Chief Allied Health Professions Officer’s Conference 2016 Workshop 3: Integrated Care – Chair Lindsey Hughes Trust wide, Top down and Bottom Up Quality Improvement AHP Collaboration in Acute Mental Health Care. East London NHS Foundation Trust: Jennifer French, Head of Arts Therapies in Tower Hamlets & Quality Improvement Coach, Brenda Naso, Dance Movement Psychotherapist, Julia Branton, Occupational Therapist and Stephen Sandford, Strategic Lead & Professional Head of Arts Therapies

1. Trust wide, Top down and Bottom Up Quality Improvement
AHP Collaboration in Acute Mental Health Care

2. The culture we want to nurture
A listening and learning
organisation
Empowering staff to
drive improvement
Increasing
transparency and
openness
Re-balancing quality
control, assurance and
improvement
Patients, carers
and families at
the heart of all
we do

4. How QI Works
Make it feel meaningful
Make it feel possible
Make it feel valued and permanent
Provide skills and support
AIM:
To provide
the highest
quality
mental
health and
community
care in
England by
2020

5. Acute Mental Health Inpatient Therapies - Quality Improvement Project
Our QI Team: Arts Therapies, Occupational Therapy, Psychology, Ward staff
Service user take up and satisfaction with the groups offered
Therapists understanding of each others’ work
Measures
Driver Diagram – a framework for QI
Project Aim
the right care at the right time
*Developing a joint timetable of therapeutic groups* *Regular, clinically focused therapies meetings* * Providing care pathways linked to need*
*Improving understanding of each others’ work* *Improving liaison and feedback to the MDT* *Information strategies for patients and staff*
What are we testing?
Aim:
To provide high quality,
efficient (flexible, co-
ordinated use of
resources) therapeutic
input throughout the
in patient journey
Multidiciplinary
working
OT, AT and
psychology working
together
understand each
others knowledge and
skills - what we offer
3 Overlapping
contexts for in patient
therapies: implement
represent each other
transparancy and
communication :
- what we can offer
clear, co-ordinated
carepathway for in
patient therapies
know the needs of
the patients, their
families, staff duty triage
open assessment
groupss
develop rolling groups
and tailored
interventions
written information
about therapies,
groups etcward round and care
planning
Patient choice
understand the VOC
therapies and care
plan clinic
People Participation
attending PTD for
information and
feedback
Primary Drivers Secondary Drivers Change Ideas
0
1
2
3
4
5
1 2 3 4 5 6 7 8 9 10 11 12
lead co-worker
I could explain to a patient how my colleague could help them
very well
reasonably
well
satisfactorily
a little bit
not at all
joint group

6. From co-working
to co-creating
a recovery focused group
integrating knowledge and skills
Dance Movement Therapist
& Occupational Therapist

7. What a QI framework has helped to deliver in this project:
Service users engagement:
• Greater focus and attention supported by shifts between verbal
discussions and embodied experiences
• Ability to stay and engage for the whole duration
• Receptivity – different levels
• Engaged at a deeper level both verbally and non-verbally
• Inclusive: verbal and non-verbal
Occupational Therapy & Dance Movement Therapy
partnership:
• Synergy: organic flow of creative ideas
• Stronger multi-modal containment of service users experiences
• Learning from each others professions and approaches to treatment
• Staff satisfaction
• unplanned outcome from the project work!
“Helpful, peaceful, kindful”

9. Find out more about our
Our Website is full of QI Resources to share:
qi.elft.nhs.uk
Follow us on Twitter:
@ELFT_QI