Now recruiting…

We are looking to recruit staff currently working in acute inpatient mental health wards to talk about their perceptions of safety.

To find the information leaflet about the study click here.

The study has received favourable ethical review from the School of Healthcare, University of Leeds.

To take part please contact J.Baker@leeds.ac.uk

Summary of the study.

Evidence shows there are large numbers of safety issues on acute mental health wards, frequently involving violence and self harm, associated with increased costs, physical and psychological harm. Safety data is currently only collected retrospectively and very little is collected from the service user perspective. This project aims to co-design with service users and staff a technological intervention that collects data about the perception of safety from service users, in order to support staff to anticipate and avoid developing incidents.

The project has three phases and uses different methods during each phase. Phase 1 uses a codesign approach to developing the intervention, supported by an ‘environmental scan’ consisting of a scoping review(Phase 1C) and the collection and qualitative analysis of interview data (Phase 1A&1B). Phase 2 will test and refine the intervention, examine available NHS data, and conduct further qualitative interviews. Phase 3 will be a mixed-methods process evaluation. We will collect routine data including incidents, NHS mental health safety thermometer, workforce and ward occupancy. Measures of safety culture, ward atmosphere and health related quality of life will be completed at six time points pre and post intervention. A focused ethnography pre and post intervention will explore how staff communicate and use safety data supported by interviews with service users and staff to further understand feasibility and acceptability. The synthesis of these data will assess the impact of the intervention on outcome measures; enhanced understanding of feasibility and acceptability and result in a draft pilot trial protocol.

Stakeholder and lay input has informed the development of this project, specifically through discussions with service users and co-applicant representation. A Lived Experience Advisory Group of service users will support the project. The key outputs of the research will be a new intervention in the form of a licensed product to enable the collection of and response to real-time service user generated safety data and improved economic understanding of acute mental health wards. The research will produce traditional and non-traditional publications in a variety of media. Dissemination will target key stakeholders: mental health service providers, commissioners, regulators, practitioners, policy makers, and academic researchers and make effective use of social media. We will publish in high-impact open access academic journals and present and discuss our findings at conferences to a wide range of practitioners, academics, service users. We will also devise and host a digitally supported dissemination event and invite representation from all stakeholders. The resulting product has the potential to improve safety and well being for service users and staff on acute mental health wards, a key concern of the Care Quality Commission and an NHS priority.