AIMS Rehab: a Quality Network for Mental Health ... · Rehabilitation Services: Second Annual Forum...

AIMS Rehab: a Quality Network for Mental Health

Rehabilitation Services: Second Annual Forum Tuesday 16 May 2017

Royal College of Psychiatrists- 21 Prescot Street, London, E1 8BB

09:45 –

10:15 Registration and Refreshments

10:15 –

10:35 Chair’s Welcome and Introductions Sabina Burza

10:35 –

11:15

AIMS Rehab: a Quality Network for Mental Health

Rehabilitation Services Update

Sarah Paget and

Hannah Bolger

11:15 –

12:00 Keynote speech: The hidden, virtual asylum?

Jenny Wilkes and

Mat Kinton, CQC

12:00 –

12:15 Q & A Sabina Burza

12:15 –

13.00 Lunch

13:00 –

13:40

Member Workshops- Session 1

Please see attached abstracts for more information See abstracts

Workshop 1:

Going Smoke Free in a

Rehabilitation Setting

Chaired by Hannah Bolger

Workshop 2: Developing a

Systemic Psychological Approach

on a Locked Rehabilitation Unit

Chaired by Sarah Paget

13:45 –

14:40



Workshop 3:

Increasing

community

engagement

Chaired by Joel

Lewis

Workshop 4:

Activities and

Rehabilitation

Chaired by Hannah

Bolger

Workshop 5:

Core Competencies

and Training for

Rehab Professionals

Chaired by Sarah

Paget

14:40 –

15:00 Refreshment Break

15:00 –

15:40



Workshop 6: Feasibility of using

wearable

technology (Fitbits)

in a rehabilitation

ward setting

Chaired by Sarah

Paget

Workshop 7:

Collaborative risk

assessments for

clients with complex

needs

Chaired by Joel Lewis

Workshop 8: Self-

and Peer-Review as

Tools for Quality

Improvement

Chair TBC

15:45 –

16:15 Plenary Session Sarah Paget

16:10 –

16:15 Closing Comments Sabina Burza

Keynote speech: The hidden, virtual asylum? Hospitals Directorate (Mental Health), Care Quality Commission In early 2016, CQC identified a potential theme from its early inspections of low

secure and locked and open residential rehabilitation services. A number of

services that we inspected did not provide patients with an active programme of

rehabilitation interventions aimed at enabling people to acquire/reacquire the

daily living skill necessary to live more independently. We also concluded that a

number of services were not sufficiently ‘discharge-oriented’.

Registration data held by the Care Quality Commission suggests that there are

nearly 5,000 people residing in these rehabilitation services at any one time,

with more than two thirds in a locked rehabilitation ward. The majority of such

beds are provided by the Independent Sector, and many placements are out of

the patient’s home area.

Is there a risk of reviving the failures of the old asylum culture in this network of

smaller hospitals used for long-term residential care? What are the drivers

behind some services’ lack of focus on discharge, and the risks of

institutionalisation? Whilst acknowledging that one aspect is a lack of available

support or placements enabling discharge from residential rehabilitation care, we

will discuss the CQC approach in its regulation and monitoring of providers of

rehabilitation services, and the challenges ahead for both services and CQC in

addressing the problems.

Jenny Wilkes

Jenny is the Head of Hospital Inspection (Mental Health) in the North East and

Yorkshire and Humber region. She has worked in regulation for the past 11

years. Jenny qualified as an RMN in 1990 and has worked in rehabilitation and

forensic services within the NHS and Independent sector.

Mat Kinton

Mat worked at the Mental Health Act Commission from 1993, and is currently the

National Mental Health Act Policy Advisor at the Care Quality Commission. He

has authored many national reports on the Mental Health Act, and has helped to

establish a number of independent monitoring bodies in central and eastern

Europe. Formerly a civil servant, his supportive engagement with critics of

proposals leading to the 2007 amendments to the Act was described as ‘unwise’

by the cabinet secretary of the day.

