Donna Adcock Senior Matron Emergency Services Division My role as a - - PowerPoint PPT Presentation

Donna Adcock

Senior Matron Emergency Services Division

My role as a Matron?

My outlook: An influential role to exemplify based inspirational leadership at all levels, by epitomising standards and values built on the expectations of our patients, the public, our employer and our profession. My aim as a Matron: Bring nursing strategy to life by Engaging, Empowering and Leading by example, to provide World Class Patient Centred, Safe, High Quality Care to all.

Scope of our discussion today

• How do we care for

patients presenting with Mental Health difficulties within Emergency services Division?

• Holistic assessment
• See the person

behind the individual in front of us

• Pathways

Question? Caring for the individual behind the person we see in front of us! Take a look at the picture; What do you see? Hold that thought

Partnership

Patient UCLH CANDI

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Acute care & Mental Health: Cohesive Multi Agency working

What is Multi agency working?

• Group of professionals working

towards a common cause

• Patient is the central focus
• Patient included as part of the

team

• Sustainable pathways
• Seamless transition within

statutory and non stat services. Patient benefits

• Empowerment
• Enhances communication
• Focus is on supporting the

person, not the problem.

• Promotes independence with

benefits of safety net when required.

Key benefits of UCLH & CANDI multi agency working towards patient centred care

• Value people as individuals
• Promote self worth
• Engagement on all levels
• Demonstrate credibility in

all aspects of patient care

• Acknowledge what is going

well & where improvements are required.

• Respect for all
• Empowerment
• Advocate - ensuring

everyone has a voice.

• Facilitate open discussion
• Challenge boundaries to practice,
• Create opportunities for

improvements in care and experience

• Demonstrate the ability and

willingness to rationalise decision making

• Bring organisational values to life
• Manage expectations

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Challenges

Organisational Patient Perspective

• Environmental
• Operational
• Increasing numbers of

complex patients

• Length of Stay
• Monitoring Performance
• Quality assurance Measures
• Forecasting and projecting

service delivery requirements

• Communication
• Number of professionals

involved

• Repetition in care
• Controls and limitations
• Active involvement in

decision making

• Emotional needs

acknowledged

Working together to provide safe, quality care

Patient

Community UCLH CANDI Non Statutory UCLP IFM

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Pathways

As a mechanism for standardising care

• What are they?
• How do they help?
• Where do they come from?
• How do pathways support

individualised patient care? How do they promote safe quality care?

• Consistency in care
• Safety
• Promote cohesive MDT &

Multi agency working

• Clear & understandable
• Outline expectations
• Timely care Right Time,

Right Place, Right Team for patient.

How do we standardise such a complex issue? We don’t. The pathway is standardised, not our patient

• We assess the patient as an individual
• Look beneath the surface
• Listen to hear what is being said
• Reframe the picture
• Feedback & confirm our understanding
• We see the individual behind the person in front of us
• Case reference

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Pathways

ED Initial assessment & MHLT alert Admission to UCLH – on-going medical care + MHLT assessment and support Medically cleared Referred for MH assessment Transferred to Transitional assessment facility

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Specialist Resource

Patient

Security Specialist Nursing EDED AAMU MHLT Transport Community partners

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Question? Now tell me What do you see?

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Acute & Specialist Services Working in Partnership Thank you for listening. I would now like to invite questions from the group.