News & Updates

Evergreen Inpatient Unit, Luton and Bedfordshire CAMHS – Working Together to Understand the Problem and Develop Change Ideas

31 August 2023

By Sean Dumbell (Modern Matron)  We are a new ward and therefore the process of arriving at our change ideas was a little different to elsewhere. Unlike other areas, we didn’t really have much data that could give us insight into the culture around observations within our team. We put out a staff survey that… Read More



Relaying our way towards safer observations – a standard operating procedure for Tower Hamlet’s board relay 

31 August 2023

By Mitchell Modja (Clinical Nurse Manager, Rosebank ward), Dadai Dandato (Borough Lead Nurse, Tower Hamlets) and Sarah McAllister (Senior Improvement Advisor)  See how Tower Hamlets Rosebank ward have used a board relay to improve therapeutic engagement and achieve zero missed observations in 7 months…  What is the problem?  Following a serious incident, Tower Hamlets joined… Read More



Twilight Testing: Empowering Engagement with Life Skills Recovery Workers Shift Innovations

30 August 2023

By Chloe Preston (Improvement Advisor)  As part of the Trust-wide inpatient quality and safety programme, three wards in Bedford and Luton have been testing different shift patterns for their Life Skills Recovery Workers (LSRWs).  Ward staff recognised that many of their incidents occur in the afternoon and evening, when there are fewer activities for service… Read More



Newham Centre for Mental Health – Ideas to Improve Observation Practice

29 August 2023

By Nichole Hendricks-Abulime (Mental Health Nurse) Morgan Duffield (Life Skills Recovery Worker), Omolara Makanjuola (Health Care Assistant) and Lucy Brewer (Improvement Advisor)  When staff in Newham asked the question ‘what gets in the way of completing observations’, one of the reasons was that the acuity and unpredictability of the ward contributed to staff forgetting do… Read More


Newham Centre for Mental Health – Ideas to Improve Observation Practice

Reviewing, Reflecting, and Re-Focusing – We Updated our Aim and Driver Diagram

29 August 2023

By Rebecca Lingard (Borough Lead Nurse City and Hackney) and Linnea Miklaucich (Improvement Advisor) During a sunny afternoon in July, all the wards in City and Hackney came together for a “re-energising” workshop of the therapeutic engagement project. We had recognised that the work had started to slow down and wanted an opportunity to take… Read More



Improving Therapeutic Engagement Using Personalised Activity Boxes

29 August 2023

By Happy Khatun, Activities Manager at Sally Sherman Ward In this video, Activities Manager Happy Khatun shares work from Sally Sherman Ward to improve therapeutic engagement using life histories and personalised activity boxes. Sally Sherman is a 19-bed ward that provides care for older adults with cognitive impairment who require specialist nursing care to support… Read More


Improving Therapeutic Engagement Using Personalised Activity Boxes

How the Path 2 Recovery Hub in Dunstable reduced their inappropriate referrals and sustained the gains

16 August 2023

By Jon Keen (Senior Recovery Worker)   In this 5-minute read, discover how the Path 2 Recovery (P2R) hub in Dunstable improved the overall quality of information received in professional referrals, and reduced the number of inappropriate referrals they received. Lead by Jon Keen, the project team is multidisciplinary, made up of Recovery Workers from… Read More



Co-production, Collaboration and Quality Improvement: How the BLMK (Bedfordshire, Luton and Milton Keynes) Learning Disability and Autism Strategy was Created

4 August 2023

by Kaysie Conroy (Senior Commissioning Manager – Learning Disabilities and Autism, BLMK), Michelle Millard (Commissioner – Learning Disabilities and Autism) and Lorna Darknell (Improvement Advisor for BLMK Inequalities Programme who supported the work, part of the ELFT QI Team).  Introduction The introduction of the Health and Care Act (2022) has brought meaningful change to how… Read More



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