Member Workshops- Session 1 (13:00-13:40)

Workshop 1: Going Smoke Free in a Rehabilitation Setting

Coral Lodge, Rotherham, Doncaster and South Humber NHS Foundation Trust

Guidance on smoking in secondary care stated that all mental health settings

should be smoke-free and provide smoking cessation support. The current study

explored the concerns of staff and service users prior to the implementation of a

smoke-free policy within a locked rehabilitation setting. It aimed to capture

people’s reflections on the actual experience of introducing a smoke-free

environment. The study was conducted using four focus groups; with thematic

analysis to analyse the data and produce themes helping to capture the

intricacies of meaning within the information gathered. The findings indicated

that there had been an increase in unsettled behaviour, increase in rule breaking

and a lack of clarity of the rules and procedures. A complete ban would be the

most constructive way to implement a smoke-free initiative, allowing service

users and staff unambiguous guidelines. Least restrictive practice and client

centred approaches are at the heart of mental health care; however, a smoke-

free policy appears to contradict these philosophies within a rehabilitation

setting.

Nadia Cox

Nadia is an Assistant Psychologist at Coral Lodge.

Workshop 2: Developing a Systemic Psychological Approach on a Locked

Rehabilitation Unit

Coral Lodge, Rotherham, Doncaster and South Humber NHS Foundation Trust

Purpose: To help staff develop skills in reflection and self-awareness and

improve understanding of how the approach of the staff makes a crucial

difference in facilitating the recovery of patients

Rationale: Developing positive and proactive care is an aim nationally following

high profile examples of restrictive practice and publications such as Positive and

Proactive Care: Reducing the need for Restrictive Interventions (2014).

Additionally, the value of education, support and reflection for staff is

emphasised in the Francis Report (2013). In mental health rehabilitation the

focus of staff needs to promote profound change in the individual and facilitate

self-management of difficulties in order to equip patients to navigate stressful

experiences when they leave hospital.

What was done: A weekly, multi-purpose forum was introduced and joined by as

many staff as could attend. On alternate weeks the group was a staff support

session helping staff to reflect on their practice and come together to offer

mutual support and solve problems. In the other sessions, relevant theories and

psychological formulations were presented to the staff and used to inform

patients’ behaviour support plans

Results: The groups have been running for over 35 weeks. Feedback from

attendees has identified that staff appreciate an opportunity to be listened to,

feel supported and also gain a more in depth-knowledge of the patients and a

better understanding of the functions of their behaviour. Observations of senior

team members have suggested that the groups have helped to ease tensions

amongst front line staff, improved cohesive team-working and morale and have

identified areas for improvement. The case formulation groups have generated

more empathy towards patients and facilitated the adoption of positive

behavioural approaches.

Jane Curtis

I qualified as an RMN in 2003, and I have been the ward manager at Coral

Lodge since 2014, this being my fist managerial post. I worked as a general

nurse in my early 20’s and became interested in pursuing a career in mental

health due to my mother’s mental health difficulties. I completed a Post

Graduate Nursing degree at the University of Sheffield, where I also completed

my first degree in Psychology in 2000. I have worked for RDaSH since qualifying

as an RMN, and have extensive experience in Rehabilitation and Recovery, both

in-patient and community services, including working as a Nurse Prescriber in a

Nurse Led clinic. Following a successful secondment to a more strategic role,

working as a Clinical Trainer and experiencing Clinical Commissioning of mental

health services, I have embraced my current role and its varied challenges;

working both clinically and managerially, ensuring that the patients at Coral

Lodge enjoy the highest quality care, a choice in treatment options and

approaches, and a reduction in multiple admissions to acute care. I am

interested in the AIMS initiative as it will hopefully enable further improvement

of our service and the opportunity for us to share good practice & ideas with

others.

Laura Cooper

Laura is the Deputy Ward Manager at Coral Lodge.


