavailable) 13 3.14 Delayed Discharge check (Y/N) 13 4 Submissions of Data 4.1 Census Data Collection 14 4.2 Date of Submission 14 4.3 Method of Submission 14 5 Contacts 5.1 NHS National Services Scotland 15 6 Appendix 1 What is NHS Continuing Health care Appendix 2 Location codes reported at previous census Version 3.3, September 2009 2 1 Introduction 1.1 Purpose of this Paper This paper provides guidance to NHS Boards on definitions, procedures and information concerning the Balance of Care / Continuing Care Census. 1.2 Background There is no method for identifying all patients who are receiving NHS care that is on-going non-acute care, delivered as an inpatient, and often over an extended period, in whatever setting (including hospice or care home).
    [Show full text]
  • Foi202100163876
    Annex 1 a: Email to Minister for Mental Health, 18 July 2018 From: [Redacted, Scottish Government] Sent: 18 July 2018 13:42 To: Minister for Mental Health <[email protected]>; Cabinet Secretary for Health and Sport <[email protected]> Cc: [Redacted, SG] Subject: RE: Petition to Cab Sec - 'Dundee Needs a Mental Health Crisis Centre' - request for briefing and lines [Redacted, SG] – phoned Tayside twice for this today. They are currently working on it and will send it as soon as possible. [Redacted, SG] From: [Redacted, SG] Sent: 17 July 2018 16:33 To: Minister for Mental Health <[email protected]>; Cabinet Secretary for Health and Sport <[email protected]> Cc: [Redacted, SG] Subject: RE: Petition to Cab Sec - 'Dundee Needs a Mental Health Crisis Centre' - request for briefing and lines [Redacted, SG], have phoned and emailed NHS Tayside for answers by 1030 tomorrow Wednesday. [Redacted, SG] From: [Redacted, SG] On Behalf Of Minister for Mental Health Sent: 17 July 2018 16:21 To: [Redacted, SG] Minister for Mental Health <[email protected]>; Cabinet Secretary for Health and Sport <[email protected]> Cc: [Redacted, SG] Subject: RE: Petition to Cab Sec - 'Dundee Needs a Mental Health Crisis Centre' - request for briefing and lines [Redacted, SG], sharing Ms Haughey’s feedback as provided: I am somewhat concerned by what we are currently describing as a 24 hour mental health crisis response and so seek further clarification. Can you confirm the following regarding the out of hours team please ? Can a person self refer ? Who can / does refer to the service? Does a person have to be known to mental health services before they can be seen by the team? Where do the team see clients ? Are home visits offered? Is the service mobile ? What is the staffing compliment and banding of staff? Are they a dedicated team or do they carry out other duties? What are the team’s hours of operation ? Thanks, [Redacted, SG].
    [Show full text]
  • Tayside NHS Board Ninewells Hospital and Medical School DUNDEE DD1 9SY 01382 660111 Lewis Macdonald C
    === q~óëáÇÉ=kep=_ç~êÇ= káåÉïÉääë=eçëéáí~ä=~åÇ= jÉÇáÅ~ä=pÅÜççä arkabb aaN=Vpv MNPUO=SSMNNN ïïïKåÜëí~óëáÇÉKëÅçíKåÜëKìâ = Lewis Macdonald Date 25 September 2018 Convener Your Ref Health and Sport Committee Our Ref MW/GC/jr/Macdonald Lewis 2509 Enquiries to Malcolm Wright Extension 40115 Direct Line 01382 740115 Email [email protected] Sent by Email: [email protected] Dear Lewis HEALTH AND CARE (STAFFING) (SCOTLAND) BILL Thank you for your letter dated 13 September 2018 reflecting the application of the workload tools during the financial years 2016/17 and 2017/18 by NHS Board. I welcome the opportunity to support your scrutiny and provide context and detail in relation to why workload tools were not run in certain departments and why others were run at a reducing frequency. As you will be aware following the 2016/17 audit of NHS Tayside: Financial Sustainability, the Auditor General commissioned the Assurance Advisory Group, established through the leadership of Sir Professor Lewis Ritchie in March 2017. The Staging Report published in June 2017 included 10 recommendations notably including that: NHS Tayside should undertake an early and comprehensive review of staffing levels across all services and sites, including those delegated to or utilised by HSCPs. This review should aim to clarify key drivers of NHS Tayside's workforce levels compared to peer Boards and to identify safe options for bringing redesigned services and sites within available resources. (Recommendation 4 for the Senior Executive Team https://www.gov.scot/Publications/2017/06/8615/2 ) Prior to the Public Audit and Post-legislative Scrutiny Committee work had commenced on implementing Realistic Medicine recommendations across the Board.
    [Show full text]