Acute and Psychiatric Intensive Care Services
A REAL AND LASTING DIFFERENCE FOR EVERYONE WE SUPPORT Priory’s commitment to Acute and PICU services
Priory’s specialist Acute and Psychiatric • There was an average improvement in HoNOS Intensive Care Unit (PICU) teams are to 8.3 for those returning home at discharge committed to providing the highest (between October ’14 and September ’15). quality of care. We help patients • 91% of those returning home at discharge saw overcome a wide range of mental health an improvement in HoNOS* conditions in therapeutic and • 98% of patients stated that when they arrived, sta made them feel welcome* supportive environments. With a full • 98% of patients stated they were treated with multidisciplinary team (MDT) at all sites, respect and dignity during their stay* we provide a swift and appropriate • 98% of patients stated they felt safe during response to meet the needs of each their stay* individual, highlighted opposite in our *Q2 2015/16 survey Acute service outcomes:
Our services at a glance:
Highest quality of care for a wide range of mental health conditions
Emergency placements 24 hours a day, 7 days a week
Experienced and expert multidisciplinary teams at all sites
Immediate discharge planning for positive end goals
Seamless access into higher or lower acuity treatment reflecting individual needs
Flexible treatment plans to meet individual needs
We provide a 24/7 emergency service. To make a referral please call: 0800 090 1356 or email: [email protected] Who do we support?
Whilst Acute and PICU are two distinct services, they also work together to enable positive progression towards recovery, for the following patients:
Acute service PICU service
• Individuals with a range of mental • Individuals in need of intensive care health conditions • Individuals detained under the Mental Health Act • Those showing risk of violence and aggression • Those with a wide range of mental health conditions • Those at risk of suicide • Individuals at risk of violence and aggression, and those who are psychotic and unpredictable • Individuals with varying levels of risk • Individuals from other services • Risk profiles from medium to high • Those at risk of suicide
• Patients from other PICUs, prisons, police custody, secure services, Acute services and the community
In addition, Priory has a specialised PICU provision for young people aged 12 to 18 detained under the Mental Health Act (1983) with a forensic history, who may have a high risk profile and a risk of absconding.
How to access our services
Priory accepts referrals from a variety of public All our hospitals have specific admission criteria sector and independent organisations throughout relevant to the service and support they o er. the UK. These include: Same day admission can be facilitated and we can assist in transferring the patient if required. • NHS provider Trusts • Clinical Commissioning Groups (CCGs) We are able to accept referrals 24 hours a day, 7 days a week. Urgent or out-of-hours • NHS England specialised mental health case appointments and admissions can be arranged managers immediately by telephoning the appropriate • Community Mental Health teams hospital directly. • High Secure hospitals A referral can be made by telephone, email, online • Medium Secure hospitals or in writing to the Priory central enquiries. • Psychiatric hospitals Call us today on: 0800 090 1356 • Prisons and Courts Send an email to: [email protected] • Social Services and the police Visit: www.priorygroup.com Our range of innovative pricing plans is specifically designed to ensure a transparent and e cient process for commissioners at an agreed cost. Our Acute services
Priory has a nationwide network of acute support for the NHS, o ering 24 hours a day, 7 days a week assistance in times of emergencies, to support individuals whenever needed. Our safe, secure and contained hospitals o er supportive and caring environments for a wide range of patients.
We focus on family and carer interaction, and collaboration with community teams to support successful discharge plans and a smooth transition back into existing community services, or to an individual’s home where possible.
Our PICU services
Our intensive care services have been developed over 20 years and are adept at dealing with patients in a severe phase of illness, who cannot be managed on an acute unit. Our sta teams have extensive experience in managing high levels of disturbance, allowing the units to admit from a variety of settings including other PICUs.
Priory's experience of supporting people with complex needs and challenging behaviours, along with co-existing issues (such as substance misuse), puts our services at the forefront of specialised intensive care.
Our PICUs meet the Department of Health’s National Minimum Standards for ‘General Adult Services in Psychiatric Intensive Care Units’. What is Priory’s approach?
Our Acute services
• We work closely with referring Trusts to achieve minimum lengths of stay, and are able to provide an extension to NHS care pathways during times of fluctuating demand
• Priory works collaboratively with discharge teams to ensure a smooth transition back into existing community services, or to an individual’s home where possible. This includes the opportunity to attend ward rounds and discuss patient care with the MDT
• We have the capability across our network to utilise our breadth of services to support a full care pathway, providing continuity of care and the minimum disruption to the treatment programme Our PICU services
Our model of care is designed to meet the needs of those with behaviours that challenge. Patients may present with a high level of acuity, and so require a safe and therapeutic environment to manage their level of risk, and safely yet swiftly start them on their road to recovery.