Workshop 3: Increasing community engagement

Creating Community Connections: Using photography, green spaces and

a hot cup of tea to improve volition and bridge the gap between the low-secure unit and the community

Central North West London NHS Foundation Trust

A priority for therapists in low-secure rehabilitation is supporting residents to

identify and engage in meaningful activities where they have significant

volitional challenges and high levels of occupational deprivation due to the

physical and social environment (COT, 2012). Linking residents with

community-based activities to reduce isolation, social exclusion and support

discharge is a key feature of the therapist’s role (COT, 2012; Cook et al., 2016).

At Bluebell Lodge, a low-secure rehabilitation unit for adult men, a weekly

Occupational Therapy/Arts Psychotherapy collaboration was developed and

piloted over 8 weeks. The group sessions aimed to:

1. support residents to identify interests and goals

2. improve personal causation

3. provide opportunities to connect with nature and the local community

The sessions included a walk to a local community garden, taking photos and

collecting natural items which would then form the focus of the unit-based Art

Therapy group. The outing also included a visit to a local café where discussion

about the photographs/items was facilitated by the therapists.

Residents without adequate section 17 leave could attend the unit-based

sessions and explore the photographs/items as part of the group. This sparked

curiosity for some residents who wished to work towards the community-based

sessions.

This presentation will explore the evidence base for the project, detail the

process of establishing the group, and report on outcomes which include:

1. marked improvement in volition across time as captured by The Volitional

Questionnaire (de las Hera et al., 2003)

2. linking residents with community activities

3. positive resident feedback

4. therapist observations and reflections

Learning outcomes for the session include gaining an understanding of how

evidence-based therapeutic group protocols are developed, and an exploration of

the benefits of using photography and green space therapeutically with this

client group.

Rachael Coates

Rachael is a Senior Occupational Therapist currently working in low-secure rehabilitation for Central and North West London NHS Trust. Following qualifying

as an OT via the pre-registration MSc route she has also worked in Community Reablement and Community Mental Health Services. With a

background in Art and Design she has a keen interest in using creative activities within therapy; valuing their diversity, accessibility and potential to instil hope

and enhance health and well-being. She is passionate about research and evidence-based practice.

Frances Walton Frances Walton is an Art psychotherapist who has worked with inpatient rehab

and community Art therapy clients for over 10 years. She is interested in the links that can be made between impatient settings and the community, offering a variety of Art therapy groups. Frances is keen to explore how different

professionals can work alongside patients to develop creative approaches and meaningful transitions for patients within the community.

It’s not what you know, it’s who you know’. Introducing the Connecting

People Intervention

Hollybank, Southern Health NHS Foundation Trust

The Connection People Intervention (CPI) is a social intervention which supports

people experiencing mental health difficulties to enhance their social networks. At

the heart of the intervention model is co-produced practice whereby mental health

workers agree goals with an individual, which involve new social connections, and

support them to achieve them. A large pilot study has found that when it is fully

implemented it is associated with improvements in individuals’ access to social

capital (social resources accessible within social networks), which has been found

to be associated with recovery from mental health difficulties.

The CPI has been integrated into social work curricula, including the national Think

Ahead programme; has formed the basis for a social prescribing pilot with Ripon

Museums in North Yorkshire; and has been adapted for use in diverse contexts in

Sierra Leone and Nepal.

This workshop will explore how the model has inspired Hollybank as a team to

relook at our personal and local connections (our social and unit’s capital). It has

also motivated the patients in our care to review their association with their local

community.

We encourage you to actively participate in our workshop to review your own

connections and hope to give you some ideas on how you and your team’s

connections can improve and develop your practice, thus enhancing the social

networks for the patients in your care.

We will present some case studies to exemplify the benefits of the CPI model

Dr Moira Ledger

I trained at Sheffield Medical School graduating in 1982. After house jobs,

I went straight into psychiatry and during a post in psychiatric rehabilitation as a

registrar I discovered the branch of psychiatry I wanted to pursue. I had a

consultant post in Southampton combining inpatient and community psychiatry

until I retired in 2014. However I have continued to work part time wholly as an

inpatient psychiatrist in a unit serving the whole of Hampshire excluding

Southampton and Portsmouth.

