The Royal London Longstayers Project Project lead: Rikke Albert - - PowerPoint PPT Presentation

The Royal London Longstayers Project

Project lead: Rikke Albert Project team: Shona McDonald, Hannah Osborne & Dr Rosie Smyth Project sponsor: Dr Jan Falkowski

Background

• Why we chose the project – The long stay

patients are at risk of co-morbid physical and mental health problems. The RLH has between 270-290 patients a week identified as long stay patients.

• What was the problem? How to identify which

270-290 patients would benefit from a mental health assessment.

Background continued

• The aim is to create an effective way of

identifying long-stay patients who will benefit from input from the RAID team.

• Development of a check list by 31st of March

2015.

• Increase the number of long stay patients taken
• n by the RAID June 2015 to 2 per week.
• The long stay patients taken on by RAID to have a

full psychosocial assessment with a completed care plan.

Driver diagram

To increase the number of referrals to RAID of patients with unmet mental health needs who have a LoS of 30 days or more by 2 per week by July 2015 To develop a way

• f identifying the

right patients

Referrals

Development of a screening tool

Mental health awareness

Managing complex behaviour training

Whole ward training

Ward presence Daily ward attendance

MDT attendance

A P S D A P S D Cycle 1: : Attend the weekly long-stay meeting Cycle 2: Identified 2 pilot wards and used distress-ometer as a screening tool Cycle 4: Barts health staff asked to use tool Cycle 3: Focused on one ward and developed own screening tool

Sequence of PDSA’s –

Data

UCL LCL

0.5 1 1.5 2 2.5 3 01 November 2014 01 December 2014 01 January 2015 01 February 2015 01 March 2015 01 April 2015 01 May 2015

Change the administration of the tool, 2 pages changed 1 for staff, 1 for patient LOS questionnaire Distress thermometer

Number of referrals referred to RAID team plotted monthly on a C chart

Number Referral

Learning

• Multiple PDSA is useful when trying to

develop and test a different way of working in a complex system – there is less pressure to get it right.

• Involving partners to get ‘buy in’ is important.

We used the affinity diagram method as a framework for discussion on long stay patients and mental health.

What next?

• The next step in the project is testing the

screening tool further – use on elder care wards.

• Barts health staff to test the tool.

Challenges -

• The rolling out the tool will require work on

identifying barriers within Barts health and the mental health team.