Te Awakura Adult Inpatient Unit

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• Te Awakura Adult Inpatient Unit
• Hillmorton Hospital
• Mellsop Report
• Assoc. Prof. Phil Brinded
• Chief of Psychiatry

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Te Awakura Adult Inpatient Unit Hillmorton
Hospital
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External review Requested by CDHB

• ToR agreed with Ministry of Health,
• Mental Health Directorate
• Review Team Prof. Graham Mellsop
• Pip Mathew
• Sue Hills-Johnes
• Fiona Howard
• In particular seeking recommendations for
  service improvement as exemplified in the London
  Protocol approach to blaming from adverse
  clinical events

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Response to the 3 deaths

• External review
• Sentinel Event review process within SMHS and
  disclosure to
• - Corporate Risk Group
• - Ministry of Health
• - Coroner
• Review team visits April/May
• Report received early August 08

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Recommendations

• Integration
• a) Planning, Funding Purchasing
• b) Sector Stakeholder Group
• c) Integrated Service Delivery
• 2. Bed resources reconfigured and/or rebuilt

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Also

• Further develop clinical governance model
• Involve staff in service development
• Enhance MDT approach within AIS
• Develop articulate model of care consumer
  recovery plan (CRP)
• Enhance the patient journey from admission to
  discharge
• Develop a more socially inclusive environment

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• g) Review crisis resolution models
• h) Review provision of ICU beds
• Improve ICU fence
• Improve line of sight in ICU
• Reconfiguration of beds

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Summary

• Planning, funding purchasing
• Inpatient beds - number
• - site
• - configuration
• Care in the community realistic alternatives to
  admission
• Short term issues

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Progress

• Sentinel Event Reviews completed
• Reviews recommendations discussed with families
• External Review discussed with families
• Two coronial processes completed
• Sentinel Event recommendations being addressed

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• External Review Finding presented at National
  GM/CD/MoH forum also attended by Mental Health
  Commission
• Review widely distributed and on Intranet
• Staff stakeholders meetings held to explain /
  discuss review
• Staff stakeholders asked for initial feedback
  on review Findings, closed 28/10/08

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Project Framework

• Sponsor - Clinical Governance
  Directorate SMHS
• - Strategic staff stakeholder
  group (Themes)
• - Solutions based consultation
  phase until March/April 09
• - Possible Proposal for Change

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Focus

• What can be implemented in short term?
• Sector Stakeholder Group
• Bed configuration and numbers acute capacity
• Community driven service delivery model
• Development of sustainable alternatives to
  inpatient care