Carol Barnard

Carol is a Clinical Manager. I qualified as a RMN in 1977 then soon left to live in

Paris where I worked as a nurse for 17 years. On returning to England I returned

to the NHS and started working in rehab settings. I joined Hollybank when it

opened in 2004 as a staff nurse and then manager in 2007. I am passionate about

Hollybank and the fantastic team we have and believe that we do excellent work

supporting the patients in our care to move on with their recovery and live a

fulfilled life in the community.

Debbie Wilson

I qualified as an OT at Southampton University in 2006. I then spent a year based

in a hospital setting working in orthopaedics and general medicine. Following that

I spent a year in a split post; working with a Community Mental Health Team and

at a Day Hospital before coming to Hollybank and specialising in mental health

rehab. I have now been in this post for 8 years. I am currently studying a part

time MSC in Health Sciences at Southampton University. The module I’ve just

completed was a work-based learning module looking at the role of OT in social

participation. I hope to qualify in 2018.

Professor Martin Webber

I am a registered social worker with experience of working with adults with a

learning disability and mental health problems. I have worked in social work

education and research since 2002. My primary research interest is the

development and evaluation of social interventions with people with mental

health problems. This includes primary epidemiological or methodological work;

ethnographic work to develop intervention models; and experimental work to

evaluate the effectiveness of interventions. My teaching interests include

research methodology and the practice implications of my research. I am

currently Professor of Social Work at the University of York where I am also the

academic lead for the Think Ahead programme and Deputy Head of the Social

Policy and Social Work Department.

Workshop 4: Activities and Rehabilitation

Coffee Beanz café: A Service User Journey Lincolnshire Partnership Foundation Trust

Coffee Beanz café is a service user run café in the reception of Discovery House,

a Rehabilitation unit in Lincoln. Discovery House has one male locked ward and

one female locked ward so Section 17 leave is required. The unit also has a male

unlocked ward and the unit houses 45 in patients.

The café has been open for two and a half years now and has just employed its

first Service User as a café assistant.

Supervised by a staff member, patients from the Rehab wards are encouraged to

come to work to learn new skills, increase self-confidence and provide self-worth

and purpose.

The café has seen an increase in sales, patients progress from patients to Trust

volunteers and now has appointed a service user as a member of staff.

The café teaches patients how to use the till, operate the coffee machine,

prepare food, food hygiene and stock control

Patients receive training at Level 2 and can move onto Level 3 if they wish paid

for by the café

The café also accepts patients from low secure services on Section 17 leave,

Community patients through CPN’s and referrals through Recovery College.

Risk assessments are completed for each patient.

The café has just had a hatch knocked through to a kitchen so that patients with

less confidence can work alongside staff in food prep. The wards assist the café

by making fresh soup as an activity each week.

The café has a healthy eating menu and all food is sold on a non-profit basis.

Donna Bradford

Donna is a Registered Mental Nurse since 1991 who has worked for more than

20 years in Acute mental health inpatient settings as a Staff Nurse, Ward

Manager and Team Manager. For the last 4 years Donna has been and still is the

Service Manager for Rehabilitation and Forensic services for Lincolnshire

Partnership NHS Foundation Trust.

Donna is an Advisory Board Member of AIMS Rehab and has taken 7 wards

through the AIMS process in WA and Rehab. Donna has a particular interest in

the Prevention and Management of Violence and Aggression and has been a

General Services Tutor for 13 years. She also has a particular interest in Carers

and runs a successful Carers group at her local Trust. Donna is also a KUF

(Knowledge and Understanding Framework) facilitator which is a National

Programme educating staff on Personality Disorder.

Donna currently is the Project Lead for the Triangle of Care for Lincolnshire

Partnership NHS Foundation Trust. She has also recently become a Best Interest

Assessor.

