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Self Harm
Health Integration Team: STITCH
Salena Williams
Senior Nurse Liaison Psychiatry
Director Self Harm HIT
Self Harm Health Integration Team
Our HIT will deliver:
- Reduction in the incidence of repeat self-harm in Bristol
- Reduced prescriptions of drugs with high lethality when taken in overdose
- Reduced admission to a hospital bed for self-harm, reduced LOS
- Reduced admission to intensive care of self-harm patients
Reduction of suicidein Bristol
Structure
STITCHEXECUTIVE
CARE IN THE
HOSPITALS
WORLD CLASS
RESEARCH
EDUCATION TRANSFORMING
PRIMARY CARE
PATIENT AND PUBLIC
INTEGRATION
BRISTOLHEALTH PARTNERS
Structure
HIT EXECUTIVE
CARE IN THE
HOSPITALS
WORLD CLASS
RESEARCH
EDUCATION TRANSFORMING
PRIMARY CARE
PATIENT AND PUBLIC
INTEGRATION
BRISTOLHEALTH PARTNERS
PROVIDER FORUM
HIT pooled resourcesof
partnersto provide £350k
investmentinto A+E
psychiatryservice
Success
Reduce the science to service gap:
0%
20%
40%
60%
80%
100%
0
20
40
60
80
100
120
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
%assessed
Numberofattendances
Hourof attendance (24hr)
Number of attendances % psychosocial assessment
Success
Improved service user engagement in service planning and delivery
throughout the care pathwayand with research
– Patients designed their own A+E research, carried it out and met with A+E staff
to decide how to change things
– Patients designed their own information resource for attendees to A+E
– Patients teach A+E staff about self harm
– Patients train GPs about self harm
– CLARHC funded Patient Centred Outcomes research
Success
• New 7 day 14 hour service to A+E
• Psychosocialassessment following self harm
• Standardised recording and information across Bristol
• Repeat attenders plans
• Ambulance staff training
• Self Harm clinic
Success
• GP bespoke and annual self harm training
• Improved communication and care planning
• GP pilot prescribing project
• Parliamentary Inquiry and NHS England – to change the law
Summary
Self harm is a key risk factor for suicide
STITCH gets together experts in self harm
• Identifies and accelerates self harm priorities
• Puts patients at the centre of their care
• Merges priorities of all organisations involved

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Self harm health integration team, pop up uni, 12.00, 3 september 2015

  • 1. Self Harm Health Integration Team: STITCH Salena Williams Senior Nurse Liaison Psychiatry Director Self Harm HIT
  • 2. Self Harm Health Integration Team Our HIT will deliver: - Reduction in the incidence of repeat self-harm in Bristol - Reduced prescriptions of drugs with high lethality when taken in overdose - Reduced admission to a hospital bed for self-harm, reduced LOS - Reduced admission to intensive care of self-harm patients Reduction of suicidein Bristol
  • 3. Structure STITCHEXECUTIVE CARE IN THE HOSPITALS WORLD CLASS RESEARCH EDUCATION TRANSFORMING PRIMARY CARE PATIENT AND PUBLIC INTEGRATION BRISTOLHEALTH PARTNERS
  • 4. Structure HIT EXECUTIVE CARE IN THE HOSPITALS WORLD CLASS RESEARCH EDUCATION TRANSFORMING PRIMARY CARE PATIENT AND PUBLIC INTEGRATION BRISTOLHEALTH PARTNERS PROVIDER FORUM HIT pooled resourcesof partnersto provide £350k investmentinto A+E psychiatryservice
  • 5. Success Reduce the science to service gap: 0% 20% 40% 60% 80% 100% 0 20 40 60 80 100 120 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 %assessed Numberofattendances Hourof attendance (24hr) Number of attendances % psychosocial assessment
  • 6. Success Improved service user engagement in service planning and delivery throughout the care pathwayand with research – Patients designed their own A+E research, carried it out and met with A+E staff to decide how to change things – Patients designed their own information resource for attendees to A+E – Patients teach A+E staff about self harm – Patients train GPs about self harm – CLARHC funded Patient Centred Outcomes research
  • 7. Success • New 7 day 14 hour service to A+E • Psychosocialassessment following self harm • Standardised recording and information across Bristol • Repeat attenders plans • Ambulance staff training • Self Harm clinic
  • 8. Success • GP bespoke and annual self harm training • Improved communication and care planning • GP pilot prescribing project • Parliamentary Inquiry and NHS England – to change the law
  • 9. Summary Self harm is a key risk factor for suicide STITCH gets together experts in self harm • Identifies and accelerates self harm priorities • Puts patients at the centre of their care • Merges priorities of all organisations involved