Out of Area Report
Moving back home “Take a chance on me”
West Yorkshire and Harrogate Provider Collaborative commissioned us to carry out a piece of work to speak with service users who originate from Yorkshire and Humber but are currently placed Out of Area. We spoke to people who originate from Yorkshire and Humber and are currently placed in 5 key services out of area where a number of Yorkshire and Humber patients are placed. These services included Cygnet Hospital Bury, St Andrews Healthcare Northampton, Elysium Hospital Arbury Court, Priory Hospital Kemple View and Priory Hospital Meadow View.
For completeness we also spoke to a group of service users at a recent Yorkshire and Humber Involvement Network event who are currently placed within Yorkshire and Humber about their experiences of being placed out of area – some were currently out of area from outside of Yorkshire and Humber, some were currently out of area but from within Yorkshire and Humber and some had been out of area previously and were reflecting on these historical experiences. Please click on this link to read the full report:
Health and Justice and Specialised Commissioning Project
This report was commissioned by Julie Dhuny, NHS England/Improvement Head of Health and Justice Commissioning for the North of England and Alison Cannon, Head of Mental Health for the North of England. The report summarises findings from 3 workshops held over the summer of 2019 with providers of prison Mental Health and in-patient secure Mental Health services and 2 workshops with service users managed within separate prison and hospital based Mental Health settings.
The purpose of the workshops was to scope opportunities for closer working between providers and commissioners of prison based Mental Health services and hospital based secure Mental Health services and has been prepared by Mick Burns, NHS England/Improvement Offender Personality Disorder (OPD) Co-Commissioner and Neil Piggin, Her Majesty’s Prison and Probation Service OPD Co-Commissioner with support from Jo Harris and Holly Cade, Secure Service Involvement Leads (Yorkshire and Humber).
Personality Disorder Strategy
NHS England commissioned a strategic review of personality disorder (PD) specific low and medium secure inpatient services for men and women within the Yorkshire and Humber region as well as a mapping of available community provision. The key task of the strategic review was to make key recommendations as part of a 3-5 year strategic implementation plan with the aim to help develop best practice inpatient care and the development of community pathways that better meet the needs of service users. Crucial to the success of the strategic review was a thorough consultation to gather views, and better understand the experiences, of all key stake holders including service users, staff and senior clinical leaders within such services.
We were tasked with gaining a better understanding of current practices and pathways through engagement and discussion with service users and staff, as well as to better understand the needs of service users and the workforce and to make some recommendations based on this work. There are 3 STP areas in Yorkshire and Humber and the first phase of the project focused on Humber Coast and Vale with the second phase focusing on the 2 remaining areas.
There were different ways that staff and service users could be involved, either through attending a pre-arranged focus group, or by attending a 1:1 semi structured interview. For each ward we offered 2 separate focus group opportunities for both staff and service users, as well as the 1:1 options. We kept the focus groups separate for staff and service users to enable everyone to feel comfortable speaking openly within the group. In general staff were happy to attend focus groups and this worked well. The majority of service users preferred to attend on a 1:1 basis. We also offered an opportunity for staff to input to the process via a Survey Monkey Questionnaire after the focus groups had finished to capture anyone who hadn’t been able to attend. We also sent out paper copies to services so that service users could also input in this way. To read the reports click on the links below