Debbie Barker

Debbie has worked for the Trust since 1995 originally as a Housekeeper

and then a Nursing Assistant on a rehabilitation ward. When Rehab was lucky

enough to get a new build Debbie moved with the staff and patients and worked

on an open ward and then a locked ward. Two and a half years ago the Social

Enterprise running the café in reception suddenly pulled out and an opportunity

for a service user café was seized. Debbie was chosen to run the café alongside

the patients for her enthusiastic and positive attitude

The café has gone from strength to strength and has just employed its first

service user as a Café assistant.

Charlotte

Charlotte (ex Service user) is a 23-year-old service user who has been in

services since the age of 16. Her story is one of hope and recovery. From serious

self-harming behaviour, being sectioned and having numerous hospital

admissions Charlotte is now a member of staff in the service user café at

Discovery House. Her story is one of inspiration and her enthusiasm to help

others and show them that they too can recover is one that should be heard.

Charlotte says “Mental Illness doesn’t have to hold you back”

Doing, Being, Belonging, Becoming: Activity and Rehabilitation

Maurice Arbuthnot, Service User Representative

A service user/layperson will facilitate an open discussion about how helping

service users to engage in activities which they find worthwhile and valuable

enables their rehabilitation/rehabilitation and assists with their recovery journey

towards discharge. The facilitator will offer his own recollections about how

activity helped him during his inpatient admission. The incentives and barriers

to worthwhile activities, service user goals, involvement and the meaning of

personal recovery will also be discussed. The workshop will also evaluate the

interest check list as be a tool for discovering the person beyond the diagnosis.

The facilitator was involved in the REAL research project (Rehabilitation

Effectiveness and Activities for Living) through its various stages and acted as a

service user facilitator in the training intervention from which this workshop is

derived.

Maurice Arbuthnott

Maurice was born and educated in Central London where he still lives. He

graduated from Southampton University with a music degree and worked mainly

in the private sector before he was diagnosed with schizophrenia. His interest in

mental health issues led him to joining the Faculty of Rehabilitation’s executive

committee where he acted as a service user representative from 2004 to 2016.

He is a co-author of the Royal College’s leaflet about rehabilitation services and

he has given presentations at Royal College International Congresses on several

occasions. In 2012, he received the Royal College’s service user contributor of

the year award. His other chief interest is composing music and his main

works include a piano sonata, flute music, songs and a setting of the

requiem mass.

Workshop 5: Core Competencies and Training for Rehab Professionals Donna Bradford and Natalie Prosser, AIMS Rehab Advisory Group and Shawn

Mitchell, Faculty of Rehabilitation and Social Psychiatry

This workshop will combine two streams of work being completed within the

Royal College of Psychiatrists. AIMS Rehab: a Quality Network for Mental Health

Rehabilitation Services are currently working on developing specialist training for

Rehab nurses. This is in response to suggestions from members about the lack

of such training.

The Rehab Faculty have been working on core competencies and specific

professional competencies for Mental Health Rehabilitation Multidisciplinary

teams. The reasons for these are:

1. Recruitment and Individual Development

For senior MDT posts these could provide core competencies

For staff looking to progressing their careers within mental health

rehabilitation this will help with their individual development

2. Training and development

To identify which training and development that be suitable for the entire

MDT and which training and development would be profession specific.

To map provision of training, identify internal and local training resources,

and how gaps in training and development can be filled.

3. Quality Improvement

Nationally developed guidance on competencies will provide a useful

reference for all mental health rehabilitation services

4. Service funding

National guidance would be useful to justify funding for identified training

and development needs.

This workshop will provide an update of both streams of work but the majority of

the session will provide an opportunity for you to discuss, feedback on and

impact the future directions of the projects.

