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children - West London Mental Health NHS Trust

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Productive Wards<br />

Report by Charlene Stephenson, communications manager<br />

Last month <strong>Mental</strong> <strong>Health</strong> Matters<br />

focused on Star Wards, a programme<br />

which encourages innovative activities<br />

with patients. In this edition of MHM,<br />

we turn our attention to the Productive<br />

Wards framework which aims to release<br />

time to care.<br />

The Productive Wards framework developed and<br />

supported by the <strong>NHS</strong> Institute for Innovation<br />

and Improvement offers a systematic way of<br />

delivering safe, high quality care to patients<br />

across inpatient services in mental health settings.<br />

The feedback from acute hospital sites which<br />

have implemented Productive Ward states that<br />

the programme has exceeded their expectations<br />

– they saw their staff empowered and enthused<br />

to make changes to the way they worked. The<br />

programme is about working smarter, not harder.<br />

Productive Wards has identified the<br />

following benefits:<br />

• Delivers ward-based care that is as efficient<br />

and effective as possible by empowering staff<br />

to be more productive.<br />

• Gives nurses back 10% of their time to spend<br />

on patient care.<br />

• Creates calmer wards and reduces patients’<br />

complaints.<br />

• Increases safety (shown in observation<br />

reliability scores).<br />

• Increases morale.<br />

• Breaks down barriers between front line staff<br />

and managers and between disciplines.<br />

There will be Productive Wards road shows at<br />

the trust in the coming month to help explain<br />

the initiative to ward staff. Dates and further<br />

information will be publicised through Monday<br />

Matters, Team Brief and the exchange.<br />

Work is also in progress for a dedicated page<br />

for Productive Wards on the Exchange<br />

The Campion ward team<br />

The first phase of the programme will be<br />

implemented in Kestrel ward, Area 1 ward and<br />

Campion ward. These three wards will become<br />

showcase wards and support productive wards<br />

roll out across the trust over the next 12 – 18<br />

months. It is the start of a new approach to service<br />

improvement, rather than a project with a start and<br />

finish. It is anticipated that the cycle of improvement<br />

will continue to provide benefits in direct care<br />

delivery year on year. Performance improvement is<br />

tracked against four objectives:<br />

1. Improve patient safety and reliability of care<br />

2. Improve patient experience<br />

3. Improve staff wellbeing<br />

4. Improve efficiency of care.<br />

The <strong>Trust</strong> has established a Productive Ward board<br />

which oversees progress and pulls together other<br />

initiatives that together will improve and sustain<br />

improvement in inpatient areas.<br />

To support the implementation<br />

of productive wards, Una Kallis<br />

has recently been appointed<br />

as Productive Wards project<br />

lead. She says, “Productive<br />

Wards is a framework that<br />

is implemented by the ward,<br />

enabling nursing and therapeutic<br />

staff to understand and see the<br />

benefits of spending more time<br />

on patient care. The core focus of Productive Wards<br />

is to increase the time nurses have to deliver safe,<br />

reliable care by improving core ward processes such<br />

as safe and supportive observations, shift handovers<br />

and medication.”<br />

myworkinglife<br />

Elbachir Chaker<br />

Elbachir is the site security manager on<br />

the St Bernard’s site working for the trust<br />

and Ealing Hospital.<br />

How long have you worked at the trust?<br />

Six years<br />

Your team?<br />

There are six security officers on each shift (two shifts<br />

per 24 hours).<br />

What do you do?<br />

I manage the site security services and car parking<br />

management and assist both trusts in implementing<br />

their joint green travel plan policy. I get involved<br />

in trust inductions, informing new staff of the site<br />

operational procedures and contact numbers. We<br />

undertake internal and external foot patrols three times<br />

a day and are responsible for areas such as locking and<br />

securing departments through to checking cars for<br />

permits and property on display while maintaining a<br />

high security presence on the sites. We respond to all<br />

emergency calls including fire alarms, intruder alarms<br />

and panic alarms. Much of our time is taken up with<br />

dealing with a vast array of other calls from staff and<br />

the public, ranging from people losing money in the<br />

car park machines, clamped vehicles, lost property to<br />

helping staff finding car parking spaces and dealing<br />

with incidents such as verbal abuse and aggression.<br />

I work closely with the trusts’ local security management<br />

services and regularly liaise with the police and<br />

participate in crime reduction programmes. I also attend<br />

various meetings including the travel plan meeting and<br />

the estates and facilities health and safety meeting.<br />

Favourite part of the job?<br />

I love the fact that this is a very sociable job in which I<br />

get to meet lots of different people. Last year, I worked<br />

with the communications team in preparing and<br />

assisting with a royal visit on the site. It was great to be<br />

involved in something totally different, escorting royalty!<br />

Least favourite part of the job?<br />

The least favourite part of my job is the abuse received<br />

from the public when enforcing the trust policies and<br />

procedures.<br />

Relationships with staff and the public?<br />

I feel we have a good relationship with staff on the site<br />

but we do suffer verbal abuse at times from others,<br />

particularly in respect of car parking/clamping or when<br />

dealing with difficult members of the public. This is a<br />

part of the job which we are trained and skilled to deal<br />

with procedurally and professionally.<br />

What makes a good security manager?<br />

I believe it is important to be hard working, levelheaded,<br />

patient and calm. Also for me I have worked in<br />

this business for sixteen years so have gained valuable<br />

knowledge, skills and experience through the years in<br />

dealing with various situations.<br />

New year resolution?<br />

To give up smoking.<br />

Contacting the team?<br />

As the team is not office based, the best way to contact<br />

us is via bleep. The security supervisor on each shift<br />

holds bleep 199. If you need to be escorted on the<br />

site, please bleep 199. I am personally contactable on<br />

bleep 127. For urgent response to incidents, we can be<br />

contacted on extension 4000 but the police must be<br />

contacted to attend any police related incidents.<br />

14 MENTALHEALTHMATTERS MENTALHEALTHMATTERS 15

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