News & Updates

Looking back and looking forward: the Forensics Violence Reduction Journey

28 August 2018

This is the story of how eight Forensics wards worked hard to achieve and sustain a reduction of 8% in physical violence and a 16.6% reduction in non-physical violence incidents per 1000 occupied bed days as part of the violence reduction collaborative. Words by Improvement Advisor Nynn Chang. Last month, Forensics celebrated not only their… Read More



Reducing violence and improving quality: ELFT’s journey

28 August 2018

In this blog, Andy Cruickshank, ELFT Interim Director of Nursing for Mental Health, describes the journey from the Violence Reduction priority area to the Time to Think initiative. The decision to use quality improvement methods to reduce violence was one that has reaped so many unexpected benefits. At first, the testing on Globe Ward in… Read More



Celebrating a 28% reduction in physical violence in Newham

24 July 2018

Newham celebrated a 28% reduction in physical violence incidents as a result of the violence reduction collaborative. The service is now moving to Quality Control. Read more about their journey in this blog by Improvement Advisor Emma Binley. Newham’s violence reduction collaborative began in June 2016, when all the wards came together to discuss the… Read More



Evolving the Quality Wheel: What happens when a QI project finishes?

24 July 2018

In this blog, Improvement Advisors Emma Binley and Francisco Frasquilho detail the transition from Quality Improvement to Quality Control through the examples of projects in Tower Hamlets and City & Hackney. Taking part in a QI project can bring many resources and opportunities for learning as well as a host of challenges around changing systems,… Read More



Connection and involvement towards violence reduction in City & Hackney

17 January 2018

Find out how collaborative work helped City & Hackney achieve an outstanding 57% reduction in violence across all adult mental health wards. Words by Kelly Gale, Improvement Advisor. City & Hackney Adult Mental Health Service began a project on Violence Reduction in the summer of 2016. Violence was an issue in varying degrees across all… Read More



Celebrating 65% reduction in violence and the impact on staff and service users through the City & Hackney Violence Reduction Collaborative

5 December 2017

Jane Kelly, Associate Director for Inpatient Services & Lead for the City & Hackney Violence Reduction Collaborative, supported by Jen Taylor-Watt, Improvement Advisor for City & Hackney In early 2016, a person was injured every 3.7 days on our inpatient unit from incidents of physical violence. Some staff reassured themselves about the threat of violence… Read More



Violence Reduction on Adult Inpatient Units; what has been achieved so far at ELFT?

11 August 2017

Between 2012 and 2015, Tower Hamlets Adult Mental Health inpatient wards reduced violence by over 40% and by 60% on the acute admissions wards, using a Quality Improvement approach.  Since then we have scaled up the work to City & Hackney in early 2016 and Newham in mid-2016. Forensics also launched its own Collaborative in… Read More



Reflections and thank you from Professor Jonathan Warren

11 August 2017

Jonathan Warren is Deputy Chief Executive, Chief Nursing Officer & Executive Sponsor for Violence Reduction Whenever I think about what we’ve achieved already in terms of violence reduction at ELFT, I’m reminded of the time Andy Cruickshank (former Borough Lead Nurse in Tower Hamlets and now Associate Director of Nursing for QI) came to see… Read More



Developing a Quality Control Strategy for Violence Reduction

11 August 2017

by Jen Taylor-Watt, QI Lead for City & Hackney and IAPT and Lead Improvement Advisor for Violence Reduction & Andy Cruickshank, Associate Director of Nursing for QI and Senior Improvement Advisor for Violence Reduction In order to hold the gains we’ve achieved through the Violence Reduction Collaboratives, it’s key that we develop strong structures and processes… Read More



Forensics: First steps, early signs of reduction and an exciting journey ahead!

11 August 2017

By Nynn-Hui Chang, QI Lead for Forensics and Improvement Advisor to the Forensics Violence Reduction Collaborative & Day Njovana, Lead Nurse for Forensics & Lead for the Forensics Violence Reduction Collaborative Forensics is a unique setting in that the majority of patients are admitted following a violent index offence in the context of their illness,… Read More



Perspectives from Newham Inpatient Unit…

11 August 2017

The power of safety huddles; identification, prediction & strengthening team work. By Emma Binley, QI Lead for Newham & Improvement Advisor to the Newham Violence Reduction Collaborative & Paul McLaughlin, Borough Lead Nurse & Lead of the Newham Violence Reduction Collaborative The safety huddle is one component of the safety bundle that has been tested on the… Read More



Perspectives from City & Hackney Inpatient Unit…

11 August 2017

  The Power of the Safety Discussion in Community Meetings; How openness, transparency and proactive conversations about violence in ward community meetings are helping us to develop a safety culture By Jen Taylor-Watt, QI Lead for City & Hackney and IAPT and Improvement Advisor for City & Hackney Violence Reduction Collaborative & Jane Kelly, Associate… Read More



Violence Reduction Collaboratives in Newham and City & Hackney

24 January 2017

Newham and City & Hackney Inpatient units have been working since early 2016 to reduce violence and aggression on the inpatient wards, building on the work of the Tower Hamlets Violence Reduction Collaborative. Sustained reductions in violence are now being experienced in both services, with reductions of up to 86% linked to the project on some… Read More



Tower Hamlets Violence Reduction Collaborative

18 March 2015

[wpvideo P5leS9vZ]   By Andy Cruickshank, Borough Lead Nurse/ Associate Clinical Director Tower Hamlets On Thursday 12 March, the Tower Hamlets Violence Reduction Collaborative met for the second time. A great deal has happened in the 6 weeks since we last met.



Blog on Tower Hamlets Violence Reduction Collaborative

13 February 2015

By Andy Cruickshank, Borough Lead Nurse/ Associate Clinical Director Tower Hamlets On Friday 30 January, we held the first ever learning set for what has been titled the Tower Hamlets Violence Reduction Collaborative. This is a way of creating a community who learn together and from each other, about what they have tried to do to… Read More



Update on Violence Reduction Work

13 May 2014

Within Older People Services there are a number of initiatives being tried and tested in order to reduce violence and aggression on our wards. MHCOP have set up a Directorate Project Group to oversee the work and three wards with the highest levels of violence were identified to be designated pilot areas. The testing wards… Read More



Reducing Violence on Acute Wards

6 December 2013

As the Trust’s quality improvement programme starts to take shape (with the strategy agreed by the Trust Board, the project structure coming into place, and our procurement of a strategic partner due to complete in February), we’d like to share with you the quality improvement journey of one of our teams that has been testing… Read More



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