The following are the Winners and Highly Commended nominations for the Partnership Working Award:-
Wandsworth Psychological therapies and Wellbeing Service (PTWbs) – South West London and St. George’s Mental Health NHS Trust, London. Wandsworth Psychological therapies and Wellbeing Service (PTWbs) is a Primary Care Service open to people who are aged 18 years and over. The service is part of the Department of Health’s Improving Access to Psychological Therapies (IAPT) initiative and the consists of Psychological Wellbeing Practitioners, Cognitive Behavioural Therapists, Clinical Psychologists, Counselling Psychologists, Employment Specialists and an administration team.
The values of the service are centred around providing compassionate, thoughtful and evidence based treatment. The compassion and thoughtfulness that goes into each patient contact can be seen through letters sent to clients, support in supervision and case allocation discussions that take place after each initial telephone consultation appointment. Clients are then given a feedback call to discuss the treatment recommendations, offering a space to answer any queries and promote service user choice.
All members of staff, despite the level of training or experience, are nourished through Continued Professional Development once a month, and are consistently encourages to have their own clinical judgement when speaking to service users to ensure that each decision made is in line with the best interest of the patient, despite the current financial climate which lad led to a reduction of services. Despite apparent barriers, staff are encourages by senior leaders to think about ‘how we an make things happen’, empowering staff members to breed innovation.;
HIGHY COMMENDED –
The Psychological Medicine Service – Oldham – Pennine Care NHS Foundation Trust. The Psychological Medicine Service (PMS), Oldham is based at The Royal Oldham Hospital, and promotes a bio-psychosocial approach to service users’ care, thereby improving the psychological care of those with physical illness. It provides specialist multi-disciplinary psychological and psychiatric assessments and interventions for physically ill service users in the community and clinics, including home visits as and when needed. PMS also provides a community based psychology service for stroke patients, which also provides in-reach into acute stroke wards and intermediate care settings. Currently the team consists of 1.8 WTE consultant liaison psychiatrists, 2 cognitive behavioural therapists (CBT), 2 clinical psychologists (including one with special expertise in stroke), 1 clinical psychology assistant (for stroke), 2 higher psychiatry trainee doctors, a Foundation year doctor, a clinical psychology trainee and 1.6 WTE medical secretaries.
There are two aspects of the service – one is delivered primarily from the Royal Oldham Hospital site, while the other aspect provides services to Pennine Musculoskeletal Partnership Ltd (PMSK) which is an integrated clinical assessment and treatment service (ICATS) for musculoskeletal disorders. The hospital aspect of PMS helps physically unwell service users with psycho-social distress (including psychiatric disorders) associated with their physical health. PMS helps physically unwell service users with psycho-social distress associated with their physical health.
Conditions commonly address include anxiety disorders, depression, post traumatic stress disorder, persistent pain, sleep problems, somatoform symptoms and medically unexplained symptoms (MUS). We also offer interventions for complex psychological issues associated with physical health including difficulty in coping, impact on life, fear avoidance, deconditioning, poor compliance, history of trauma/abuse, cognitive problems etc.
Common physical diagnoses are ischaemic heart disease, COPD, asthma, epilepsy, diabetes, cancer, stroke, multiple sclerosis, gastrointestinal problems etc. We help service users cope with the adverse psychological impact of physical illness and to improve their quality of life. We also help service users to manage long term conditions like COPD, diabetes, cardiac problems, long standing pain, arthritis, multiple sclerosis etc. In the year 2013-14, we received 281 hospital referrals.
The Pennine MSK (PMSK) aspect of our service provides psychological/psychiatric input to the service users with musculoskeletal conditions like arthritis, chronic persistent pain, fibromyalgia etc. We offer interventions to address their psychological and psychiatric needs (including mental health co-morbidities like associated depression, anxiety, adjustment difficulties, PTSD, phobia, sleep problems etc) as well as to contribute in pain management by psychological approaches (e.g. addressing fear avoidance and deconditioning, helping with coping skills, offering a variety of psychological therapies. In the year 2013-14, we received 223 PMSK referrals.
The Psychological Medicine Service collaborates closely with other clinicians involved in the service users’ care. We get referrals from GPs, physiotherapists, specialist nurses, medical teams, rheumatologists, physicians, oncology teams, neurologists, community stroke teams and mental health teams.;
HIGHLY COMMENDED –
South London Community Choir – South West London and St George’s Mental Health NHS Trust. In 2012, we formed a partnership with the South London Community Choir and established a choir – for patients, staff and community choir members within the Shaftesbury Clinic, which is a medium secure psychiatric unit for individuals who have a history of violent offending as well as a mental disorder. This was initially planned to take place over 8 weekly sessions, culminating in the 9th week, with a concert put on by all members of the choir for patients, their carers, and staff.
The choir was comprised of volunteers from the South London Choir, including their Choir Director and pianist, between 12 and 16 patients from both the male and female medium and low secure forensic wards, and staff member (nursing, OT, Psychology and medics). Most of the patients had a diagnosis of schizophrenia, or severe personality disorder. Around 20 volunteers from the Community Choir, alongside 12-16 patients, and between 6 and 8 staff members, came together each week to form the Liberty Choir. The volunteers from the community choir entered the secure unit via the security system and had to be searched and produce photo id. the gym was identified as the best place to locate the choir. Patients who wished to attend were brought from the wards each week by nursing staff who stayed with them, and sang with them throughout the session which lasted for two hours. The choir members mixed together and learnt a range of songs and dance moves during the sessions. At the end of each session patients socialised with the community choir over a buffet meal..
All of the patients in the Unit are detained under the Mental Health Act and they tend to remain in the Unit for a minimum of two years. Because they are generally restricted from leaving hospital and interacting with members of the local community, the choir therefore brought ‘the outside community’ into the unit. The aim was to increase social inclusion and reduce stigma, improve mental and physical health and well being for patient participants, and increase awareness and understanding of this group of patients amongst members of the community, by giving them an opportunity to sing, socialise and perform together. The choir gave patients an opportunity to express themselves in a safe and relatively neutral environment, providing them with a sense of freedom, choice and achievement which they rarely encounter in their day to day lives on the wards.
Finally we wanted to give our patients an opportunity to develop an identity, other than being a ‘forensic psychiatric patient’; within the Liberty choir context, everyone was equal’ and no distinction was made between patient, staff or community members. The removal of barriers that exist between this population of patients and the outside world, plays a vital role in successful rehabilitation.
This is the first time such an initiative has been tried with forensic psychiatric patients and within a secure psychiatric hospital. Due to the success of this initiative, and the wish of the patients and staff that this continue, funding has been obtained from the League of Friends to allow for two further 8 week workshops and concerts to be held in 2014. The first of these is already underway. Choir ‘champions’ have been recruited from nursing, medial and occupational therapy services, as patient representatives to lead on the running of the choir.
We are in the process of seeking permanent funding to ensure the longer term sustainability of this initiative. The South London Choir Director and our community members are committed and enthusiastic and continuing their involvement for the foreseeable future with at least 20 members signed up. They have been instrumental in ensuring that the Liberty Choir continues.;