Priory’s individual packages of care for those presenting with the highest levels of acuity focus on:
• Intensive, multidisciplinary, therapeutic programmes aimed at delivering evidenced-based interventions in order to rapidly reduce acute symptoms
• Promoting self-management and recovery
• An initial physical health screen and management
• Ensuring a short length of stay, prior to transfer to a less restrictive environment
• Out-of-hours rapid admission (often paper-based) for emergency and urgent assessment, seven days a week As part of our Acute and PICU services, discharge planning commences upon arrival. Our primary objective is to deliver fast and e ective improvements to our patients’ mental health, along with a minimum length of stay. On admission our services:
• Identify physical care needs
• Engage with family and carers to listen to their needs
• Provide relevant information to families and carers
• Maintain close contact with bed managers and community sta
• Consider input required from social, advocacy and other agencies Our treatment programmes
Our aim is to assist any patient within an Acute or PICU service, to understand and cope with their condition, using NICE approved interventions that help to recognise and prevent triggers for relapse. Our MDT of psychiatrists and therapists encourage patients to fully engage with their treatment programme.
All treatments are flexible to meet requirements and personal circumstances, and may include:
• Medication reviews and interventions
• Psychological intervention
• Management of self-harm and hostility
• ECT and Cognitive Behavioural Therapy interventions where appropriate
• Management of physical health care needs
• Formulating problems/diagnosis using a biopsychosocial model
• Crisis planning and relapse prevention
• Anxiety management
• Practical help with basics of daily living skills
• Problem-solving
We provide personalised treatment programmes in safe, calming and comfortable environments for those with the most complex of care needs. Acute services Spotlight on: The Priory Hospital Roehampton, East Wing
The Priory Hospital Roehampton specialises in the expert management and treatment of The team ensures patients are always all major acute psychiatric conditions, involved: including depression, anxiety, post-traumatic stress disorder and Obsessive Compulsive Disorder (OCD). I wanted to say, and this is no exaggeration, the week I spent with you The East Wing at Roehampton is a 12 was the second best of my life... that week bedded, all female, acute adult ward which did more to help with my mental health provides: problems than any drug. • Expert care to women with a range of Patient 2015 diagnoses and needs
• Safe and secure care to both detained and informal patients Thank you for your excellent care during my • Rapid assessments and frequent patient recent short admission. I found the nursing reviews sta very friendly and it was easy to • Immediate discharge planning, supported communicate my needs to them. I also felt by an experienced social worker that the rights and dignity of patients were • Comprehensive day programmes respected at all times. The holistic approach • A dedicated onsite Consultant with expert to recovery which was evident from the clinical knowledge varied activities available and pleasant • A GP trainee to address all physical health surroundings is very progressive in care needs of our patients comparison to the conditions I have • En-suite rooms experienced in other hospitals.
• A dining room, two lounges, gardens and a Patient 2015 therapy room The Priory Hospital Roehampton specialises in the expert management and treatment of all major acute psychiatric conditions, including depression, anxiety, post-traumatic stress disorder and Obsessive Compulsive Disorder (OCD).
