Greater Manchester and Eastern Cheshire Patient Safety Collaborative
The Mental Health Safety Improvement Programme (MHSIP) is a three-year national programme commissioned by NHS England and NHS Improvement as part of the Patient Safety Strategy. It aims to support mental health trusts test and scale interventions designed to improve safety principally in inpatient settings.
In Greater Manchester and Easter Cheshire (GMEC) the MHSIP work is delivered by Health Innovation Manchester (HInM) under the leadership of Simon Hammond (Senior Programme Development Lead) with Programme Management and Quality Improvement Lead input from Kamran Beg (Programme Development Lead).
The programme focuses on three areas of improvement:
- Reducing Restrictive Practice – building on the National Collaborating Centre for Mental Health (NCCMH) collaborative on restrictive practice.
- Reducing Suicide and Deliberate Self-Harm – Considering instances of absence without leave (AWOL), suicide and self-harm whilst on agreed leave and ligature assessments. We will also support scoping work of suicide and self-harm in acute non-mental health settings and in healthcare staff.
- Improving Sexual Safety – building on NCCMH collaborative on sexual safety.
Using the Patient Safety Network approach (a collaborative stakeholder governance approach) our local mental health providers (Greater Manchester Mental Health Trust & Pennine Care Foundation Trust) will be supported by HInM to deliver on this NHSE&I commissioned safety improvement work.
Underpinning the three clinical improvement areas/workstreams are seven key system enablers;
- Addressing inequalities – understand local health inequalities to ensure selected interventions improve the lives of those with the worst health outcomes fastest
- Patient and carer co-design – employ a co-production approach with patients, carers and service users who represent the diversity of the population served
- Safety culture – use safety culture insights to inform quality improvement approaches
- Patient safety networks – co-ordinate and facilitate patient safety networks to provide the sub-regional delivery architecture for improvement
- Improvement leadership – identify and nurture leadership, including clinical leaders, to lead improvement through the networks
- Building QI capacity and capability – use a dosing approach to build quality improvement capacity and capability
- Measurement – develop a robust measurement plan including relevant process, balancing and outcomes metrics
- Improvement and innovation pipeline – undertake horizon scanning and prioritisation to inform future national workstreams
The focus of work for 2021 is reducing restrictive practice, informed by the further to recent NCCMH collaborative. Future work on sexual safety and suicide prevention will be informed by similar national quality improvement initiatives and is planned for 2022 onwards.
This will involve supporting ward-based teams and working with key stakeholders in implementing a best practice quality improvement approach for wards staff in mental health inpatient settings.
For the reducing restrictive practice component of the programme we are working with our providers across Greater Manchester particularly at ward level, to test and implement theories of change and facilitate a reduction in restrictive practice in inpatient settings. Improvement work is based primarily on three measures:
- Reducing the number of physical restraints
- Reducing the number of chemical restraints
- Reducing the number of seclusions
For more information regarding the Mental Health Safety Improvement Programme please contact Kamran Beg (Programme Development Lead)