Shawn Mitchell

Shawn is a Consultant Psychiatrist for the Women’s Pathway, St Andrew’s

Healthcare. Vice Chair of the Faculty of Rehabilitation and Social Psychiatry

I have been a rehabilitation psychiatrist for twenty three years, and I am

currently the consultant for a high dependency women’s rehabilitation unit and a

low secure women’s unit. I have been a member of the Rehab Faculty Executive

Committee for twelve years. I have contributed to recently published NICE

Guidelines on Transitions between inpatient mental health settings and

community or care home settings.

I believe strongly in recovery orientated services and was the lead for the

St Andrew’s ImROC Pilot. I have a particular interest in safety and

recovery.

Natalie Prosser

Natalie is a Professional & Practice Development Nurse – Cardiff and Vale UHB. I

have been a registered nurse for 27 years, primarily working in rehabilitation &

recovery services, both in the Midlands and here in South Wales. I have

managed several rehabilitation units, both inpatient and community based over

the past 20 years. My current role in the Practice Development Team covers all

of mental health services, focussing primarily on rehabilitation team training

requirements. I teach recovery focussed sessions regularly within our clinical

areas and also in Cardiff University. I have been involved in AIMS Rehab for the

past 7 years and regularly lead reviews.


Workshop 6: Feasibility of using wearable technology (Fitbits) in a rehabilitation ward setting Lincolnshire Partnership Foundation Trust

Innovation money (£10,000) was awarded to pilot the use of fitbits to monitor

the activity, sleep and heart-rate variability of service users residing across

locked and open rehabilitation wards in Lincoln.

Severe and enduring mental health difficulties are associated with high physical

health co-morbidities and lower life expectancy – in part due to physical

inactivity. The benefits of increased physical activity are associated with positive

psychological and physical wellbeing. The pilot aimed to provide a clinical

baseline of the outcomes of interest, and to examine the acceptability, usability,

and impact of the technology for service users.

Twenty service users have been provided with Fitbits. All have completed

baseline measures of their physical and psychological wellbeing followed by

weekly monitoring of steps, depression, anxiety and stress.

Despite concerns beforehand none of the Fitbit have been “sold”/traded, lost or

damaged. There have been no security or risk issues with the Fitbits or their

chargers. Service users helping with the pilot have typically self-referred and

been keen to participate.

Problems have included inaccurate sleep results; step count too sensitive e.g.

guitar playing and insufficient leave for some participants to increase activity.

The greatest problem experienced so far is that participants rarely have access

to their own smartphones and can’t track / compare progress regularly.

Final results of this pilot will have been analysed by April 2017.

Colin Turner is a Consultant Clinical Psychologist who has worked with service

users with severe and enduring mental health problems for over twenty years.

He is a Chartered Forensic and Clinical Psychologist who has worked in prison,

high secure and inpatient rehabilitation settings for most of his career. He has

been employed by Lincolnshire Partnership NHS Foundation Trust as a

Consultant Clinical Psychologist since 2000.

Colin sits on the national committee of the BPS (British Psychological Society)

Psychosis & Complex Mental Health Faculty who provide guidance on working in

acute care, rehabilitation, AOT, EI and Recovery teams.

Colin has published with Trainee Clinical Psychologists in the areas of CBT for

psychosis and subjective wellbeing in psychosis. He greatly enjoys working

directly with service users and for the last five years has been developing his

skills in delivering DBT in locked ward settings with clients who have experienced

complex trauma.

Workshop 7: Developing a collaborative risk assessment process

with clients who have complex needs

Elstow 3, Milton Park Therapeutic Campus

The workshop will focus on the development of a formalised education

programme on understanding risk for people with complex needs. The

intervention was delivered in a locked rehabilitation setting by Psychology

Services. This was a 20-week programme, delivered as group sessions over two

separate terms. Service users predominantly had a diagnosis of Autism

Spectrum Disorder, as well as co-morbid and standalone mental health issues

such as Personality Disorder and Schizophrenia. The content was underpinned

by the principles of the Department of Health ‘Best Practice in the Management

of Risk’ (DoH, 2007) and the Joseph Rowntree Foundation commissioned paper

‘Mental Health Service User Involvement in Risk Assessment and Management’

(Langan and Lindow, 2004). The course was created following CQUIN initiatives

and open to all patients to attend. Groups were initially arranged based on

learning style and ability.

