News & Updates
Using Improvement Tools
10 July 2020
“Forensics newsflash! With so much change over the past few months, the Forensics directorate have really had to their utilise improvement tools. They have mapped out the causes and effects of racial inequality using a ‘fishbone diagram’. A ‘sketchnote’ has been drawn to communicate a new quality improvement project. A plan to mitigate the impact of Covid19 has been laid out using… Read More
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