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


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

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



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