Prior to the course, a pre-education questionnaire was administered to seven

service users to determine baseline level of understanding of risk and the risk

assessment process. The initial ten week course covered understanding of what

risk is, historical vs. current risks, triggers and consequences. The final part of

the course finished with understanding protective factors and safety planning.

Following the taught element, services users delivered training to staff on the

content, focusing on collaborative risk management. Subsequent completion of

post-education questionnaire showed improvement from baseline scores.

The second term built on the success of the initial course and was developed in

collaboration with the service users. This involved patients reviewing their own

clinical risk assessment tool with support. This tool is based on the HCR-20 v3

and Saprof, focusing on the strengths and protective factors in conjunction with

historical risk. The programme promotes insight into their risk profile and how to

manage. There was also an emphasis on discharge planning and recovery

pathway.

The workshop will outline key concepts of the course and considerations of

delivering such a course including strategies learnt and future direction. Another

key outcome will be to highlight the importance of collaborative risk

management and how services can approach this. The workshop is aimed at

professionals in similar settings, or with similar client groups. It would be

applicable to all members of the MDT.

Jonathan O’Keeffe

Jonathan is an assistant psychologist at Milton Park Therapeutic Campus, where

he has worked for a year and a half. As part of his role, he delivers three group-

based sessions including the one mentioned above, and two CBT-based

therapy groups. Jonathan was key in developing all aspects of the course,

and used direction from the Quality Lead and the Head of Therapeutic Services

to create a dynamic and comprehensive course.

As part of his role he also delivers 1:1 therapy (under supervision) to service

users with a variety of diagnoses, as well as compiles their risk assessments and

Positive Behaviour Support Plans. Therefore he is aware both of the main risk

behaviours seen in such environments, but also how an individuals’ triggers can

affect these.

Prior to this he worked as a Rehabilitation Worker at Headway Cambridgeshire

delivering sessions to individuals with brain injury. This then allowed him to

develop a person centred approach to group sessions, in consideration of various

cognitive capabilities. Jonathan has completed both a Psychology BSc (Hons)

and Neuropsychology MSc, which provides the theoretical knowledge in respect

to cognition and behaviour.

Workshop 8: Self- and Peer-Review as Tools for Quality Improvement AIMS Rehab: a Quality Network for Mental Health Rehabilitation Services

With so many demands on everyone’s time, self-review is an opportunity for a team to dedicate the time to reflect on the service that they provide. It is a safe space to raise challenges as well as successes, allowing everyone to contribute.

Peer-review, as recommended by the Francis Report (2013), is an opportunity to learn from the experiences and knowledge of those with direct experience of

rehab services. Both these processes highlight areas of achievement, areas for improvement and opportunities to build an action plan.

This workshop will help you to make the most out of the self- and peer-review processes, in order to truly lead to improvements in the quality of the service

provided. This workshop is based on a recent similar event for another quality network, 43% of attendees rated the day as ‘excellent’ and 57% rated it as good. Comments included:

“I found the day really inspiring and useful. It was great to speak to people from other areas”

“Thank you. I feel I have been motivated to take this on again.” This workshop is recommended to those from services who are new to the

network and/or engaged in developmental or associate membership.

Hannah Bolger Hannah is the Deputy Programme Manager for AIMS Rehab. She has supported mental health services with quality improvement processes at the CCQI for the

last 3 years and has worked alongside rehab services for 2 years.

Ellie Parker Ellie is the Project Worker for the Quality Network for Older Adults Mental Health Services. She has worked at the CCQI since September 2016. Prior to this, Ellie

was working for a national UK charity supporting children and adults with a diagnosis of a learning disability and/or autism, and their families.

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