San Francisco, California
London, United Kingdom
Improving Patient Safety in Mental Health
Learning Lessons and Making Meaningful Change
Tuesday 22nd November 2016 9.20am – 4.10pm
Registration from 8.50am
(lunch and refreshments provided)
Costs: £140 per person
Improving patient safety in mental health
Investigating serious untoward incidents (SUIs) in order to improve practice Implementing change through learning about what went wrong or what could be improved Evidence actions that are taken after SUI have made a positive change and reduced risk Provide delegates with practical information about how they can learn from SUIs and evidence the impact of changes made on the basis of learning from incidents. The conference is aimed at clinicians and managers in provider services, commissioners and regulators and aims to share learning about serious untoward incidents and key
Aims and objectives of the conferenceThe conference is aimed at clinicians and managers in provider services, commissioners and regulators and aims to share learning about serious untoward incidents and key processes:
TIME TOPIC SPEAKER
9.20-9.50 Introduction by Chair Professor Jenny Shaw
9.30-10.10 What we can learn from Major Accident Denham Phipps, Lecturer in Patient Investigations: Accident causation in Safety at The University of Manchester organisations.
10.10-10.50 Patient Safety - findings from the National Professor Louis Appleby, NationalConfidential Enquiry Confidential Inquiry, Manchester University
11.20-12.00 Safety in Mental Health, why are lessons Professor Rob Poole, Centre for never Learned? Mental Health and Society, Bangor University
12.00-12.15 Morning Panel Q&A All
Workshop I - Improving the SUI Review Dr Rebeca Martinez, Consultant Process Psychiatrist & Suicide Prevention Lead & Steve Morgan, Director of Patient Safety, Mersey Care NHS Foundation Trust
Workshop II - Developing SMART Dr Mike Doyle, South West Yorkshire Recommendations & Achievable Implementation NHS Foundation Trust Plans
Workshop III - Evaluating Implementation, how Dr Tony Ryan, Tony Ryan Associates do you know you've made a difference and The Centre for Mental Health & Society, Bangor University
16.00-16.10 Closing remarks Professor Jenny Shaw
Dr Rebeca Martinez, Consultant Psychiatrist & Suicide Prevention Lead & Steve Morgan, Director
of Patient Safety, Mersey Care NHS Foundation Trust – The Zero suicide programme and
improving SUI reviews:
• What the Zero Suicide programme is about / What are we doing to reduce suicides in general?
• Why are we doing this?
• How the SUI process is linked and informs the programme? (core part of the workshop)
• Lessons learned to share
Dr Mike Doyle – Developing SMART recommendations in SUI investigations:
• Process of investigation
• How this leads and drives recommendations
• How recommendations are developed (core part of the workshop)
• Lessons learned to share
Dr Tony Ryan – how do we know we’ve made any difference following an SUI?
• Limitations in the overall process
• Why this is important
• An example based on a post homicide implementation plan (core part of the workshop)
• Lessons learned to share
Professor Jenny Shaw has over 30 years’ experience in the NHS, predominantly in Mental Health, currently as a Consultant Forensic Psychiatrist. She has extensive experience of NHS Management, service reviews and service development. Jenny is Professor of Forensic Psychiatry at The University of Manchester with 20 years’ experience of research and teaching. She leads an Internationally renowned patient safety research unit, The Centre for Mental Health and Risk, with extensive publications in the field. She was awarded the 2016 Academic Women in Psychiatry Award.
Denham Phipps is an occupational psychologist and Lecturer in Patient Safety at The University of Manchester. His main research interest is human and organisational factors in patient safety, with additional interests in well-being and fitness to practice amongst healthcare professionals. As part of the NIHR Greater Manchester Patient Safety Translational Research Centre, his most recent work has focused on the development of safety improvement methods for community pharmacies.
Professor Louis Appleby is Professor of Psychiatry at the University of Manchester and Director of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. He leads the National Suicide Prevention Strategy for England and is a Non-Executive Director of the Care Quality Commission, the NHS regulator. Louis leads the Centre for Mental Health and Safety, investigating suicide and self-harm, violence and forensic services, the largest research unit in this field internationally. Its findings have been the basis of Government policy on suicide prevention and are widely quoted by governments, professionals and charities. From 2000-2010 Louis was seconded (part-time) as the Government's National Director for Mental Health to lead a national programme of reform in mental health care in England and from 2010-2014 he was National Clinical Director for Health and Criminal Justice.
Professor Rob Poole was a Community Psychiatrist in Central Liverpool and North East Wales until he made a late career change in 2009. He is Professor of Social Psychiatry at Bangor University, where he co-directs the Centre for Mental Health and Society with Professor Catherine Robinson. He works as Honorary Consultant in Liaison Psychiatry at Wrexham Maelor Hospital. He has extensive experience of reviewing untoward incidents, including regularly acting as an expert for Coroners in England. He has led the Royal College of Psychiatrists’ Invited Review Service since 2013. He is the UK lead in an Anglo-Indian collaboration to develop and evaluate suicide prevention strategies in South India. He has co-authored three books. The second edition of "Psychiatric Interviewing and Assessment" will be published early in 2017. He writes a blog, "Khrushchev’s Shoe" www.robgpoole.co.uk
Dr Rebeca Martinez is Mersey Care’s joint lead for suicide prevention and is a Consultant Psychiatrist who has been working with Croxteth Mental health Team since 2011. Having originally trained and worked as a General Practitioner she has an interest in the interface between primary and secondary mental health services, and has worked using cognitive behavioural models to improve workforce training in psychosocial interventions. Dr Martinez has also been working over the past seven years with the Suicide Reduction Group in the Trust and is now Associate Medical Director for Suicide Prevention.
Steve Morgan is Director of Patient Safety at Mersey Care NHS Foundation Trust and has worked in managing patient safety risk for over 15 years. He has extensive experience of all aspects of risk management and safety in mental health services.
Dr Michael Doyle has nearly 30 years’ experience in mental health services as a nurse, professional lead, manager and researcher. Michael has a track record of innovation, creativity, achievement and strong leadership in several senior positions, including, Professional Head of Nursing, Trust wide Deputy Director for Clinical Governance and Deputy Director for Strategic Development in a forensic directorate. Michael is accredited as a Behavioural and Cognitive Psychotherapist. He has wide and varied clinical, managerial and research experience and has published and presented widely on nursing, psychosocial risk assessment, formulation, management and training, primarily in the forensic field. He has a track record of attracting research funds since 2000. He is Associate Editor for the Journal of Forensic Psychiatry and Psychology and International Journal of Forensic Mental Health and has close links with and support from the NHS Leadership Academy.
Dr Tony Ryan has worked in mental health services since 1982 including 10 year’s clinical experience working in the NHS as a nurse and eight years in the voluntary sector with the national charity Turning Point. From 2000 to 2004 Tony worked in service development and redesign at King’s College London and Manchester University. He has published extensively on mental health policy, research methods and service and practice development. Tony has been the Director of Tony Ryan Associates since 2004, working with over 90 organisations including commissioners, providers, regulators, statutory agencies and user and carer organisations.
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