The East Wing at Roehampton is a 12 bedded, all female, acute adult ward which provides:
• Expert care to women with a range of diagnoses and needs
• Safe and secure care to both detained and informal patients
• Rapid assessments and frequent patient reviews
• Immediate discharge planning, supported by an experienced social worker
• Comprehensive day programmes
• A dedicated onsite Consultant with expert clinical knowledge
• A GP trainee to address all physical health care needs of our patients
• En-suite rooms
• A dining room, two lounges, gardens and a therapy room
PICU service Spotlight on: The Priory Hospital Cheadle Royal
Female PICU – Pankhurst
The Pankhurst Unit safely manages the acute phase of women su ering from severe mental health problems who demonstrate challenging behaviours. The model of care is specifically designed to meet the needs of women who have exceeded, exhausted or failed to benefit from The Priory Hospital Cheadle Royal o ers a 30 local resources and who require a safe and bedded PICU service comprising of three gender secure environment to engage in a therapeutic specific units – the Willows and Featherstone programme. Units treat male patients and the Pankhurst Unit treats female patients. All of the wards are Consultant-led and our MDT works on-site 24 Male PICU – Willows hours a day, 7 days a week. The Willows Unit provides a model of care The Priory Hospital Cheadle Royal is a safe, specifically designed to meet the needs of men contained yet nurturing environment which su ering from severe mental health issues that fully subscribes to NAPICU guidelines and cannot be managed in an open setting. The standards. It provides: skilled MDT has many years’ experience of safely
• Rapid response times in regards to managing and stabilising patients in a severe admittance and assessments phase of a mental health, often with behaviours that challenge. • Rapid assessment takes place upon admission to ensure condition improvement Male PICU – Featherstone can be focused on immediately
• High levels of mutual understanding between At The Priory Hospital Cheadle Royal, our PICU sta and patients service called Featherstone, opened in • High levels of family and carer interaction September 2015. The unit is for males aged 18 and over who may: • Positive collaboration with community teams
• Short average lengths of stay • Present with an acute psychosis or dual We accept patients with extremely high and diagnosis with a primary mental illness challenging levels of acuity. Understanding the • Present significant and continued risk to circumstances of the individual also helps to themselves or others, and who have a high achieve a successful discharge plan. risk of absconding
90% of patients admitted to our services • Be admitted from A&E, the judicial system, and subsequently returning home, showed other PICUs, community services and other an improvement in HoNoS score from mental health settings and wards admission to discharge. Our locations
10
South East 07
1. The Priory Ticehurst House Ticehurst, East Sussex, TN5 7HU 09 Tel: 01580 200 391 Fax: 01580 201 006 08 [email protected] Outpatient service only 06 Acute service 05
2. The Priory Hospital Woking 03 Chobham Road, Knaphill, Woking 12 04 Surrey, GU21 2QF 02 01 Tel: 01483 489 211 Fax: 01483 797 053 11 [email protected] Acute service
East of England
3. The Priory Hospital Chelmsford North East Scotland Stump Lane, Springfield Green Chelmsford, Essex, CM1 7SJ 7. The Priory Hospital Middleton St George 10. The Priory Hospital Glasgow Tel: 01245 345 345 Fax: 01245 346 177 Middleton St George, Darlington 38-40 Mansionhouse Road, [email protected] County Durham, DL2 1TS Glasgow, G41 3DW Acute service Tel: 01325 333 192 Fax 01325 333 883 Tel: 0141 636 6116 Fax: 0141 636 5151 [email protected] [email protected] London Acute service Acute service
4. The Priory Hospital Roehampton North West South Central Priory Lane, Roehampton, London, SW15 5JJ Tel: 020 8876 8261 Fax: 020 8392 2632 8. The Priory Hospital Altrincham 11. The Priory Hospital Southampton [email protected] Rappax Road, Hale, Altrincham Hythe Road, Marchwood, Southampton Acute service Cheshire, WA15 0NX Hampshire, SO40 4WU Tel: 0161 904 0050 Fax: 0161 980 4322 Tel: 023 8084 0044 Fax: 023 8020 7554 [email protected] [email protected] Midlands Acute service Acute service
5 The Woodbourne Priory Hospital 9. The Priory Hospital Cheadle Royal 21 Woodbourne Road, Edgbaston 100 Wilmslow Road, Cheadle, Birmingham, B17 8BY Cheshire, SK8 3DG South West Tel: 0121 434 4343 Fax: 0121 434 3270 Tel: 0161 428 9511 Fax: 0161 428 1870 12. The Priory Hospital Bristol [email protected] [email protected] Heath House Lane, Stapleton, Acute and PICU service Acute and PICU service Bristol, BS16 1EQ 6. The Priory Hospital Nottingham Tel: 0117 952 5255 Fax: 0117 952 5552 Ransom Road, Nottingham, [email protected] Nottinghamshire, NG3 5GS Acute service Tel: 0115 9693 388 Fax: 0115 9693 381 [email protected] Acute service
To make a referral, please call 0800 090 1356, 24 hours a day, 7 days a week. Get in touch
For more information on our services or to discuss treatment options:
Call us today on: 0800 090 1356 Send an email to: [email protected] Visit: www.priorygroup.com
A/PICU/SLB/2016/V2 Individuals pictured are models and are used for illustrative purposes only
A REAL AND LASTING DIFFERENCE FOR EVERYONE WE SUPPORT